Reality star, TV presenter, and writer Amber Rose opens up about life as Love Island contestant and winner.

Amber shares the story of how she was cast on Love Island and how subsequent attention and criticism led to what she considers her lowest point.

Amber, always true to herself, shares her current career pursuits in entertainment, writing, and brand deals, the process of writing her first novel, and seeking opportunities that better align with her authentic self.

Enjoy!  

 

In This Episode

[00:02:05] Backstory

[00:10:25] Love Island

[00:30:00] Highs and lows

[00:36:50] Friendship

[00:39:40] ADHD

[00:50:50] Social media, societal pressures and mental health

[00:57:05] Authenticity 

[01:00:20] Career and plans

[01:05:35] Reality TV

[01:08:45] Longevity

 

About Amber Rose Gill

Amber Rose Gill is a TV personality and author famed for winning the fifth series of Love Island. In 2022, Amber released her debut romance novel, Until I Met You.

Rhona Eskander: And I think we have failed. And I think that we’re not getting any better. Like we’re not getting better as a society. [00:00:05] Like like we keep saying like, be kind when someone’s killed themselves. Caroline Flack, [00:00:10] you know, is like perfect example. And I just find that really heartbreaking. It’s always like in hindsight, oh, [00:00:15] be kind. I mean, in the Dental arena, like Dental trolls are the worst as it’s like forums of like dentists, like slating [00:00:20] other dentists and stuff. And I just find it so crazy. But like you said, people be like, well, you have followers, [00:00:25] you have this, you have that. There’s nothing to be upset about. And it’s like actually the pressure [00:00:30] becomes more, you know, and I think like, you know, we should definitely have more empathy for that.

[VOICE]: This [00:00:40] is mind movers. [00:00:45] Moving the conversation forward on mental health and optimisation [00:00:50] for dental professionals. Your hosts Rhona [00:00:55] Eskander and Payman Langroudi.

Rhona Eskander: Welcome [00:01:00] to another episode of Mind Movers. I’m looking at this absolute queen in front of me. [00:01:05] Amber is an amazing human being. Okay, so I want to talk about the fact [00:01:10] that I first met her through Doctor Esho. Actually, no, it wasn’t doctor, it was Lenny. But you had [00:01:15] been going to Doctor Esho anyways back in the day. Yeah, yeah, and I had met her because I was like, I’d [00:01:20] love to get my hands on her teeth. We did a smile makeover and look at her beaming. [00:01:25] And then we ended up becoming friends. And I’m just so honoured to have her in my life [00:01:30] because she is one of the most special human beings. That’s so nice. I know it’s it’s [00:01:35] true, it’s true. And I think one of the most real and authentic people that you’ll, you know, I’ve ever had [00:01:40] the pleasure of meeting. You often meet people, you know, they say like, never meet your hero because it’s such a disappointment. [00:01:45] But Amber is like, what you see is what you get. She’s real, she’s authentic. And it’s been [00:01:50] such a pleasure to get to know. You want to cry? Yeah. Sorry, sorry. This is making us want to cry. [00:01:55] You know, honestly, I mean it.

Rhona Eskander: And I think one of the most important things that happened in my [00:02:00] life for me was that she trusted me with her mum, actually. And for me, that’s such a privilege to, like, treat [00:02:05] someone’s family member. And her mum had been having Invisalign for like eight years. Can you like, deal like [00:02:10] like six years something crazy and still wasn’t happy. And obviously we ended up doing some treatments, so [00:02:15] that was really great. So that’s how I met Amber. So most of you will know Amber [00:02:20] from the TV programme Love Island, but she is so much more than that programme and I think that I’m really proud [00:02:25] to have been watching her journey, because Amber can correct me if I’m wrong, but I think one [00:02:30] of the most difficult things about coming out of a reality TV programme is to have a persona [00:02:35] and an identity outside of that programme, and that takes a lot of courage [00:02:40] and somewhat some kind of like reinvention in a way. And I feel like you’ve done a really good job because [00:02:45] people have bought into you as a human being, you know, not as somebody that was just like reality TV [00:02:50] show. So welcome, Amber. Thank you. That was the.

Amber Rose Gill: Best intro I’ve ever had. Really? Yeah, I [00:02:55] love it.

Rhona Eskander: I’m going to take note of that. Okay. So I want to start a little bit from the beginning because [00:03:00] I love to know the person that you were as a child, a teenager, etc.. So do you want to tell us a little bit about [00:03:05] your background where you grew up?

Amber Rose Gill: And so I [00:03:10] grew up in Newcastle. Have you ever been to Newcastle? Yeah, lots of times. Just a small city. Like, I [00:03:15] love.

Rhona Eskander: The way you single him out. Yeah.

Amber Rose Gill: No, no. I’m like, I just don’t know. Have you ever been into. Yeah. Lots of things. [00:03:20] Yeah. It’s nice. It’s all right. Yeah. But it’s a very like it’s a much smaller city than London. [00:03:25] Um, it’s a predominantly white area as well. And [00:03:30] yeah, I grew up with my mum and dad together, and my brother [00:03:35] lived with us for a period of time as well, and that was my life. And I was very I [00:03:40] was a very sure of myself, child, and especially in a teenage years, I had [00:03:45] strong opinions, I had a certain personality, and I was not changing for [00:03:50] anyone ever. Like I just was very and I don’t know where I come from because neither of my [00:03:55] parents are really like that, and I wasn’t really around anyone like that. So I don’t know where I adopted this mentality, [00:04:00] where I was very sure of myself. And I would say things that probably other people wouldn’t. [00:04:05] But yeah. So let me ask.

Rhona Eskander: You something as well. Like obviously Newcastle is very different to London. [00:04:10] Mhm. Um, certainly when I was growing up I know I’m older [00:04:15] than you, but when I was growing up it was difficult actually being from a middle eastern background at [00:04:20] school, for example, that was, you know, very white. Did you ever experience any [00:04:25] kind of race issues, you know, because, you know, your parents obviously come from mixed [00:04:30] race background.

Amber Rose Gill: Mhm. It’s easy to say looking back now, I did, but at the time I don’t [00:04:35] think I realised because you know, being mixed race and being of a lighter skin tone as well, [00:04:40] it makes me blend in a little bit easier. Like people would not look [00:04:45] at me as a massive target because, you know, I’ve just got a bit of a tan rather than being completely darker. So I do think [00:04:50] that I had a privilege in that sense, to sort of blend in. And with having one white [00:04:55] parent, I could kind of understand, you know, the way that would go on in [00:05:00] Newcastle, the way that things are meant to be. But upon reflection, [00:05:05] there was definitely microaggressions. I wouldn’t say full on, like bad things, [00:05:10] but just microaggressions, like getting the right results but still being put in a bottom set, [00:05:15] being looked at is naughty all the time, regardless sort of being singled [00:05:20] out in certain ways. That was all definitely happening, but I just, I think [00:05:25] because I had the personality that I had, I come to understand that that was just that. And I didn’t [00:05:30] really think of that. I didn’t really think it was, you know, to do with my background at all, [00:05:35] because I didn’t know anyone else, really. So, like, I didn’t it’s just my experience [00:05:40] on my own. What did you.

Rhona Eskander: Feel that like you identified with more as being? Because growing up I tried very hard [00:05:45] to be like white English, but then when I grew older, I was like, I’m very Middle Eastern and I identify with being [00:05:50] Lebanese and I identify with being Egyptian. Yeah. Whereas like when I was in my teens and 20s, I was like, I don’t [00:05:55] identify with being Middle Eastern. I identify as being as like an English person. And I never was. Do you see what I mean? So what [00:06:00] do you feel like coming from the background that you did that you identified more with?

Amber Rose Gill: Um, I think naturally [00:06:05] I identified more as white when I was younger, but definitely more in like teenage [00:06:10] years, I think, because Caribbean mentality is [00:06:15] very similar to my personality. So I kind of was like, okay, I understand I’m [00:06:20] like this because where I come from, people are exactly the same. You know, they’re very direct. They’re not bothered [00:06:25] if, you know they hurt your feelings, they’d rather tell you the truth and be honest. And that’s very Caribbean. [00:06:30] And so yeah, I felt really connected to that. But it’s funny, you know, [00:06:35] I got a comment on TikTok because I said something about being from Trinidad and Tobago because that’s part [00:06:40] of my heritage. And someone was like, what? You think that you’re not this way just because [00:06:45] your grandma was born there? So they think that I shouldn’t identify as, you know, Caribbean [00:06:50] or think or be proud of being from Trinidad and Tobago because my grandma is from there. And I find [00:06:55] that really interesting because, like I was I was brought up in a Caribbean household and I had my [00:07:00] Caribbean family, like I was very close to them. So why would I not also identify [00:07:05] with that side of my family? Like very strange. That was just yesterday. I was like, oh, [00:07:10] that’s a funny comment.

Rhona Eskander: I think that people on social media just have such like strong opinions, and I think [00:07:15] that they’re always like going to try and say something, especially on TikTok, as you said, because people [00:07:20] you say something like, I like the colour pink and people are like, why are you discriminating against blue? [00:07:25] Yeah, you know what I mean? Because then people are very difficult when it comes to that.

Payman Langroudi: You can’t bother yourself [00:07:30] with comments on social.

Rhona Eskander: No no no no. But and.

Amber Rose Gill: I don’t but I [00:07:35] just thought that.

Payman Langroudi: Like particular.

Amber Rose Gill: Comment. Yeah I just thought it was interesting. It’s not that it got to us, but I do [00:07:40] think that it’s a mentality a lot of people have. So because I’ve got a British passport, nationality [00:07:45] is British, I was brought up in Newcastle, therefore I’m not [00:07:50] Caribbean at all.

Rhona Eskander: That’s I understand I hear what you’re saying.

Payman Langroudi: The opposite is the problem [00:07:55] where people think you’re not British at all because there’s something in you that isn’t British. [00:08:00] Right.

Amber Rose Gill: So. Well, I do think it depends on the person. Yeah. So [00:08:05] I think a lot of people have that problem, but my problem is actually the opposite. It’s very much the [00:08:10] opposite. It’s so weird.

Rhona Eskander: I think that that’s like a really valid thing. Right. Because I think [00:08:15] particularly in London and I guess like Britain as a whole, we’re lucky because there’s so many different cultures [00:08:20] and like lots of us will hold the British passport, but look at us like three in a room. You’re [00:08:25] Iranian, have a British passport. You come from Trinidad Tobago, you know you’ve got a British [00:08:30] passport. I’m Lebanese, Egyptian, got a British passport. Do you see what I mean? You know, and then there is [00:08:35] a little bit of like an identity crisis because you’re like, I don’t feel English, but I feel British. Do you see what I mean? [00:08:40] And so, like, I think, you know, that that’s always going to be an interesting conversation. Okay. So you were always [00:08:45] confident, loud like assertive child. [00:08:50] And what was your relationship like with your parents and your brother?

Amber Rose Gill: Really nice. Like [00:08:55] I had a nice childhood.

Rhona Eskander: Yeah.

Amber Rose Gill: It was nice. I mean, yeah, there’s problems, but I’m. That’s [00:09:00] for another time and another conversation. Yeah, that’s with my therapist. Tell me about that. Um, [00:09:05] but yeah. No, I got on with my brother. Really? Well, we both went to the same high school, [00:09:10] and I was having a fun time.

Rhona Eskander: And when you reach like teenage [00:09:15] Hood, was that when you recognised that you wanted to do something within the public space and, you know, become. [00:09:20] No, not at all. So tell us, talk us through that.

Amber Rose Gill: Yeah. I’m not very [00:09:25] I would never like, sort of act. Well, no, you never say never about things. Maybe in a couple of years I might want to act. [00:09:30] But I was never quite like. Although I had a strong personality, I did have aspects of, like, [00:09:35] not wanting to be the centre of attention. I didn’t like that. My family is very much [00:09:40] like that. They’re very musical theatre, want to perform on stage. And I was just I just wasn’t really like [00:09:45] that. I always had the like, thought in my head that [00:09:50] I would probably be in the public eye or I would do something like that, but I didn’t know what. Mhm. [00:09:55] I just felt it. Yeah.

Rhona Eskander: I just.

Amber Rose Gill: I just felt like, like that. But I was like I don’t think that I would get on [00:10:00] the stage and sing a song for everyone. It doesn’t feel like my kind of thing. But I thought, well, I [00:10:05] feel like I’m built for something, but I don’t know what it is. Yeah, yeah.

Payman Langroudi: So what was the first thing that you did in the public [00:10:10] eye? Was it Love Island.

Amber Rose Gill: The first thing ever? Yeah. So I kind of. Yeah, yeah. It was.

Rhona Eskander: Like, take [00:10:15] us through how they found you for that or how you approached.

Amber Rose Gill: Honestly, I don’t know [00:10:20] how the founders, but it was never really something that I had my eye on. It was it was never something [00:10:25] that I thought for it. No, I never thought I want to be on that show. Because to be honest, [00:10:30] if you watch the show, I’m not very good at dating. I’m not that friendly with dating. [00:10:35] I don’t want to kiss 25 people in a row. That’s what happens on the show. I don’t want to share a bed with someone I don’t know. [00:10:40] I’m very like the opposite of what you have to do on the show. So I never really I never really [00:10:45] had my eye on it. But at 21, I was a beauty therapist and I had been doing it for a couple of years with my [00:10:50] auntie.

Rhona Eskander: Did you like it?

Amber Rose Gill: I loved it, I love, I love my clients, I love doing facials, you [00:10:55] know, I love my skincare, all that stuff. So it was just it was. Totally my forte, but super, [00:11:00] super long hours. And there’s like a cap on how much money you can make as well, because it’s [00:11:05] just you and scaling at 20, I don’t know how to scale a business, I don’t know how to add [00:11:10] someone in and it was too much. So it got to like a stagnant point where I was like, I [00:11:15] kind of want to do something different, but I don’t know what I want to do. Love my clients don’t ever want to leave my clients. I’m [00:11:20] not going to do that. One day I get a Insta DM from [00:11:25] an ITV2 account being like, um, we have [00:11:30] a brand new show on in the summer. It’s a singles certain age [00:11:35] range. If you’re interested, give us a message back. And I showed it to my auntie [00:11:40] and I was like, maybe this is the thing that’s going to like, stop the like, because we’re both in [00:11:45] sort of a rut. I was like, maybe this is the thing. I’ll just answer the DM and go from there. [00:11:50] It probably won’t turn out anything, but let’s just say reply to the DM. Done. [00:11:55] A whole load of auditions, got sent down to London, did an introduction [00:12:00] with like the execs medical stuff, and then it was like, you’re on the show [00:12:05] crazy.

Payman Langroudi: Did you have a huge social media account? No, no, not even that.

Amber Rose Gill: No, no. So [00:12:10] I mean, I had back.

Rhona Eskander: And back then because she’s one of the originals. They it wasn’t about your following. Like nowadays [00:12:15] they might pick someone with a big following, but not then.

Amber Rose Gill: No, I don’t think they would pick.

Payman Langroudi: How did they find her?

Rhona Eskander: I don’t know.

Amber Rose Gill: It’s [00:12:20] a it’s a myth. It’s a myth. Nobody knows. I should ask them that actually.

Rhona Eskander: Did you have at the time 4000?

Amber Rose Gill: Right. [00:12:25] And I know that sounds like a lot, but it’s.

Rhona Eskander: Not a lot.

Amber Rose Gill: And nowadays it’s not a lot now, but it [00:12:30] sounds like a lot for a random 21 year old to have a Newcastle. But I worked in nightclubs, so I was meeting new [00:12:35] people all the time. I was working all the time I was a face. So if you were going out, you know that you see me. [00:12:40] So like I was followed because I was well known within Newcastle, not because people [00:12:45] cared about what I thought or what or anything. To be honest, it’s because people knew me, so I have no idea. [00:12:50] But I might ask them because it’s quite interesting to know how.

Payman Langroudi: The most common question people ask you about [00:12:55] Love Island.

Amber Rose Gill: Oh, I couldn’t even tell you a common question because I’ve been asked every question [00:13:00] 5 million times.

Payman Langroudi: What do people really want to know? That you know, people.

Amber Rose Gill: Want to know what it’s really like. If [00:13:05] it’s scripted, how did I get on it? What do you eat? If [00:13:10] we want to know, what time do you wake up? What time do you go to bed? Yeah, but.

Rhona Eskander: Everyone wants to know everything. Honestly. [00:13:15]

Amber Rose Gill: The comment I don’t have a comment question because I just ask you something.

Rhona Eskander: In the process of [00:13:20] doing it. Were you happy in the process in the villa? Were you actually happy? Were [00:13:25] you waking up every day and being like, I’m enjoying this experience? Yes and.

Amber Rose Gill: No. Yes and no.

Rhona Eskander: Why? [00:13:30]

Amber Rose Gill: Because. Did you watch my season or not?

Rhona Eskander: Do you know, I don’t think I [00:13:35] think I watched like snippets of it and I definitely I remember watching like the kind of end [00:13:40] when you were like winning. Yeah. But for me it was always a show I had in the background. Like I was never invested. [00:13:45] And like I say this with the utmost respect and love because I know you. [00:13:50] But for me, it was very much a platform where people wanted to become famous. So like, I [00:13:55] knew that when like Amber, other Amber, yes, our name now was in it. And also like [00:14:00] she became a patient and she’s also super lovely as well. Yeah. And that was like when she won it with Kem, for example. [00:14:05] And then like I watched bits here and there, but I think what I struggled with was that people [00:14:10] were going on it to just become famous, like in the kind of like more recent series. And [00:14:15] I’d met a lot of people off the show because they obviously tried to get their teeth done, which I actually didn’t connect with. [00:14:20] There was something in my gut that was like, I don’t know if I trust and then, like you two, I’ve been like seeing for [00:14:25] years, which just shows like the authenticity that I’d been like, I treated you guys and [00:14:30] I’ve been your dentist for like five years or more. Do you see what I mean? So that shows that you’ve actually got a [00:14:35] proper connection.

Amber Rose Gill: You do my mom.

Rhona Eskander: Yeah. Yeah. And but that was the thing. And I think [00:14:40] that for me it was always a bit of a, like a background show. So I was never fully invested.

Amber Rose Gill: It is for [00:14:45] some people.

Rhona Eskander: But but people are invested.

Amber Rose Gill: For you with the journey. Because I was in there, I was [00:14:50] the first person to walk in and the last person to walk out. That’s two months long in [00:14:55] some random villa in Spain. And so it’s a long time and a lot of things happen. Obviously [00:15:00] it’s a reality TV show, a lot of things happen, so I’d say I was quite fun. 21 year [00:15:05] old are getting paid to sit in the sun. I mean, do they pay you for it? It was like not that much. Do [00:15:10] you know what I am actually not sure. Other people said they got paid. I don’t know if actually I was [00:15:15] like, I was just happy to be there. To be honest. I was like, fine. No, I think it was like £200 a week maybe, [00:15:20] but I’m I don’t know if I got that, but obviously I won the prize money at the end, so I wasn’t bothered with £200 a week. Yeah, I got 25 [00:15:25] grand at the end, so yeah.

Rhona Eskander: Anyways, five grand.

Amber Rose Gill: Yeah, yeah, 25 split between two, but we’ll [00:15:30] get into that. So I was the first one in the last one out for two months. And a lot lot of things happened. [00:15:35] So very fun. 21 year old absolutely loved it when I first went in. Didn’t really find [00:15:40] a connection with anyone because who does in one day? Apparently everybody that goes on Love Island apart from me [00:15:45] wasn’t in anyone still having a fun time because I’m made friends and it’s fun. [00:15:50] All you have to do is wake up, put a bikini on, have a couple of shots, have a shower, get into a nice [00:15:55] clothes, put your makeup on, have another couple of shots, go to bed, get up and do the same thing. That’s not great.

Rhona Eskander: To leave though, right? [00:16:00]

Amber Rose Gill: No, no, you’re not allowed to leave. You’re not allowed to leave.

Rhona Eskander: But so did you get homesick?

Amber Rose Gill: No, I’m [00:16:05] not I’m not the type of person that gets homesick, to be honest. If I’m in the sun and I’m in a plane, I just forget. I [00:16:10] forget. I’m like, what?

Rhona Eskander: Home?

Amber Rose Gill: Yeah, this is home right now. I’m fine. So yeah, but [00:16:15] there was moments. There was definitely like a pivotal moment where somebody [00:16:20] was just not that nice to us. And I got really upset. And then from that point, I wanted to leave. [00:16:25] Every day I woke up, I wanted to go. I told him every day I’m leaving, I’m going, no, you’re not keeping us [00:16:30] here. I don’t want to be here anymore. Like, that guy’s making me out to be some kind of [00:16:35] just. Can you sweat or not? Can you sweat? Yeah. Sweat.

Rhona Eskander: Sweat all you want. Yeah.

Amber Rose Gill: We [00:16:40] say it.

Rhona Eskander: All the time.

Amber Rose Gill: He’s making me out to be some kind of dickhead, and I can’t be arsed with that anymore. I can’t do it. [00:16:45] And they were like, no, just persevere. Like you’ll be fine. More people are coming in, you’ve got more fun things [00:16:50] that’ll come in and whatever. And I just sat tight and I was like, not really happy, but I’ll [00:16:55] crack on. And I’m glad I did because I won the show. So it was good that I just persevered. [00:17:00] But I wasn’t like, I wouldn’t say. I was like, it wasn’t that bad how I was feeling. I was just a bit [00:17:05] like, what’s the point in us being here? Everything’s very coupley and I’m single, so what’s the point? I’m [00:17:10] just sat like a spare part, so it’s not fun.

Rhona Eskander: But do you think the public voted you to win because [00:17:15] you showed that resilience and strength, and then obviously they brought in someone last minute? I kind of vaguely [00:17:20] remember. And uh, but he literally disappeared off the planet. No.

Amber Rose Gill: Well, God knows [00:17:25] I don’t know. Yeah, well, he has for me.

Rhona Eskander: Yeah, yeah. But as in like, you know, but I think he literally was one of those strange [00:17:30] people that came on to Love Island. And as I said, like most people want it because [00:17:35] they get the like, publicity. But like, he went on it and then like, no one heard from him, like, ever again. [00:17:40]

Amber Rose Gill: But I do think that was partly because he won with me and was split up, and it was [00:17:45] just a bit of a funny situation. I think if it didn’t pan out that way, he wouldn’t have done that. He would have probably he [00:17:50] was.

Rhona Eskander: Sticking his head in the sand.

Amber Rose Gill: Yeah, because it just ended up being messy.

Payman Langroudi: What were the emotions [00:17:55] coming out so suddenly in? You. Castle. You were completely famous, right? Did you go back to Newcastle? [00:18:00]

Amber Rose Gill: In Newcastle, I was famous across the whole of the. The everywhere.

Payman Langroudi: Yeah, but did you go back to Newcastle? [00:18:05]

Amber Rose Gill: No, I had no time to go back to Newcastle. I got, I flew back to London. I stayed [00:18:10] in London for three weeks. I had what’s it called, closed security. Oh, really? Everywhere. [00:18:15] Everywhere. Like I would go to Westfield. I’d stop buying shoes. I turn around, there’s a crowd [00:18:20] of people outside being like, we want to take a poll with you. And my security was like, we can’t. Like, we’re gonna have to come out [00:18:25] early in the morning or late at night, like, because it’s too much. You come into places on your own. How crazy [00:18:30] is that? So I was like, how long did it take?

Payman Langroudi: Did you pretty soon start hating that fact?

Amber Rose Gill: Yes, I hated [00:18:35] it. I hated it.

Rhona Eskander: Because I was gonna say, did you love it or hate it?

Amber Rose Gill: Oh no, I hated it. I hate it because it’s just too. [00:18:40] I think, you know, if you if you’re an actor or you’re an artist or you’re anything, [00:18:45] you sort of build an audience and you can see the direction that it’s heading in. So you can see, [00:18:50] okay, I’ve got 100,000 followers and then next week I’ve got 200,000 followers. So I know [00:18:55] that I’m getting bigger and I can prepare. Whereas I went in with 4000 and came out with 2 million.

Rhona Eskander: Wow, [00:19:00] wow. That’s insane.

Amber Rose Gill: Like yeah. Yeah. So like you [00:19:05] just can’t you can’t wrap your head around it. And also with [00:19:10] that, when you’ve, you know, you have like a thing that you [00:19:15] do like a niche that you do. So I sing and I do this and this is why I’ve got followers. [00:19:20] I didn’t know why I had followers. I was like, what do I post? What do people want to see from me? I [00:19:25] don’t know why you’re following me because I don’t post anything yet. So what? What the hell do I even [00:19:30] put on?

Rhona Eskander: Did you immediately do the thing that people do where you went straight to like [00:19:35] the comments and stuff? So you came like not having had a phone and then you got on phone. Were you like, curious what people were [00:19:40] saying about you online as like a first reaction?

Amber Rose Gill: Yeah, 100%.

Rhona Eskander: How did that affect you?

Amber Rose Gill: It’s [00:19:45] great because everyone loved us. Yeah.

Rhona Eskander: I love it. I love it [00:19:50] so good. That’s why you want. Yeah, exactly I love this. So what are any negative comments I.

Amber Rose Gill: Mean [00:19:55] yeah there was negative comments.

Rhona Eskander: Did it affect you or not?

Amber Rose Gill: Not at that time because it was overwhelmingly positive. [00:20:00] Like overwhelmingly, you know, if you win the show everyone’s like, yeah. You show people to like, [00:20:05] you know, be strong no matter whether someone’s, you know, being a dick to you, like you showed [00:20:10] girls not to put up with shit. You’re amazing. You’ve got strong personality. You’re very straight. You’re a good [00:20:15] friend. Da da da. So my head was massive. I was like, yeah, best person in the world. Yeah, I love that. [00:20:20]

Payman Langroudi: How long did it take before people stopped hounding you and bothering you or recognising [00:20:25] you, or do they still like they.

Amber Rose Gill: Still do now? It’s not as crazy now. Yeah, it’s more manageable now. [00:20:30] So I’m in a happier place.

Payman Langroudi: In Camden Town now. A couple of people will say hi.

Amber Rose Gill: Yeah, probably. [00:20:35]

Payman Langroudi: Really?

Amber Rose Gill: Yeah. Of course.

Rhona Eskander: You’ve got. I mean, look, I’ve got a friend of mine, she’s an influencer and she’s [00:20:40] got 3 million followers and she’s not on TV. But like, we went to Lesvos, which is [00:20:45] refugee camp. I took her to my refugee camp, my refugee camp, a refugee camp, but I work in. Yeah. [00:20:50] Um, every year I go and do dental work. They imagine there was someone in this little Greek town where this refugee [00:20:55] camp is. They recognised her. Imagine. Who is she? Chrissy. My friend. Yeah, but [00:21:00] imagine, like they were like. Chrissy, I do your workouts. Do you know what I mean? That’s in Lesvos, you know, [00:21:05] so I can’t. Obviously, that doesn’t surprise me that people would know who Amber is. Okay. So [00:21:10] obviously I’m gonna, you know, classically ask you because a thing like Love Island developed a really [00:21:15] bad reputation for not supporting people through their mental health. Yeah. You know, people took their life after [00:21:20] the show. So at that time when you were doing it, did they provide you with mental health support? Yeah, [00:21:25] they did, they did. I think it got to the.

Amber Rose Gill: Point where it was like an actual like I had to actually do.

Rhona Eskander: Something. [00:21:30] So what happened?

Amber Rose Gill: So I believe it was 14 weeks of therapy after [00:21:35] the show.

Rhona Eskander: And that’s compulsory for everyone or you win. Not everyone but.

Amber Rose Gill: Everyone. Yeah, [00:21:40] I think I did 12 weeks of it, but I didn’t really find it that beneficial. [00:21:45] Um, it wasn’t until later on that I’ve, you know, got a do therapy. [00:21:50] I’ve been doing therapy for two years straight now, but it wasn’t really beneficial for me at the time because I didn’t really [00:21:55] get it. It’s not really a thing in Newcastle. I mean, it probably is now, but at the time it wasn’t [00:22:00] like, oh, I’ve got a therapist. Well, what the fuck? Yeah. What’s wrong.

Rhona Eskander: With you? Yeah.

Amber Rose Gill: I mean, like, what’s going on? [00:22:05] And I didn’t realise that you have to fight. The most important thing about therapy is you have to find the right fit. [00:22:10] You have to find the right fit for you, the right person. So I. Oh, yeah, the right therapist. You’ve got to find the right [00:22:15] fit. Because, you know, I had a white therapist that was given to me, [00:22:20] like given to me from Love Island, and it just she was fine, but she was just fine. [00:22:25] And I don’t want fine. I want it to be a proper thing. Yeah. Whereas now [00:22:30] I have black Caribbean woman and some things that I talk about she just can relate to, and she [00:22:35] can understand why I would have a certain mentality or certain thought process on things. So it’s just about the [00:22:40] fit, because now I feel like I could go to her and say whatever the hell I want, whereas I feel [00:22:45] like with the one that was provided via Love Island, I felt like I was performing and she just kept [00:22:50] going, God, you’re doing really well. You can’t believe you’re only 22 and you do it. And I was like, yeah, I’m great, I’m great. And [00:22:55] I used to walk out and think, what the fuck was the.

Rhona Eskander: Yeah, I.

Amber Rose Gill: Can say I feel good.

Payman Langroudi: Just like the [00:23:00] the very lowest point and the very highest point. But what is it? What [00:23:05] happens when you come out?

Rhona Eskander: And before Amber goes on to that, I want to make a comment about the therapist, because I think that’s [00:23:10] a really important point. I also like when I recognise that I had mental health issues, was [00:23:15] quite early on in my life, and I basically got like recommended therapists [00:23:20] be like, go and see this person through like health insurance. And then I was like, I had, as you said, a very okay [00:23:25] experience. And I thought, this is just it and this is what happens. And like you said, sometimes [00:23:30] I used to go and sit in the room and just try to like fill the spaces by just like talking. And they’d be like, oh, you’re like [00:23:35] doing great, you’re fine, etc. and I used to not enjoy the sessions, not want to turn up, but I thought that’s [00:23:40] just the way that it is. Then when I found my recent therapist, who I’ve been with [00:23:45] for like three years and like, it’s such a huge difference. Like she’s life changing. I’ve even had her on the podcast [00:23:50] and it makes such a difference because and it’s like, I think like just don’t force [00:23:55] the shoe to fit. And I even say that with like, dentists and doctors, like if you go and your initial [00:24:00] consultation or something is like, I don’t feel this is right, like, just go with it, don’t stick at it. You know, this is [00:24:05] not a relationship. You don’t have to kind of like work through it. Like there are people. And I think importantly, [00:24:10] what you said was, is that because you had a therapist that understood your heritage, like we’re understanding more [00:24:15] that like people of certain cultures and backgrounds have also got like epigenetic trauma instilled [00:24:20] in them, you know, like when you look at our ancestors and we actually carry that in our DNA and people [00:24:25] didn’t know that. So like you said, like your realities and your traumas are inherently within your body [00:24:30] that like, I couldn’t necessarily understand or Payman and vice versa.

Payman Langroudi: Your instincts.

Rhona Eskander: Well, [00:24:35] we had this conversation before.

Amber Rose Gill: So I think I do. And it was really interesting [00:24:40] because the other day I was watching this video and I don’t know if you’ve seen it, I’ll [00:24:45] show you it later. And it’s a guy and he’s talking about how easy when manipulated. And he’s got two [00:24:50] dots on the screen, he’s got a red dot and he’s got a blue dot. And he says, okay, [00:24:55] you think that these are equal? They’re actually not equal. So put your hand up. If you think the red is bigger, put your hand [00:25:00] up. If you think the blue is bigger and like 90% of the people put the hand up and he’s like, well, actually they’re equal. But because I [00:25:05] made you choose something, you’re so easily manipulated to choose which one you think is bigger. And [00:25:10] whilst I was watching that video, I was thinking, no, neither of them are bigger. I think they’re equal. I [00:25:15] think they’re equal. Yeah, I still like regardless, he’s making us choose. I’m like, I’m not choosing. So I’m like, oh, I [00:25:20] do trust my instinct to a degree. But I think it’s it’s dipped in and out throughout [00:25:25] my life trusting my instinct. And I feel like I’ve come back to doing it now because I used to do it when I was younger. [00:25:30] And then with the sort of whole Love Island thing, you learn not to. Why? And then [00:25:35] because you just do like when you when I come off the [00:25:40] show, it’s all well and great. Everyone loving this and I’m getting all these compliments, but I think that you’re [00:25:45] like adapt yourself because a big part of the industry is being liked. And if [00:25:50] you want to be liked, you’ve got to be like a certain way. And I think I had bad [00:25:55] teams around us or bad people around us, not necessarily my friends or family, but just bad, like work [00:26:00] environment. And they were kind of like, oh, don’t be too sweary or [00:26:05] don’t say your opinions as much or be like a bit softer and la la la.

Rhona Eskander: And I call it PR [00:26:10] training. But you know what I think? I think it’s an annihilation of your true self sometimes, because I’ve had friends [00:26:15] of mine in the public eye and they’re like, I’ve had media training and I have to do this, and I have to wear these colours and dress [00:26:20] like this. And I’m like, I get it, but you’re just trying to fit a mould, right? That’s what I think.

Payman Langroudi: That was for the old [00:26:25] media. Yeah, they.

Rhona Eskander: Still do it now.

Amber Rose Gill: And.

Rhona Eskander: They still do the media training now. Right.

Payman Langroudi: But it doesn’t it [00:26:30] doesn’t relate so well. Yeah.

Amber Rose Gill: Social. It doesn’t come across as well. But I think that [00:26:35] part of like the sort of old love I love Island management style was [00:26:40] that whereas now I’ve got new sort of management I mean, no disrespect to old management. They did their [00:26:45] job and they were good, but they had an old mentality. Now I’ve got a younger management in the kind of get that the [00:26:50] need to let me be who I am, because that’s who people like. And it’s not necessarily about the press [00:26:55] or what the Daily Mail says or what the Sun says, like nobody’s even reading them anymore. It’s about what the what the people on TikTok, [00:27:00] whether they want to engage with you, whether they’re buying the things that you, you know, you promoting, [00:27:05] whether they’re investing in you, that kind of thing.

Payman Langroudi: Why would someone choose to listen to this? Yeah. [00:27:10] No, no, wait wait wait. There’s so many things they could do. They could watch succession [00:27:15] on TV. They could flip TikTok. Right. But, you know, there’s the reason why they [00:27:20] do it is because there’s real talk, real questions, real answers. And [00:27:25] we’ve had so little of that on TV. You know, that people crave [00:27:30] this.

Rhona Eskander: I do think I mean, I’m gonna I’m gonna ask Alan, but I do think that, like on a subconscious [00:27:35] level, though, like the response that we even get from people on social media [00:27:40] does also guide us in a way, on the way that we communicate with [00:27:45] our audiences and like what we feel like we’re censored about saying, like, we’ve discussed this before, [00:27:50] and I think that anyone that has a platform I might be wrong does have a deep sense [00:27:55] of like, I hope I don’t get. Cancelled or people like, go against me. Like, maybe you’re over that, maybe you [00:28:00] don’t care. But I’m conscious sometimes of like the fact that I say things not to be liked, but I’m not [00:28:05] offending someone gravely, intensely, you know, because I recognise, especially [00:28:10] with TikTok, more than Instagram. Um, as I said, like, people could be like, you just said, [00:28:15] you like pink. Why? Why haven’t you given green a chance? Yeah. Green deserves to be seen, [00:28:20] you know? I mean, it’s like. Yeah. And it’s a lot. So I think there’s a, there’s a sometimes you’re [00:28:25] just mindful that you’re yourself, but you’re mindful of the way you’re putting across your stuff. I don’t know. [00:28:30] That’s something I think about.

Amber Rose Gill: Yeah I think that I probably was like that on the, on the further [00:28:35] end of the scale, to the point where I felt like I wasn’t being true to myself. And I think that’s when I started [00:28:40] to not enjoy what I was doing. I didn’t really want to post was really quiet, remember, like when we first [00:28:45] met, I don’t think I was that active on like social media. I’m way more active now because I think [00:28:50] I was like trying to put myself in a box. Okay, I have too many unfollowers now I’m going to post [00:28:55] the outfit pictures that everybody that else with 2 million followers is posting. I want to do a cute picture with a coffee [00:29:00] and put a filter on it and write a cat, you know what I mean? That’s what I was trying to do. And I’m like, well, hold on a second, [00:29:05] that’s not you. You wear flip flops and Lululemon leggings to Harrods. Like you’re not the same as these people. [00:29:10] You’re not in a static photo like stop. And I think I got to that point and I was like, I [00:29:15] just it was exhausting. So right now I get what you’re saying. I’m mindful [00:29:20] to a degree, but I think in talking to anyone, you’re mindful to a degree. And I think that degree has [00:29:25] to lessen. When you’re on social, you have to just not care because you [00:29:30] lose sight of who you are, but then it becomes not enjoyable. You don’t enjoy it. And I think the main [00:29:35] thing about posting and and producing content, you just need to enjoy what you do, because people can tell when you’re [00:29:40] enjoying yourself. And yeah, because I just don’t believe you. Just burn yourself out so easily. If [00:29:45] you’re like, what if I’m offending someone like, oh, who cares? Yeah, who cares?

Rhona Eskander: I know you [00:29:50] have always embraced being your authentic self. So back to Payman question, what was your lowest point and then your highest [00:29:55] point?

Amber Rose Gill: Oh God. There were several lowest points, but I think the lowest of the low was, um, [00:30:00] I had like this launch party when I did a fashion collaboration and I [00:30:05] got super drunk, everyone was buying me drinks and stuff, and someone posted a story where I look a bit. [00:30:10] It doesn’t look good.

Rhona Eskander: It didn’t look good at this moment. It didn’t.

Amber Rose Gill: Look [00:30:15] good. I mean, I wasn’t as I wasn’t as bad as how I looked. I didn’t like I definitely [00:30:20] wasn’t that drunk. My family were there. I wasn’t that bad. But this video just caught us looking crazy. Someone [00:30:25] posted it. Yeah, it was one of my friends as well. I don’t think she realised what she was doing, but that’s another [00:30:30] story. We don’t know. Maybe she did realise, but that was posted [00:30:35] and it got picked up on so fast it was all over Twitter. She should be [00:30:40] cancelled. Um, she’s taken drugs in the club and it’s crazy. And [00:30:45] decline the fashion collab, you know, revoke the money from Love [00:30:50] Island. Like everything, it was horrendous. It was horrendous. And I think if that happened [00:30:55] to us now, it would be completely different. But I think at the time I wasn’t sort of in a proper therapy, [00:31:00] probably didn’t have a good circle. I was quite someone that liked to deal with things [00:31:05] on their own. And so I sat by myself and I just was just trying [00:31:10] to deal with it on my own, and I couldn’t. It was so difficult.

Rhona Eskander: Dark thoughts.

Amber Rose Gill: Oh my God, it was horrendous. Like [00:31:15] it was just so bad. And my management were like, just sit tight and it’ll blow over. And I’m like, well, it doesn’t feel like [00:31:20] that for me right now. Yeah, I can’t sit tight because what about the now? Yeah. You know, it’s fine. [00:31:25] In two weeks I might laugh about it, but right now I’m in hell, like I can’t. I [00:31:30] don’t want to go out. Don’t want to go out in case someone sees isn’t there like, yeah, she’s the one that was on drugs [00:31:35] or whatever. I just wanted to stay in the house and not talk to anyone, sit in a dark room and do nothing for the longest [00:31:40] amount of time. It was. It was horrendous.

Rhona Eskander: Have you ever had suicidal thoughts?

Amber Rose Gill: Yeah. [00:31:45] Yeah. Like in those points. Yeah. Yeah, I think prior to that. Probably [00:31:50] not. But I think, you know, it’s easy on the outside looking [00:31:55] in. So back before I had followers, I’d be like, why is anyone that’s got 2 [00:32:00] million followers upset and you get grip? Yeah, I got money upset. They need to like, [00:32:05] think about the priorities. And then I was like, oh no, fuck. Like it happens. Like it does [00:32:10] happen. And so yeah, that those are the times where I really felt like that. It was really it was [00:32:15] awful.

Payman Langroudi: Were there thousands of comments?

Amber Rose Gill: Like hundreds of thousands. Yeah.

Payman Langroudi: And so the accumulation [00:32:20] of those was and.

Amber Rose Gill: Yeah, that’s what I was going to say is it’s that like it’s easy to look and think [00:32:25] everything’s fine. Like what you’re bothered by a couple of comments. It’s not a couple. [00:32:30] It’s not a couple. You know, everyone’s dealt with negative comments, but when you’re dealing with hundreds [00:32:35] of thousands it’s a different unless we’ve experienced, you can never understand what it’s like when [00:32:40] people are piling on top of you. You can never understand. I think we.

Rhona Eskander: Failed as a society. Like, look, even [00:32:45] what was hitting the news like, I literally couldn’t care less really, about the royals. Like it’s not for me, but [00:32:50] like the Kate Middleton thing, like the way that the media was speculating and like bullying and then she’s like [00:32:55] forced to come out and be like, oh, I have cancer. I felt for her. Right. Like, you know, to have that like [00:33:00] kind of like public scrutiny. And I think we have failed and I think that we’re not getting [00:33:05] any better. Like we’re not getting better as a society. Like like we keep saying like, be [00:33:10] kind when someone’s killed themselves. Caroline Flack, you know, is like perfect example. And I just find that really heartbreaking. [00:33:15] It’s always like in hindsight, oh, be kind. I mean, in the Dental arena, like Dental trolls are [00:33:20] the worst. It’s like forums of, like dentists, like slating other dentists and stuff. And I just find it so [00:33:25] crazy. But like you said, people be like, well, you have followers, you have this, you have that. There’s nothing to be upset [00:33:30] about. And it’s like, actually the pressure becomes more, you know, and I think like, you [00:33:35] know, we should definitely have more empathy for that.

Payman Langroudi: You know, illness doesn’t really discriminate between [00:33:40] rich people or poor people. You know.

Rhona Eskander: Mental health, illness, physical illness, all of them. Yeah.

Payman Langroudi: Yeah. [00:33:45] Like toothache for a billionaire is just as bad as toothache for someone who hasn’t got a [00:33:50] job and is unemployed or whatever. Yeah, it’s still cheating. Yeah, but we don’t recognise that in the mental space. [00:33:55] Yeah, yeah. And in the mental space is just as bad or worse. If you’ve got a great life [00:34:00] and suddenly this happens, you’re losing everything in the meantime. Yeah, yeah, yeah. [00:34:05] What was the other point? What was the most exciting? What was it sort of what? You had to take a moment. Hi. [00:34:10] Wow.

Amber Rose Gill: So many, so many highs. There are so many highs and lows of like, what I’ve done, [00:34:15] but, like, it was just sort of. Having like, money was [00:34:20] nice. Like having freedom to do what I wanted to do or buy what I wanted to buy was crazy. [00:34:25] I was like, I remember one time my accountant said, are [00:34:30] you sure you don’t want to spend more money? I was like, what do you mean? If your accountants telling you that you should [00:34:35] spend more money, you can definitely spend more money. Because I was just like, I didn’t know what to do. I buy one bag [00:34:40] and I’d be like, oh, yeah.

Payman Langroudi: There’s a level of financial there’s that don’t have to worry about your bills [00:34:45] anymore. Yeah, that’s like a really important moment. Yeah, because I remember [00:34:50] having to worry about bills. Yeah. Or electricity bill. Water bill. God pay the bills. [00:34:55] Yeah. Then that goes away. Then there’s a next level where, I don’t know, you go to any [00:35:00] restaurant or order anything on the menu and not look not look at the price. Yeah, yeah. And that’s that’s [00:35:05] beautiful. Then there’s the next level that you go, go on any holiday and take any flight, look after.

Rhona Eskander: Your friends, [00:35:10] stay.

Payman Langroudi: In any hotel. And but it does wear away is what I’m saying. Like okay. Like it doesn’t [00:35:15] go much further than.

Amber Rose Gill: No it doesn’t, it doesn’t. But I think I went from here to here in the space of two seconds because I was like, oh my [00:35:20] God.

Rhona Eskander: Yeah, the.

Amber Rose Gill: Food, I can have champagne, I can do whatever. Like it was crazy. [00:35:25] Yeah. Um, but yeah, it was just I think that and also giving to your family.

Rhona Eskander: Right. Because you [00:35:30] paid for your mum’s teeth, I did, yeah. Like as an Amber paid. You know, her mum had a full.

Payman Langroudi: That must be the best [00:35:35] feeling.

Rhona Eskander: Yeah. Like amazing. Like giving back to your mum that like, in that way I always think, like, if you can pay something medical for your parents, [00:35:40] that’s huge. Yeah.

Amber Rose Gill: I always like to do certain things. I always feel like never do enough [00:35:45] for them, though. I always feel like I just want to do even more stuff. Um, [00:35:50] but yeah, that’s that’s definitely like an amazing feeling because she was having such a annoying time [00:35:55] and I was like, you know what? I’ll take it to my girl. She’ll sort you out. And that’s such a nice feeling. And it was [00:36:00] it was a really nice feeling. But as well, I will say like the hot holidays, the opportunities, the [00:36:05] opportunities are crazy. I was getting paid. I remember I did a deal where they flew me to Tobago [00:36:10] to do all excursions to promote a competition where you won the trip. [00:36:15] So I did everything. I know how crazy is that? And like I got paid to to like go on holiday. [00:36:20] Yeah. To snorkel. Yeah. And it was like all I do was like snorkel and look cute. And then I was done. Yeah. And I got [00:36:25] to take one of my family members with us there. I took my cousin with us and we’re like.

Rhona Eskander: This is [00:36:30] crazy.

Amber Rose Gill: Like, what is going on? People have paid me to come here. And you were like, come with [00:36:35] me. We flew business class. And yeah, I was like, it’s the best decision I’ve ever made in my life. To answer [00:36:40] that. Yeah, it was the best thing ever.

Rhona Eskander: So on the way up, obviously you make [00:36:45] friends and then you’ve got to be wary of people. And you know me and you have had this conversation before. Do you find [00:36:50] it difficult or did you trust your intuition with like, people that you met on Long Way? Because I’m sure a lot of people [00:36:55] wanted to be friends with you, right? And they didn’t necessarily want it to be friends with you because of who you are, but also [00:37:00] like, you know, is there like the soul of who you are, but they also wanted the stuff that comes with it. You know, [00:37:05] we’ve discussed this before. So did you find it hard meeting people that you knew, like had your genuine [00:37:10] like best interest at heart?

Amber Rose Gill: No, I don’t find that hard because I don’t think I’m an easy [00:37:15] person to make friends with. Okay. Like I’m not very. No. I’m an [00:37:20] easy person to make acquaintances with. Like, I can be friendly, I can go to events, I can talk to people. But I think to get really [00:37:25] close to is I struggle with that with people in general. So I don’t think that anyone [00:37:30] that has the intention of being friends with me would expect anything, because I wouldn’t give them anything [00:37:35] anyway. Like I’m not very like, oh yeah, all my friends come together. I’m just not like that. [00:37:40] Yeah, I have always had quite like a small circle. And, you know, I’ve always liked to deal with [00:37:45] things on my own. So I didn’t even tell anyone about stuff that was going on. So I’ve never really had that [00:37:50] problem. And I think people were a bit they knew that about me as well. So I think people [00:37:55] avoid us. If they’re looking for a friend that’s going to give them something. I don’t think people would look at me. I think they would [00:38:00] look at someone else. So I’ve never I don’t think I’ve ever really had that issue. Would you say is quite [00:38:05] fortunate to be honest, because I think it’s a big thing in the industry, isn’t it?

Rhona Eskander: Are you, would [00:38:10] you say you’re an introvert or an extrovert?

Amber Rose Gill: Both at the same time. Really? Yeah.

Rhona Eskander: Okay, I [00:38:15] love that.

Amber Rose Gill: I think with me, I think with everyone, I think, um, I’m [00:38:20] not someone that you can put in a box. I can sit here and talk to you for hours on end about anything. [00:38:25] I can also sit in the house and I don’t want to go out. I can go and party till 11 a.m. if I want to. [00:38:30] I can sit in the house and read a book by myself. Like I’m not one thing or anything. I’m not an introvert [00:38:35] or an extrovert. I can be both.

Rhona Eskander: Do you think that’s because you love yourself? Not in like a way of like in terms [00:38:40] of, like ego, but isn’t like, you know who you are and you respect your own boundaries and you like, you like [00:38:45] I know who I am. And like I’m saying it in the, like, the affectionate way because often I’m like, I don’t [00:38:50] think I love myself because I do things that aren’t authentically aligned with what I want to do. Do you see what I mean? Because I’m [00:38:55] worried about trying to make everyone else happy. So. But what I’m hearing is, is that you do things to make you happy [00:39:00] when it suits you.

Amber Rose Gill: Yeah, yeah. I don’t know if that’s loving yourself, because I think I [00:39:05] do sometimes and I don’t sometimes. Yeah, sorry if I’m being wishy washy, but it’s just true, isn’t it? It’s [00:39:10] the truth of life. Sometimes you do love yourself, sometimes you don’t. But again, probably come from [00:39:15] very early. I’ve always liked to do what I want. Yeah, because I’ve got, I’ve got and I don’t [00:39:20] know if this is with the ADHD. Apparently it is a very strong sense of like justice and [00:39:25] doing the right thing. So I’ve always felt very strongly that whatever I’m doing, I’m probably doing [00:39:30] the right thing or I’m being a good person, so I don’t need to worry about, is this person happy? Is that person happy? Because I feel [00:39:35] like I’m doing your.

Payman Langroudi: Intention is.

Amber Rose Gill: Yeah, my intention is always good.

Rhona Eskander: It’s really interesting. [00:39:40] So you’ve mentioned ADHD. I definitely think I have so many of my friends think I have it. [00:39:45] Maybe even you do like everyone you have like Prav thinks I have it. Everyone thinks I have it to Prav tell you, I got [00:39:50] told off at dinner. No, by your boss. My partner. Because I can’t [00:39:55] like my brain’s just like I can multitask. I’ve like, got, like, classic symptoms. But [00:40:00] let’s talk about how you got diagnosed. So.

Amber Rose Gill: I can’t [00:40:05] remember exactly what happened, but I just, you know, when I came [00:40:10] off the show, like I was saying, I couldn’t post with the coffee cups and da da da. I couldn’t [00:40:15] do anything properly. I wasn’t doing it to the best of my ability. I just knew I was sort of doing [00:40:20] it and I was enjoying it. Freedom, holidays, everything is great. But I was just like, am I doing the best job? No, [00:40:25] I don’t feel like I am, but I don’t know why. I want to post things on time. I want to post six posts [00:40:30] a week. I want to post once a week on YouTube. I had all these big aspirations and I could never do it. And it wasn’t like [00:40:35] time constraint. It was just like me. There was. It was me blocking myself. And I knew that. And I think [00:40:40] a couple of years later I sort of connected the dots. I was like, actually, I’m my biggest like worst, biggest [00:40:45] own, worst, worst enemy. I’m my own worst enemy. Yeah, I’m my own worst enemy. [00:40:50] And so I need to figure out what’s going on. And I did loads of research on ADHD [00:40:55] and I was like, that sounds a bit like me. I didn’t think anything of it because I was just [00:41:00] like, I don’t need to get diagnosed. It’s not changing my life. I don’t think it’s going to change my life. And [00:41:05] then progressively I was like, do you know what? No. I feel like I could do better, be like, I procrastinate. I feel like in relationships [00:41:10] it shows up in friendships and everything. I’m too scattered. I’m not focussed on one thing, [00:41:15] so I’m probably not doing the best at what I need to be doing. So then in [00:41:20] 2022, I think went to a private clinic and got diagnosed, [00:41:25] she was like, yeah, he’s done.

Rhona Eskander: So they make you do a written test or both like verbal and written [00:41:30] verbal. Okay.

Amber Rose Gill: It was all it was all verbal I think. Well it might have been 2021 because I don’t [00:41:35] know if it was verbal because it was like Covid year time. Yeah. I feel like yeah it was some. Yeah. [00:41:40] So I had to do a big long hour and a half with the woman and she was like, yep, you’ve definitely heard it. And [00:41:45] then everything was like, wow, I feel like I could have done better in school. I feel like I could have just [00:41:50] thrived a lot more in life. Looking back on this type of questions that she asked, I was like, oh [00:41:55] yeah, like probably could have done better in grades. I might have went uni. I mean, I got [00:42:00] offered, but that was just not on my sights because I was just chaos. And then [00:42:05] I had the whole meltdown about medication because it didn’t really want to be on medication.

Rhona Eskander: They recommend medication [00:42:10] at the time or not.

Amber Rose Gill: It’s not recommended. It’s kind of based on what you want, [00:42:15] you know, because in itself, just getting diagnosed as a very it’s a very big [00:42:20] it’s a very big thing. And it doesn’t sound like because like I’ve been diagnosed, but you’re suddenly more [00:42:25] receptive of yourself. Like subconsciously you’re like, okay, I feel like this, [00:42:30] this is because of this. So I’m either going to do this or this kind of thing.

Payman Langroudi: So I’m feeling [00:42:35] a feeling of, you missed out on stuff in your life because you [00:42:40] were like this, or was the feeling of feeling of finally like it wasn’t my fault. [00:42:45] It wasn’t, you know, like.

Amber Rose Gill: It went it both at the same time. So I [00:42:50] think at first it was like, I think I cried on the call, to be honest. I cried on the call. I was like, [00:42:55] just it’s like it’s it’s such a strange feeling. It’s both at the exact same [00:43:00] time. It’s like, oh my God. I understand now why I was getting told off [00:43:05] so much in school and I was not paying attention. I was chaos and I could have just I couldn’t [00:43:10] just focus and do an exam or revise or do what I needed to do. And that’s really sad because I’m [00:43:15] like, oh, that little Amber. I didn’t know what was going on. She was just trying to do our best, and [00:43:20] she didn’t know that she had ADHD. And that’s sad. But then also it’s like, oh my God, now I know [00:43:25] the future is going to be fantastic because like, you just [00:43:30] I think when you come to an understanding of something, you just have so much power [00:43:35] over it. I had no power over it before. I had no power. But and [00:43:40] this.

Rhona Eskander: Is the whole thing because like, I’ve always known that like, I’m a I’m a different child, I’m a different person, [00:43:45] like I just am. And there’s certain parts of me, like you said, like the deep empathy, [00:43:50] the real sense of like wrong or right, like the moral compass and stuff like that. I’ve had it [00:43:55] always since I was like a child, but my concentration is terrible. Like, you know what I’m like. I [00:44:00] can have like a million conversations at once. I have to multitask to concentrate on this. And that’s [00:44:05] why dentistry is actually really good for my brain, because I have to be focussed on the physical in that time, [00:44:10] you know, it keeps me actually focussed and that’s like, I’m so lucky I’m a dentist because [00:44:15] doing stuff like requires like being on laptop or like doing stuff on your phone, I [00:44:20] get distracted and I end up doing like a million apps at a time and not finishing one job properly. Yeah. And [00:44:25] I think, like you said, like if people utilise different types of brains in different [00:44:30] ways because at school I was told I was really stupid. I told I was never going to get into dental school and like, I just had the sense [00:44:35] of like, I’m going to prove you all wrong. I didn’t really get a job after that. Like, you know, I had to start my own practice [00:44:40] when everyone else was like getting jobs everywhere else because all these different things, like people didn’t basically [00:44:45] believe in me. And like, you know, they say, now, if you know, someone has autism, [00:44:50] Asperger’s, that you can actually put them like in jobs that make them, like really efficient. If you understand [00:44:55] the way they work, like, you know, they want to show someone with their genius. Yeah, use their [00:45:00] genius. Like they put someone that had Asperger’s. They’d never had a job. And like a super. Market and [00:45:05] the organisation of the aisles was like crazy. They use their brain in a way that like, [00:45:10] they can actually function rather than making them fit into a box.

Amber Rose Gill: You know something about [00:45:15] judge a fish by its ability to swim, not climbing a tree. Yeah.

Rhona Eskander: Yeah, I [00:45:20] love that. I really love that.

Amber Rose Gill: I totally like, resonate with that because in school [00:45:25] I just yeah, I couldn’t I couldn’t do it. So other than.

Payman Langroudi: Now the guilt of it’s kind of gone. [00:45:30] Like, I don’t know if procrastination is one of your problems, but. Let’s hear now. Now you haven’t got guilt over it, have [00:45:35] you now got ways of dealing with ADHD?

Amber Rose Gill: Yeah, I think I’m because [00:45:40] I don’t know if it’s it’s very predominant in women, but shame. It feels like everything [00:45:45] feels very shameful because it’s just, you know, if, you know, I’m looking on [00:45:50] Instagram and people are doing all these deals and I’m sat on the sofa for hours [00:45:55] and I can’t kick my brain into gear to do the things that I need to do, there’s a lot of shame. [00:46:00] It’s like, it’s your fault. Why are you like this? Just go and do it and it makes [00:46:05] everything worse. When you talk to yourself like that, it doesn’t make anything better. So you sit for longer and it’s just a spiral [00:46:10] of, like, getting worse. So when the sort of shame lifts, [00:46:15] it’s like, okay, maybe I’ll sit on the sofa for an hour now, [00:46:20] and then I’ll take one thing off and then I’ll do this and you sort of kinder to yourself. And then slowly [00:46:25] you started have 25 things in the day and it’s not bothering you, but you [00:46:30] also don’t have that little voice in your head that’s like, you need to do this and you need to be productive [00:46:35] and you need to need you need it. So if you get to a point where you’re like, actually, I kind of feel a bit strange, [00:46:40] you can have a break and be like, no, this is why I’m having a break. And then continue. One thing I wanted to [00:46:45] ask.

Rhona Eskander: You was, is did you feel that you want to take medication?

Amber Rose Gill: It was a [00:46:50] bit of a funny one, I think, being from Newcastle. You just [00:46:55] get on with life and you don’t really talk about problems. Very Caribbean as well, actually. [00:47:00] You don’t really talk about problems. You don’t take medication unless you’ve broken your leg. You can have painkillers, but you don’t [00:47:05] take medication for things that don’t exist just in your brain. And so although [00:47:10] if some if my friend came to me and said, I [00:47:15] want to take medication, I would say go for it. Yeah, yeah, whatever makes you feel better. Because I don’t really adopt [00:47:20] that mentality. Your subconscious, that’s what’s being programmed. So I felt like that. [00:47:25] I felt really strange about it. Why do I need to take medication? What? Because you sit on the sofa for hours. You don’t need to take [00:47:30] medication for that. Let’s get up off your ass and do what you need to do kind of thing. And then. It [00:47:35] was whilst I was in a relationship. It becomes really obvious to [00:47:40] the person that I’m with because I think on the face of it, a lot of people wouldn’t think I’ve got [00:47:45] ADHD because I’ve got more inattentive ADHD than hyperactive because I’m not a hyperactive person [00:47:50] at all. But in my brain is the most hyperactive thing. But when you’re so close [00:47:55] to someone in your relationship and you’re living together, they sort of notice the little things that you struggle with. So [00:48:00] say I’m going on holiday or I’m going on a trip for work and I’ve got my suitcase out. It’ll [00:48:05] take me 24 hours to do the case, and I’m having a meltdown about it because I can’t. [00:48:10] My brain like distraction. I’m going to get my electric toothbrush. I know it’s a spot on [00:48:15] the mirror that’s a bit dirty. I want to clean the mirror. And then. Oh, the shower’s video. And I’m cleaning the shower, and [00:48:20] it’s like, no, I was packing the suitcase. And so it just becomes like.

Rhona Eskander: And then your brain gets so like. [00:48:25]

Amber Rose Gill: Yeah, because it’s like, what the hell am I even doing? Yeah. And then it was, yeah, my partner at the time was like, [00:48:30] nah, like just try medication because I don’t want to see you. Like, you struggle. You struggle a lot. So then and [00:48:35] I got a shock. I was like, what do you mean? I struggle, I’m fine. I was like, no, maybe. Maybe [00:48:40] she’s right. Like I need to.

Rhona Eskander: So did you take the medication? Yeah. And.

Amber Rose Gill: Great. [00:48:45] Yeah, because God did a titration period. So started on like [00:48:50] a lower dosage and then sort of assess where I was with that. Higher, [00:48:55] higher, higher. I’m still in the titration period now because I’m still indecisive. I can’t decide [00:49:00] which dose is better for me, but from the beginning it was [00:49:05] noticeable. The difference was noticeable. I was handling things better. I could, you know, [00:49:10] reply to emails and do admin and and not be so [00:49:15] caught up in my feelings and just everything got better.

Payman Langroudi: What did you take?

Rhona Eskander: What [00:49:20] did I say? Ritalin.

Amber Rose Gill: No, not Ritalin. It’s a Concerta. Okay, I’m on Concerta. [00:49:25] Yeah, I heard bad things about Ritalin, so I didn’t do Ritalin.

Rhona Eskander: And if [00:49:30] you want to go off it, is that an option? Like, is it like, do the doctors say. Or do you have to again, like, you know, like antidepressants, [00:49:35] you have to be weaned off because if you go off completely, like it’s really dangerous.

Amber Rose Gill: No, I don’t think that’s [00:49:40] the case for ADHD. I don’t think that’s the case. I’m not entirely sure, but I don’t I [00:49:45] don’t think that’s the case. I think if it was the case, I would know because they’d be like, don’t stop taking it. You need to not [00:49:50] stop taking it. And are there.

Payman Langroudi: Any side effects?

Amber Rose Gill: Yeah there are. There’s a list of side [00:49:55] effects. So the only one that I find when I take a higher dosage. So I try not to take [00:50:00] well, I’m not on a higher dosage. Loss of appetite and insomnia are my [00:50:05] two biggest ones. And so I ended up going on lower dosage because I don’t want to, you know, lose [00:50:10] my appetite obviously. And I want to be able to sleep. Yeah. So that’s when I that’s [00:50:15] like part of the titration period. If you notice you start to get side effects, bring it back down again. [00:50:20] But you know what?

Rhona Eskander: There is like such a stigma still around it. I was thinking because all [00:50:25] my friends joke and all of my psychotherapist friends are like, you definitely have ADHD, you definitely have it. You [00:50:30] definitely have it. And then I said to my partner, I was like, I think I’m going to get tested just to see if I have it. And he was [00:50:35] like, well, you’re not taking medication. And I was like, I just want to get tested. But like, [00:50:40] I feel like because, like, he’s like also like of that old school mentality, like you said, where he’s [00:50:45] like medication, like means there’s something wrong. And I’m like, there is just such a stigma to it. And I [00:50:50] think people think that you can really like, control every element of your brain, whereas [00:50:55] I think that you need to recognise medication can behave as a Band-Aid. [00:51:00] But sometimes a Band-Aid is necessary to get better or to help you do the things [00:51:05] that you need to do. It’s the same with antidepressants, right? You know, a friend of mine, she’d [00:51:10] had avoided antidepressants for a really, really long time, and there were days where she literally couldn’t get out of bed [00:51:15] because she was so depressed and she just spent all day crying. Her boyfriend convinced [00:51:20] her to go on antidepressants because he was really like, oh, stay with it. And she said to me, [00:51:25] I saw her last week. She goes, it’s life changing. She’s like, I know it’s a Band-Aid because I know you need to sort out the [00:51:30] root cause of my depression. She was like, but now I can function in the day and I can do stuff. And I think like [00:51:35] that, just like really sort of stuck with me. Yeah, I.

Amber Rose Gill: Think that probably antidepressants can [00:51:40] be looked on as a Band-Aid, but for ADHD medication, I like to think of it as more like a balance, like [00:51:45] I’m being balanced.

Payman Langroudi: But for the rest of your life or.

Amber Rose Gill: Um, I haven’t [00:51:50] I haven’t come to like a decision on that. I’ll make the decision to say.

Payman Langroudi: Is he saying that’s the kind [00:51:55] of.

Amber Rose Gill: Thing you can if you decide? Yeah, if you decide to, you can. But I’ll [00:52:00] I’ve been off it for a week before and I’ve been fine. So [00:52:05] it’s not it’s not something that I’m like particularly worried about. But [00:52:10] I think with medication stigma like why would you not like the way [00:52:15] that the world is, why would you not want people to be harmonious in their life? Like, I want things to be harmonious, like [00:52:20] I don’t want people to be crying in the middle of salvages because I don’t want [00:52:25] to take medication like I want everyone to be happy. Happy. I don’t want to see people [00:52:30] having breakdowns. I want everyone to be on a nice level and have balance. So if you feel a type of way, [00:52:35] take, take thing, I think.

Payman Langroudi: I think there’s a feeling that doctors are over prescribing these things. Yeah. [00:52:40]

[Transition]: I think so.

Rhona Eskander: In America I think so.

Payman Langroudi: I have that, you know, the stigma you’re talking about. I have that [00:52:45] stigma when a friend’s kid, they’re putting them on medication for ADHD. [00:52:50] I kind of like, I don’t give the kid drugs, you know. Yeah. And even that might probably incorrect. [00:52:55] Right. But but I do have that feeling for a child, you know, giving [00:53:00] them and this feeling of overprescription.

Rhona Eskander: Yeah, yeah. But I just want to say I’m going to throw a spanner into the work because [00:53:05] whilst both of you are speaking, the thing that strikes me the most is like we are [00:53:10] inherently describing a problem within society because society [00:53:15] is phones and social media and all this stuff is making a child [00:53:20] more towards their ADHD tendencies. Somebody having a breakdown and Selfridges, [00:53:25] because of whatever reason, is probably because of like their environmental or societal [00:53:30] impact. And I think like that is such a hard thing because it is kind of like without your control [00:53:35] and I hear what you’re saying, but like, people now need to survive in this world that we’ve created, [00:53:40] and it’s not necessarily a harmonious, happy world we have created around us.

Payman Langroudi: Used to have [00:53:45] it when you were nine years old, when there weren’t any social media.

Rhona Eskander: No, actually, in hindsight, like, [00:53:50] look, I always think I was different as a child. Like I’m beside like, I think I was different, but I think [00:53:55] like the ability to like go out and play like in the grass and like be in like a different sort [00:54:00] of environment is somewhat, you know, like help me, you know, keep me on [00:54:05] that. Like kept me, keep me on that, like level of being happier than unhappier.

Amber Rose Gill: Yeah. Yeah. [00:54:10] Um, I do think it’s a societal thing. And I think the way that exactly what you’re saying, the way that [00:54:15] we’ve built things up, it probably is. Overprescribed. I think both things [00:54:20] are true, but I think it’s a big issue. I think for me, regardless, because, [00:54:25] you know, I was struggling pre-social media age, I think I’d be on medication, like, no [00:54:30] matter. But for a lot of people, and especially children as well, I think that it’s something [00:54:35] that could be, you know, if we’re got out in the sun more because I, you know, [00:54:40] I do hate when doctors like, have you had a cup of tea, have you had a bath if you exercise and it’s like, piss off. Like, yeah, I [00:54:45] have, I have it’s not working. But if it actually did more of those things that would need to do [00:54:50] in order to be a well functioning human being, it would lessen, it would lessen. But [00:54:55] people don’t want to do that. But you know what it’s like.

Rhona Eskander: It’s it’s really it’s really like upsetting because in a way, [00:55:00] I know that when I wake up in the morning, if the first thing I grab is my phone, of course my anxiety [00:55:05] is going to get worse because I’m going to get like an email from work or like a disgruntled [00:55:10] colleague or like a comment on social media. But I still reach out for my phone and like, my partner’s like, [00:55:15] don’t do that. He’s like, literally have like the first 20 minutes without looking at your phone at all, like, [00:55:20] go wash your face. Like brush your teeth so hard. Exactly. It’s so it’s [00:55:25] actually go to uh, um, no, actually WhatsApp because I checked work stuff. Yeah, yeah. Work [00:55:30] stuff, doctor. And you need to stop that. But also not.

Amber Rose Gill: Too. It’s really good not to. [00:55:35] I mean, I still grab my phone, I try, I try not to for a little while, but I still [00:55:40] grab my phone. But the app that I opened, headspace.

Rhona Eskander: Yeah, I love that. I actually downloaded headway [00:55:45] as well. I don’t know if you’ve heard of headway. Yeah, so headway you put down like what things you’re interested. [00:55:50]

Payman Langroudi: In your phone.

Rhona Eskander: Next to. You know I’m not allowed to see. Now I have to put it in the room next door. And that’s [00:55:55] a good. Yeah. And that’s really good. And yeah, I know and but the thing is, how was the first thing. [00:56:00]

Amber Rose Gill: That you grab your phone. So I get, I go to the room.

Rhona Eskander: Next door and I grab my phone. No that’s ridiculous. Yeah it’s ridiculous. Yeah. [00:56:05] No, but I’ll tell I’ll tell you what it is though, like my happiest place. I think I saw you just after [00:56:10] I got back from Costa Rica, and I just, I think, you know, we had a drink at the electric Daisy, [00:56:15] remember? And Amber reached out because she was like, I saw you were really sad on social media and stuff. And I was like, [00:56:20] look, I’ve like, had a really tough time and I just come back off this retreat and like, the retreat for me was like being in [00:56:25] a jungle and being with what I believe humanity [00:56:30] is about, like it’s a group of people that create a retreat, but they live in this retreat [00:56:35] and they’re people that create it that like, just like us. And they’re like, do you know what? Fuck it. I’m leaving this life [00:56:40] behind. And they create a community. And then like, they do things that you know are good, like they live [00:56:45] with nature, they live with animals, they don’t really have phones, etc. they cultivate things. [00:56:50] They grow their like food and they cook it together. They do breathwork. Do you see me? They do community activities. [00:56:55] They can like go out and work with the local community and like, yeah, yeah, like sure, I’m sure [00:57:00] they have like internal problems. But I’m like, they’re going back to like the basic roots of why we’re put on [00:57:05] this earth. And it’s like connection community, like that’s I think what’s so important it’s been left behind. [00:57:10]

Amber Rose Gill: We’re so far removed from that. And it scares me because I think how we’re so far [00:57:15] away from what was supposed to be doing. Yeah. What do you mean, a mortgage? What was supposed to pick fruit off trees [00:57:20] and just walk around and be happy? Yeah, and I’ve got bills. Like what? Who decided [00:57:25] that? Like why? I don’t get it. I hate it, but this is why I do things like Kilimanjaro. [00:57:30] I just got back about two weeks ago, and I always do those things because I think [00:57:35] it’s just nice to remove yourself. Like London’s a different it’s just. Yeah, London’s. [00:57:40] London’s crazy. Like, as much as I love it, you just so far removed [00:57:45] from like the essence I think of what humanity is. And I think when you do things like Kilimanjaro, you [00:57:50] reconnect with it, you know, because they’re sort of, you know, the way that the people, [00:57:55] the locals love that mountain because it obviously brings them money and everything. [00:58:00] The way that the look after the whole place is just yeah, you respect it so much [00:58:05] because people don’t respect it. Yet. Like the Serengeti, I did a safari in the Serengeti. The [00:58:10] way that the people respect the animals as well. They respect them so much, you know, [00:58:15] they won’t bother you if you won’t bother them. We’ll live amongst them. And it’s. It’s harmonious.

Rhona Eskander: And [00:58:20] we don’t even respect each other in even respect. People don’t even respect each other, let alone [00:58:25] like, I mean, we don’t, you know, let alone like nature and our environment and things like that. And I [00:58:30] think like that’s been such a disconnect. Maybe that is like.

Amber Rose Gill: A huge disconnect.

Rhona Eskander: Like, you know, ADHD [00:58:35] people I think probably are more affected. And like, I get really emotional about [00:58:40] things like of the environment and animals and things like that, you know, because. I just feel like such [00:58:45] a disconnect cause I’m like this. I feel like everything is like one and sort of like Kilimanjaro. Yeah. [00:58:50] No, I think I think I will be good because we we. I’ve climbed like the volcano and like Guatemala [00:58:55] and I’ve done, like, all these different like, I love trekking and I’ve done all these different things like Machu Picchu [00:59:00] and Peru, because I feel like I’m so much more connected. And like you said, there’s something like about our [00:59:05] ancestors, you know, that really makes you feel like, you know, that kind of closeness. [00:59:10] Um, do you feel now that you are living in alignment [00:59:15] with your true authentic self?

Amber Rose Gill: Yes and no [00:59:20] because again, mortgage. I can’t get on board with it. Why? Why do you do that? I [00:59:25] don’t want that. I don’t want it. But you don’t want.

Rhona Eskander: You don’t have to do it.

Amber Rose Gill: No, you don’t have [00:59:30] to. But I want to. You know? I still want to. This is the problem. It’s like it’s a big circle. [00:59:35] I also want to have a good time. I’m not going to, you know, sit and be like, who in the field with nothing. Yeah. [00:59:40] So I have to get on board with the rat race. Yeah, I have to, because I want to have a good life. Yeah, I like flying [00:59:45] business class. I do like that. Yeah, yeah, yeah. So I’m gonna have to make money. I’m gonna have to have a mortgage, so I have [00:59:50] to be part of it. But I don’t feel like that’s an alignment with my true self. But, you [00:59:55] know, in order to be in alignment, you probably do have to have a level of freedom as well. So you need [01:00:00] to be part of that in order to be part of your authentic self. Because, you know, if I want to take a day off, [01:00:05] people can’t take it. People can’t take a day off. If I want to take a day off and go on a retreat, I can’t do that. But [01:00:10] because I’m part of that, I can’t do that. So it’s just it’s a big circle of like, viciousness. [01:00:15] Yeah, I kind of win. So yeah, if you can’t beat them, join them.

Payman Langroudi: Now. What did you daily have to [01:00:20] do.

Amber Rose Gill: You said come on podcasts. You know, I um [01:00:25] brand deals presenting.

[Transition]: Yeah.

Amber Rose Gill: So like brand ambassadorships. So that means [01:00:30] that I turn up to events, I go on brand trips, I post content for them, [01:00:35] like using their products, promoting their products. I write, I’ve written my first book, amazing [01:00:40] 2022. Second book is coming out. Second book. Yeah. [01:00:45] Congrats again. The scientist for another one. Yeah. Amazing. What’s the.

Rhona Eskander: Content?

Amber Rose Gill: Um, it’s [01:00:50] romance novel. So whilst I was in school. Oh, God. Yeah, well, it was so. Did you [01:00:55] not know this? God, you need one? Yeah, you both can have one. He’s [01:01:00] a.

Payman Langroudi: Ghost-writer.

Amber Rose Gill: So. No, we don’t call it a ghost-writer. We call it a co-author. [01:01:05] Because when I went into the Harpercollins offices that they’re my publisher, when I went [01:01:10] into their offices, I was like, this sounds like a big job. And when you’ve got a platform, [01:01:15] you’ve got to do things right. I can’t be doing, you know, writing just willy [01:01:20] nilly, whatever I want. It’s got to be a good thing that people want to buy [01:01:25] and love to read. And I don’t know if I can do that. Sounds too scary for [01:01:30] me. I was always interested in English. I was going to do English at uni for my A-levels. [01:01:35] I did both English Literature and English language, so it was always a sector that I was like obsessed with, but I never [01:01:40] thought I was good enough to write something. And so they were like, no, no, don’t worry, [01:01:45] we’ll try to match you with a co-author so that you’ve got a sort of handhold [01:01:50] and someone that is published several times so that they know what they’re doing, they know [01:01:55] how things should sound, what would work, what’s not going to work. And you can sort of work collaboratively. [01:02:00] So it’s not like I go, yeah, yeah, just write whatever you want and I’ll go, this [01:02:05] is my book. Get it? It’s because it’s got my name on it. It’s not like that. It’s way more like I’m very [01:02:10] much in the process as well. I’m there with them, but it’s just I needed that because. [01:02:15] Can you imagine? Just. I’ve got 2 million people. And if it’s bad. Yeah. [01:02:20] I’m not sitting in my room in the dark again, so she better help me make sure it’s good, because [01:02:25] I’m not doing that again. I’m not. It’s got to be a bit. It’s got to be a bestseller.

[Transition]: And [01:02:30] my my.

Rhona Eskander: Question for you as well is, is that knowing what you know now [01:02:35] and living through what you have lived through with Love Island, if you do it again.

Amber Rose Gill: Do [01:02:40] it in what context?

[Transition]: I think.

Payman Langroudi: Seems like. Would [01:02:45] you do Love Island again?

[Transition]: Like in what?

Payman Langroudi: In what context you were? If you were the the beauty [01:02:50] therapist and if you.

Rhona Eskander: Were the 100%. Without a doubt.

Amber Rose Gill: Without a doubt. Okay. But now ask me if I would do it again.

Rhona Eskander: Now. [01:02:55] Now, I don’t think you would know.

Amber Rose Gill: Well, I got yeah, exactly.

Rhona Eskander: A lot of people went back, you know, there was like a reunion [01:03:00] type sort of show. And then I think. But I think that’s because you’ve become such a figure [01:03:05] in your own right. You don’t need to. Does that make sense? Like, I feel like the people that went back in [01:03:10] perhaps felt that that was so intrinsically tied to their success, they needed [01:03:15] that boost again, you know, I mean, I think that’s a very dangerous path because you’re [01:03:20] linking your identity to something that’s out of your control in a way, you know, because [01:03:25] you’re like, oh, I have to go on to get that boost again. I think some.

Amber Rose Gill: People wanted a redemption as well. Yeah. You know, [01:03:30] some people feel cheated by an edit or they didn’t last as long as they thought they should have. [01:03:35] People didn’t. Public opinion wasn’t great. And so they’re going again to see if they can [01:03:40] change the narrative. Yeah.

Payman Langroudi: Do you find that it was sometimes misleading?

[Transition]: No, [01:03:45] no, I think.

Amber Rose Gill: People use that as an excuse really I do, I do now I can [01:03:50] see because I’ve got a short hour at the minute that’s on E4. Yes.

Rhona Eskander: And it’s with a load of very well [01:03:55] known people too.

[Transition]: Yeah. What’s it called?

Amber Rose Gill: It’s called Joshua Swain. It’s chaos if you’re not into reality TV. I don’t [01:04:00] know if I like.

[Transition]: I like reality.

Amber Rose Gill: I do. So this is crazy. There’s basically a guy [01:04:05] called Josh and he’s an underdog. So not the type of people that you would see on [01:04:10] Love Island. And it’s like a social experiment to see if we could make him win the show in May. [01:04:15] And three other people on a panel are trying to make it so he wins. So [01:04:20] yeah.

Rhona Eskander: Him.

Amber Rose Gill: You know, he doesn’t know. We’ve got to do things behind us as if we’re producers. So [01:04:25] we’re like producers of Love Island, putting everything a certain way so that he looks [01:04:30] really good.

[Transition]: And so that he richer. Yeah.

Amber Rose Gill: It is like a true image. It’s exactly like that. So that’s on at [01:04:35] the minute. And I can see that it’s doing really well. Everyone’s obsessed with it. So the first [01:04:40] three episodes are out on streaming platforms already. And then I think there’s there’s 8 or 12. [01:04:45] I think there’s eight episodes altogether. So yeah, it’s only three in, so we’re not [01:04:50] far. So you’ve got time to catch up. Yeah, it’s really fun. It is funny, but Amber.

Rhona Eskander: You’ve done loads because [01:04:55] I think like what I think is fascinating about you is like, clearly the media know [01:05:00] that you’re special because you’ve been asked to do loads of other TV stuff because you and Kem did something on [01:05:05] Metal Dad, remember? Yeah. So Kem was another winner one other year. So they did a whole thing on mental [01:05:10] health, which was amazing. You know, I watched that You’ve got this now, which I think is great because I feel like your TV [01:05:15] opportunities have still like are still there.

Amber Rose Gill: Yeah. And I don’t take everything as well. [01:05:20] You know, I’ve been asked to do the sort of Celebs Go Dating and Ex on the Beach, and I just never really been [01:05:25] my thing. I think me on Celebs Go Dating would be great television because I’m terrible at dating, but I don’t want to do [01:05:30] it. I just don’t want to do it. Yeah. But yeah, in terms of the edit. So like editing of shows and [01:05:35] stuff, I can see with that show how certain things are clipped together. I don’t think that it’s not a good representation of [01:05:40] what’s happening. It still is. But like because this shows two houses together. So [01:05:45] we’re seeing the house that Josh is in and where I am and how it’s been clipped together. I can sort [01:05:50] of see how the editing is done in a certain way, but I still think it’s exactly what I said. [01:05:55] And I think with Love Island, everything that I said was what I said, and I don’t think [01:06:00] anything was misleading. I know I can’t speak for everyone is important. [01:06:05]

Rhona Eskander: That’s the one thing I’ll disagree with you on because context is important. You know, it’s like [01:06:10] if you say like, I don’t know, like. Yeah. Rona didn’t look [01:06:15] good in that dress. I just think that she’s like, you know, got a beautiful body, but she, like, looks [01:06:20] better in, like, a black dress. But then they edited it to say, I don’t think Rona looks good in the dress, like it’s the context. [01:06:25] Do you see what I mean? And then like, it’s the sentence you said it in. So I think that maybe, I’m [01:06:30] guessing I might be wrong. It’s like they will cut out bits that actually, like form the whole sentence, [01:06:35] I think, to a.

Amber Rose Gill: Degree, but I think the show would look really disjointed if that was happening every single [01:06:40] time. So I think when people say that they all being over the top, you.

[Transition]: Know, there was another.

Payman Langroudi: Thing. Your energy [01:06:45] is just so like good. Yeah.

Rhona Eskander: Energetic.

Payman Langroudi: No, no. It’s just goodness [01:06:50] comes out. It’s just obvious. You know, you’re thoughtful, but not everyone’s energy is that. [01:06:55] Yeah.

[Transition]: Yeah.

Payman Langroudi: And some people will say things that are, that are not necessarily coming [01:07:00] from like you were saying heart. Yeah. Yeah. From the right place. Yeah. And then it’s easy to edit those people into even [01:07:05] a worse. Well did other people, did you think other people were.

[Transition]: Well no.

Amber Rose Gill: Although [01:07:10] I’ve got good energy. I do say bad things a lot of the.

[Transition]: Time I.

Amber Rose Gill: See a lot of bad things. You know, I called someone [01:07:15] a knob on the show.

Rhona Eskander: That’s not bad.

Amber Rose Gill: She was being a knob, though, like, you know, we’re friends now, but she [01:07:20] was being a knob at the time, and that’s what I said. But I said some guy because it’s actually really interesting. [01:07:25] I wasn’t well liked in the beginning of the show. Really? Yeah. So I think if anyone can talk about it, I [01:07:30] really can’t talk about another because at the beginning I was not liked at all because, [01:07:35] you know, I say what I want, I probably say things that are a bit on the nose for some people. [01:07:40] You know, I was 21 and this guy came in and he was 28. I said, oh, that’s a bit old, isn’t it? Because for me it was [01:07:45] seven years older than me. That’s a bit old for me. Yeah. But I said that everyone was like, how dare she [01:07:50] say that? He’s always crazy. And then he said, do I suit these sunglasses? And [01:07:55] I the shape wasn’t right for his face. I didn’t think so. And I said, I don’t I don’t think that you do suit the sunglasses. And everyone was up in [01:08:00] arms about that. I’m like, what do you want to lie like? He didn’t suit the sunglasses. And I was like, oh, I think I suit. I’ve got the type [01:08:05] of face that suits all sunglasses. And I was like, oh, she loves herself. She thinks she’s great. I’m like, no, I just have a face that suits all [01:08:10] types of sunglasses. Yeah. But yeah, so I do get the whole editing thing because in those situations [01:08:15] I’m probably quite like a dry person. And I was like, God, you’re old. And then I laughed [01:08:20] after. But they didn’t put the laugh in, so everyone probably thought I was a bit of a dick. But I think [01:08:25] it’s funny that they didn’t put the laughing, because how funny is that? That someone just went, God, you’re old.

Rhona Eskander: Yeah, but I didn’t [01:08:30] laugh. But I just love it because I just feel like. And that’s why people love you so much is because you do keep [01:08:35] it real and like, you just know who you are. Like you say it with, like, such, like [01:08:40] confidence. Do you know what I mean?

Payman Langroudi: I think it’s super impressive. Five years after a reality show to still be relevant. [01:08:45]

Rhona Eskander: Exactly.

[Transition]: Yeah. Often.

Payman Langroudi: Often it’s a blip, isn’t it? And then it’s.

Rhona Eskander: And that’s why some people.

Amber Rose Gill: Some [01:08:50] people say I’m not though.

Rhona Eskander: Some people say I’m very. Ah.

Payman Langroudi: The question is this have you thought [01:08:55] that you need to do something like a business, something that isn’t related to your fame [01:09:00] on TV, but, you know, to to give it longevity, to give, to [01:09:05] give this for want of a better sentence. Business class flights. Right. [01:09:10]

[Transition]: That’s one.

Payman Langroudi: Longevity. Yeah.

Rhona Eskander: Um, but you’re [01:09:15] making good business decisions now. Like buying a house. You know, it’s an investment. You see what I mean?

[Transition]: Like [01:09:20] like buying a house. Yeah.

Amber Rose Gill: So I’ve got a property company. Oh. Do you? Yeah. Um, [01:09:25] so I buy. I like to buy new builds or off plan new builds. Either sell them and, [01:09:30] you know, because when they’re on completion, they’ll make more money or lease them out. So [01:09:35] that’s one thing that’s there. I do investments as well. I’ve got like an investment, [01:09:40] not crypto. No, I can’t get my head around it I can’t, I can’t I don’t understand.

Rhona Eskander: Yeah me. [01:09:45]

Amber Rose Gill: Too, but I need to understand the details.

Rhona Eskander: Of that stuff. I’m like.

Amber Rose Gill: What do you mean.

Rhona Eskander: No? My head hurts.

Amber Rose Gill: It doesn’t [01:09:50] make sense to me, so I just can’t, I can’t I have to understand it to get on board. And I just don’t get that. [01:09:55] So I do those types of things. But in terms of a business, it’s something that I’m thinking about now because [01:10:00] I think in the beginning, you know, it probably would have been a better idea to do [01:10:05] it when I first got off the show because, God, I could have made a shit ton of money. I could have made loads, but [01:10:10] that wasn’t the right thing for me then, and I don’t think I would have done a good job. Yeah, some people did do [01:10:15] that and they made loads of money and I’m happy for them. But I don’t think that was the right time for me at all. I think I needed [01:10:20] to survive.

Payman Langroudi: The Rona before. Before you used to represent a bunch [01:10:25] of toothpaste companies. You did a lot of work for us. Yeah, yeah. And then at one point [01:10:30] she she decided, well, why don’t I just do my own? Yeah, yeah. And, you know, fingers [01:10:35] crossed. So that it’s a bit like that, isn’t it. Yeah. You do. You could have [01:10:40] done your own line of something.

Amber Rose Gill: Yeah you could, but I think that that’s something that I’m looking into now. [01:10:45] So one of my really big interests is swimwear. And it’s because I think that there’s a gap [01:10:50] because they’re either £200, you can’t go in the sea with them. [01:10:55] You wear them once and they’re a different colour. They’re really poor fabric. Just everything’s [01:11:00] not good. You know, we buy in bikinis for £8 or £200. There’s nothing in the middle that’s good quality. So [01:11:05] I really want to do that. But that’s more like a passion project than like cash cow. What can I make the most money from? [01:11:10] That’s more like, no, I think that this is a good idea. And this is. What I want. So I’m going to make it small [01:11:15] and hopefully make it bigger in the future if it works. But I don’t think that was the right thing [01:11:20] for me. Then a lot of people did. They brought out, you know, sort of makeup palette [01:11:25] or fake tan or you’ve got to do.

Rhona Eskander: Things that are aligned with you, I think. Was it your Payman that told [01:11:30] me about Matthew McConaughey story? Is it so Matthew McConaughey said as well that like one [01:11:35] time he got given a movie script and he was so done with like doing rom coms because he’d always been put in [01:11:40] this, like rom com box, you know, with like how to lose a guy in ten days and stuff. And he knew that he was an incredible [01:11:45] actor, but no one was giving him the chance. And the money was really good in rom coms. So someone like gave him a [01:11:50] script and they, like, offered him millions of pounds, millions of dollars. And he was like, no. And they [01:11:55] like, doubled it. And they were like, now will you do it? And he was like, no. And then he was just like, the thing is, [01:12:00] is that they couldn’t buy me. And he turned it down because he knew, like, the more and more he tried, [01:12:05] he did these roles. And, you know, he was asked like, did you regret it? And he just said, like, look, I didn’t [01:12:10] regret it. And at the end of the day, then he ended up doing roles that were more aligned to what he wanted to do [01:12:15] with, and he got paid less. And but he eventually got built up. And the point is, is like a lot of people, and [01:12:20] especially people that come out of Love Island, I’ll see them promote some, like flipping £2 air freshener, [01:12:25] like, you know what I mean? Like collab deal. And I’m like, is this really aligned with who you are? And then people [01:12:30] start to question it. Like on now you’re like under scrutiny. People are like, but why are you actually promoting [01:12:35] this? Do you actually believe in it? And I think like you’ve been really good and like you said, you could have done all the stuff, [01:12:40] the fake tan and everything, but you knew wasn’t aligned with who you are.

Amber Rose Gill: Yeah. And I just don’t think I was equipped [01:12:45] to build a business at that age. I wasn’t. And I know I could have, you know, had everyone [01:12:50] do everything for me, but I, I when I do things, I like to do things myself. I [01:12:55] don’t want everyone to do everything around us. And so that just wasn’t the right thing. But in [01:13:00] terms of the car, air fresheners could never be me and I never did that. But I did make some mistakes where I think, well, [01:13:05] why did I do that? Why did I do that? But I also think everything in life is like [01:13:10] you. You just learn yourself 100%. You know, you learn like you have to make you make that mistake. [01:13:15] And then now, you know.

Payman Langroudi: Still so young.

Amber Rose Gill: Yeah. Yeah, exactly. And even though.

Rhona Eskander: You think 26 is old now. No, [01:13:20] no, I, I’m joking.

Amber Rose Gill: I feel like when I was 21 I thought I was so old. Now [01:13:25] I’m 26, I feel so young. I’m like, God I’m so young. There’s plenty of time to [01:13:30] do, like whatever I want to do. And so yeah, yeah, there is.

Rhona Eskander: And I think the world is your oyster. [01:13:35] Well, I’m like so happy and so inspired having you on. But I think you really [01:13:40] such an incredible woman. And like I really appreciate you coming on and just to show you as well, like, no matter [01:13:45] how big or small your audience is, Amber always shows up, you know, and to like even [01:13:50] today, you know, I know a lot of people are going to be so excited and it’s like a smaller audience, but they’re going to absolutely [01:13:55] love listening to you. So thank you so much, and we look forward to the second book, signed copies.

[Transition]: Yeah, [01:14:00] you can have the.

Amber Rose Gill: First book signed.

Rhona Eskander: Copies. Love it. Okay, I’m the other.

Payman Langroudi: Compliment to both [01:14:05] of you. Beautiful smile as well.

[Transition]: Oh, thank you so much. Okay.

Rhona Eskander: Thank you. Bye.

Payman chats with dental coach and communication expert Barry Oulton.

Barry shares his journey into dentistry, despite his artistic nature, and how his father influenced his career choice. 

He discusses his education in the UK and the US, overcoming limiting beliefs and the challenges of running a practice.

Enjoy!

 

In This Episode

[00:01:10] Backstory

[00:09:05] Study

[00:11:25] Journey to practice ownership

[00:15:40] Personal life and personal development

[00:28:40] Coaching greatness

[00:33:20] Limiting beliefs

[00:42:30] Patient journey and communication

[00:51:50] Blackbox thinking

[00:55:00] Practice management

[01:07:05] NHS to private transition

[01:09:40] State of the industry

[01:15:20] Fantasy dinner party

[01:17:15] Last days and legacy

 

About Barry Oulton

Dr Barry Oulton is a dentist, business owner, lecturer, coach, and mentor who has worked with Henry Schein, Septodont, DMG, S4S, Biohorizons, Bupa Dental, and Colosseum on B2B sales success in dentistry.

Barry Oulton: And so once I started to deal with my limiting beliefs and you can do limiting beliefs around relationships, [00:00:05] around yourself, around clearly the list that I’ve got is around wealth and money [00:00:10] and attitude towards towards money. Once you start to remove these limiting [00:00:15] beliefs, it frees you up to be making better choices. I’m now if [00:00:20] you imagine that I saw ten patients and and nine out of them chose the filling, [00:00:25] I now know that I did not serve them well enough because I put them off the crown, knowing [00:00:30] that the crown was the best. I didn’t put them off the crown consciously, but my [00:00:35] own limiting beliefs prevented them from choosing the best because they didn’t hear me [00:00:40] say the crown is best because I negated it subconsciously for them with the word. But [00:00:45] it’s crazy, right?

[VOICE]: This [00:00:50] is Dental Leaders. The [00:00:55] podcast where you get to go one on one with emerging leaders in dentistry. [00:01:00] Your hosts Payman [00:01:05] Langroudi and Prav Solanki.

Payman Langroudi: How we run [00:01:10] our businesses, the way we communicate with our teams, our customers, [00:01:15] the way we look at the world really makes a massive difference to our outcomes. And [00:01:20] some dentists are taking on coaches and we’ve got one of the country’s [00:01:25] original coaches, NLP expert, communication expert, the confident [00:01:30] dentist Barry Alton. Um, lovely to have you on the podcast, [00:01:35] bud.

Barry Oulton: Thanks for having me Payman. It’s very lovely to be here.

Payman Langroudi: Barry. [00:01:40] This conversation tends to be one where we’re trying to figure out, you know, what made [00:01:45] you Barry Alton and then, you know, the the direction you’ve gone. So when you think [00:01:50] back to your childhood, is there something that stands out in that [00:01:55] journey of whatever it was that makes you feel like it’s [00:02:00] informed you becoming the person you are today?

Barry Oulton: Yeah, I think that’s [00:02:05] an interesting question, Charles. I think the influencing the biggest influencing factors were [00:02:10] later on. Uh, but certainly my dad has been a huge influence. My, [00:02:15] my dad groomed me to, to be in a profession he didn’t [00:02:20] really mind what profession, but given that my dad probably couldn’t read and write until he was late 20s. [00:02:25] Um, tough, very tough upbringing in Liverpool. He [00:02:30] became the basically became, uh, almost parenting his [00:02:35] four siblings from the age of eight. And he had a very tough upbringing. So he [00:02:40] what he wanted for his sons, me and my older brother, was that we would be part of a profession. So [00:02:45] I think it was, uh, predetermined that I would go down some line of that. And so [00:02:50] that was a big influence, and he just wanted the best for us. So he was constantly pushing [00:02:55] us to do the best that we could possibly do.

Payman Langroudi: How did dentistry come on the scene? Like why dentistry? [00:03:00]

Barry Oulton: So that’s an interesting situation because I was incredibly artistic. [00:03:05] But my dad had a belief that art was a good hobby, and it was it [00:03:10] would take me in the wrong direction. And so as a kid, I wasn’t permitted to study it. I wanted [00:03:15] to do art. The art teacher wanted me to do art. So in my spare time, uh, [00:03:20] at the age of when did we choose? Probably 14. 15. I [00:03:25] would be painting, I’d be drawing. I was engraving glass. [00:03:30] I was creative at home, but I had to do sciences and I had to do, [00:03:35] you know, the things that would more likely take me into one of the professions. And so [00:03:40] I at that point, I was a bit of an odd kid. What do you want to be when you grow up? And it was I want to be a [00:03:45] dad, which is a strange answer, but I, I knew that that’s I wanted to be a [00:03:50] family man. I wanted a family. So I convinced myself that I would be a paediatric [00:03:55] doctor and went down the route. But I, I was labelled [00:04:00] as a slow learner. As a daydreamer, I struggled to remember stuff [00:04:05] at at school. I excelled in things that were practical. I’m an experiential learner. [00:04:10] I’m highly kinaesthetic. We now know from our recent last three [00:04:15] four years with my eldest son, who is currently not being accepted [00:04:20] in any school. He’s being homeschooled because of his ADHD. We now know that I’m [00:04:25] highly ADHD as well, so going back in time things start to fit [00:04:30] into place. So I was applying for medicine. I had a car crash the two days [00:04:35] before my A levels sat my A-levels.

Barry Oulton: I didn’t get the results I needed, but that gave me breathing [00:04:40] space. I went back and re sat and I decided I wanted to do dentistry and having [00:04:45] not been allowed to do art for years, it was probably eight years later [00:04:50] and like 2 or 3 years after qualifying, that it dawned on me that I’d landed [00:04:55] on my feet in terms of being an artist. And because I now hand [00:05:00] carved smiles, I became a senior instructor for Larry Rosenthal’s crew, both [00:05:05] here and in America, teaching dentists 20 years older than me how [00:05:10] to create a smiles and how to hand carve them. And so I ended [00:05:15] up being an artist. And oddly, in my practice, I [00:05:20] don’t work from surgeries. I call them studios. And so little things kind of [00:05:25] dropped into place when ADHD was presented to us as a family [00:05:30] trait. And this transition that I’m moving away from clinical dentistry and moving [00:05:35] full time into coaching has also been a real task for me, because dentistry [00:05:40] has been so beautifully organised for me and such a [00:05:45] highly productive. So I work from two studios, I have two nurses. We have [00:05:50] this beautiful systemised approach to our patient journey. I don’t know what I’m doing until [00:05:55] I walk into the room, but then I’m I’m in flow. I’m, you know, I end up having [00:06:00] great conversations and relationships with my patients. And at the end of the day, I look at [00:06:05] the finances and go, what a successful day. And I have these all these hits of dopamine. And at the [00:06:10] end of the day, I know what I’ve done and I know how how well I’ve achieved.

Barry Oulton: And you now take me out of that scenario. [00:06:15] Put me in a shed in the garden where I’m building my coaching business, and it’s [00:06:20] very different. You know, the income is feast or fallow. It’s not a daily target. And [00:06:25] so I it’s been a quite a steep learning curve and adjusting. But [00:06:30] I think ultimately getting into dentistry was partly because [00:06:35] I wanted a family. And when I was looking at any medics that we knew, they were travelling [00:06:40] wherever the jobs were, you got to remember, this is like 35 years ago and [00:06:45] all the dentists that we knew, not many, but they were doing really well, [00:06:50] ran their own business, worked under their own hours, and I thought, you [00:06:55] know, that that kind of that’s for me. And then when I, I struggled in first year because [00:07:00] it was removing histopathology, anatomy, physiology, all of this reading and having [00:07:05] to remember as soon as I got hands on into something, that’s [00:07:10] when I really hit my lane. And I went from struggling [00:07:15] to excelling. When it was hands on, I was, you know, I’d finished, I’d finished [00:07:20] doing the wax up for a gold crown before anybody, you know, put [00:07:25] in their first fissure. And then I was hand carving roses and just stuff like [00:07:30] that. So I’ve, I have I love dentistry, I [00:07:35] love the interaction with with people. I’m a people person. I love the relationships [00:07:40] I’ve been in my practice now for. Well, I’m exiting. But 25 [00:07:45] years I’ve been in that one place and it still feels like yesterday. Um, where. [00:07:50]

Payman Langroudi: Where did you study?

Barry Oulton: I’m a Leeds grad for my, um, undergrad. [00:07:55] I then did Dpd’s, which is a three year post [00:08:00] grad in, uh, attached to Bristol. And then I did most of my, [00:08:05] um, post grad studying over in the States in terms of [00:08:10] eight levels of Dawson, as with John Cranham in his practice. I was with Galit [00:08:15] Goral in his practice, where I learned my veneers. Um, I spent [00:08:20] time with Spear in Florida, in fact. And then all my [00:08:25] NLP training was in the States as well, so all over the place to be honest. Oh, and Romania, [00:08:30] Romania as well. I did some training in Romania with flooring.

Payman Langroudi: Flooring?

Barry Oulton: Yeah. [00:08:35] What a what a guy.

Payman Langroudi: So. And where had you grown up before? [00:08:40] Leeds.

Barry Oulton: So near Liverpool, on the Wirral. So the Welsh would call me a plastic Scouser [00:08:45] and the Scousers would call me a woolly back. Because the Wirral [00:08:50] is this little peninsula, so it’s got three sides of water on it between North Wales [00:08:55] and Liverpool. Um, so born and bred on the Wirral, went over to Leeds and then I did [00:09:00] my VTE year back on the Wirral before I came down south.

Payman Langroudi: And what kind of a cat [00:09:05] were you? I mean, like when you, when you got to Leeds, was it like, you know, your first taste [00:09:10] of freedom. Did you party loads or didn’t you party loads did you. What were you like? [00:09:15]

Barry Oulton: I was a village boy. My one of my my best mate. My best man is [00:09:20] one of the, uh, the heads of the police in Liverpool. And he said, you know, you’ve [00:09:25] been brought up in Disneyland and you haven’t got a clue what’s going on in the world. And, [00:09:30] you know, I used to think, well, that’s not true. And now I know absolutely it was true. So, [00:09:35] um, I was very I was shy, I was really shy, to be honest. I wouldn’t say boo to [00:09:40] a goose. And then, um, the thing that really broke the mould was, [00:09:45] uh, I met and started dating an aerobics instructor, [00:09:50] and, um, got super fit, and I became an aerobics instructor myself [00:09:55] and a presenter and actually end of university, I [00:10:00] had a decision to make whether to become, because I was working with some stuff, there was [00:10:05] some TV work offered and some international stuff offered. I was [00:10:10] I was presenting to present teaching presenters. I was basically I was pretty good at it, [00:10:15] jumping up and down. And that’s how I met my my first wife [00:10:20] teaching classes. So I was teaching aerobics, and that just brought my confidence up because [00:10:25] then it was effectively performing in front of people, creating and that creative [00:10:30] side. So I was creating routines, and then I was teaching instructors how to deliver [00:10:35] those routines. And so that really helped me to come out of my shell. So uni was great. [00:10:40] I was I lived in a house, we bought a house, me and uh, three mates [00:10:45] who were medics and uh, I had a fantastic time at university, but I [00:10:50] really got in. I got into my own personal groove of confidence. I would say, [00:10:55] um, at the point I, a point at which I qualified. And then life was just phenomenal [00:11:00] after that because I was mixing, teaching, aerobics. I was doing like 14 hours a week on top [00:11:05] of working full time. So I had. Yeah, I had plenty of money and plenty of time [00:11:10] and plenty of fun. And yeah, it was it was good.

Payman Langroudi: So then the [00:11:15] journey from that point of, you know, qualifying to starting [00:11:20] your own practice, how long was that?

Barry Oulton: Five years. So I knew I mean, my dad and. [00:11:25]

Payman Langroudi: That was this practice that you just.

Barry Oulton: Exited. Right. So he taught himself to read and write, got himself [00:11:30] kind of to university, to a level at university because he became [00:11:35] probation officer, social worker. And then he ended his career being [00:11:40] head of child protection at Liverpool, which is a goddamn awful job. But none [00:11:45] of those paid very well. And so he was also a TV engineer back in the days [00:11:50] where TVs had tubes and stuff like that. So my dad from [00:11:55] from the day that I can remember him, worked two jobs. Uh, he’d work in 9 to 5, [00:12:00] where he’d be in Chester, he’d come home, he’d have dinner, and then he’d work till, [00:12:05] I don’t know, 11 midnight, whatever. Fixing TVs, delivering, doing [00:12:10] all sorts of stuff. So I always knew that I wanted to be self-employed because I saw the difference between [00:12:15] being employed and being self-employed. So I, I consciously made a decision that I would go [00:12:20] down to London for five years and work in as many different practices as I possibly [00:12:25] could in order to find out what I wanted to do, because I had no idea. Right? I [00:12:30] qualified from uni, did my with a phenomenal man, and that was, you [00:12:35] know, I got a taste of what it’s like to work in the NHS. And so then I [00:12:40] went down to London and I didn’t work anywhere full time.

Barry Oulton: I worked in in a whole [00:12:45] range of different places part time. I think I ended up working in 10 or [00:12:50] 11 different practices to get an idea of what I wanted. And then I met a man who [00:12:55] became a phenomenal mentor to me, a guy who [00:13:00] was going to be starting up a corporate back in the day, a guy called Julian [00:13:05] Perry, who then ended up at I know, Julian Perry. So [00:13:10] he took he took me under his wing for probably ten, 12 years, [00:13:15] something like that, maybe even longer. And he taught me what private dentistry was, [00:13:20] taught me how, you know, how to have conversations with patients. And this is before I really, truly [00:13:25] learned the essence of communication. And then he was buying this [00:13:30] practice in a place called Hazelmere in Surrey, near Guildford, to be part of [00:13:35] his corporate. And that was in the day where there were like I think there was something like 12 or [00:13:40] 14, don’t remember limited company names that were allowed in dentistry. And that [00:13:45] was in the day when nobody else could set up a limited company. It was all kind of single [00:13:50] handed practitioners. Right. And these limited that.

Payman Langroudi: Was that was um, aura. [00:13:55] Right. It was.

Barry Oulton: Aura. Great memory. So he was setting up aura. Yeah. And I [00:14:00] phoned him one day because I was working for him in, um, Wandsworth. And he’d already had. [00:14:05]

Payman Langroudi: I’ve been to that practice.

Barry Oulton: He already had Thayer Street, and he was buying three practices. But [00:14:10] then he found out that the the limited company name that he was purchasing and they were swapping for crazy money [00:14:15] had been, I think, accidentally trading illegally, which meant that he [00:14:20] couldn’t buy it. And so he backed out of buying these additional practices [00:14:25] because he just wasn’t in that position. So I managed [00:14:30] to sweep in and buy Hazelmere. It wasn’t, you know, I didn’t I [00:14:35] didn’t personally go looking for it, but I know full well that if JP has [00:14:40] done his due diligence and says it’s a it’s a good opportunity, then God [00:14:45] damn it, I knew that it would be a good opportunity and it really was. So I, [00:14:50] I bought it unseen, put a deposit down on it, met the old boy and [00:14:55] and that was it. And that was 26, nearly 26 years ago, September [00:15:00] 1999. And it was a really dreary. Didn’t have a [00:15:05] motorised chair, had a pump action chair. He was an ex-army dentist. He [00:15:10] was pretty brutal with his patients. So actually, as this [00:15:15] young kid as I was, it was it was really I mean, it I didn’t find it easy, but in hindsight, it was [00:15:20] relatively easy to go in and impress the patients because I truly [00:15:25] gave us stuff. And, you know, I’m my aim was to [00:15:30] provide gentle, great quality dentistry and it just grew from there, really. [00:15:35]

Payman Langroudi: So you said when I asked you about what in your childhood informed [00:15:40] kind of the person you’ve become. You said it was stuff after your childhood. Really? That. Yeah, [00:15:45] that it was it was it in this phase?

Barry Oulton: Yeah. So I [00:15:50] bought Hazelmere, I was married, and when I bought it, my eldest [00:15:55] daughter had literally was turning one and um, yeah. [00:16:00] So I ran that my, my wife, who had met in an aerobics class, [00:16:05] my, my, my wife, um, supported me through that, but but, um, like, [00:16:10] I thought life was pretty good. I bought my what I thought at the time was my dream house. Life [00:16:15] was good. I was I was working hard. I started a squat practice in Tower Hill [00:16:20] in London. I bought another practice, um, in hazelmere and moved it to [00:16:25] me. I was working too hard seven days a week, so I actually basically [00:16:30] gave the squat practice to my. He was a friend at the time, but [00:16:35] I was there was an equal distribution of the effort. And so I just [00:16:40] gifted him and said, you take it on and he’s still there and he’s made a phenomenal success of it. [00:16:45] But what that did is that that began to give me some life work balance. Um, [00:16:50] and then I found out that my wife was having a two year affair with a friend of mine, and. [00:16:55] Whoa. Yeah, that was the point that I, uh. Yeah, that [00:17:00] was a massive, massive trauma, to be honest. It was, um. I [00:17:05] remind you that I said when I was, people said, what do you want to be? And I said, I [00:17:10] want to be a dad.

Barry Oulton: And so I had two amazing young kids, probably. How old are they then? [00:17:15] Six and three. Something like that. So the affair had started when my youngest was just [00:17:20] one. And she was like, yeah, you can see them whenever you want them. And I was like, no [00:17:25] way. I’ve seen a friend just go through this. I said, I will leave [00:17:30] my dream home when I get a legal document that says, I’ve got my children 50 over 50. And [00:17:35] what a blessing to be a dentist, because I had friends down here [00:17:40] in the South that commute. Hazem is a big commuter town and these guys are working five days [00:17:45] a week getting the train at 632, the 632 from Hazelmere [00:17:50] up to Waterloo and getting home at 9:00 at night. And so these guys [00:17:55] work frigging hard during the week, don’t really see anybody. You know, I did it two days [00:18:00] a week when I had the London practice. I’d leave in the dark when everybody was asleep. I’d come home [00:18:05] in the dark when everybody was asleep. But as a dentist with a practice that was ten minutes away from home, [00:18:10] I can be as flexible as I like because I own the damn thing. So I said, I want my kids 5050 [00:18:15] took a year, uh, of abuse. I would get ice cold water poured [00:18:20] on me in the middle of the night, told to leave the house.

Barry Oulton: I was attacked three times. It was pretty horrific. [00:18:25] But at the end of it, um, there was this one time where, you [00:18:30] know, there was a knife pulled and I got a phone call from a lawyer saying, you don’t know what’s happened, but [00:18:35] they’ve agreed to you having the kids 5050. And so that was the moment that [00:18:40] I went and became a single dad 50% of the time. Slept on a floor [00:18:45] and a flat for six months because literally they took me to the absolute cleaners and [00:18:50] I was kind of damaged and broken. I got into a relationship with a, um, a particularly [00:18:55] very good looking nutter. Uh, that took me. Took me down. Uh, every [00:19:00] other weekend I was daddy, and every other weekend it was crazy, crazy [00:19:05] party land. And I. I realised it just wasn’t working. It wasn’t good. I found [00:19:10] out that my youngest daughter was really hurting herself, self-harming, but kind of at the age [00:19:15] of six and seven, pinching herself and bleeding. And I was like, I’ve got to sort my shit out. I’ve got to get out of this relationship. [00:19:20] I’ve got to sort myself out. So that’s when I went and did some personal development. I did some training [00:19:25] with a guy called Tony Robbins and with him, uh, on Thursday, in fact. And this Thursday. [00:19:30]

Payman Langroudi: Right before you move on, I’ve got to ask you some questions about that period. I hope you don’t mind. No, [00:19:35] go for it. But so so, you know, when what was going through your [00:19:40] head regarding your wife, regarding your wife, were you I mean, [00:19:45] was there any element of it that you blamed yourself or did you just think she’s a nutter? [00:19:50] Uh, with.

Barry Oulton: My wife at the time, I felt very much cuckolded because this [00:19:55] guy would come to our front door with his designs for my website. And [00:20:00] that was a complete ruse to determine whether I was in or not. If I was in, I’d go. I brought you some designs, [00:20:05] and I’d be turning to my wife. Go, what a what? A good bloke comes out of his way to come and share with us [00:20:10] what a good bloke. No, he was, he was knocking on the door to see if he could knock her [00:20:15] up if I wasn’t there. So. I built, I beat myself up for [00:20:20] being naive and stupid. But no, I at this point in time, I [00:20:25] felt very affected by it all. Not not realising [00:20:30] that that was my doing to feel affected. Right. And I thought, [00:20:35] to be fair, I thought that all the time that I was with my ex-wife, I [00:20:40] thought that she had problems. She had a very tough childhood and I was I thought I was kind of like knight [00:20:45] in shining armour, not realising that I had my own healing, to [00:20:50] do my own stuff that I needed to go through. And so once I started this [00:20:55] personal development journey. I started to realise, you know, I felt that, [00:21:00] you know, for the first, probably 2 or 3 years of this whole thing breaking down and [00:21:05] this horrible experience of trying to defend and go through court because [00:21:10] they were trying to take everything.

Barry Oulton: And I felt very I felt the victim. [00:21:15] And then when I did some personal development and then I started to learn my NLP [00:21:20] and became a master practitioner and a hypnotherapist. What I realised is [00:21:25] that in hindsight, I was 50% responsible for the breakdown of the marriage. [00:21:30] You know, I, I didn’t I didn’t make her go and have an affair. But clearly, [00:21:35] you know, the, the scenario and the situation was created by us both [00:21:40] where we made choices. And, you know, her choice was to do that. So [00:21:45] it’s I wouldn’t be who I am today without that. That that was a horrible three years. But [00:21:50] it is apart from my children and Chloe. That’s the best thing that ever happened [00:21:55] to me because it’s made me who I am. It was the biggest trauma, but [00:22:00] also the biggest gift. And anybody you speak to, right, who’s been through any [00:22:05] level of trauma will ultimately say that at a period of time, they turn around and go, it’s [00:22:10] one of the best things that happened, because if you focus on growth, if [00:22:15] you focus on, you know, finding the silver lining in something, then actually [00:22:20] the silver lining is by far away outweighs the trauma that you felt at the time. [00:22:25]

Payman Langroudi: Not to mention you’ve been bridging the gap between Tony Robbins and [00:22:30] dentists since that time, right? You know, like you’re looking, looking for, looking for [00:22:35] the, um, personal development for yourself has led to who you’ve become now, right?

Barry Oulton: That’s exactly [00:22:40] right.

Payman Langroudi: Personal development for dentists. You know.

Barry Oulton: There are people out there at the moment that are [00:22:45] doing Tony esque things, trying to make an awful lot of money [00:22:50] in a short period of time. And, you know, I keep banging on the fact that, you know, I’m here for 20 years. [00:22:55] You know, my my whole aim is to my success [00:23:00] is based on my clients success, which is why, you know, not [00:23:05] to speak about my program, but my entry level program is a 100% [00:23:10] money back guarantee, because the one thing I’ve noticed is that [00:23:15] it’s very hard to have dentists understand and accept when it comes to communication, [00:23:20] that there’s a lot that they don’t know. You know, you speak to any dentist and they think they’re bloody [00:23:25] good at communicating. And they spend a lot of time and energy on learning their clinical [00:23:30] skills or upskilling themselves clinically. And not many really spend much time [00:23:35] and energy or finances on upskilling themselves with their communication skills. [00:23:40] And so, you know, I, I have quite a bold guarantee and [00:23:45] that is I, I have a 12 week program. Ultimately I run a 1 [00:23:50] to 3 year mastermind. Right. But that’s a high ticket, high value. And I [00:23:55] openly say that unless you know and love me, no one’s going to spend nearly 50 grand [00:24:00] with me to be with me for a year. If you know and love me, then it’s money [00:24:05] well spent, right? So I have an entry level program which is a fraction of the cost. It’s 12 [00:24:10] weeks, and I guarantee that you will double that investment in me within the 12 weeks, [00:24:15] or you get your money back, or I work with you for free until you do.

Barry Oulton: And [00:24:20] nobody, nobody has ever wanted their money back because typically [00:24:25] they more than double their income. I’ve got one guy who’s worked with me now for ten weeks, [00:24:30] and his income is up by 50%. And it’s just by implementing [00:24:35] really sensible, simple things about communication and about processes and [00:24:40] about the patient journey that work wherever you are, whatever sort of [00:24:45] practice you’ve got, whatever sort of dentistry you do, and it’s just a no brainer. So [00:24:50] for me, yes, I want to bridge that gap. I want to bring communication, personal development. [00:24:55] I want to bring all of that into dentistry, but I want it to benefit everybody. So for me, [00:25:00] I believe it’s symbiotic. It benefits the patient, mostly because [00:25:05] what I help people do is to help their patients make their best choices. But [00:25:10] by not shying away from having conversations, by asking specific [00:25:15] questions that I’ve developed and devised in order to what we call future Pace [00:25:20] patients. And they basically write their own treatment plans. And so rather than it being [00:25:25] hi, how are you? How are your teeth? Any problems? Which is what the majority of dentists [00:25:30] do. And then they’re looking for where they can use their new skills. They’re [00:25:35] looking for maybe a bonding case or they’re looking for whitening, but they can’t find a way of having [00:25:40] those conversations. So what they often do is they will market to people that [00:25:45] are knowingly wanting to get that kind of stuff and they attract them. But in actual fact, [00:25:50] the majority of the income that a dentist can make is from their existing patient [00:25:55] base.

Barry Oulton: They just need to ask them the right questions. And those patients end up basically [00:26:00] giving the opinion that they want white, they want straight, they want confidence, they want [00:26:05] everything that these dentists are learning to do. It’s just these dentists don’t know how to find that out from [00:26:10] their existing patient base. So that’s what I help them do as I help them to really have [00:26:15] different, easy, comfortable conversations with patients. Get [00:26:20] them to systemise how they’re delivering their dentistry, how they’re delivering their treatment plans. So [00:26:25] we deliver three treatment plans to every single patient colour coded. So it’s very obvious what [00:26:30] must be done, what could be done, what’s nice to be done. And then we let the patients start [00:26:35] to make their own choices. So just works an absolute treat. And in amongst that. [00:26:40] There’s a lot of personal development. Now, I can’t sell at this stage. I don’t [00:26:45] feel that I can sell a training course on personal development, because very few dentists [00:26:50] will put their hand up and go, yeah, I’d like some personal development. Unless they got a big trauma, like a divorce. I mean, I was that right? [00:26:55] I didn’t think I needed personal development. I was doing all right. Thanks very much, mate. Then the shit hit [00:27:00] the fan and I was like, I need to sort myself out. So I went and had personal development. [00:27:05] But what I know is that when I’m working with clients in the mastermind, like [00:27:10] I’ve got my mastermind coming up in three weeks and the two days that I’ve put together, it’s [00:27:15] phenomenal.

Barry Oulton: And it’s all about personal development because in order to help them [00:27:20] improve their business, I have to help them improve, particularly their their mindset, their limiting [00:27:25] beliefs, their attitudes give them tools and understanding of how they can [00:27:30] change their results. And by ultimately you want to get different. Everybody wants different results, right? [00:27:35] Everybody wants different results. Yeah. And so nobody really wants to change their [00:27:40] behaviours. What we have to do is change the interaction that caused the behaviours. So [00:27:45] it’s their physiology, their body, their thoughts and it’s the the language [00:27:50] that they use both internally and externally. It’s called the triad. And if we help them to understand the triad, [00:27:55] show them how it works, give them an example, take them through that example, completely comfortable, [00:28:00] and then giving them a formula of how they can do that themselves at home. Then they start to empower [00:28:05] themselves. So the feedback I get from these guys that I work with is, you know, yes, I made the money, [00:28:10] but that wasn’t the biggest change. The biggest change is me, my mindset, my attitude. And I’m like, that’s [00:28:15] what I wanted. But you can’t really. I don’t think in this day and age, [00:28:20] it’s particularly easy to sell that as a concept that somebody’s going to purchase. They will [00:28:25] consider a money back guarantee of doubling your investment because you’ve got nothing [00:28:30] to lose. And then when I deliver it, they get a whole lot more out of it. So it’s, [00:28:35] um, sell them what they want and then give them what they need.

Payman Langroudi: Yeah. [00:28:40] Barry, you know, I’m, I, we run some education courses as well, you know, composite [00:28:45] bonding course. I do a whitening course. And education [00:28:50] for me, it’s a funny thing because, you know, the execution [00:28:55] of the skills. Is so much more important than the skills itself. [00:29:00] And, you know, like you say, hey, pay, how [00:29:05] am I going to lose weight? Well, okay, eat less crap and go to the gym, right? [00:29:10] We all know that. But it’s the execution that [00:29:15] ends up being the difficult thing. So, you know when when we have our courses, I [00:29:20] can sometimes see, you know, from the. From the work. Sometimes you can [00:29:25] see who’s going to be better and who’s going to be worse. But what are some like when you when you’ve [00:29:30] got people you’re teaching people. What are signs that your delegate is coachable [00:29:35] or isn’t coachable? I’d like to hear about the problem ones. So ones the ones that are difficult [00:29:40] to coach.

Barry Oulton: Um. What a great question. [00:29:45] I would say that everybody ultimately [00:29:50] I believe everybody is coachable. I think there are some that are [00:29:55] resistant. I would say that.

Payman Langroudi: And for the sake [00:30:00] of the argument, for the sake of the argument, you, the person who bought your course by [00:30:05] by his very nature as a self-selecting someone who’s trying to improve. But sometimes that person might get you involved [00:30:10] with the whole practice, and you get someone in the practice who’s resistant.

Barry Oulton: Generally, people [00:30:15] that are buying my course are not looking to improve themselves. They’re looking to improve their their results, [00:30:20] their business results.

Payman Langroudi: You know what I’m saying is, did you sometimes have to teach [00:30:25] or inspire someone who wasn’t the person who actually applied to be coached by [00:30:30] you like a team member, you know? Yeah, it’s someone who’s that person [00:30:35] might even be completely negative towards you because they didn’t ask to be trained in the first [00:30:40] place.

Barry Oulton: Yeah. Of course. Yeah. There’s I mean that’s common. So as part of our mastermind. [00:30:45] So the mastermind is I mean, I’ve got this sounds really [00:30:50] blowing smoke up my own backside, but it’s just really beautifully put together. [00:30:55] So we take the 12 months and we break it down into four monthly [00:31:00] sections, right? And every four months we have a two day live. [00:31:05] Where I get everybody together. Just a mastermind as their partners, whether that’s life or business, [00:31:10] and their PMS are invited to in a room in London. And we run the two days [00:31:15] and then that’s, that’s the four months we break the four months [00:31:20] down into two eight week cycles and the eight week cycles, we have an overriding topic, like leadership [00:31:25] or sales or HR or, um, whatever, overriding. [00:31:30] But then we’re working on their bespoke program. In [00:31:35] the middle of those two eight weeks, we run a team training day, and so you get to bring [00:31:40] your whole team on the day to experience. And that’s ultimately where we get [00:31:45] to break down. Part of mastermind is we have an online portal with all the training videos. So [00:31:50] they get me teaching them via video, which they can access whenever [00:31:55] they want. But where we really start to break down, um, limiting beliefs and concerns [00:32:00] and worries and it’s always fear based.

Barry Oulton: It’s always they’re fearful of something is [00:32:05] when we get into a face to face interaction. So we ran our [00:32:10] last one just a month or so ago in Manchester. We had [00:32:15] 70 just under 80 delegates. All their teams came and overwhelmingly [00:32:20] they all walked away going, oh my God, that was amazing. And that’s because then I’m able to begin to [00:32:25] expose them to some of these things that help them. So we talk about, you know, elements [00:32:30] of confidence. So yes, there’s resistance. There’s resistance from people that [00:32:35] don’t know what it is, that don’t know what to expect, that are fearful that they’re going to have [00:32:40] to stand up and talk. And so the first thing we get out there is there’s no role play. There’s no [00:32:45] icky situations. Um, and then having given the opportunity, I’m [00:32:50] able to help. I would say 99% of the people overcome their limiting beliefs [00:32:55] and their worries and actually enjoy the experience. There is always going to be somebody [00:33:00] that is kind of dragged along because they’re part of the team, that just [00:33:05] because of whatever is going on for them, they just don’t want to engage [00:33:10] or they they feel that it’s just not for them. But that is it is very rare.

Payman Langroudi: All [00:33:15] right. But then go through how what are the common limiting beliefs that people bring up [00:33:20] and what do you do to get over them.

Barry Oulton: Perfect. Okay. So [00:33:25] fundamentally for all human beings, the two [00:33:30] most common limiting beliefs that almost all other beliefs filter down to. [00:33:35] Or that I won’t be loved and I’m not good enough. Now [00:33:40] I don’t, I don’t unless I’m doing some 1 to 1 coaching. I don’t really exercise [00:33:45] into that area because that stuff that you would do therapeutically, [00:33:50] which I’ve done, you know, I used to do Breakthrough Days, so I’d take a [00:33:55] practice owner and I’d do an eight hour, 8 to 9 hour day with them where I’d help them with [00:34:00] limiting beliefs. We’d do Gestalt therapy, something called timeline release, and we’d get rid of these [00:34:05] limiting beliefs. But there are lots of surface beliefs above those limiting [00:34:10] beliefs, like, uh, selling is a dirty word or nobody. [00:34:15] I had limiting beliefs around money. I had limiting beliefs around wealth. So [00:34:20] I had beliefs like, uh, rich people are bastards and only become rich by crapping [00:34:25] on other people. That was a belief that I had. I had a belief that [00:34:30] money doesn’t grow on trees. I had a belief that money is the root of all evil. [00:34:35] And then when I did my training and did some psychology work, and I did my [00:34:40] some elements of Gestalt therapy, what I understood was that they weren’t my [00:34:45] beliefs. I believed them, but they came from witnessing things as a child. [00:34:50] And so I’ve created this. It’s called the Wealth Mindset discovery. 72 [00:34:55] questions My clients get to answer score from 1 to 10. Anything [00:35:00] over a four you want to start to deal with because they’re all limiting beliefs. And [00:35:05] there’s six questions that will get rid of a limiting belief, which is crazy. But when you go [00:35:10] through the questions and you ask yourself, you then start to challenge that limited belief because you don’t know [00:35:15] that you’ve got it because it’s there. It’s in you, right?

Payman Langroudi: Just what are they? What are they? My [00:35:20] limiting belief is I’m not, uh, worth, uh, the prices that [00:35:25] this practice charges. So what are the six questions?

Barry Oulton: Uh, okay, so I’m [00:35:30] not worth what the practice charges. Well, firstly, it would depend [00:35:35] who that is. Who setting the fees, and to a degree, what the fees [00:35:40] are. Right. Because clearly there will be occasion [00:35:45] where fees are rarely, but occasionally there’s going to be fees that are [00:35:50] ridiculously high. And it’s then not just about worth, but [00:35:55] ultimately it still is. So, um, there’s this thing called a Cartesian equation. [00:36:00] And one of the questions, I mean, I’ll go, I can go through them all. But one of them that really [00:36:05] plays with your head is what am I afraid will happen [00:36:10] if I was to not believe that belief? So the first thing is, what [00:36:15] is the belief that’s holding me back? What’s the limiting belief? Why do I believe that so effectively? [00:36:20] You present the evidence to yourself? Well, I believe that because blah blah blah blah blah blah blah. [00:36:25] What am I afraid would happen if I was to not believe that? Now that’s the [00:36:30] bit that people are like, well, hang on a minute. Let me think about that for a second, because [00:36:35] then you’re what you’re doing is you’re challenging the fact that your subconscious mind, to a degree, is protecting you from [00:36:40] something. So you you uphold this belief subconsciously because [00:36:45] if you didn’t believe it, you fear something else would happen. So. So I give you an example. So [00:36:50] I had a belief that rich people were bastards and they they only came bastards by crapping [00:36:55] on people.

Barry Oulton: So what is my limiting belief? That’s the limiting belief. Why do I believe that? Well, I believe [00:37:00] that because when I was a kid, my dad had this friend who was incredibly [00:37:05] wealthy and absolutely took my dad and three other guys [00:37:10] to the cleaners, you know, he he ordered, um, [00:37:15] himself an 82 foot yacht. We’d been sailing since we were four. He [00:37:20] said to my dad and two other guys, actually, three of them. Look, if you, um, [00:37:25] I’ll pay you guys to to to take it from Southampton to the Greek islands. [00:37:30] You sail it over, we’ll get chartered. I’ll pay for your flights back and your accommodation there. I’ll do [00:37:35] this, that and the other. And, um, basically, they busted [00:37:40] their asses to get this boat to the Greek islands where they were arrested, [00:37:45] locked up. And this gentleman, Mr. Jackson, had [00:37:50] basically completely shafted them, didn’t pay for anything, didn’t do anything. And so I witnessed [00:37:55] this kind of situation with my dad and my dad, you know, I [00:38:00] guess muttering and conversations with my mum that rich people are bastards. And so that was [00:38:05] my belief, even though I’ve met many wealthy people who are philanthropists [00:38:10] and they’re generous and they’re amazing. It was a belief, right. And so it [00:38:15] was holding me back. I owned my practice at the time, and it held me back [00:38:20] because I feared becoming wealthy.

Barry Oulton: And so the next question is, [00:38:25] what do I fear? What what what would I fear if I was to [00:38:30] not believe that belief? And I thought about it and I went, well, if I was to not believe [00:38:35] that rich people are bastards, then I could become rich. And what I fear is that my dad might think that I’m a bastard [00:38:40] and write me off. And that was the underlying root belief. [00:38:45] The next question is, do I believe that? And the answer is, of [00:38:50] course not. Of course, I don’t believe that if I became wealthy, my dad would write me off. [00:38:55] Whose belief was that? Anyway? That was my dad’s belief, not mine. So what [00:39:00] is a new and empowering belief? That is your own. And that is, I can work [00:39:05] incredibly hard. I can become as wealthy as I like because that allows me to give back more, [00:39:10] to support more. And that includes my dad. And my dad would love me and be proud of me regardless. And [00:39:15] that one change in belief then allowed me to start to work in a [00:39:20] way that I was generating wealth I didn’t fear. I feared having a nice [00:39:25] car because patients would reject me. I feared talking about going on a nice holiday because patients [00:39:30] and I had the evidence because I decorate the the practice and pay some, the odd patient would [00:39:35] come in and go, oh, so, um, this is where our money’s going, is it? Now what [00:39:40] you focus on grows, right? So let’s say I’ve got 500 patients that come through the door and one says, [00:39:45] oh, so this is where my money’s going.

Barry Oulton: It’s the only one I remember because [00:39:50] it feeds that limiting belief. Because to have a belief, it’s like a tabletop. And to stand up, you need legs [00:39:55] and you need legs of evidence. And so you look for the legs of evidence subconsciously. And you find [00:40:00] it and you go see. So I’ll give you another example that played really well. Right? I had [00:40:05] a limiting belief that patients only wanted the cheapest possible dentistry. They [00:40:10] didn’t want private, they only wanted NHS. They wouldn’t choose private [00:40:15] over NHS and nobody would pay me £500 for a crown. That was my belief. And [00:40:20] so Doris would come in with a fractured lower left six. And I’d say, Doris, [00:40:25] I could crown that tooth, which is best, but I could fill it, which is cheaper [00:40:30] now. I didn’t realise at the time that my language pattern the word but [00:40:35] negates what comes before it. And so even though in my head [00:40:40] I’d gone look, we could crown it and it’s best. And then I offered the filling. Every patient [00:40:45] went, yeah, okay, let’s fill it. That became the evidence for me to go see. Nobody [00:40:50] wants private dentistry.

Barry Oulton: Nobody wants to crown the teeth. Nobody’s going to pay £500 for a crown. Then [00:40:55] I learned some Milton Erickson patterns in terms of language skills. And I learned these [00:41:00] things like cause and effect and all sorts of different things that I learned. And I learned that the word but [00:41:05] negates what comes before it. So I changed my language. Doris. I could fill that [00:41:10] which is cheaper, but I could crown it which is best. And my patients went, [00:41:15] okay, Barry, we’ll crown it. And I was like, Holy crap, I have been the problem, not my patients. [00:41:20] And so once I started to deal with my limiting beliefs and you can do limiting [00:41:25] beliefs around relationships, around yourself, around. The list that I’ve got [00:41:30] is around wealth and money and attitude towards towards money. Once you start [00:41:35] to remove these limiting beliefs, it frees you up to be making better [00:41:40] choices. I’m now if you imagine I saw ten patients and and nine out [00:41:45] of them chose the filling, I now know that I did not serve them well enough because I [00:41:50] put them off the crown, knowing that the crown was the best. I didn’t put them off the crown consciously, [00:41:55] but my own limiting beliefs prevented them from [00:42:00] choosing the best because they didn’t hear me say the crown is best because I negated it subconsciously [00:42:05] for them with the word. But it’s crazy, right? Mm.

Payman Langroudi: Very [00:42:10] interesting.

Barry Oulton: Well, I mean.

Payman Langroudi: That’s very interesting.

Barry Oulton: One of the simple things is teaching people [00:42:15] language patterns, teaching people how to have some conversations and words that impact people [00:42:20] and how you can use that. Now, for me, it has to [00:42:25] be based on evidence based dentistry. It’s got to be based on integrity. You know, if I believe [00:42:30] truly that the Crown is the best option, I owe it to my patient to present [00:42:35] it in a way that allows them to know, understand and believe the [00:42:40] same thing.

Payman Langroudi: Yeah. Looking at your work, [00:42:45] I mean, when I say work, your your social media presence, the [00:42:50] there’s a, there’s a big element of your sort of way that you look at [00:42:55] this as service and blowing the socks off your patients. Yeah. And [00:43:00] and that being the focus and that being the focus, which is I think very important, [00:43:05] you know, um, in, in a similar way to, you know, you’re saying you say something like, uh, [00:43:10] people aren’t after teeth whitening thereafter. What, it gets them to have a white [00:43:15] smile, you know, the confidence and but in that same way, um, this [00:43:20] question of service. And for me, it’s almost like [00:43:25] being of service. What can you tell me? You know, around that, I mean. [00:43:30] Yeah, okay. Knock people’s socks off, do you is that is that something that is is [00:43:35] I mean, for me, it’s something that being of service is doing the right thing at the right [00:43:40] time rather than a tactic.

Barry Oulton: So the right thing at the right time. [00:43:45] I totally agree with that. And part, I believe, of being of service is determining [00:43:50] or helping that person determine what is the right thing at the right time for them. Because [00:43:55] let’s let’s assume that Doris comes in with a fractured lower F6. [00:44:00] And I know that the absolute best. So I’ve asked him my 20 year question. [00:44:05] So our future pastor at some point where she told me that it’s really important that she doesn’t lose her teeth. [00:44:10] This is really important that she keeps her own teeth. She comes in with a fractured lower [00:44:15] left. Six more than 40% of the tooth is missing. It’s got an old amalgam, and it’s got secondary decay. [00:44:20] And based on the fact that she’s told me she wants to keep them for as long as humanly possible. [00:44:25] I know that the Crown is the absolute best choice clinically. But [00:44:30] it might just be that at that point in time. Her [00:44:35] cars crashed. She didn’t have insurance or she simply doesn’t have the money. So [00:44:40] whilst it’s the best for the tooth and it’s best for her in the long run, [00:44:45] maybe at that point in time it just simply isn’t the best for her [00:44:50] and her, um, ecology and her environment. And so part [00:44:55] of my job, I believe, is to find out what’s right for her and then [00:45:00] provide a solution. So being in service, I agree, is doing the right thing [00:45:05] at the right time. And in order to do that, you have to ask different [00:45:10] questions from what we were taught to ask or not taught to ask at university. [00:45:15] So yeah, when you say but.

Payman Langroudi: But how do you teach it is my question, really, [00:45:20] how do you how do you teach that. Because that’s it’s really it’s very bespoke to the moment.

Barry Oulton: No, it’s super [00:45:25] bloody easy.

Payman Langroudi: Go on. So explain to me. So how do you make it click for someone [00:45:30] to, to have their focus a service rather than, you know, the usual thing. [00:45:35]

Barry Oulton: Okay. So first and foremost. Number one is it’s you have [00:45:40] to be completely focussed on the patient. Right. And so [00:45:45] it’s a layered approach. Number one is in order for your patient to make the best choice and [00:45:50] decision, they need to be in the best state that they could possibly be in. And [00:45:55] that’s an emotional state. I. I’m not keen on my patients making major decisions [00:46:00] when they’re in pain. Or when they are highly emotionally charged. Because [00:46:05] I believe that you will make very different decisions than when you are [00:46:10] in a positive state. Right. So firstly, I will do what I can to help my [00:46:15] patients be in a positive frame of mind. So I will build rapport. I’ll build rapport by [00:46:20] being like them physiologically. I’ll build rapport by particularly being like them with their [00:46:25] tonality. So if they speak slowly, I will speak slower. Why? Because [00:46:30] we like people who we are like, and the more I can be like them, or [00:46:35] the less I can be unlike them, the more comfortable they feel. Secondly, [00:46:40] I’m going to truly find out what’s important to them by asking specific questions. And [00:46:45] it’s not about today. It’s about it’s about 20 years and a day. Or if they’re 60, it’s [00:46:50] about ten years. And today. And so by asking a 20 year question, by future [00:46:55] pacing them. And let me ask you, if you don’t mind me asking Payman, how old are you?

Payman Langroudi: 50 [00:47:00] okay.

Barry Oulton: Two nice delay on the two. [00:47:05] So Payman, let me ask you right in 52. Right. [00:47:10] In terms of your dental health, in terms of [00:47:15] your dental health, in terms of your dental function and in terms of your dental appearance. [00:47:20] So those three things, right, your health, your function and your appearance. What’s important to you about [00:47:25] those three things in, let’s say, let’s say 20 years time, let’s [00:47:30] say Payman is 72. He’s fit. He’s healthy. [00:47:35] And let’s say that you are, you know, still doing elements [00:47:40] of what you’re doing. You’re loving life. What’s important to you at the age of 72, what’s [00:47:45] important to you about your Dental appearance, your dental health, and your dental function?

Payman Langroudi: Yeah, I can eat [00:47:50] my food. I can smile at my grandkids and so forth.

Barry Oulton: Okay, so [00:47:55] eat my food and smile at my grandkids so you can smile at your grandkids when you got teeth or not. So when you smile [00:48:00] at your grandkids. Tell me about the appearance of them at 72. Do [00:48:05] they look exactly as they are now? Are they? Are they healthy? And they do [00:48:10] they look fresh? Do they look good? Tell me.

Payman Langroudi: I hope they look [00:48:15] kind of near to what they look now.

Barry Oulton: Okay, great. So kind of. So does that mean to say, can I just [00:48:20] ask you, does that mean that right now you’re happy with the way that they look happy with the the position, [00:48:25] the orientation, the colour, the shape, the not chip, they’re not worn. They’re not damaged. Anything like that. [00:48:30] All good.

Payman Langroudi: Are you actually asking me because I recently had [00:48:35] a I recently had an accident.

Barry Oulton: Okay, so look [00:48:40] what I’ve done. If we think about it right, what I’ve done is I’ve. [00:48:45] The idea is you’re always playing with pictures and images [00:48:50] in people’s heads. And so what I want to do is if I just asked [00:48:55] you about today. Hi, how are your teeth? Any problems? You may have said I got a chip, [00:49:00] but you may have gone. No. Everything’s fine. I’m all right. But once I [00:49:05] future pace you and I ask you what’s important to you in 20 years time and what’s important [00:49:10] to you about those three things? That that allows me to then have a conversation with [00:49:15] you. If I see any signs of para function, bearing in mind, I think 95% of people para function. If [00:49:20] you para function, if you’re in the 95, which most people are, obviously, then [00:49:25] I’m going to talk to you about protecting your teeth, because if you want them to look as they are now para, functionally, [00:49:30] they’re never going to. So we would also talk about the fact that, you know, it’s worth [00:49:35] considering maintaining the whiteness of them. So it might be that you don’t want [00:49:40] to particularly go any whiter. But if you want to keep them as they are, I’m going to talk to you about a maintenance program [00:49:45] where you can maintain the whiteness by doing this initial [00:49:50] thing and then periodically keeping it topped up.

Barry Oulton: And so it starts to open up conversations [00:49:55] about other things. Right. It makes it super easy. This is [00:50:00] why people are I mean, I’ve got Andrew his incomes up 50%. Why? Because [00:50:05] he’s using simple, simple things that are easy to do that I teach him how to have [00:50:10] the conversation with a new patient and an existing patient. He goes away and does it. He comes back and he goes, [00:50:15] bloody hell, it worked. It’s like, yeah, it works, right? Because we’re all human beings. And when [00:50:20] you ask the right questions, you start to get the right answers. And I think at university, [00:50:25] you know, we were taught to be Dental firefighters. Our mission was to [00:50:30] find a fire in the mouth and put it out. And actually we weren’t taught [00:50:35] to sit down and say, you know what’s important to you? You know what’s important to you about this? How would [00:50:40] you like things to be? Let me find out a little bit more. And the worst thing that happens is [00:50:45] that you get an answer that goes, well, I don’t know nothing, I don’t care. Nobody [00:50:50] doesn’t not care.

Payman Langroudi: Yeah.

Barry Oulton: And so, you know [00:50:55] we end up giving that’s why we give three treatment plans immediate which is read preventative which is [00:51:00] orange and elective which is green. And I don’t mind whether people do the treatment or not. What [00:51:05] I mind is that they’ve been given the choice and been given the option so that they’re choosing what’s [00:51:10] right for them. Now that to me is service. Invariably, though, 68% [00:51:15] of people say yes to the preventative treatment, which more [00:51:20] than doubles that that that productivity and that time which more than eight x’s [00:51:25] the profit because the fixed costs remain the same. So it has a significant effect [00:51:30] both on the patients are saying yes, they want it, I’m not pushing it. But then the [00:51:35] business just, you know, we quadrupled our turnover simply by [00:51:40] asking the right questions.

Payman Langroudi: That’s very interesting, man. Tell [00:51:45] me if we move on to darker times. I know we’ve talked about some dark times already, but. [00:51:50] We like to talk about errors on this pod. Yes. So from that [00:51:55] black box thinking, you know, we want to learn from each other’s errors rather [00:52:00] than having to all make them ourselves. What can you what comes to mind when I say clinical errors? [00:52:05] What can you think of? Oh God, I don’t know. So the first rather than the.

Barry Oulton: First [00:52:10] thing that jumps to mind, of course, was believing the, uh, man [00:52:15] who was acquiring practices for the corporate I sold to and [00:52:20] wasn’t a clinical error, but that was an error in judgement [00:52:25] of a human being and believing the BS that was that I was [00:52:30] told that’s I think that’s the biggest error in dentistry I’ve ever made. [00:52:35] Um, when it comes to clinical stuff, I’m a big fan, so I’ve, I’ve [00:52:40] just done a, a national tour for practice plan, and one of the things that I was presenting [00:52:45] as part of it was black box thinking and was, um, Matthew Said’s [00:52:50] brilliant book that draws a parallel between medicine and aviation [00:52:55] and this attitude of, you know, if we brought that into dentistry, if we brought that into [00:53:00] medicine, then it would be a phenomenal benefit to everybody, particularly the patients. [00:53:05] Um, and so I have this belief. One, one of the NLP presuppositions [00:53:10] is there is no such thing as failure, only feedback. And so [00:53:15] every problem that I’ve ever come across since learning NLP, [00:53:20] I’ve always reframed as a learning opportunity. And [00:53:25] actually I always see it as an opportunity to build raving fans and [00:53:30] knock my patient socks off. And I use that phrase, yes, I use that phrase a lot because [00:53:35] I think when something doesn’t go to plan. That’s one [00:53:40] of the opportunities to really increase the quality of service, because it’s [00:53:45] not so much that something doesn’t work. It’s how you behave when something doesn’t work, [00:53:50] it’s how you discuss it. I, I love a UFC [00:53:55] and that’s obviously not a scrap with Conor McGregor.

Barry Oulton: It’s an upfront contract. [00:54:00] Somebody once told me that a conversation before is [00:54:05] an explanation. A conversation afterwards is an excuse. And that’s [00:54:10] why I will have conversations beforehand with patients about, you know, [00:54:15] what may or may not happen or what may or may not work. I also, this is what I teach [00:54:20] my clients is I also want, where appropriate, I want [00:54:25] my patients to own the problem. It not be mine. Because let’s [00:54:30] let’s give an example. Right. Let’s give an example of a molar Endo. Um, [00:54:35] patient comes in to me for an upper left six. We know [00:54:40] that you know maybe and I love I’m a bit weird, right? I love all sorts of dentistry and I love doing [00:54:45] endo as well. And we know that maybe 35, 40% may have an extra buckle. So [00:54:50] they’ve got four canals. I want my patient to own their biology. So first [00:54:55] and foremost I talk about biology to them. And I say, you know unfortunately [00:55:00] your biology has tripped us up. And that’s why you’ve got the infection [00:55:05] in the tooth. And we know that biology trips us up. Otherwise we wouldn’t have colds and flu. We wouldn’t have [00:55:10] had this goddamn, you know, Corona. Um, that’s biology. [00:55:15] Now I am going to do my absolute level best to work with your biology in the very [00:55:20] best possible way to get the best result. And I know that when we do root [00:55:25] canal therapy, I’m going to look for the fourth canal. I’ve got a CT scan. I’ve got a microscope. [00:55:30]

Barry Oulton: I’m going to do my level best to look for that. Uh, I’m also going to do my best to fill these routes [00:55:35] to the very tip of the canal. And despite my best efforts, around about 5% [00:55:40] of these will not be successful. There’s a 95% success rate, which means [00:55:45] there’s a 5% failure rate. And if your biology trips us up [00:55:50] and maybe there’s an extra canal that we couldn’t see, or maybe there’s a little [00:55:55] tributary that comes off the side of a canal that we couldn’t see. If your biology trips us [00:56:00] up, then I’m going to suggest that we’ve got several options then of moving forward, and that could [00:56:05] be that you go and see the specialist, or it may even be that you end up having to lose [00:56:10] the tooth. So I’ll have a conversation that to a degree [00:56:15] where it’s appropriate, I will talk about the fact that it’s biology that fails. [00:56:20] It’s not me, it’s not the dentistry and it’s not them. It’s [00:56:25] a third party called their biology. And they’re able to separate their thoughts [00:56:30] and feelings about the dentistry and me to the fact that biology can screw us over sometimes [00:56:35] and not everything works. Whereas most dentists and most [00:56:40] dentists patients put the onus of responsibility onto the dentist for [00:56:45] them when things don’t work. And firstly, I don’t think that’s fair [00:56:50] for a lot of the time. You know, if I flat out made a mistake, if I [00:56:55] let’s, God forbid, that I’d ever done anything like this. But let’s say [00:57:00] I misread notes and I took the wrong tooth out for orthodontic reasons. [00:57:05]

Barry Oulton: Somebody somewhere on the planet has done that. They must have done. You [00:57:10] know, you can’t blame biology for that, right? You’ve at that [00:57:15] stage, I guess you’ve probably got to put your hands up and you’ve got to say, do you know what? I got it wrong. [00:57:20] I need to make make it good. And I need, you know, I need to learn from this. And [00:57:25] for me, then it’s a case of how how do we learn from this? How do we improve this? How do we prevent this [00:57:30] from happening again? And so I treat every single one as a [00:57:35] every single issue that I’ve ever had, maybe as a, an opportunity to knock their socks off [00:57:40] and really make, make good. And I’ve found that when we do that, they [00:57:45] become our best referrers better than the people that love me. Is that somebody where [00:57:50] we’ve handled a situation where they’re unhappy and we’ve handled it well, they walk away [00:57:55] with feeling a greater sense of reciprocity, a greater sense of trust. [00:58:00] To the practice as a whole, so I don’t I [00:58:05] feel that I don’t shy away. From any issues or any concerns because [00:58:10] handled in the right way, they can be turned around into something hugely positive. I don’t see as a [00:58:15] problem. So I this is another thing that we do right when I share with people language. So internal [00:58:20] language talk about the triad of your physiology, your what you focus [00:58:25] on, on the language that you use. You can change.

Payman Langroudi: Yeah. But Barry, before you go, before you go any further, [00:58:30] before you go any further, I’m looking for something that went wrong. Yeah. Specifically the [00:58:35] story that you gave. I don’t know, I don’t know. I don’t know if that actually happened to you or not with the molar [00:58:40] or whatever. Yeah. But that that the way you explain that I definitely.

Barry Oulton: Had a everything’s gone very well. Didn’t [00:58:45] work. I’ve definitely had a molar endo that failed after about 18 months. [00:58:50]

Payman Langroudi: But but not not. What I’m saying is somewhere where you. Maybe the way to think about [00:58:55] this question is your most difficult patient.

Barry Oulton: Oh, my most difficult patient.

Payman Langroudi: Was yeah [00:59:00] where communication broke down rather than rather than where communication was perfect the way you were [00:59:05] saying.

Barry Oulton: Yeah. Well, firstly, it’s never perfect. We’re always doing our best. Right. We’re communication [00:59:10] broke down is without a shadow of a doubt, a recent situation [00:59:15] where a lady who’s English is a [00:59:20] second language, and there was a clear miscommunication [00:59:25] and misunderstanding between what she [00:59:30] wanted to have done, what she said she wanted to have done afterwards, and what she [00:59:35] had elected to have done at the time. And so she had [00:59:40] chosen. So what.

Payman Langroudi: Was it? What was it? What was it? Yeah.

Barry Oulton: So she elected [00:59:45] to have the lower left five crowned at the same time as the six. And [00:59:50] she’d signed the estimates and she’d agreed to it. And there on two separate estimates. [00:59:55] And then because she para functions, which [01:00:00] I knew and she had said she was wearing a [01:00:05] night time guard, but she wasn’t. It created sensitivity in [01:00:10] both of the teeth, which is usual until you’ve maybe dialled it in or, you know, protected [01:00:15] her. And the bottom line is she then flagged saying that she never wanted the five [01:00:20] in the first place. And so that’s a situation that [01:00:25] I’m in, a I’m in a position of thinking, well, you know, I’ve got a [01:00:30] question our systems now because if we’ve colour coded it and we’ve done everything we can, [01:00:35] and she’s claiming that she never wanted it in the first place. What did I miss. Where did that [01:00:40] go wrong? At what point did we not hear her. Because if she genuinely [01:00:45] didn’t want it, we have missed something. And so it’s then looking back. And honestly, [01:00:50] even when I reflect back on that, I can’t think of where we got [01:00:55] something wrong. But we clearly got something wrong because she was not a happy [01:01:00] bunny at the end of it. Now we’ve adjusted. We’ve done everything we needed to. We’ve done everything [01:01:05] we can do. But she she is one of a very few and a very rare, [01:01:10] rare person that has gone. I don’t want to see him again. So [01:01:15] I think even though, you know, I teach communication, it doesn’t make it completely [01:01:20] flawless. It doesn’t make it that you don’t get the odd situation that you, of [01:01:25] course, turn in your, in your, in your bed thinking, Jesus Christ, what can I have done better [01:01:30] there?

Payman Langroudi: But what did you do? Did you give her money back? I actually.

Barry Oulton: Did, what did.

Payman Langroudi: You do?

Barry Oulton: I [01:01:35] gave her, I gave her a complete refund. For all of the work. [01:01:40]

Payman Langroudi: Yeah, not. Not just. And yet. And yet she doesn’t want to see you anymore. That’s the [01:01:45] that’s the the painful part. Well, I you know.

Barry Oulton: I have to I have [01:01:50] to.

Payman Langroudi: I get it, I get it, I get it. Yeah.

Barry Oulton: I’ve got to accept that. And that’s, it’s a shame because I pride [01:01:55] myself on being able to handle almost all those situations with a win. But [01:02:00] now and again, you know, whether it’s a personal personality clash [01:02:05] or whether it’s just a, you know, maybe she just took an absolute potentially [01:02:10] I mean, she, she seemed to really like me but then took an absolute dislike. We don’t know [01:02:15] what the conversations were at home with with her other half. I mean, you don’t [01:02:20] know what goes on. Right. And so yeah, you know, sometimes you’ve just gotta take [01:02:25] it. I can sit with my hand on my heart and say, I truly believe I did my best. And [01:02:30] then I guess sometimes it just ain’t going to work out with everybody.

Payman Langroudi: And [01:02:35] Barry, you know, the running a practice, running a successful business, especially [01:02:40] as, you know, a business like yours 25 years, [01:02:45] it’s gone from, you know, where it was to when you sold it. Things are changing [01:02:50] all the time in, in that process, right? I mean, I see it as myself with with ours, [01:02:55] like, you set a new target and it’s almost scary for everyone, including me. And [01:03:00] then years later, you look back and think, God, I was scared of that target, you know, [01:03:05] like, but what what are some hints you would give some, some tips and hints around [01:03:10] team’s recruitment keeping people happy. I find one of [01:03:15] the things in Dental practices is a real issue is that progression is quite difficult. It’s quite. There’s [01:03:20] loads of dentists who say things to me like, I want a nurse who doesn’t want to progress, [01:03:25] which is awful in a way, isn’t it? That’s the kind of person you want.

Barry Oulton: Yeah, [01:03:30] I’ve I’ve always been keen on your thoughts. I’ve always been keen on people that do [01:03:35] want to progress. I, I see it as a compliment when they leave. So I’ve had [01:03:40] three hygienists leave, two of them to go and become dentists. [01:03:45] Um, and one of them I support now she’s in her final year at Leeds, [01:03:50] and then I had another hygienist leave where I supported her and helped [01:03:55] her in buying and setting up her own practice. Now, what that does bring is it brings [01:04:00] the issue of having to recruit again. But I find [01:04:05] that the sense of achievement and the sense of community and the [01:04:10] building of that relationship is far stronger than having somebody that doesn’t [01:04:15] want to progress, because I genuinely believe that I got [01:04:20] so much more out of those people when they worked with me than I would have done [01:04:25] if I’d have kept somebody that that didn’t want to progress. And so I’m [01:04:30] surrounded by people that want to progress. I think the benefit of people being [01:04:35] uniquely different is that they want to progress at different rates. [01:04:40] So I’ve got a dental nurse I’m working with that kind of wants [01:04:45] to just stay where she is for the next few years. But I’m still supporting [01:04:50] him progressing because she’s done her impressions. She’s just [01:04:55] qualified in her radiography. She is now doing more treatment, [01:05:00] presentation, and so she’s progressing within that role and upskilling herself, [01:05:05] which means that when she’s ready maybe to step out of that particular role, [01:05:10] she’s got a skill set that will allow her to to move maybe into management or, [01:05:15] or TCO or or whatever, or even I’ve got a dental nurse [01:05:20] that I’m encouraging to go to hygiene therapy school down in Portsmouth. [01:05:25]

Barry Oulton: Um, but yeah, it presents the fact that you’ve got to recruit. I [01:05:30] have a second belief, and I guess having it’s your beliefs that support you, right? My belief is that [01:05:35] by having a progressive attitude and supporting people, then you attract those sort of people. [01:05:40] And I’ve been really blessed with the people that I’ve worked with. [01:05:45] Some. I mean, Claire’s been with me now for 24 years, and she’s done [01:05:50] she’s done all the roles, she’s done everything. But yeah, recruitment [01:05:55] has been an issue in dentistry for a number of years. And. But I also [01:06:00] find that, you know, we help. We’ve got 100% success rate in recruiting associates for [01:06:05] our clients at the moment because we do it differently. And I’m, you know, I’m proud of [01:06:10] that because. You know, a practice that is running the systems that we introduce [01:06:15] is becoming more attractive to an associate that has done my training with me, because they know [01:06:20] that they can serve their patients and make a make a really good income and [01:06:25] have a lot of fun along the way. So marrying those people up is becoming, um, is becoming [01:06:30] more regular and actually really enjoyable. So I think recruitment for the right sort [01:06:35] of practices is not as hard. But I also think location is [01:06:40] a big deal. I’ve got I’ve got practices that are on a coast, and so their pool [01:06:45] and their area to pull from is considerably smaller. It’s [01:06:50] tricky for some people. It’s without a doubt it’s a hard thing, but I think by supporting [01:06:55] the team and creating that environment, you attract a different sort of employee. [01:07:00]

Payman Langroudi: And then what’s your advice to dentists [01:07:05] when they’re thinking of going from NHS to private? Do [01:07:10] you start with the mindset piece?

Barry Oulton: Well, firstly it’s about finding out [01:07:15] why they want to go because the obvious thing you would think [01:07:20] is money. But it’s not. It’s not often the money. I’ve got top money. I’ve got a number [01:07:25] of clients where the money is irrelevant, and that’s the sort of client that I really like, [01:07:30] right? What I like is that it’s about service and that what they want is they want [01:07:35] to be able to improve the quality of the service. They want to improve the [01:07:40] time that they’re with the patient. So first and foremost, it’s finding out why do they want to exit. [01:07:45] And then it is about reframing and helping them reframe it. Because I think a lot of dentists that are [01:07:50] in the NHS struggle with the idea of leaving the NHS because of their sense of [01:07:55] service and their sense of being part of something that they’re providing for people [01:08:00] that they believe may not be able to afford their private fees. And, and [01:08:05] I you know, I believe that there is a demand [01:08:10] and a need for a core service. I believe that it’s been it’s been damaged [01:08:15] and broken for many, many years. But I believe that if if there was a [01:08:20] better way of working it out, it wouldn’t be the way that it’s been run right now. [01:08:25]

Barry Oulton: And I think that is 100% not the fault of the dentist. [01:08:30] It’s not the fault of us. It’s the fault of the providers of that system. So [01:08:35] it’s successive governments. So how do I help them? I support them in [01:08:40] understanding what their real motive is, and then how I can help [01:08:45] them to reframe in their heads the fact that. They can probably do more of [01:08:50] what it is they really want to do, which is improve their quality in their service. If they [01:08:55] are not doing as much NHS now, that might be for them that they don’t do any NHS. [01:09:00] But there’s a lot of a lot of clients that I’ve got. Don’t want to completely [01:09:05] quit the NHS because they believe in being able to provide a service to people that can’t afford [01:09:10] otherwise. So then it’s a case of supporting them and perhaps reducing their commitment to the [01:09:15] NHS and upping their their ability to, to provide private [01:09:20] dentistry, but do it in a way. That enables them [01:09:25] to be very successful as a business as well, because at the end of the day, it’s a business. You’ve [01:09:30] got to make profit, you’ve got to be able to to pay everybody, and you’ve got to be able to turn the lights [01:09:35] on.

Payman Langroudi: Barry, as a as a coach, you come across different types of dentists. [01:09:40] So here we are, April 24th. What’s what’s [01:09:45] going on out there? What are the new conversations out there that are different [01:09:50] now than they were before? What’s what’s the current state of play that you can see?

Barry Oulton: I think [01:09:55] you’re right. I think there are. I think there’s a huge wave at the moment [01:10:00] of younger dentists. Coming out with [01:10:05] high aspirations. Of a [01:10:10] belief that. What they really want to do is ortho bonding, [01:10:15] whitening, cosmetics. And I think a lot of them [01:10:20] end up somewhat disappointed with the reality of what’s going on, which is fundamentally, [01:10:25] there’s a lot of general dentistry that underpins all of that that must [01:10:30] be done. That has to be done. I believe that I’m seeing and forgive. If anybody is [01:10:35] upset by what I’m about to say. I think I’m seeing an awful lot of young dentists qualifying [01:10:40] with very little true hands on experience. With very little [01:10:45] understanding and nurturing in how to handle [01:10:50] the conversations and the communications with patients. It’s [01:10:55] more focussed on the dentistry and the teeth, and even then they’re coming out [01:11:00] of uni with very little experience of doing dentistry [01:11:05] on human beings. And I think that really undermines them. [01:11:10] And actually they, you know, they end up somewhat, um, [01:11:15] scared. I think there’s a lot of younger dentists at the moment practising, [01:11:20] um, you know, being very careful and avoiding certain bits of dentistry for [01:11:25] fear of being for fear of litigation. They call it defensive [01:11:30] dentistry, don’t they? So. I think that is, uh. I think that’s [01:11:35] commonplace. I’m seeing, uh, older dentists [01:11:40] who are toying with retiring and in certain areas, [01:11:45] finding it very difficult to realise the value of what they thought [01:11:50] their practice might be valued at because there are fewer people buying practices. [01:11:55]

Barry Oulton: I’m seeing overridingly. We, we think as a, as [01:12:00] a profession that corporates are huge and that they’re massive and that they own all [01:12:05] sorts. But actually as a percentage of the practices that are owned, corporates own [01:12:10] bugger all. And so the corporates are not as [01:12:15] big as people think they are in terms of relative ownership of practices. I [01:12:20] think independent practices are far higher in numbers, and [01:12:25] I think there’s a lot of unnecessary fear in the profession. [01:12:30] That is a shame, because I see a lot of dentists that don’t enjoy [01:12:35] their dentistry. A good number that are thinking of getting out and changing [01:12:40] dentistry for something else. And I think that’s really sad because I, I [01:12:45] genuinely my mission is my one of my taglines is I help dentists fall [01:12:50] back in love with dentistry. And I think that if you approach it from [01:12:55] a place of service. So you you brought my phrase up. You know, my aim [01:13:00] is to not my patients socks off. And that’s what I open up with a new patient. And I say to them, [01:13:05] you know, my job is is simple. I’ve got one thing to do. And that is my aim is to knock your [01:13:10] socks off. My aim is to make sure that you have the best dental experience [01:13:15] than you’ve ever had. Uh, and that’s what I set the bar at for me, [01:13:20] is to make sure that they have the best experience possible, regardless of the dentistry, [01:13:25] because, you know, anybody can do the dentistry, really.

Barry Oulton: You know, anybody could [01:13:30] get anybody in to do the dentistry, but it’s how you deliver that. It’s, you know, the [01:13:35] inject. So the injection technique that I designed, um, I think, [01:13:40] you know, we’re teaching undergraduates the wrong things. Not all the right things, I should say. [01:13:45] We’re not teaching them the wrong things. I don’t think they’re being taught all of the right things. And [01:13:50] so I think there’s a group of older dentists maybe thinking and struggling to see how [01:13:55] they can exit and get the value out of their 30 years of hard graft, [01:14:00] of being business owners. I think there’s a young, a wave of young dentists who [01:14:05] are full of and there’s a good handful that are overconfident, [01:14:10] that are full of confidence in their capabilities and then maybe struggling [01:14:15] to deliver what it is that they believe they can. But I think overwhelmingly, there’s a [01:14:20] wave of younger dentists that are just very worried about coming in to a profession where they’re told they’re [01:14:25] going to get sued and they’re going to get struck off. And I think the GDC plays [01:14:30] a huge part into that with some of their behaviours and the way that they treat people. And [01:14:35] so I think there’s a lot of fear out there, which is a real shame.

Payman Langroudi: Although I had I had Linda [01:14:40] Cruz on recently and he was saying, we don’t need to worry about the GDC anywhere near as much [01:14:45] as we used to have to worry about the GDC maybe five, six years ago. He [01:14:50] was he was saying that things are getting a lot better in that respect. So I think, you know, it’s funny because that [01:14:55] story hasn’t gone out. No. Yeah, yeah. Um, a [01:15:00] lot of young dentists haven’t heard. I mean, I hadn’t heard it before he told me that. So, you know, [01:15:05] that’s that’s one of them. I’m sure that really stresses people. Yeah. We’re coming to the end of our time. [01:15:10] Um, very, um, I’m going to end it with the usual questions. [01:15:15] Fantasy dinner party?

Barry Oulton: Yes. [01:15:20]

Payman Langroudi: Three guests.

Barry Oulton: Yes.

Payman Langroudi: Dead or alive.

Barry Oulton: So, [01:15:25] um, top of the list, uh, [01:15:30] without a shadow of a doubt would be, um, my mum. Um, [01:15:35] because I was and am and always [01:15:40] have been. A mummy’s boy and my mum [01:15:45] are very unexpectedly passed away without [01:15:50] any. Yeah. Just very suddenly my mum passed away, um, [01:15:55] probably five years ago. It feels like yesterday still, but it’s probably five years ago. [01:16:00] Yeah. There or thereabouts, uh, from a bleed on the brain. And it was very quick [01:16:05] and it was very unexpected. So I would love to have dinner with my mum. Well, [01:16:10] I would love to have. I really would enjoy to have dinner with Tony Robbins. I [01:16:15] have, yeah, I think 90% [01:16:20] of what I’ve done with him and I’ve, you know, I’ve met him. Um, and I’m, I’m [01:16:25] still part of his crew. I’m with him for, you know, five, five [01:16:30] days as of Thursday. But I’d love to be I’d love to have dinner with him. And, [01:16:35] uh, an odd one, because I just think he is one of the most interesting, [01:16:40] articulate and funny guys is I would love to have dinner with [01:16:45] Ricky Gervais. Um, yeah, I think [01:16:50] I think the way that he is not, I just, I think he’s, [01:16:55] you know, when he, when he really starts to, to talk about theology and stuff like that, I find him [01:17:00] fascinating because I resonate with his beliefs, but he’s just so articulate [01:17:05] and he’s so able to to do that. It’s um. Yeah, he’s great. So yeah, my [01:17:10] mum Tony Robbins and Ricky Gervais.

Payman Langroudi: Nice. And the final question, [01:17:15] it’s a deathbed on your on your deathbed, three pieces of advice to [01:17:20] your loved ones. What would they be? Um.

Barry Oulton: Oh [01:17:25] my God. My deathbed. Three pieces of advice. [01:17:30] And that is. It’s about. It’s about. Everything [01:17:35] is about relationships. Everything is about nurturing. [01:17:40] Those relationships that truly mean the most to you doesn’t necessarily mean family, right? [01:17:45] You can’t pick your family. Um, but I would I would encourage [01:17:50] people to be part of a community. I think what’s lacking in the [01:17:55] world over is community. And I think if we really focussed [01:18:00] on and I think maybe that’s why I really love doing what I’m doing [01:18:05] at the moment, because it’s putting together a small group of people in a community [01:18:10] that are supporting one another, that are sharing their journeys, even though they’re all on slightly different [01:18:15] journeys. Some are just started with their practice, some are wanting to exit. So number one is be part [01:18:20] of be part of a community and choose them wisely.

Payman Langroudi: Listen to your loved [01:18:25] ones like that.

Barry Oulton: Number [01:18:30] two, that remember that the language that you label things [01:18:35] determines your reality. So if you can take what you see as a problem [01:18:40] and you can change it into a challenge and then change it into an opportunity, when [01:18:45] you see a situation as an opportunity, you have a whole different set of [01:18:50] of things ahead of you than if you see it as a problem. There is no such thing as a problem. You [01:18:55] might think it is in the in the moment, and then you change it and you label it as an opportunity [01:19:00] and all sorts of doors open up. So I would say turn [01:19:05] a problem into an opportunity and everything will be okay because there’s always a [01:19:10] solution.

Payman Langroudi: Brilliant. There’s been a massive pleasure.

Barry Oulton: I thoroughly [01:19:15] enjoyed it. You’ve asked some really interesting questions for me that have that have really made [01:19:20] me think, and I appreciate that very much.

Payman Langroudi: You know, it’s, you know, how I often [01:19:25] think people at their biggest sort of strength is also their biggest vulnerability. [01:19:30] And and I think with you, you’re someone who wears your heart on your sleeve. It’s the best [01:19:35] thing about you. And it also leaves you vulnerable, you know? Yeah. It’s one of those things. I’m open. [01:19:40]

Barry Oulton: To that. I’m open to that. It’s, um, it’s one thing that my dad said, you know, when somebody says to [01:19:45] you, you know, the problem with you, Barry, is and you think, oh, here we go. My dad, when [01:19:50] I was a kid around about 12 years old, my dad said, you know the problem with you, Barry? [01:19:55] I was like, oh, here we go. What’s that? He went, you love everybody until they shit on you. [01:20:00] And I went, well don’t you? And he went, no. I was like, oh. And I think [01:20:05] that is it is that I start out where I just see the good in people. And I [01:20:10] just believe that people are fundamentally good and behaviour does not dictate [01:20:15] them. And so, yeah, I think you wear your heart on your sleeve and you might get a [01:20:20] little, little dumping on now and again, but hey, it’s an opportunity.

Payman Langroudi: It’s [01:20:25] been a lovely conversation I really enjoyed. Thank you for your time. Thank you so much. Really appreciate.

Barry Oulton: It mate. You look after yourself. [01:20:30]

Payman Langroudi: Thank you buddy.

[VOICE]: This is Dental Leaders, [01:20:35] the podcast where you get to go one on one with emerging leaders in [01:20:40] dentistry. Your hosts. Payman [01:20:45] Langroudi and Prav Solanki.

Prav Solanki: Thanks for listening, guys. [01:20:50] If you got this far, you must have listened to the whole thing. And just a huge thank you both from me [01:20:55] and pay for actually sticking through and listening to what we’ve had to say and what our guest has had [01:21:00] to say, because I’m assuming you got some value out of it.

Payman Langroudi: If you did get some value out of it, think [01:21:05] about subscribing. And if you would share this with a friend who you think might [01:21:10] get some value out of it too. Thank you so so, so much for listening. Thanks.

Prav Solanki: And don’t forget our six star [01:21:15] rating.

Rhona catches up with long-time friend Sarita Stefani, co-founder of Amelis, a platform that makes egg freezing and fertility treatments more accessible and affordable for women. 

They delve into Sarita’s remarkable journey as a female entrepreneur, highlighting her resilience and determination, especially during the challenging fundraising process while pregnant. 

The conversation also explores the societal impact of Amelis, shedding light on the increasing popularity yet lingering stigma around egg freezing, the high costs involved, and how Amelis is championing women’s health by providing transparency and education. 

Enjoy!

 

In This Episode

[00:01:40] – Backstory

[00:04:10] – Working in finance

[00:08:25] – Gender pay gap

[00:14:15] – Female representation

[00:16:55] – Founding Amelis

[00:22:00] – Fertility—personal and social perspectives

[00:30:30] – The male fertility factor

[00:32:55] – Egg freezing and age

[00:36:20] – Personal experience

[00:37:55] – Affordability and accessibility

[00:44:05] – Fundraising and entrepreneurial journey

[00:57:05] – Plans and ambitions

[01:00:20] – Competition and popularity

[01:03:55] – The increasing popularity of egg freezing in recent years

[01:07:15] – Global Dental Collective

[01:09:00] – Dentistry and mental health

[01:11:30] – Finding Amelis online

 

About Sarita Stefani

Women’s Health Ultimate Role Model winner 2024, Sarita Stefani, is the CEO and founder of Amilis, which supports women through the egg-freezing process. She is also an angel investor in life sciences, healthcare and medtech. 

Sarita Stephanie: It’s a societal problem, you know, like, it’s not that we want women [00:00:05] want to not be taken seriously or don’t ask for a pay rise. It’s a societal problem [00:00:10] that we have in our mind that, okay, I get I get a job, it’s okay enough for [00:00:15] me. You know, like we never brought into the position for centuries now to ask for more [00:00:20] while men do, you know, like we it will take years before we overcome this. [00:00:25] It’s happening, but it will take years. Because before we overcome this, and, you know, [00:00:30] like, now, if I offer a job to somebody, then negotiate with me. I will tell you, like, really? You have [00:00:35] to negotiate with me.

[VOICE]: This [00:00:45] is mind movers. Moving the conversation forward [00:00:50] on mental health and optimisation for dental professionals. Your [00:00:55] hosts Rhona Eskander and Payman Langroudi.

Rhona Eskander: Hi [00:01:00] everyone. Welcome back to another episode [00:01:05] of Mind Movers. Today we have the incredible Syreeta Stephanie, [00:01:10] who I am privileged to call my friend. I originally met her through Doctor Mahi, who I’m sure a lot of [00:01:15] you know who runs global dental Collective. Sweet is my favourite one. Jo King Mahi loves [00:01:20] you. Um, but Syreeta is an absolute force and we connected immediately [00:01:25] when we met because everything that Syreeta is about is something I really stand for within [00:01:30] female empowerment. She is an incredible mother and entrepreneur, [00:01:35] um, and just an absolute star in her own right. So welcome Syreeta.

Sarita Stephanie: Hey thank [00:01:40] you Rona. That’s very kind of you.

Rhona Eskander: I know we had a bond when we first met. Syreeta even said she was just like, Rona’s [00:01:45] my favourite dentist. So here we go.

Payman Langroudi: When did you first meet?

Rhona Eskander: Was it at the. I can’t [00:01:50] remember, maybe. Like. I think it was like a couple of years ago. No, it.

Sarita Stephanie: Was at your Christmas, your [00:01:55] family Christmas party, you know.

Rhona Eskander: Christmas. And obviously everyone was like crushing being like, who is that? Like gorgeous couple, [00:02:00] you know, and mercy and to walk through the door. So anyways, love at first sight. We became closer than [00:02:05] me and Mahi. So it’s all good and the rest is history.

Payman Langroudi: We start this podcast with how did Rona meet the guest? Just [00:02:10] the normal because he.

Rhona Eskander: Thinks I have such an array of friends. Like he’s like, how do you know this [00:02:15] person? No.

Sarita Stephanie: No, you’re just a very good vibe and good energy and people get attracted to you. [00:02:20] Yeah.

Rhona Eskander: Thank you. Okay, so Syreeta, the first thing is, is that I love to [00:02:25] start from the very beginning right now, so that people that are listening know. The reason why I invited [00:02:30] Syreeta is because she runs an incredible female platform [00:02:35] female business for egg freezing, and I was somebody that was an early adopter of egg freezing. [00:02:40] We had my dad on the podcast a few weeks ago talking about this, because he sat me down when I was 32 [00:02:45] and barely anyone was talking about it. He tried to have the conversation and people got really defensive. Some [00:02:50] people even got offended by the conversation. But before we go into your business, [00:02:55] can you tell us a little bit about who you are, how what career [00:03:00] you were doing before and a little bit about your background? Sure.

Sarita Stephanie: So I am Italian. [00:03:05] I was born and raised in Venice. I spent all my life [00:03:10] there. Then when I was 18, I moved to Milan. I actually studied history of art, so my [00:03:15] background is very artsy. Then I moved to London so that everybody was making money [00:03:20] in the finance space. So I decided, okay, that’s where I had to be. And I did [00:03:25] a master’s in finance, starting from scratch in English and everything. So it was quite challenging [00:03:30] as I haven’t even completed my master’s at Westminster in Finance, [00:03:35] that I got a job into the biggest brokerage firm in the world, worked [00:03:40] there for three years. He it was horrible, [00:03:45] the worst time of my life, the shittiest job somebody could have probably been a broker in. [00:03:50] Uh. Sorry, guys, but that’s true in a big brokerage firm, especially if you are a girl [00:03:55] in a trading floor with a thousand dudes. It was terrible. But [00:04:00] I always say that from there, I learned to how to be in an arena with lions [00:04:05] so and fight back. So there was a very good training for me. From there, [00:04:10] circumstances took me to work in the healthcare space, so I [00:04:15] started to work for many years after that into the big data [00:04:20] for pharmaceutical companies, biotech life science industry, which [00:04:25] is the biggest love of my life. So um, then from there, I then started Amelis. [00:04:30] I actually did an incubator that helped me a little bit to quit my very high paid job and [00:04:35] decided to do The Founder Life. And then I met my co-founder, [00:04:40] Yasmin on the way, and we started Amelie’s through our personal [00:04:45] fertility journey.

Rhona Eskander: Amazing. So there’s lots to unpack there. Now. First of all, working [00:04:50] in finance as a female, was that very you said it’s like working with a pack of lions. Would [00:04:55] you say that’s because of the way that you were treated, or do you think it’s just because the job entailed [00:05:00] you to come with sort of like a very masculine energy to the job?

Sarita Stephanie: There are [00:05:05] some elements to it, to to it. So I was [00:05:10] very good at my job and it was never enough [00:05:15] because I was because of I was one of the few girls on the trading floor. I had to fight [00:05:20] double and make double to just even being seen against like all of these [00:05:25] guys on the trading floor. So that was like very, very they prompt me to work more, [00:05:30] to do more and stuff. And then I became a bit more aggressive. And also I [00:05:35] would say when you are basically like in a very [00:05:40] male dominated environment, you start to act a bit [00:05:45] like a guy, you know, like like you start to like, okay, so yeah, let’s go out tonight and get [00:05:50] smashed. Okay. Yeah, you go with it because you have to somehow to survive. [00:05:55] So yeah, there were some elements to it that, you know, for survival have to. Be. [00:06:00] Do more. Be more. Be there earlier and everything. But at the same time also I [00:06:05] had to produce more than any other guy that was around me to earn their respect, because otherwise [00:06:10] they would have walked over me. Um.

Payman Langroudi: And you’d imagine in these situations [00:06:15] when you say you’re good at your job, it means you make more money than the next man. So [00:06:20] isn’t that what they’re looking at, how much money you’re making? Yeah, I.

Sarita Stephanie: Was not even making more money than any other [00:06:25] man because, uh, you know, sometimes, you know, it was, um, I had to do double [00:06:30] to be at the same level. So, you know, there’s some, um, something that I’m very big [00:06:35] advocate is that also, like equality at the working space is not the same [00:06:40] also in terms of salaries. Well, this.

Rhona Eskander: Is going to say I was just about to say the gender pay gap, which we’ve discussed [00:06:45] before, is the thing. I recently discovered that in dentistry there’s gender pay gap stuff, which [00:06:50] I thought was weird because I was like, well, associates and self-employed. I don’t know, it was weird. I just saw some [00:06:55] statistics. But I think what people say is like, for example, is that less females are likely [00:07:00] to own a practice. Less females are likely to do. I listen, I’m going off. The stats were shown. [00:07:05] I’m fine. I’m a boss woman. I own my own practice. We know that you know that. But [00:07:10] gender pay gap is a thing in the UK. If it was.

Payman Langroudi: Real, you’d only hire women, [00:07:15] wouldn’t we? And I’ve got 43 employees. 20 of them are men. Why wouldn’t I just hire [00:07:20] women if they’re cheaper?

Sarita Stephanie: No, but it’s real. Like in a big corporation. [00:07:25]

Payman Langroudi: In a women only.

Sarita Stephanie: Women in a big corporations, they don’t even display the salary [00:07:30] like it’s a fact in the in the corporate that was working before, I [00:07:35] was not able to disclose my salary to my colleagues because their salary [00:07:40] was double my salary. A lot of.

Payman Langroudi: Companies say that a lot of companies. No, no.

Sarita Stephanie: It’s it’s like it’s statistical. [00:07:45]

Payman Langroudi: You see what I’m saying? If, if, if, if it’s true that you can pay a woman less to do the same.

Rhona Eskander: Thing she’s saying, so.

Payman Langroudi: Why [00:07:50] wouldn’t they?

Rhona Eskander: Why wouldn’t you just.

Payman Langroudi: Hire women.

Rhona Eskander: And women? Yeah.

Payman Langroudi: Why were there so many men there? They should hire [00:07:55] all women.

Sarita Stephanie: It’s also statistical proven that when you present a job to [00:08:00] a woman that has, I don’t know, 50 K salary per year, I’m just saying she will accept [00:08:05] it and men will negotiate like, it’s like statistically [00:08:10] proven as is. I don’t know why there’s in the UK government. I [00:08:15] don’t know, it’s just maybe something that we feel like okay, you know, like I, I [00:08:20] don’t deserve more like something in our minds. Okay. I’m content with that. So [00:08:25] now, you know, like I expect we are a female only team if anybody [00:08:30] doesn’t negotiate with me. Yeah. On purpose. Yes. I’m, um. Positively. [00:08:35] What was the word? Positive discriminating. I’m doing positive discrimination and I’m guilty. [00:08:40] Fuck it. I’m not. I don’t care. That’s how it is. I love her, that’s I [00:08:45] love that. That’s how it is. Also, there’s an element that, you know, like for the kind of business we’re doing [00:08:50] at the top of like the team, obviously we need to hire women [00:08:55] because they emphasise more with our mission and journey. Unless, you know, like there are very specific [00:09:00] cases which we haven’t met yet, we haven’t met yet cases of men, [00:09:05] or maybe they’re doing transgender or some changes there that emphasise [00:09:10] with the egg freezing and fertility mission. So it’s on purpose, both.

Payman Langroudi: Of your bosses. [00:09:15] I’m a boss, right. And it’s a sad truth of being a boss that the people who ask [00:09:20] for pay rises get pay rises more than people who don’t ask for pay [00:09:25] rises.

Rhona Eskander: I don’t know, like, listen to me. In my clinic everyone asks me for a pay rise, but I also. And every five [00:09:30] minutes. But like everyone. Yeah, everyone. Everywhere all the time. And the problem is as [00:09:35] well. Because what I have struggled with and unfortunately, like I think this is being a [00:09:40] female founder, which I will talk to, which will go on to Sarita, has been one of the biggest challenges in my [00:09:45] life. And I always thought to myself, naively, being a female founder, [00:09:50] if you assert your value and you are, you [00:09:55] know, you don’t have to go with aggressive work tactics, you can still [00:10:00] gain respect from your colleagues and your peers. But I’m actually wrong because also, like you said, [00:10:05] you have on purpose with the fact, with the business that you’ve built, you [00:10:10] have employed a lot of amazing, empowered females. In my job, I [00:10:15] didn’t do that in my clinic. You know, in any other businesses that I’ve been involved with, I just [00:10:20] kind of like had a team and I was like, oh, this is the way it is. And then I really understood the difficulties and the [00:10:25] power dynamics and the way that I’m spoken to is actually very different from [00:10:30] my previous boss, who was an older man. And the things they [00:10:35] say to me, the things they ask me, the way that they send messages, is completely different [00:10:40] than the way they spoke, because.

Payman Langroudi: You’re a woman.

Rhona Eskander: But I think it’s because but I have also found [00:10:45] it. And Sarita doesn’t have this problem. I’d like to have your input. I want to be liked. And [00:10:50] Jago said to me the other day, he said, get over it like you’re a boss. Like, not everyone’s [00:10:55] going to love you because sometimes I’m too afraid. So when people come and ask for. It’s [00:11:00] a go to Prav. I’m like, they’ve asked. And he goes, you don’t have to say yes. You know that. You don’t have [00:11:05] to say yes. But I find it a very difficult thing to assert my power. But also, have I been conditioned [00:11:10] as a woman to be nice and liked, which I don’t think you struggle with, but it’s certainly a struggle of mine.

Sarita Stephanie: But [00:11:15] I’ll tell you what I think about this. But also, like it’s a societal [00:11:20] problem, you know, like it’s not that we want women want to [00:11:25] not be taken seriously or don’t ask for a pay rise. It’s a societal problem that we have in our mind [00:11:30] that, okay, I get I get a job, it’s okay enough for me. You know, like we never [00:11:35] brought into the position for centuries now to ask for more while men do, you [00:11:40] know, like we it will take years before we overcome this. It’s happening, but it will [00:11:45] take years. Because before we overcome this, and, you know, like, now, if I offer a job [00:11:50] to somebody, then negotiate with me. I will tell you, like, really, you have to negotiate with me. Like, [00:11:55] for example, Dana, that, you know, like at the beginning we were like, okay, this is it. I’m like, no, I want more equities. [00:12:00] I want like a higher salary. I’m like, okay, yes. Like you get it, you know, like like just [00:12:05] because you ask you get it, you know, like and it’s fair, you know, it’s fair. But at [00:12:10] the end of the day, I don’t think it’s like we really want to I think it’s intrinsic [00:12:15] in our societal behaviour that we don’t go for more, we don’t ask for [00:12:20] more. I think it’s very intrinsic in how we behave right now as women. And [00:12:25] we are set back by by this, you know, like if you look at the statistic events that are like women [00:12:30] on the top of like big corporates, it’s increasing. Yes, but it’s still [00:12:35] very low. The numbers compared to men, which is, you know, we have a lot of work to do, but that’s how [00:12:40] it is.

Payman Langroudi: I’m not sure in my experience I’m not sure it’s a man woman issue. We have women who [00:12:45] ask and are very aggressive financially and we have men who don’t. Yeah. It’s [00:12:50] it’s it’s something that is I think it’s a character trait. And what I’m saying, as I [00:12:55] think as a teacher spawned that problem to go away in a way, somehow. Yeah. So you just think, oh, am I going [00:13:00] to lose this person? Yeah. Yeah. All of those things come into it. Um, but also.

Sarita Stephanie: Now there are some [00:13:05] rules around how, when you hire, I mean, maybe, you know, it’s, um, I’m not talking [00:13:10] in specific cases, but in a corporate, let’s say, for example, at [00:13:15] the brokerage firm I was working at, you have to when you interview [00:13:20] and you need new hires, you have to at least interview half women, half men, you [00:13:25] know, like, so like now some rules are coming up to it. You need [00:13:30] at least to interview half women, men, and then you offer the job to the most qualified candidate. [00:13:35] But you have to. So, you know, like so you offer to redress it a little. They’re trying to [00:13:40] redress this industry.

Payman Langroudi: Women women don’t don’t put themselves up as lecturers. [00:13:45]

Sarita Stephanie: Yeah.

Rhona Eskander: But let me talk about this because I am somebody that has lived through this within [00:13:50] the Dental arena. So I don’t know if you know this. The majority of dentists are actually female. Like it’s marginal [00:13:55] difference, but I think 55% are females, right. So there’s a lot more females. [00:14:00] You look at some of the biggest institutions and academies within the dental arena, and [00:14:05] you never see women at the forefront. I spend my life challenging people and [00:14:10] big people, and I say to them, this is great. Why don’t you have a female on your panel? Why don’t you have a lecturer on your [00:14:15] panel? Why haven’t you had a female president? Do da da da da da da da. And I asked them all the time. I always ask them [00:14:20] and they get a little bit miffed. I’ve told the story before about [00:14:25] Christian Coachman. Didn’t I tell you this many years ago? So there was [00:14:30] something called like the Instagram Dental stars or something like that, and it had like some of the most [00:14:35] prominent dentists on it, and they sent me a message saying, oh, do you want to sign [00:14:40] up? And I said, this is really great, but you don’t have. It’s sad that in this day and age, you don’t have a single female on your panel. [00:14:45] And apparently my message got sent in the like, WhatsApp group of the male panellists, and [00:14:50] they were kind of like laughing at me.

Rhona Eskander: Christian turned around and he said, Keep Christian. Christian is like [00:14:55] one of the most respected dentists in the world. He turned around and goes, I know Rhona and she’s [00:15:00] got 100% a point. And they were like, yeah, well, we might put like a female lecturer next year. He goes, [00:15:05] no, no, no, you’re going to do it now and you’re going to put her on the panel with all of us. And I got it. Now [00:15:10] in terms of what you said you were, you don’t ask, you don’t get. So people are asked, do you see what I mean? [00:15:15] I made the point. But I think that it is really challenging because people don’t do [00:15:20] enough. And you might say, well, you know, you’ve just got to put yourself out there. But it’s the same way that we’ve got to create the opportunities. [00:15:25] I think you make it to black and white, like when Black Lives Matters happened. A people [00:15:30] then really, really positively integrated black people [00:15:35] into so many different things campaigns, workplaces, etc. and I think that was a really positive movement. [00:15:40] And yes, we should shine a spotlight on those people because for so many years [00:15:45] they weren’t given opportunities. And I think that that’s still to come in some elements for women across [00:15:50] the board. It’s my view. Yeah.

Sarita Stephanie: I mean, for sure there’s a lot of work to [00:15:55] do. And you know, like again, I think I’m positive biased, like. The one we have [00:16:00] that we hire like top, top of our executive team will be only [00:16:05] women. And it’s decided if people hate me for this, I don’t give a fuck. [00:16:10] Like, seriously, whatever. Like, you know, like on on your point. You know, like, [00:16:15] do you like me or don’t like me, I don’t care. It’s okay. You know, like, we keep head up. We’re going. [00:16:20] We we have very clear what’s our mission. If some people get offended by talking [00:16:25] about egg freezing, why you’re getting offended. Seriously? Like, why are you getting offended? [00:16:30] It’s creating options for women. It’s not for you. Okay, maybe it’s for the next one where we keep [00:16:35] closing doors to people that maybe, for example, I’m talking about, like freezing this case or fertility [00:16:40] preservation or other fertility treatments or fertility testing. Why [00:16:45] are we closing down options to other people? That is, maybe it’s not your problem, [00:16:50] but maybe it’s a problem of somebody else. It’s all about creating options nowadays. So. [00:16:55]

Rhona Eskander: So let’s take a step back. So tell us about I always struggle. Say, Amelia. [00:17:00] Amelia. Amelia. So first tell us about the name, how you came up with the name. And I want us to I [00:17:05] want you to tell us what the platform does.

Sarita Stephanie: Yes. So Emily’s, um, [00:17:10] means a meal. Sorry. A meal means mother in Elvish. And [00:17:15] at the beginning, you know, when we were trying to come up with a name, we we were trying to make [00:17:20] an association with the word mother in different languages. And, you know, obviously in the fertility space, [00:17:25] it was widely used. So we tried to be a little bit, uh, [00:17:30] more creative, but also, you know, like we wanted to add a touch of magic to it [00:17:35] to be more female sounding like so. And then we came up with families, [00:17:40] and what we do is we cover the fertility [00:17:45] preservation journey from the beginning to the end for women, from exploring [00:17:50] your options, understanding where you are at, testing with one [00:17:55] of our partner facilities across the UK to holding hands of [00:18:00] women that wants to start the treatment and then they get on board. And in one of our partner clinics across [00:18:05] the country, we’re building a lot of services around the egg freezing and [00:18:10] fertility testing options. So stay tuned. We have something new that will come up that will [00:18:15] open up the market a lot and make the treatment more affordable for women out [00:18:20] there that wants to test, simply understand their fertility or go [00:18:25] through the entire treatment. And uh, also, we are, uh, [00:18:30] doing a lot of work in the awareness space because just, you know, with a simple £50 [00:18:35] test that you can do with one of our partner facility around [00:18:40] the country, you can discover if you have underlying condition and you can take [00:18:45] very conscious decision and you can basically women out there, they can take empowered [00:18:50] decision. And everything around Emily’s is free for the patients. So every patient [00:18:55] can go on Emily’s, browse their options understanding through our [00:19:00] blogs what’s the treatment, what are the costs and so on. So everything is very transparent. [00:19:05]

Rhona Eskander: I love that.

Payman Langroudi: Explain what it is exactly.

Sarita Stephanie: The so when you go on Emily’s for [00:19:10] example, you can book one of our one of the fertility tests, which is called AMH. [00:19:15] That gives you an indication of where you are, you know, your burn reserve. That’s [00:19:20] much more to it, but it gives you essentially an idea on where you are [00:19:25] on your on your ovarian reserve. It’s not an indicator if you are [00:19:30] getting pregnant or not. It just gives you an idea of how long you have. Essentially, [00:19:35] once you do the test, what you can do through Emily’s is that you have 20 [00:19:40] minutes free chats with one of our partner clinics. We partner with Lister [00:19:45] Great Portland Equal Area. We are taking numbers also like a new clinic in [00:19:50] Manchester. And then we have another clinic coming on board in centre of London. [00:19:55] You can chat for free with one of their doctors. Let’s [00:20:00] say for example, you want you are looking at Lister or IB. Well, if [00:20:05] you want more boutique experience, you go in the platform, you book a free consultation [00:20:10] with a doctor or an embryologist of one of the first specialists that this clinic offers [00:20:15] for free to our Emily’s user.

Sarita Stephanie: And then you chat with them. You [00:20:20] can ask any question you want and then from there we onboard you. We just launch [00:20:25] our app. You will be able to track your your journey, your medication, your [00:20:30] ovulation times like period. Literally everything through the Emily’s app. [00:20:35] And this app was designed from women to women. Uh, my co-founder [00:20:40] Yasmin, is a software engineer from from Imperial with great knowledge [00:20:45] of health care products. So she’s the one that built it. We have an in-house designer, [00:20:50] too, another woman that designed the entire app. So it’s very, very, [00:20:55] very patient, friendly, user friendly build from women to women. And this [00:21:00] app is free also. So any patient even doing treatments in other hospitals [00:21:05] or clinics can use this app. We’re launching it at the end of this month, so [00:21:10] like this week or next week. And from there, you will also be [00:21:15] able soon to be able to track where you’re at, where your eggs are frozen, [00:21:20] if you want to use them, what you have to do and basically like the post process [00:21:25] of egg freezing.

Payman Langroudi: What led you to actually coming to this business? Did you have [00:21:30] fertility issues yourself or was that the reason?

Sarita Stephanie: So it’s an [00:21:35] interesting question because as soon as I turned 30, I started to be a bit of heart attacks [00:21:40] for, uh, not joking wise, not hearted real heart attacks. But I started to like anxiety. [00:21:45] Anxiety about what I’m going to do now. Like, seriously, I don’t want to have any kids soon. [00:21:50] Uh, I mean, a long terme relationship, but probably soon. I was getting married and, [00:21:55] you know, I was like, oh, he’s younger than me. And what I’m going to do and all [00:22:00] of these kind of things. So I was asking myself a lot of questions on really, when am I actually [00:22:05] going to have a kid? Am I going to have a kid? So I basically [00:22:10] had this conversation with my husband now that at the time maybe we were not even engaged or something, [00:22:15] and we decided that I should we should have looked at fertility preservation [00:22:20] option. You have to consider that May. His father, uh, is [00:22:25] a fertility expert. He has a clinic. He’s a gynaecologist and has a clinic in Spain. [00:22:30] So as soon as he met me, the first meeting with [00:22:35] my father in law, he was like, I think you should freeze your eggs. Literally.

Rhona Eskander: That’s such a middle eastern thing. Like Payman [00:22:40] met my dad. My dad sat me down at 31 and was like, time to freeze [00:22:45] the eggs. I was like, today, like literally.

Sarita Stephanie: Same, same. He was like, he met me. [00:22:50] He was like. Like we were talking a month in New Zealand, a month here, mom. There. I was like, sorry, [00:22:55] um, I think we should freeze your eggs. I’m like, why are you even talking to me about this? Seriously? [00:23:00] Like, I’m 28, 29, whatever. I’m so young, like, uh uh, you’re not that young, like, [00:23:05] whatever. And from that process to actually, when I froze my eggs, I was like 32. [00:23:10] So I froze my eggs at 32 years old, [00:23:15] just turned 32. And, um, that really had a lot of anxiety from me and [00:23:20] considered that, again, I was like in a long terme relationship, you know, so I was [00:23:25] kind of like, okay, this guy for sure is going to be the father of my kid one day. And yeah, [00:23:30] I froze my eggs. I saw that the process was unnecessarily difficult. [00:23:35] And then even if I had a lot of support and I was surrounded by [00:23:40] gynaecologists, I was still alone, injecting myself, you know, like [00:23:45] trying to feel like what’s going on with my body, I feel bloated. Am I about to [00:23:50] am I about to die? Am I surviving? What’s going on? I feel like this. I feel like that I’m having [00:23:55] discharge and this is this normal? Is this not normal? You know, like, so like you’re basically go through [00:24:00] the process and it’s still very much unknown.

Sarita Stephanie: Like you walk blindly into a [00:24:05] treatment that you’re like, okay, uh, why I never knew about my fertility. [00:24:10] And to be fair, before that moment, I didn’t even know if I could have a child. [00:24:15] I never tested my fertility. I didn’t absolutely anything like I could be like, [00:24:20] maybe I infertile. Don’t know, maybe my window was already closed. I don’t know, you know, because [00:24:25] we don’t talk about this. You know, we always think, oh, I’m healthy. I could have a child. No, it’s not exactly. [00:24:30] It doesn’t really work like this. Or even my periods, you know, like I had good periods. But actually, [00:24:35] uh, for a period of my life, I was anorexic, and I didn’t have my period, you [00:24:40] know, so maybe that could have affected my fertility. So, you know, there’s there’s [00:24:45] a lot of factors that we don’t really talk about it with women at schools or even, [00:24:50] you know, like your mom doesn’t know about it. My mom is old style. You know, like, for my mom, [00:24:55] I could have 15 kids and will be fine, you know, like, so, like, actually my mom was like, [00:25:00] super against it. And at the end, like, I went, I walked into it and I’m very chill about [00:25:05] it.

Payman Langroudi: Why are people against it?

Rhona Eskander: I mean, look, I want to interject there because I can completely relate. And I think [00:25:10] like, because now I’m 37, like there’s a huge, huge like kind of pressure. But [00:25:15] I feel now I’m like, I keep thinking to myself, I’m so happy I froze my eggs [00:25:20] because if I have any problems now, I got such a great amount of eggs in 1 in [00:25:25] 1 go. I have a lot of people because when I came out and spoke about it five years ago, so [00:25:30] many people were like, thank you so much. Lots of people found it really brave. There was like this whole [00:25:35] stigma because it was like, oh, whoops, objection. The objection is, is that people think you’re going against nature. [00:25:40] And again, a societal problem. The problem is, is that people perceive women as baby making [00:25:45] machines. Think of Handmaid’s Tale if you’ve never seen it, you know the irony. You know we’re here to produce. We’re put on this earth to [00:25:50] produce and we’re given like fertility window. Now, realistically, you [00:25:55] know, having spoken to my father growing up, of course women do have a window for fertility and. Sadly, I’ve [00:26:00] even met women that said to me, I wish I froze my eggs because I got menopause at 33. It’s [00:26:05] really rare, but it can happen. And then she had like one egg and luckily she got pregnant with [00:26:10] that okay.

Rhona Eskander: But she went through a horrific period and she could only have that one child and super anxious. [00:26:15] Yeah. And and and these things happen. I think the reality is, is that [00:26:20] there is a little bit of a disconnect. And I think the disconnect is, is that where we are mentally [00:26:25] and our minds? To have a children is so different from where our bodies are physically. Right? Because you have to think even [00:26:30] cavemen times or Victorian times, people having children at like 15, right. You get your period at like 1112 [00:26:35] and then you expected to like push out children. Now women are like really wanting to invest in their career, [00:26:40] who they are before they can provide for a child. And I think that the economic situation [00:26:45] and the environment that we live in demands so much more for us to bring up a child like you [00:26:50] want to give your child a good life, like you know how expensive children are, you know you’ve got your own. So I think that there’s like that disconnect. [00:26:55] But I think ultimately a lot of people say, especially the old school women, well, [00:27:00] you left it this long, so it’s your fault. You left it this. You made the choice to leave it [00:27:05] this long. You didn’t pick a husband.

Payman Langroudi: Follow your career. Don’t.

Rhona Eskander: Yeah, exactly. Exactly. [00:27:10] You chose not to marry that person. You chose not to have this, etc. not recognising [00:27:15] that there are so many other factors. Because now having a child isn’t just about being fertile, it’s [00:27:20] about your socioeconomic status. It’s about, you know, the ability to give it [00:27:25] emotionally and love to be yourself. Like the best version of who you are, you know? And like, we [00:27:30] don’t talk about other issues, like women suffer from prenatal depression, postnatal depression, like there’s so [00:27:35] many other things. You know, we had Amy on this podcast, she suffered from hyper can [00:27:40] never say the name hyper something gravidarum. And basically she almost and some women [00:27:45] terminate the child because they get a type of sickness way worse than morning sickness the whole way through the [00:27:50] pregnancy. So she lost, I don’t know, like ten kilos, and she’s already tiny because [00:27:55] she was vomiting from start to finish, but the baby still gets all the nutrients and apparently [00:28:00] was in hospital the whole pregnancy, the whole nine months. And some women have to terminate because it gets [00:28:05] that bad, and because some of them even are so depleted from their own stuff. So there’s a lot of things [00:28:10] around it that I think that have so many stigmas. We expect women to just be okay. And I think the fact that we’re not having [00:28:15] conversations about the complexity around fertility makes things much harder. [00:28:20]

Sarita Stephanie: Yeah. And also, I tell you that this is like from our statistics, women [00:28:25] that use amylase, 80% of our patients users are single. [00:28:30] So it’s not even you just want to delay motherhood for career purposes [00:28:35] or stuff, like you just haven’t met the partner that you want to have a child from, [00:28:40] you know, like so. And I was recently looking at some stats, data [00:28:45] on medical studies, mostly more like the highest number of [00:28:50] women that were single when they froze their eggs. So, you know, like you do it just to give yourself [00:28:55] some option. Maybe in the future if you met your partner to to be [00:29:00] able to become a parent. But also like in terms of fertility, we [00:29:05] always talk about the woman. But 50% of the equation is also the men. And [00:29:10] you know, like it’s I was looking at another study. This firm [00:29:15] quality has declined of 50% in the past 50 years.

Rhona Eskander: My dad gave [00:29:20] us a statistic that, you know, after the millions of spum, they get rejected. Remember, 4% [00:29:25] are only good quality where they like, you know, the tail and the head and everything is all like, fine, it’s [00:29:30] only 4%. I was blown away, you know, by that.

Payman Langroudi: Is it half and half and. No.

Rhona Eskander: What she [00:29:35] means she’s saying there’s another person. Yeah.

Payman Langroudi: Statistically. What is it like she said.

Rhona Eskander: Like almost. [00:29:40]

Sarita Stephanie: 50 over 50. Yeah. It’s like always like a there’s a 50% [00:29:45] male in the equation. No, I know that.

Payman Langroudi: But most of the issues due to the man or the.

Sarita Stephanie: Woman, 50% [00:29:50] of IVF cases fail because of the men. So it’s like [00:29:55] we can say it’s 5050, okay, essentially. So it’s like we have to [00:30:00] look at like now they started to look at the sperme quality, mobility numbers, [00:30:05] etc., etc. but before it was like just perception that the woman was infertile, [00:30:10] you know, because families.

Payman Langroudi: Have a male section as well.

Sarita Stephanie: Not yet. We will we will start [00:30:15] hiring.

Rhona Eskander: I think that needs to be talked about because in the same, in the same way that [00:30:20] society blames the woman. I think that also for men, they can find it really [00:30:25] like Damascus dating to be like it’s my firm. That’s the issue. And I think that conversation. [00:30:30] Yeah. Look, don’t give me that scowl look like it’s like all the.

Payman Langroudi: Conversations that you say are a problem. I [00:30:35] just can’t believe they’re a problem.

Rhona Eskander: Oh, of course.

Payman Langroudi: Even even even.

Rhona Eskander: The woman will be okay with you being [00:30:40] like, it’s your problem. I don’t think a lot of men will have an issue with that or wouldn’t even want to get tested.

Sarita Stephanie: Yeah, [00:30:45] but there is. A lot of men don’t want to address that and they don’t want to get tested. And also [00:30:50] we’ve seen that usually if the man gets tested is because of the woman [00:30:55] pushing the men to test.

Payman Langroudi: But maybe he doesn’t want kids. Maybe that’s what it is. No.

Rhona Eskander: You’re making a black mark. [00:31:00] Again?

Sarita Stephanie: It’s personal reason, [00:31:05] but at the end of the day, like 50% of the equation is the men. You know, like, [00:31:10] so like of people going through IVF treatment and 1 in 6 couples as fertility problems [00:31:15] for the man or the woman, 1 in 6. So it’s a big number.

Payman Langroudi: The people who go [00:31:20] for IVF treatment, what percentage of them are successful in having a kid?

Sarita Stephanie: It really depends. Is it.

Payman Langroudi: Low? [00:31:25]

Sarita Stephanie: It depends on the age, uh, of like, uh, both of the couples [00:31:30] independence from a lot of factors. I can tell you that regarding egg [00:31:35] freezing, the success rate is widely dependent on the age of the [00:31:40] woman. So, like, egg freezing is just a woman freezing their eggs. So we have built, actually in [00:31:45] America, a fertility calculator for for the woman. And for example, [00:31:50] like if we take Kim, Kourtney Kardashian, she froze her eggs at 39 and [00:31:55] she had seven eggs.

Rhona Eskander: Can I just interject then? This is what I always say. I froze my eggs at 32 [00:32:00] and I got 19 healthy eggs in one go. Got 18 when my friend. Exactly. [00:32:05] So look. And our age was then when my friends freeze at 3839. Bumped [00:32:10] into someone the other day. Dentist. She’s 38 and she said to me, I just froze my eggs because it was horrific [00:32:15] and I only got six eggs. So the younger you do it, the younger freeze the quality and [00:32:20] the quantity is better when you do it younger. Sad truth. But tell me about.

Payman Langroudi: The actual process, [00:32:25] the treatment.

Rhona Eskander: Well, let’s just finish. Yeah, yeah.

Sarita Stephanie: So like if we take, we build [00:32:30] this in in families, you find this calculator that we built based on [00:32:35] historical data from one of the clinic we work with. So like this is like, backed [00:32:40] by 2000 cycles, even more than a thousand cycles of egg freezing. So [00:32:45] like if, for example, Kourtney Kardashian has mentioned she froze her eggs [00:32:50] of 39 and she got seven eggs and she was not able [00:32:55] to have a live birth after her exam, fortunately.

Rhona Eskander: So Kourtney Kardashian froze her [00:33:00] eggs at 39, but she didn’t end up using her frozen eggs. It wasn’t successful. [00:33:05] Did it have anything to do with her age?

Sarita Stephanie: Yes it did, and her chances of success [00:33:10] were 29% if she had frozen or eggs. At 32 years old, [00:33:15] her chances of success were 60%. At 30 years old, 80%. [00:33:20] So age is a massive factor for live births. How do you.

Payman Langroudi: Know [00:33:25] about Kourtney Kardashian’s numbers of actors?

Rhona Eskander: Well, I think according I think their website does have [00:33:30] a fertility calculator. Do you want to tell us a little bit about the fertility calculator and how you created it? Yes. [00:33:35]

Sarita Stephanie: So we created this fertility calculator based on thousands of cycle with one of our [00:33:40] partner clinic. So based on the age you should freeze [00:33:45] a minimum of 15 eggs. For example, on average women freeze [00:33:50] 9.5 eggs, which is not enough to have a successful [00:33:55] live birth depending on your age.

Rhona Eskander: So let’s talk about this, right? Because even my dad said to me, he [00:34:00] was like, if you’re not going to have children soon, we need to do another cycle. And I was like, listen, we don’t need to [00:34:05] do another cycle. So with my 19 eggs, in theory, how many [00:34:10] rounds could I have? Now you have.

Sarita Stephanie: A live birth out of your eggs at 32 for sure. Yeah, you have [00:34:15] like 80%.

Rhona Eskander: So now let’s say I have problems. Let’s just say like I’m a use by date.

Payman Langroudi: Like do [00:34:20] they.

Rhona Eskander: Hilarious. Did you hear that? Is there an expiry date on the eggs.

Sarita Stephanie: That you can store [00:34:25] them for 55 years? Storage?

Payman Langroudi: Five years?

Rhona Eskander: I have to pay storage just by, you know, like [00:34:30] every year. But my question for you is this. So if now let’s say I have a problem conceiving, [00:34:35] which could happen, it’s the reality. I’m 37 and I decide to use the eggs. [00:34:40] What’s the what would be like the chances? I know you’re saying you’ll definitely get alive, [00:34:45] but what would the statistics show? Like how many eggs should be stored to [00:34:50] ensure that you have a good chance of one live birth?

Sarita Stephanie: We start at 32 [00:34:55] with 19 eggs. You have 95% chance of a live birth. If you want [00:35:00] two kids, 81% chance of having two kids, two live births. Okay, [00:35:05] so if you if you’re 32 and you have only five eggs, you will still have 50% [00:35:10] chance of success. Based on our fertility calculator, which is show [00:35:15] the biggest impact on age when you go and freeze your eggs.

Rhona Eskander: So my other question for you is is [00:35:20] there a difference in quality?

Sarita Stephanie: Of course, when you’re younger you call the quality of the egg is higher. [00:35:25] When you get over 35, the quality deteriorates.

Rhona Eskander: I think also [00:35:30] what I find quite difficult is there’s also and again, I’m making a judgement that a lot of [00:35:35] women struggle with the concept of freezing their eggs at like 30 because they’re like, I’m going to meet someone [00:35:40] in the next five years, of course I’m going to meet someone. And they almost and they almost, [00:35:45] they almost don’t want to put a like stigma on themselves, do you know what I mean? And [00:35:50] then they reach 38 and they’re like, I still haven’t met that person. And then that’s when it becomes [00:35:55] more challenging and then it pushes them to freeze, and it’s almost like it’s not too late. Some people do it and they’re [00:36:00] fine. But your chances? It’s an insurance policy, and your chances of getting healthier [00:36:05] eggs and a better quantity and quality is better when you’re younger. Yeah, that’s [00:36:10] for sure.

Sarita Stephanie: Like age is a is a big factor. You have to consider. Another thing we talk about before [00:36:15] a lot about the stress of freezing the eggs and the journey that it can, I.

Rhona Eskander: Hate it, [00:36:20] I was so sick afterwards. Here we go.

Sarita Stephanie: For me was the same. Actually, I didn’t feel too [00:36:25] sick during the journey, but afterwards it was not cool. Like I was not feeling [00:36:30] fantastic, you know? Like it was like more the week after. I was like very heavy, [00:36:35] very tired, bloated. It was not fun at all. But, you know, still it there. [00:36:40] It could obviously, you know. Yeah.

Rhona Eskander: So I like you was already in a committed [00:36:45] relationship, but I was very focussed on my career and I was just felt that I wasn’t ready. Went on the recommendation [00:36:50] of my dad. I found it very empowering going for the scans and looking at my hormones. My [00:36:55] AMH was 12, so I was like on the very low end of healthy. So not like awful because I’ve [00:37:00] met friends of mine. Today I bumped into a friend of mine that’s been doing IVF for like three years, and her AMH [00:37:05] was like 0.7 or something. So it’s super, super low. And we looked [00:37:10] at like the different sides of the ovaries, etc.. And I found it really empowering knowing my numbers, [00:37:15] because I just feel like you’ve got the knowledge to know where you’re at. And then, like you, I had to [00:37:20] do the injections, work in between. Found it fine. I’m a fairly, fairly healthy person. The day they took [00:37:25] the eggs, fine. And then the next day, like the symptoms started coming up, I was really emotional. I [00:37:30] put on eight kilos. I. Can you believe it? Really? Wow. Afterwards, I don’t know when my stomach [00:37:35] was like this, like, can you imagine? And like going from having, like a flat stomach. It was really like it really damaged my [00:37:40] mental health as well, the way that I looked and felt etc. and then I actually caught Covid two weeks [00:37:45] later. So all of those symptoms made me feel a lot worse. It’s not for the light hearted. It’s [00:37:50] not like, hey, I’m just going to go and like, freeze my eggs. I think you’ve got to consider all these factors.

Payman Langroudi: How much [00:37:55] does it cost?

Sarita Stephanie: Exactly? And then another thing that I want to say is that cost, [00:38:00] it’s a big factor affecting also this anxiousness that you have because the [00:38:05] treatment is not cheap. One cycle in London is between 5500 [00:38:10] pounds to £6,000 one cycle. Considering. Again, depending [00:38:15] on your age, you need a number of eggs, depending [00:38:20] on your age, to be sure that you will have a live birth right? So you maybe have to do multiple cycles [00:38:25] depending on your age level, your age, and so on. So, you know, like it’s really [00:38:30] a game of doing it many times and getting as many eggs as you can [00:38:35] to be sure that you have a live birth, but it can go up to £10,000, £12,000 [00:38:40] per cycle.

Rhona Eskander: So imagine how many cycles you’ve got to do. So one thing I’m [00:38:45] going to say is there’s a little bit of criticism. There’s an incredible doctor influencer. I think [00:38:50] she’s got a million followers. She’s amazing. And she basically did a one year memory [00:38:55] reel about her egg freezing, which she did. And then she had to, like, put all of these warnings on [00:39:00] there to be like, I know that I’m in a place of extreme privilege, because what I was seeing was, is that [00:39:05] people were trolling her to be like, this is an extremely privileged thing to do to freeze [00:39:10] your eggs. And, you know, she obviously recognises that. Now, does amylase help [00:39:15] women that feel that they can’t afford it? What financial support do you provide? [00:39:20] What have you got to say for people that are like, I can barely feed myself, let alone freeze my eggs? My sister [00:39:25] definitely couldn’t afford it. The only reason she could do it is because of my dad.

Sarita Stephanie: Wonderful point. [00:39:30] So we are launching something like, I’m not going to say I’m not going to do [00:39:35] a spoiler alert because this is happening in the next quarter. We work very hard [00:39:40] to make sure that we open up the market with a possibility for women [00:39:45] to pay their treatment. So we’re going to really, like, be the game changers [00:39:50] in this space, because we’re going to offer this option that nobody does out there, and [00:39:55] we’re going to make the treatment affordable for women that can’t pay five, 5500 [00:40:00] pounds. So this is coming. Something else that we do today [00:40:05] is go out there like if clinics unfortunately, you know, like they have to charge [00:40:10] for their bit more for their scan and their test and they have a fertility package. [00:40:15] If you have a fertility test with us, for example, you get to pay £50. [00:40:20] £50 is pretty accessible. And this is part of our mission to make only [00:40:25] even the testing affordable. So that’s a big mission that we have. And [00:40:30] just to.

Rhona Eskander: Interject, Payman, just so you don’t know, the testing itself could cost a few hundred pounds.

Sarita Stephanie: Alone, could cost [00:40:35] like £250. And something else that we do is like get the like get to speak [00:40:40] with one of our specialists at the clinics. If this bag freezing is at the top of your [00:40:45] mind or at the back of your mind, and you know, like these people, they offer their time also [00:40:50] for free because they want to raise awareness out there. So that’s something that [00:40:55] we are our mission to make the treatment more affordable. But yeah, something that I, for example, [00:41:00] that I spend a lot of money at the beginning of my journey was understanding which clinic I wanted [00:41:05] to go to, which is something that, you know, like also why we built Emily’s to give the possibility [00:41:10] to women to get to speak to two different, uh, clinic, for [00:41:15] example, understand? Okay, have more connection with this doctor. I’m going to I want to do this treatment [00:41:20] with this doctor rather than this other doctor. And, you know, like, this is like all the clinics in London [00:41:25] that are approved by the HIV Aids are wonderful clinic. It’s just a matter of feelings of like, okay, [00:41:30] I like more, uh, doctor this rather than doctor because I feel more [00:41:35] comfortable and it’s fair, you know, like or I don’t know, I’m Italian, for example. And I was [00:41:40] very stuck in my mind that I wanted a Spanish doctor. Yeah. You know, so I was looking [00:41:45] around like, okay, do you have a Spanish doctor that I can arrange? My woman, woman Spanish doctor [00:41:50] that I can freeze my eggs with? And I know I was speaking with an English person or whatever. No, [00:41:55] no, no offence, but I was like, okay, I want a Spanish doctor. So I was going around and, you know, like shop [00:42:00] around clinics, but every time you spend £250, £300 and I spend like thousands [00:42:05] just trying to find my doctor and families, you can find your doctor for free. [00:42:10] So essentially it’s a.

Rhona Eskander: Platform that helps educate, connect and just helps make the process much easier, [00:42:15] which I think is absolutely like pivotal because a lot of people find it really challenging. [00:42:20] Um, I.

Payman Langroudi: Think all of healthcare is difficult. More difficult [00:42:25] than we realise are difficult. Yeah.

Rhona Eskander: And people think the NHS is so accessible. [00:42:30] It’s so not.

Payman Langroudi: Well, let’s say we’ve got friends who are doctors [00:42:35] left, right and centre I mean we. Yeah of course dental school and, you know, um, family [00:42:40] member was having an operation. I had access to doctors in that field right [00:42:45] at the top of that field. And yet there were times where you felt in the dark, you didn’t [00:42:50] know what was, what complication was going on or whatever. So in this situation where [00:42:55] it’s so emotive as well. Yeah, you can imagine how it’s so necessary.

Sarita Stephanie: I mean, the Hfea, [00:43:00] which is the regulatory entity in this country for fertility clinics and the fertility [00:43:05] space, they recently published numbers saying that the very [00:43:10] few couples qualify. Few heterosexual couples and same sex couples [00:43:15] qualify for NHS funding to go through fertility treatments. And I think [00:43:20] the rate of accessibility from the NHS for the NHS for [00:43:25] the dropped -17% in England, 36% in [00:43:30] Wales and like minus one in Scotland. So, you know, like accessibility to fertility [00:43:35] treatment for the NHS has dropped drastically. But people in fertility treatment are increasing, [00:43:40] which means like that. People are going above and beyond to try to find money to become [00:43:45] parents. And this is like this is number from the regulatory entity [00:43:50] of the facility space. Tell us a.

Payman Langroudi: Little bit more about the entrepreneur journey for you. Yeah, [00:43:55] because I remember the first time we met in Edinburgh, you were just in [00:44:00] the incubator. You just started in the incubator.

Rhona Eskander: Yeah, we really want to know because I actually was going to ask you, Sarita, [00:44:05] I’m going to ask you now live in front of, like, our 10,000 listeners or whatever it is. Am I allowed to do, come and spend [00:44:10] the day at work with you? Because I want to come and learn from you, like, genuinely, of course, because I find, [00:44:15] you know, one thing Sarita said to me, like she supported me from day one and she was like, I’ll never support [00:44:20] businesses that actually, like, get rid of women or treat women badly. And she’s been like a huge kind of [00:44:25] like cheerleader and support for me in the background of things. And I find it really. Inspiring the way she’s done [00:44:30] this. And I think a lot of people would like to know, like, first of all, like leaving a corporate job, starting on your [00:44:35] own fundraising, etc.. So tell us a bit about that.

Sarita Stephanie: So I was in the incubator when you met me, and [00:44:40] that really helped me to quit my job because, you know, like, I mean, what.

Rhona Eskander: Is an incubator? [00:44:45]

Payman Langroudi: It’s Start-Up incubator. Yeah.

Rhona Eskander: Explain. What does it mean.

Sarita Stephanie: They help you [00:44:50] coming up with an MVP, you meet other minimum viable. Like how do you.

Rhona Eskander: Find [00:44:55] an incubator like.

Payman Langroudi: Incubators.

Rhona Eskander: Are you just Google it.

Sarita Stephanie: There are a few around London. [00:45:00] Yeah.

Payman Langroudi: So Y Combinator is the most famous one.

Rhona Eskander: Okay, fine.

Sarita Stephanie: Loads of like, uh, for example, [00:45:05] Entrepreneur First is an incubator and they’re very big in the health care space. For example, they have a lot of [00:45:10] doctors, dentists that build like companies through entrepreneurs. First [00:45:15] they wanted it was not this one was another one. But basically they help you [00:45:20] having an idea on what you need to build a Start-Up. Right? And also like they help you [00:45:25] with connection. You can meet your co-founder there if you want. If you don’t have for example, [00:45:30] like a network of founders around you and they tell you, okay, pick somebody that has complementary [00:45:35] skills to you and all these kind of things. Essentially, they help you like understanding [00:45:40] the business model, what investors are looking for, building a pitch deck that you know is appealing to [00:45:45] investors. So all of these sort of kind of things. So I finished it, I finished the incubator. [00:45:50] And then from there, you know, like I was still trying to understand what which [00:45:55] direction to take with the company because at the beginning it was like Fertility Road. And I was alone [00:46:00] because I didn’t meet my co-founder during this process. So then I did a bit of research [00:46:05] and a friend name dropped Yasmin, my actual co-founder. [00:46:10] So like I brought to her, she helped me like build an MVP. And then actually [00:46:15] at the beginning, also at the beginning of the journey, I was partnering with somebody else. Unfortunately, you know, like our, [00:46:20] uh, direction were a bit taken different. We were taking a bit different direction. So we [00:46:25] I departed from him. Obviously we’re still on good terms. And then I got into [00:46:30] more working with Yasmin full time. She quit her job, and now we are obviously [00:46:35] co-founders.

Payman Langroudi: Um, MVP, minimum viable product.

Sarita Stephanie: Minimum viable product. Yes. So [00:46:40] we had the she built Yasmin build our minimum viable product, which means, [00:46:45] you know, like that women were able to go into like sort of a platform [00:46:50] booking their chat with the doctors and everything, you know, like just to validate our [00:46:55] concept and idea and that obviously, like today we’re way bigger than that. But, uh, [00:47:00] at the beginning, you know, like it was just, uh, to see if actually there was a need in the market, a minimum viable [00:47:05] product to see people were booking through it and the clinic were using it. So there was like, [00:47:10] um, it’s a very important process before you build a product and you pull [00:47:15] resources, you see if you have traction in the market, which is like the base of building [00:47:20] a Start-Up, essentially. So after that, we did that, we decided that we needed funding [00:47:25] for marketing. Be out there more, you know, like into you can’t just do everything. So we need [00:47:30] also like to hire some people, a marketing person and so on. So we went out there and did fundraising [00:47:35] and uh, I actually was pregnant during fundraising. So [00:47:40] yeah, I got pregnant and it was December that I got pregnant. [00:47:45] And in January we started conversation for fundraising. So in March, it was official [00:47:50] actually, that, you know, like I was February March, it was official that I was pregnant. And, you know, like I started [00:47:55] sharing it with the team and everybody. And at the beginning, I was not telling any investor [00:48:00] that I was pregnant because I was scared. Um, I was scared that somebody would [00:48:05] like, judged or, you know, like that somebody could be like, oh, this woman is not is gonna have, uh, and [00:48:10] I’m quoting one investor. This woman is going to have it as a hobby [00:48:15] rather than a company, because now she’s going to have a baby. And I received this comment, [00:48:20] you know, like, so this is like this real, real, real comment I received from an [00:48:25] investor. Like, I’m like, you make sure you send everyone to be.

Payman Langroudi: Honest, be honest, be [00:48:30] honest. Yeah, yeah. If, if, if a, if a receptionist practice manager [00:48:35] job was going at your practice and someone came and said. I want the shot. But [00:48:40] I’m pregnant. I was afraid it would affect you, would affect you, would affect you would. It would affect you.

Rhona Eskander: But [00:48:45] listen. Have you seen. I don’t even think about it. Um, Payman. Because all of my, you know, the [00:48:50] first of all, my team, which, by the way, I’ve had TV channels approach me for this. Absolutely [00:48:55] love the diversity in my team. I have had diversity because I do not discriminate. You were going. [00:49:00]

Payman Langroudi: To hire someone who was going to be away very soon. That’s kind of what the investor is saying in a way. [00:49:05] I hear you, I hear you.

Sarita Stephanie: I actually will hire her just because you take. [00:49:10]

Payman Langroudi: Money from men.

Sarita Stephanie: From women. I actually.

Rhona Eskander: Mandate.

Sarita Stephanie: Pregnant [00:49:15] women out there. You can come to Emily’s and I will hire you. Yeah, okay.

Rhona Eskander: Chelsea Dental don’t [00:49:20] apply to enlighten me. I will hire.

Sarita Stephanie: You. But, you [00:49:25] know, like, so, like that’s the reality. This is, you know, also, the UK government [00:49:30] pays you for the salary that a pregnant woman is out. So, you know, like [00:49:35] this country is not bad for on this for pregnancy and [00:49:40] stuff. They don’t pay you like probably so much. But you know like a company is receive incentive [00:49:45] from the UK government when a woman is out for pregnancy and ultimately ultimately [00:49:50] pregnant women are doing a favour to the humanity to keep the the humanity [00:49:55] going because we are becoming infertile. This is a.

Payman Langroudi: Crisis right now.

Rhona Eskander: Can I ask? Yeah, so that’s a good point, [00:50:00] actually. Um, isn’t it becoming a crisis now because less women are having [00:50:05] children? And do you think that’s because of choice? And is it? But surely this is just a problem in the Western world, right. Because I’m assuming [00:50:10] places like India and Africa, like people are still having lots of children? No.

Sarita Stephanie: Well, average age [00:50:15] of women having kids is increasing every day in the [00:50:20] Western world is 31 years old for a woman and also 30 for a man. So it’s not like [00:50:25] that’s 20s in my point.

Payman Langroudi: Because the average age is going up in average. Yeah, fewer [00:50:30] people are having as many children I see. So for that reason. Yeah.

Sarita Stephanie: Also I cost of [00:50:35] living and societal pressures all like you know there’s.

Rhona Eskander: There’s it’s really interesting because [00:50:40] I’m seeing more and more women and like really like strong, powerful, beautiful women. One [00:50:45] I’m thinking of like she’s stunning. So like what you think is stunning. Like this beautiful, beautiful, [00:50:50] beautiful. Um, she’s this, uh, Russian influencer. And she basically [00:50:55] came out there and, like, her TikTok was like, I don’t want to have kids, and I’ve never wanted [00:51:00] to have kids. And she’s actually an only child, and she talks about the fact that she doesn’t want children. And [00:51:05] the comments are like some of the comments, they’re like, oh, save this video so that you’re crying yourself [00:51:10] to bed when you’re like 39 years old and your life has no purpose. But what’s most perplexing [00:51:15] about it, just wait for it, is that other women, especially the women that have children, [00:51:20] troll her being like, I have three children. It’s my whole purpose in life. And I’m like, that’s [00:51:25] great. But not everybody wants to follow the same journey. But again, like, people don’t [00:51:30] give space. And then there were other women that were jumping in and saying, I’m 45. I decided [00:51:35] not to have them in my 30s and I’ve never regretted the decision. Does that make sense? And I think it’s like, interesting [00:51:40] how also more and more women are saying just because I can have children doesn’t mean I want to [00:51:45] now.

Sarita Stephanie: But also I want to. Going back to the point. So would you rather [00:51:50] not hire somebody that is super qualified and be out of work for like six [00:51:55] months and hire somebody else? That’s then average? Yeah, that is, I [00:52:00] don’t know, less qualified or average that will go above and beyond in the job just because it’s [00:52:05] just hiring someone you need.

Payman Langroudi: Sometimes you need someone at that point when you’re.

Sarita Stephanie: Saying, okay, you can find a replacement for [00:52:10] six months. There are a lot of people out there that can find a replacement for six months. It would be a bit more costly, but you won’t make [00:52:15] a huge a huge impact on the society.

Payman Langroudi: You just said you’re not going to hire men.

Sarita Stephanie: Yeah, [00:52:20] I’m.

Payman Langroudi: Not going to super qualified, super qualified.

Sarita Stephanie: For the job.

Rhona Eskander: Take money from a man. As [00:52:25] he said.

Sarita Stephanie: Um, I’m going to hire a man. A certain point, not in the [00:52:30] executive team, I’m sorry, not in the executive team.

Payman Langroudi: Super qualified for the job.

Sarita Stephanie: Well, [00:52:35] I haven’t met any yet. Also that are so that knows [00:52:40] the process of egg freezing yet. We have on the board doctors gynaecologists. There are men [00:52:45] respect my dad. So yes we have doctors that are male but you know like that’s [00:52:50] a different kind of, uh, doctors. Yeah, there’s a different kind of a [00:52:55] doctor. I will hire a doctor, a male doctor. We haven’t received any application yet. But, you know, [00:53:00] in terms of business wise, like a head of marketing or a CMO, no chances [00:53:05] we were going to hire a man. But because also there’s an emphasis [00:53:10] on women and so on, like. So it’s the face of of Amelia’s [00:53:15] head of marketing. It does make a lot of sense. Tourism is a is a woman. [00:53:20] So, you know, like, yeah, we’re doing positive bias on this for sure. We’re going to hire a man, [00:53:25] but maybe for other job, maybe as uh, in the finance department when we build one [00:53:30] for sure. Uh, we have a lot of men in the as a gynaecologist in the board. [00:53:35] Yes.

Payman Langroudi: Tell us about the business model. So you take the money from the clinic?

Sarita Stephanie: Yes. Then we charge [00:53:40] clinics. It’s, uh, only the. Yeah, we just basically charge clinics [00:53:45] because for the patients is the process is all free.

Payman Langroudi: And where are you at as far [00:53:50] as funding? Yeah. Runway. Yeah. Stability.

Sarita Stephanie: So like I was mentioning, sorry I didn’t [00:53:55] finish my conversation on the fundraiser. So we did the fund raise while I was pregnant. [00:54:00] At the end of the day, we had this, uh, our lead investor is Ascension is [00:54:05] a venture capital firm that I really like, and [00:54:10] they are great supporters. Also like, when I like, actually met them when [00:54:15] I was pregnant and they couldn’t give a list back that I was pregnant. You know, like the guy that, like, all the [00:54:20] team believed, like they didn’t even notice, you know, like. And that’s how it should be, you know, like, we should [00:54:25] normalise this, you know, like, it’s gonna, like, eventually a woman has the possibility [00:54:30] or maybe, of course, to, to carry a child. We know it. That’s [00:54:35] it is 50% of the population. Let’s just go through it, you know, like it’s like how it is. It’s how it [00:54:40] is. So they are our lead investor. And the rest of the investment we’re seeing, which was in total [00:54:45] our pre-seed round, 650,000. They were angels, friends and family. [00:54:50] And our board of investors is voluntarily 50% women, 50% men. [00:54:55] And we felt very like I really felt very high for it because [00:55:00] I wanted to have women on, on in the investment team. Now [00:55:05] we’re raising a seed round and we’re [00:55:10] raising in region to 4 to 5 million. This will be for [00:55:15] expansion, geographical expansion out of the UK. And this will also be to be [00:55:20] able to implement new features, for example, the one that we’re launching, uh, to [00:55:25] integrate with our platform, the tech team and so on. So it will be a lot of other services [00:55:30] we’re gonna use to make the treatment more widespread and fertility, um, testing [00:55:35] also more, uh, accessible.

Rhona Eskander: Do you think your finance background helped [00:55:40] you run a business? Because that’s what I hear, you know, and I think, like a lot of dentists recently [00:55:45] have been going into, like, the more entrepreneurial space, [00:55:50] um, not talking about running practices per se, but, you know, doing things that are different, like more and more people are doing things like [00:55:55] The Apprentice, like, do you know, I mean, they want to be doing like these different things, but I actually think [00:56:00] that sometimes they’re totally lost on what to do because dentistry is like running [00:56:05] a practice is very different from like having a Start-Up. I think that and I hear a lot of your [00:56:10] like, finance brain kind of like really helping you. And I’m sure that you’re one of the strongest [00:56:15] on your team at, you know, doing all the investment, raising etc. side of things.

Sarita Stephanie: Yeah, [00:56:20] I’m, I, I’m currently the chief executive officer of office in [00:56:25] Amelia. So I do all the commercial side fundraising numbers and stuff, even [00:56:30] though I hate numbers. Like it’s not really, but I’m very quick in assessing [00:56:35] things, you know?

Rhona Eskander: So it’s like y’all got some. Sure. Because of like the background.

Sarita Stephanie: It’s natural, you know, like [00:56:40] it comes like, you know, like if you give me something, I, I just look at it and I know what we [00:56:45] have to do. I want to do it. It’s boring. I don’t like it, but I know what [00:56:50] to do, you know, like, so that’s how it is. And now Yasmin does all the product and technical [00:56:55] bits, coding, all that sort of thing. Which is she a developer? She’s [00:57:00] a developer.

Payman Langroudi: In that pre-seed round. How many people did you have to see before someone made [00:57:05] an investment?

Sarita Stephanie: We received like, uh, maybe 200 rejections from [00:57:10] a venture capital? Yeah, yeah, from VCs or and then [00:57:15] individuals as similar. So you [00:57:20] have to be very strong. I mean, like, I’m like, okay. Like I remember one day we like, [00:57:25] in, uh, the busy times, we were like in like eight calls per day with investors. [00:57:30] And you are back to back, back to back repeating the same thing. And you have to be convincing and all of that [00:57:35] and, you know, like, you know, immediately who’s gonna invest or not. You know, like it’s just, you know it because, [00:57:40] you know, like somebody that shows an interest, they will follow up very quickly. And [00:57:45] even, you know, like when we received the offer from Ascension, they didn’t take so much time to invest, [00:57:50] you know, like they saw potential, you know, like pre-seed, you know, we were we are [00:57:55] just at the beginning. Right. So you see, okay, there are two badass women co-founders, [00:58:00] you know, one is going to do the commercial, the other is technical. They both have experience. [00:58:05] I work in the healthcare space now in the big data for a long time. So she knows what [00:58:10] she’s doing. The other one working in the healthcare space, building product for patients. She knows [00:58:15] what she’s doing. Somewhere the company is going to go.

Payman Langroudi: So are you even at that point? Are [00:58:20] you selling the billion dollar global domination 100%. So bigger plan [00:58:25] as you can, right?

Sarita Stephanie: Yeah. So basically one thing that I like, one piece of feedback [00:58:30] that I received from a great investor in a big VC, [00:58:35] she said, you know, when you present. Your market like [00:58:40] some some time and all of these kind of things. When you present your slide with how [00:58:45] big is the market? I want to see a huge number. They’re like [00:58:50] huge, huge. Like do everything you have to do to make that [00:58:55] that number so huge that I’m like, look at it. And I’m like, whoa, [00:59:00] I have to invest in this space. It maybe it’s not like not even the company, but like, [00:59:05] this space is so big. So did you find.

Payman Langroudi: That you had to pivot a few times before you got to [00:59:10] the. Yes, the the final product 100%.

Sarita Stephanie: I actually had to calculate [00:59:15] how big was the market. How big is it, 377 billions [00:59:20] by myself.

Payman Langroudi: In order to make that [00:59:25] pitch right?

Sarita Stephanie: You know. Exactly. You know, like 300%.

Rhona Eskander: So I want to spend the day with her at work, come to work with Teresa, [00:59:30] go on.

Sarita Stephanie: Like a look at studies, looking at how much [00:59:35] time women waste. Waste, I mean, like they take out of [00:59:40] work and how much it costs for a company to go and do their fertility check-up, gynaecologist [00:59:45] visit, IVF treatment, fertility treatments and so on. How much that burden in [00:59:50] the society and for like corporates out there. So I had to calculate that manually because [00:59:55] I found all the numbers and then, you know, like you have to apply globally and all of that, those kind of things [01:00:00] to see, you know, it’s huge. The number like the cost that I’m like, [01:00:05] I don’t know, I’m going to a gynaecologist appointment. So I’m wasting four hours of my time and I take [01:00:10] four hours out of work for my company. That’s a huge loss. [01:00:15]

Payman Langroudi: And there must be a competitor. Yeah.

Sarita Stephanie: So we have [01:00:20] of course we have some competitors, which is good.

Payman Langroudi: Are they based here or.

Sarita Stephanie: Yes, [01:00:25] they are based here. There are some companies that we look at. For example, they have an amazing branding [01:00:30] and we respect their mission. And nobody that is really focussed only on egg freezing. [01:00:35] They’re more like or testing of or fertility treatments or IVF or, you know, [01:00:40] financing all of that. But there are some companies that we look at very much for [01:00:45] what they’re doing in the fertility space. Ultimately, we look up at everybody to be fair, [01:00:50] because, you know, like competition is always healthy to have keeps you on the toes and [01:00:55] push you. But yeah, I think like we’re quite unique in our message and the way we, we carry [01:01:00] things.

Payman Langroudi: And your proposition to the clinic is that based on like a exclusive [01:01:05] relationship that you.

Sarita Stephanie: So at the moment we have of course we have contracts [01:01:10] with the clinics. It’s most likely they work with a clinics that we partner [01:01:15] with. They work with other apps, for example, or they work with other employment [01:01:20] benefit platform. They offer fertility, so they work with other bits and pieces. But it’s still [01:01:25] like in the big fertility space rather than just online freezing. We are very [01:01:30] specific on that, and I do believe that we are the only one around. They’re very open, to [01:01:35] be honest clinics. Who’s the.

Payman Langroudi: Person who’s actually going into the Portland and saying to.

Sarita Stephanie: Myself. [01:01:40]

Payman Langroudi: Yeah, so so how do you know who to who to contact?

Rhona Eskander: And she’s [01:01:45] amazing. She, she’s literally like got her big black book. We asked her, I have a book, [01:01:50] I have a big black book.

Sarita Stephanie: I think she’s.

Rhona Eskander: Literally.

Payman Langroudi: No, no. But I’m saying with the [01:01:55] the clinics.

Sarita Stephanie: Are with the clinics. That’s my blue book. I’m [01:02:00] joking. But yes, basically we don’t. So look, also part [01:02:05] of our proposition is that we reduce the decision fatigue for women to go [01:02:10] to. Like we don’t have all the clinics in London, we have few that we partner with, [01:02:15] and they’re the ones that wants to improve their communication with the patients, that they want to do a bit of different [01:02:20] things. The other day, Diana, our head of marketing and, um, another [01:02:25] person that works in the social media, they went to a clinic and they recorded a bit of [01:02:30] content. And, you know, like the doctors are happy about it. Some clinics, they don’t want to do this kind of work. Like [01:02:35] I.

Rhona Eskander: Think my facility academy that I did with my dad.

Sarita Stephanie: Is similar.

Rhona Eskander: No, no, no, I [01:02:40] mean, I’m a social media queen. I mean, I could do it full time. Um, but the thing is, is, like with the fertility [01:02:45] academy, um, with my dad, like, they’re so not into that. Like, Gorgui is like a [01:02:50] very old school doctor, and, like, a few people messaged me and were like, where did you get it done? Because obviously I [01:02:55] had a YouTube video, which did really well because it talks about the whole process. And then I was like, listen, [01:03:00] I was like, Gorgui does not have like the bedside manner that you might want. Like he’s like very [01:03:05] scientific doctor. His results are very good with the egg freezing. But like you’re going there like, and you know, some people [01:03:10] said they want the compassion. They want the like, empathy they want. It’s like dentist, right? You could go to the best technical dentist, [01:03:15] but you’re like, if you want to get pandered to on the bedside or like, you know, really have those conversations, you’re not [01:03:20] going to get that. Do you see what I mean? I think different clinics are there for different reasons, you know. Yeah.

Sarita Stephanie: You know, like so like the clinics [01:03:25] that we work with are the one that wants to they also understand that [01:03:30] demographic is changing, right? Women like my age. I’m now 35. But when I did [01:03:35] it I was 32. Women under 30s or even millennials. Now they’re working and they’re in [01:03:40] their 20s.

Rhona Eskander: Imagine like 25, 27.

Sarita Stephanie: They will check out.

Payman Langroudi: Based on the stats. That’s the right. [01:03:45] That’s the right thing to do. Right. Yeah.

Sarita Stephanie: You know like so even like at this age, what [01:03:50] do you do is that you check a clinic on Instagram, on TikTok. If you don’t have a presence there, [01:03:55] almost. You don’t exist for some demographics. You know, some.

Rhona Eskander: Google like, you know, some.

Sarita Stephanie: Google, [01:04:00] you know. But Google reviews also like are completely out of it. How are you getting to the.

Payman Langroudi: Users, the [01:04:05] ladies? How are you getting to them?

Sarita Stephanie: So our traffic is mainly organic, meaning that [01:04:10] a woman uses. And then she tells all of her friends and all of her friends come or [01:04:15] we do.

Rhona Eskander: Like a word of mouth at the moment, more.

Sarita Stephanie: Word of mouth. We do a lot of events as well, you [01:04:20] know. Interesting. We try we tried ads in November, [01:04:25] uh, for a month, and we didn’t get the result. We wanted to. We get some traction, but [01:04:30] we didn’t get the result. We wanted to. We have, you know, like a women ambassador, for example, [01:04:35] was not.

Rhona Eskander: Meant to be an ambassador. Yeah.

Sarita Stephanie: You should be one of our ambassadors. [01:04:40] You should. Yes. Yeah. Yeah. You know, like, we actually had [01:04:45] a friend of mine, Sophie, that recorded her fertility.

Rhona Eskander: She was in Made in Chelsea. [01:04:50]

Sarita Stephanie: And made Sophie that made in Chelsea, you know, like we were talking [01:04:55] about one day she was like, I want to freeze my eggs. I’m like, okay, I’ll help you if you want. You know, like I’m [01:05:00] we families. So we talk about it and then, you know, like I said, I like she told me like, oh, I have [01:05:05] this clinic in my mind that I would like to go to. And I’m like, look, let me have a chat with them. Let’s see if they’re up to [01:05:10] also being recorded again. You mentioned some clinics. They don’t want to be part of this, you know, which [01:05:15] is okay. It’s fair, you know. But some others they see an opportunity of like reaching [01:05:20] a new demographic, you know.

Payman Langroudi: Is it going through the roof right now? Yes.

Sarita Stephanie: It’s freezing [01:05:25] as a.

Rhona Eskander: But my dad was talking about this 15 years ago. This is what I’m trying to say. And there was such a stigma. [01:05:30] And my dad was like, egg freezing is going to be massive. Like my dad has always been, like very visionary [01:05:35] in that sense. And now you go if you go on Instagram, people are talking [01:05:40] about Vicky Patterson was talking about it. She’s got 2 million followers. Sophie, as you said, was talking about [01:05:45] it. The doctor. There’s so many people.

Payman Langroudi: Point of view in terms of product [01:05:50] market fit. Like if she if she was in the app. Now at the time that your dad was mentioning [01:05:55] it.

Sarita Stephanie: It was a bit early.

Rhona Eskander: A bit early.

Sarita Stephanie: It was early. It was early and you know, like, yeah, there’s [01:06:00] a there’s a time for it. So if you look at what the HPA stats [01:06:05] said in 2021, we had the 4200 [01:06:10] cycle, which was a 64% increase of [01:06:15] two years before.

Payman Langroudi: Oh my goodness.

Sarita Stephanie: And this is out of the pocket. Right. [01:06:20]

Payman Langroudi: So that’s one that’s the one you want to put into your pitch deck.

Sarita Stephanie: You’re [01:06:25] not exist 64% increase in meaning that this treatment is paid [01:06:30] out of the pocket. Right. Because we discuss about the NHS and stuff unless unfortunately also like you have cancer, [01:06:35] they do not cover egg freezing. Yeah. Um, so this is a women that are out [01:06:40] of the pocket pay for their treatments.

Rhona Eskander: This is open. So fascinating. I feel like I’ve learned [01:06:45] so much. And I think this is going to be such a big help because I get messages on a weekly basis [01:06:50] about egg freezing, and now I can just refer them to this chat. Thank you so much, Sarita. [01:06:55] I’ve enjoyed every moment of it, and I think it’s been one of our more different [01:07:00] chats. Right? As in like it’s been like it’s been.

Payman Langroudi: Like a bit.

Rhona Eskander: Huh? Can we.

Payman Langroudi: Talk about me [01:07:05] or.

Rhona Eskander: Do you want to talk about your husband? Yeah, I’m happy to talk about my husband. I don’t have long, but. Go on.

Payman Langroudi: Tell [01:07:10] us about me. He’s a global Dental collective.

Sarita Stephanie: So my husband Mahi is doing [01:07:15] a wonderful job creating global Dental collective, which is a community [01:07:20] that is supporting dentists across the world, talking about different [01:07:25] things. For example, now he has an event coming up in April that will be with [01:07:30] my.

Rhona Eskander: Therapist.

Sarita Stephanie: With with Rhona’s therapist that is, uh, on [01:07:35] mental health. So talking about resilience, talking about [01:07:40] how you address stress and, you know, when you have a difficult case, a difficult patient, [01:07:45] do you show your ordinary ability to patients or not. So, you know, like or to your team. [01:07:50] So it’s going into the deep root of, you know, the profession that I’m sure you know better [01:07:55] than me guys. But he’s raising some important questions that, you know, like to support [01:08:00] dentists that will participate, for example. And he’s bringing up psychotherapists. [01:08:05] Yeah.

Rhona Eskander: So Ella’s a psychotherapist. She’s actually on our podcast as well.

Sarita Stephanie: Here we go. [01:08:10] So he’s bringing Ella to answer some questions and address how you should basically, [01:08:15] for example, be vulnerable in front of your patient. How much can you share? Uh, you know, [01:08:20] like, I’m pretty sure, you know, I always say that, you know, I think the job that [01:08:25] you do, guys, when a patient is out there and they just open their mouth, there’s a lot of energy [01:08:30] coming out and, you know, like, there’s so much energy you can take for [01:08:35] per day. So, you know, like, I feel like that, you know, like you. You have to become also like almost [01:08:40] psychotherapist yourself to address patients all the time.

Rhona Eskander: Well, the reason why Payman [01:08:45] and I started this podcast was exactly for that reason, because we recognised that dentists and dentistry [01:08:50] is such a demanding job, and that the energies that we have to take on, on a [01:08:55] daily basis within the profession is a lot. And I think that we really [01:09:00] undervalue ourselves sometimes, you know, because we are in that room, you know, you’re not in an office [01:09:05] environment. You’re literally in the room with like three people, most in one at one time. And [01:09:10] that’s intense every single day. And like when you’re ill or when you can’t be bothered, you still have to [01:09:15] talk. You still have to give, you know, to the patient and you still have to be on your A-game. So I think [01:09:20] that’s really important. And the mission that he has with Global Collective is amazing. So I’m looking but also like. [01:09:25]

Sarita Stephanie: Part of his mission at the end of the day is an artist. He’s a creative. Like he’s. Yeah, [01:09:30] exactly. You know, like he’s like reshaping how things are done [01:09:35] even for for events and conferences, you know, like how you present the content, [01:09:40] you know, like there’s a lot of work that also I can see looking the fertility space, there was so [01:09:45] little advancement in terms of like how to do things in a more [01:09:50] patient, friendly way or so on, or even like in this case, dentistry friendly way. [01:09:55] And, you know, like reshaping a bit like the discussion in the industry. I think it’s a very important [01:10:00] topic that is bringing up in the way he’s doing things in a theatrical way, a more [01:10:05] three dimensional way. Uh, experience is very important nowadays. How the perception, [01:10:10] you know, like when you walk in a space. Yeah, it’s.

Rhona Eskander: Just about to say space because that’s what my [01:10:15] sister redesigned my whole clinic. I will wait for you to come in.

Payman Langroudi: I just sort of just saw the windows. [01:10:20]

Rhona Eskander: And, um, my sister said to me, interestingly, that the space [01:10:25] the she said the the medical space is horrible. She has every time she’s an experience, a [01:10:30] dental or medical space. It has been so disconnected for the patient. And she has said that even [01:10:35] when dentists tries to do like Uber luxe clinics, she’s like, it still doesn’t feel good. And she said [01:10:40] that when she went for her fertility, her egg freezing, they actually had to stop the first time. She had a [01:10:45] very traumatic experience because they couldn’t sedate her properly, and she said that everything was so cold, [01:10:50] like the medical chair, the room. And she said that if that had failed the sedation and she was in a [01:10:55] better environment where she felt safe, the doctors and nurses made her feel safe. But it was just like the [01:11:00] space. She would have felt a lot better. And now when people come into my dental clinic because of the space that she’s [01:11:05] built with, like she’s, you know, created the space of almost like the human body, like [01:11:10] being like in kind of like sync and the different textures, colours. Exactly. [01:11:15] People come in and they’re like, I feel so calm. Imagine saying that when you come to a dental practice, that’s literally what [01:11:20] every patient says to hospital.

Payman Langroudi: But visiting someone, even the the most private hospitals. [01:11:25] Yeah, it feels awful. Still horrible. Yeah, yeah. Anyway, it’s been lovely to have you. [01:11:30] Yeah. Thank you. I always keep up with, uh, what’s going on in your biz every time I talk to Mahi. But [01:11:35] he’s he’s he’s definitely, uh, the way he said it to me is with, uh, Sarita. One [01:11:40] plus one equals seven.

Rhona Eskander: I know she’s a force. You can see that. Yeah. [01:11:45] You’ve been amazing. Thank you, thank you, thank you. And if anyone does want to have a look [01:11:50] at the website or your social media channels, could you please spell it out for them? Yeah.

Sarita Stephanie: So it’s [01:11:55] amelie’s a m I l I s co.uk perfect. [01:12:00]

Rhona Eskander: And then the Instagram handle is just Amelia Bartlett.

Sarita Stephanie: Perfect.

Rhona Eskander: All right, guys, thank you so much. [01:12:05] Take care.

Payman reunites with bestie and occasional show host Prav Solanki for a long-awaited update on his mission to bring effortless enquiry conversion to dental clinics.

Prav briefs us on the story of Leadflo from its early barebones launch to becoming the most advanced dental CRM on the market.

Packed with Prav’s trademark insight on sales psychology, the conversation covers the challenges of software development, nuances of the buyer journey, and how Prav’s practice experience as a practice owner and marketer have informed Leadflo’s painstaking design.

Enjoy!     

 

In This Episode

00:01:41 – Where’s Prav been?

00:03:50 – Intro to Leadflo

00:06:18 – User experience

00:08:22 – Response, follow-up and warming

00:16:40 – Messaging

00:21:44 – Long-term buyer journeys

00:27:09 – Sales process psychology and consistency

00:32:28 – Onboarding and simplicity

00:35:46 – Emotional intelligence, cadence and frequency

00:39:23 – Personal experience

00:41:22 – Product development

 

About Prav Solanki

Prav Solanki is a marketing scientist and dental growth specialist who has supported countless dental professionals and organisations to achieve stellar growth.

He is a co-owner and director of IAS Academy and founder of The Fresh, the UK’s leading dental growth and marketing agency.  

His latest project, Leadflo, is described as the world’s most advanced CRM for dental clinics.

Prav Solanki: It just wakes them up. Right? And this is the thing that the way I look at a CRM system, [00:00:05] it’s there to deal with the initial inquiry. It’s there to teach your team what to do [00:00:10] and when, and manage that flow of when to call them a second time, a third time or [00:00:15] fourth time. They shouldn’t have to send themselves set themselves tasks. The system should automatically [00:00:20] do that for you, so you don’t need to think when you’re using it. Push that to one side, mate. [00:00:25] What it should be doing is waking up your inquiries periodically, but on a one [00:00:30] by one basis rather than in in mass, right? So hey, Prav inquired [00:00:35] three months ago, send him the seven word email, perhaps not responded for [00:00:40] ten months. Send him the Break-Up email Prav hasn’t booked a consultation [00:00:45] yet. Ask him to send us a selfie of his teeth so that we can show [00:00:50] the dentist to give him some advice because he’s not quite ready to come in. But is he ready to send [00:00:55] us a photograph of his teeth? Let’s try that one. And then so many patients respond with their picture, [00:01:00] right? So they’re one step further to coming in, one step closer to coming.

[Voice]: This [00:01:05] is Dental Leaders, [00:01:10] the podcast where you get to go one on one with [00:01:15] emerging leaders in dentistry. Your [00:01:20] hosts Payman Langroudi and Prav Solanki.

Payman Langroudi: Give [00:01:25] me great pleasure to welcome Prav Solanki onto the Dental [00:01:30] Leaders podcast. Some of you might have remembered Prav used to be used [00:01:35] to be a host on this on this show, but uh, once again, perhaps gone missing. And, uh, [00:01:40] lovely to welcome you back, my buddy.

Prav Solanki: Thanks, pal. It’s it’s a real pleasure and a real privilege to be invited [00:01:45] to this podcast and, uh, to be a guest on it. I’m a big fan. I listen [00:01:50] to it every week on my commute to work.

Payman Langroudi: Talking of commutes, um, once [00:01:55] again, I’ve been out and about, and the number of you that keep coming up to me and talking about your [00:02:00] commute, listening to Dental Leaders, it’s such a such a massive honour to know that you [00:02:05] choose to listen to a Dental podcast on your way to your practice. And once again, [00:02:10] we were saying, you know, not not, not everyone hates their job so much that they want to get away from it all [00:02:15] the time. So Prav where have you been?

Prav Solanki: Lucky to add to that, buddy. [00:02:20] You know, even though I’ve been missing in action. Um, even now, like, every time [00:02:25] we get a discovery call booked with a client and, you know, they’re interested in whatever marketing [00:02:30] services or whatever it is, we always ask, like, you know, how did you how did you come across? [00:02:35] And some people say, yeah, I follow you on social, but even that I go missing in action quite a lot, right? The [00:02:40] vast majority of people have heard an episode that resonated with them [00:02:45] or have listened to, have discovered me through the Dental Leaders podcast. Right? So, [00:02:50] um, it’s really nice to hear that the community are tuning in to the [00:02:55] podcast and, um, getting some value out of it and, and continue to do so right in my [00:03:00] absence.

Payman Langroudi: Yeah, I like I like to hear that, but bearing in mind you’re never on so. [00:03:05] Yeah. Yeah, yeah.

Prav Solanki: So listen, I’ve got you to thank for this, mate, because [00:03:10] you’re doing all the hard graft and, um, and the intro says, uh, what does it say? Something like, [00:03:15] um, hosted by Payman Langroudi and Prav Solanki. [00:03:20] Kiki. Kiki or something. Something like that. So, uh, it’s funny.

Payman Langroudi: Because now there’s a Payman [00:03:25] Langroudi on, um, uh, mind movers, you know? Posted [00:03:30] by Rohan Eskander and Payman Langroudi Didi. So [00:03:35] now I know how you feel. So where have you been, buddy? Where have you been?

Prav Solanki: What I’ve been busy doing. [00:03:40] And we’re going to make a pretty bold statement. Pay. I’ve been busy in the depths of creating [00:03:45] what is the best Dental CRM system in the world? [00:03:50]

Payman Langroudi: Crm, customer relationship management. So obviously I know all about CRM systems [00:03:55] because we run our business with the CRM system, a database essentially of [00:04:00] the state of customers and potential customers. And [00:04:05] in ours it goes, you know, I don’t know, lead prospect, lead [00:04:10] customer, and then great customer type thing. Um, how does that relate to a dental practice? [00:04:15] Explain that to me.

Prav Solanki: So in a dental practice, um, I think the way I look [00:04:20] at it and the way I’ve always looked at it, right, is that sales and marketing are [00:04:25] two things that need to be so intertwined that [00:04:30] employing a marketing agency to fix your business, or provide a silver [00:04:35] bullet to change your business is just the wrong way of looking at things. And [00:04:40] so what a CRM system does is it takes that inquiry, whether it’s come [00:04:45] from a website, a Facebook ad, a Google ad, any kind of marketing, and [00:04:50] amplifies the impact of that inquiry by following [00:04:55] or following up that patient in a way that elevates [00:05:00] conversion rate from inquiry to consultation, from [00:05:05] consultation to yes, from yes to completion of treatment [00:05:10] plan, from completion of treatment plan to multiplication. Google reviews, [00:05:15] Facebook reviews and referrals. Right. So it’s that end to end patient [00:05:20] journey. And in my mind, you know, whatever it is, a CRM system, whether [00:05:25] you pick something off the shelf like Pipedrive or HubSpot, and there’s [00:05:30] all these we’ve played with and used over the years. The biggest problem [00:05:35] that we found with them was the user experience, right? It’s a CRM system [00:05:40] should be developed for the end user, not the business owner, not [00:05:45] the business itself, but for the end user, which is the TCO, [00:05:50] the lead ninja, the receptionist, whoever is managing that flow of patient [00:05:55] inquiry right through to completion of treatment.

Payman Langroudi: I think one of the common difficulties [00:06:00] is that a lot of our team are enlightened. For instance, they live on the CRM [00:06:05] system. That is what they do. Whereas one of the difficulties in a dental practice [00:06:10] is getting the team to actually, you know, use it. Am [00:06:15] I right? And that’s where you’ve really been focusing in, right?

Prav Solanki: It is. And so the, [00:06:20] the, the CRM system that we’ve built, lead flow is a system that [00:06:25] is in it’s probably, I don’t know 30th version today as it holds [00:06:30] right. And so our first incarnation of it was actually in [00:06:35] my own practice in the Dental suite. And it was beta tested by a, by a whole bunch [00:06:40] of clients as well. Right. But the user experience was shit. Okay. [00:06:45] It was really bad. It was so bad that you needed to spend [00:06:50] a day training the team how to use it. Okay. And [00:06:55] then if a team member moved on or if another team member needed to jump on it because [00:07:00] somebody was off ill or on holiday or whatever, the whole lead management process [00:07:05] would become a nightmare, right? And that’s when we realised very early on that [00:07:10] this is about the user experience. And our whole aim was to [00:07:15] create a system that required zero training, that was so intuitive [00:07:20] that you log in and you know exactly what to do. Lead flow [00:07:25] tells you what to do. Call this patient. Call this patient for the second time. [00:07:30] Follow up this patient, ask the patient how their holiday was, etc., [00:07:35] etc.. Right. So that one of the biggest things is getting the team to use it and [00:07:40] what we, you know, the best and biggest feedback that we get from our clients [00:07:45] when they either move from another CRM system or nothing is [00:07:50] this makes life so much easier. And so the workflows and the [00:07:55] systems and processes that I’ve put into place and my own follow up process [00:08:00] that I believe every single patient inquiry should go through in terms [00:08:05] of follow up. And it’s my belief pay that every lead, [00:08:10] every inquiry, every new patient engagement that lands in your inbox, your [00:08:15] Google spreadsheet, wherever it goes. You should be following up that patient for a minimum of two [00:08:20] years.

Payman Langroudi: It’s crazy man. I mean, let’s, let’s let’s try and do [00:08:25] a, you know, side by side kind of analysis of what what things are like [00:08:30] sometimes when, when you get a new client or let’s go back to, you know, the times when, [00:08:35] you know, dentists weren’t using things like CRMs, how are things, what are things like? So [00:08:40] the scenarios I remember in dental practice, patient sends [00:08:45] an email, it may be gets answered the [00:08:50] next day or the day after. That was maybe the way I remember [00:08:55] it. No follow up of that. If the patient doesn’t come back, nothing [00:09:00] once in a while, you know, it was almost like you would get the patient despite [00:09:05] the practice rather than because of what the practice was doing. Talk me [00:09:10] through. You know what? What do you see out there when when someone starts using it? What were the mistakes [00:09:15] they were making and then how the software addresses all that.

Prav Solanki: So going [00:09:20] back to those early days pay where there was that okay, email may land like one of the [00:09:25] biggest things I’ve seen, right, is that all the inquiries are going into the junk folder. [00:09:30] Oh, God. And then, you know, lo and behold, a month later, two months later, six months later, we [00:09:35] find a ton of inquiries and junk that have gone unanswered. Right? I’ve seen that over the years. [00:09:40] Right. And it’s it’s one of those heart drop moments that when you see [00:09:45] that and you think, Crikey, what have we lost here? Yeah. But today, you [00:09:50] know, we’re all in competition hunting for these patients right through Google ads, Facebook [00:09:55] ads, organic search, whatever that may be, whatever your you’re investing in, right. [00:10:00] And when that inquiry lands like instant response [00:10:05] is insanely important. Right. So I’ll tell you what I see at the moment. The same. [00:10:10] So people are using sort of some CRM systems at the moment. The same auto responder goes out [00:10:15] to the patient. Right now, it doesn’t matter whether they’ve inquired about implants, ortho, [00:10:20] composite bonding, whatever it is, they get the same response auto responder, which is better than [00:10:25] nothing. Yeah. Which is better than nothing. Right.

Payman Langroudi: What does it typically say? Well, we’ll we’ll be in touch [00:10:30] soon sort of thing.

Prav Solanki: Thanks for your inquiry. We’re a practice that is, you [00:10:35] know, uh, centre of excellence in X, Y and Z. We offer [00:10:40] a complimentary consultation with a TCO. Um, a member of our team will call [00:10:45] you shortly and get you booked in. Maybe. You know, here’s a video about a patient journey, [00:10:50] whatever that.

Payman Langroudi: You’re right. That’s that itself is is relatively uncommon. I mean, what [00:10:55] percentage would you say do that and what percentage was it just land on a dead email?

Prav Solanki: It’s [00:11:00] really hard, right? Because I don’t I don’t work with everyone. [00:11:05] Right. And I don’t see all the people.

Payman Langroudi: You’re dealing with or the people you do. Most of them have [00:11:10] auto responders.

Prav Solanki: Well, they do by the time I finish with them. Right? So no, no, when. [00:11:15]

Payman Langroudi: You find them, when you first find them.

Prav Solanki: Um, a lot of people we’re working with or we’re speaking [00:11:20] to right now have got some kind of autoresponder or CRM system in place because they [00:11:25] realise the value of whatever they’re pouring into ads. Yeah, they [00:11:30] need to amplify that. So it just makes complete sense to have something in place. [00:11:35] The majority of practices I’m speaking to at the moment have something in place, right? Okay. A [00:11:40] lot of them have CRMs where they’ve not set up the Autoresponders, so they’ve got [00:11:45] it, they’ve got the capability, but they’ve not set it up right. And that’s one of the challenges here at the moment. [00:11:50] Right, is that you get a system and um, someone [00:11:55] says, here’s how to set it all up and set up all the email reminders and all the rest of it and write your own [00:12:00] copy and do it. Press these buttons and off you go. And most practices won’t have the time, the headspace [00:12:05] or the energy to set all of that up, right. So they don’t. But they’ve got some kind of system [00:12:10] to tell their team members. Call this patient. Now set yourself a task. Drag them into [00:12:15] another folder already contacted once. Follow a traffic light system. Follow once. Follow [00:12:20] tithes. Follow three times. Patient is now discarded, right. Whatever [00:12:25] their process is. Yeah. And then on a more advanced level, like what [00:12:30] we like, we’ve got default, almost like what we’d say is a very [00:12:35] minimum level of communication that should happen is that whenever a patient inquires [00:12:40] at any point, they should get an SMS straight away and they should get an email straight away. [00:12:45]

Prav Solanki: The email and the SMS should be contextually relevant to the nature of their inquiry. So if they’ve [00:12:50] inquired about implants, the email follow up should talk about implants, their implant offering, what type of what [00:12:55] type of implant treatments they offer, who the surgeon is, and then is there a complimentary [00:13:00] consultation, a fully paid assessment, what the investment of that is and what the next process is. [00:13:05] But immediately they should get an SMS. And hey Prav, thanks for inquiring about implants. [00:13:10] This is Sarah from Kiss Dental and when’s a good time [00:13:15] to talk? Yeah, you get that SMS patients respond [00:13:20] to that SMS. And you know what’s insane is that when we first [00:13:25] set that auto responder up for SMS, patients were sending [00:13:30] inquiries at 9 p.m., 10 p.m., 11 p.m. at night, they’d get the SMS. [00:13:35] They thought that person was there sending that SMS, right? So then say, when’s [00:13:40] a good time to talk? Patients should respond and say now, 11 p.m. at night. But [00:13:45] it was an auto text, right? So then we got feedback from our clients [00:13:50] which basically said, hold on a minute. I’m really I feel really bad because patients [00:13:55] want me to ring them at midnight or 11 p.m. or 8 p.m. and we can’t, and it looks bad. [00:14:00] So then what we did is we set up the auto responder to say if [00:14:05] it’s outside of opening hours, so you set your opening hours in the system, send this text [00:14:10] message.

Prav Solanki: If it’s on a weekend, send this text message. If it’s within business hours, send [00:14:15] this text message. Wow. That’s so. Imagine an inquiry comes in at 11 p.m. at night and [00:14:20] it says, hey Prav, thanks for your inquiry about teeth straightening. When’s a good time to talk? [00:14:25] Instead of saying that, it will say this. Hey Prav, thanks for inquiring about [00:14:30] dental implants. The practice is now closed, but I’m sending you a quick message so we can [00:14:35] catch up tomorrow. I’m back in the practice from 9 a.m. when [00:14:40] would be a good time to talk? So now the patient responds and says, oh, can you ring [00:14:45] me? Say Monday at two or this time? And then the important thing is to re-engage with that [00:14:50] patient and send them another SMS and say, you know, when you get in the following day, I’m going to ring you at this time [00:14:55] because there was another mistake we found, right? Which was this patient responds saying, [00:15:00] call me tomorrow at two. Tco comes to me and says, hey, I tried to call this patient [00:15:05] at two. They didn’t pick up. I said, all right, what’s if I asked you [00:15:10] the same question? And I messaged you and said, hey, can you meet tomorrow [00:15:15] at two? And you don’t respond, do I expect you to turn up? There’s no confirmation. [00:15:20]

Prav Solanki: So when a patient says, can you call me tomorrow at two, it’s really important that you [00:15:25] set that. Diary date right that time and you sms them back [00:15:30] saying, yes, I’m going to call you at 2:05 tomorrow. Look forward to speaking. Just that little [00:15:35] nuance in texting them back, saying I will call you is the difference between getting [00:15:40] hold of that patient and not yeah, yeah. And it’s so many tiny little nuances [00:15:45] within the communication journey that we’ve learned, um, when working with [00:15:50] clients and building this system that have really taught us a lot about the art of follow up [00:15:55] and what’s important, what makes patients respond, you know, the subject line [00:16:00] in the emails that you send to them, the content of the emails that goes out [00:16:05] to them really, really important, and then the timing of it, right, to reach out to somebody, [00:16:10] let’s say, three months after their inquiry and just [00:16:15] say Prav dot dot dot in the subject line and then in the body. [00:16:20] Are you still interested in dental implants or teeth straightening or whatever? That [00:16:25] works so much better than an email that says, hey Prav, you inquired with us some time ago. I’ve [00:16:30] tried to email you. I’ve tried to reach you a few times. Here’s some case studies about dental implants. [00:16:35] La la la la la. Would you like to book a consultation?

Payman Langroudi: Yeah, the [00:16:40] short.

Prav Solanki: Email has so much more impact. Such a high conversion rate. Yeah. Massive huge. [00:16:45] And it just wakes them up. Right. And this is the thing that the way [00:16:50] I look at a CRM system, it’s there to deal with the initial inquiry. It’s there [00:16:55] to teach your team what to do and when and manage that flow of when to [00:17:00] call them a second time, a third time or fourth time. They shouldn’t have to send themselves set themselves tasks. [00:17:05] The system should automatically do that for you. So you don’t need to think when you’re using it. [00:17:10] But push that to one side, mate. What it should be doing is waking up your inquiries [00:17:15] periodically, but on a one by one basis rather than in in mass, [00:17:20] right? So hey, Prav inquired three months ago, send him the seven word email, [00:17:25] perhaps not responded for ten months. Send him the Break-Up email. Prav [00:17:30] hasn’t booked a consultation yet. Ask him to send us a [00:17:35] selfie of his teeth so that we can show the dentist to give [00:17:40] him some advice because he’s not quite ready to come in. But is he ready to send us a photograph of his teeth? Let’s try that [00:17:45] one. And so many patients respond with their picture, right? So they’re one step further to coming [00:17:50] in one step closer.

Payman Langroudi: And giving advice to that patient shows massive value. Add from the practice. [00:17:55] Because most practices aren’t giving free advice to patients who haven’t even visited yet. And then [00:18:00] the guy thinks, well, these guys are really good, aren’t they? So tell me this Prav the process that’s [00:18:05] followed as far as when people are to call, when people are to send emails and [00:18:10] the content of those emails, is that the same for everyone, [00:18:15] or do you sort of bespoke it for different people?

Prav Solanki: So we spend a lot of time [00:18:20] getting to know the practice, but what I say is a consistent and [00:18:25] repeatable process wins every time than [00:18:30] an ultra bespoke process that’s different for each patient. Type around your staff, [00:18:35] around your practice. Right. Like, look, I’ll take it. I’ll take it [00:18:40] to exercise and sport. Yeah. You can come up with these crazy training routines [00:18:45] with, you know, these different like yoga, Pilates hits, [00:18:50] weight training, this, that and the other. Right. But but but then you can get bored or tired [00:18:55] or give up or whatever. Right. But the guy who just turns up every day, five days a [00:19:00] week and just trains is on that pathway to fitness and consistency is key. [00:19:05] Yeah. On what we what we’ve realised with development of the CRM [00:19:10] system. Yeah. Put everyone on the same program. For every one in exactly [00:19:15] the same program. And then if you want to build any nuances into your follow [00:19:20] up process, layer that on top of what we tell you to do. But don’t [00:19:25] deviate from the plan that we give you. Because we’ve had over a million inquiries through this [00:19:30] platform. We’ve seen the data, yet we’ve seen what works, we’ve seen [00:19:35] what subject lines works, we’ve seen what SMSes work, we’ve fixed things that [00:19:40] are broken.

Prav Solanki: And so when someone says, hey, I’ve got this idea, I’ve got that idea. Cool. Test [00:19:45] it, but don’t deviate from the plan, right? Just follow my follow up process [00:19:50] of how often to call, when to follow up, what time of day to call, [00:19:55] what device to call from. Just follow me on this. Just trust [00:20:00] me on this piece. Yeah, and you will squeeze so much more out of your marketing budget [00:20:05] than just having an ad hoc approach because you know, this person’s [00:20:10] off sick, or this new team members come and said, hey, I worked at XYZ Dental Practice and [00:20:15] we did this right. Let’s give that a go. So I have a process, and on the whole, [00:20:20] I feel it’s pretty robust. And if if every practice was to follow this with [00:20:25] or without a CRM system, you would elevate your conversion rates, right? Even if it’s just a call [00:20:30] follow up thing. What my system does is it allows you to basically, [00:20:35] it prompts you to take these follow up steps rather [00:20:40] than you having to remember or set yourself these tasks. Does that make sense?

Payman Langroudi: How often does the staff [00:20:45] member actually open it up, or is it always on in the background or always on buddy, always [00:20:50] on.

Prav Solanki: Always on? Yeah. So you’ve got it there. It’s got notifications [00:20:55] coming in. You can put patients on snooze so you can say, hey, look, this patient [00:21:00] inquiry, I’ve got to I’ve got to call them at 2:00. Right. So you say snooze till 2:00 [00:21:05] and then it’ll pop up in the window saying call this patient now right at 2:00. So you can set yourself [00:21:10] little notifications like that. But you know, it’s it’s always on. Patients [00:21:15] are always, always responding to SMS. And you know when you send [00:21:20] when when the, when lead flow sends them an automated email, what happens next [00:21:25] is that that patient will respond to an automated email. It pulls that into lead flow, sends [00:21:30] you a notification. And then you know, hey, this patient’s responded. Let’s re-engage with them [00:21:35] now. Right. Whatever that response is. So it’s always on. It becomes the heartbeat of your [00:21:40] practice. Really. Um. In that respect.

Payman Langroudi: So give me examples [00:21:45] Prav here of situations where the software has brought [00:21:50] treatment to life that would have gone, you know, I know, I know you can come up with 100 [00:21:55] examples here, but what were the things that people wouldn’t have thought? I mean, you said you just said [00:22:00] two years. Are there loads of examples of people who, 18 months after contacting you [00:22:05] start going ahead?

Prav Solanki: Tons, tons. I’m going to give you this analogy and you might. I know it’s been such a long [00:22:10] time since you held a drill in your hand, mate, but imagine so. So I’ll give you [00:22:15] this situation, right? I don’t know if anyone out there has had a consultation with a patient [00:22:20] and they disappear and you think, well, that was that was [00:22:25] a time waster. Whatever. Right? They just don’t go ahead with treatment for whatever reason. And then two [00:22:30] years later, they turn up in your chair and think, where the heck did that patient come from? I [00:22:35] thought you were long gone. Yeah. Every time I mention this to a clinician, they’re like, yeah, [00:22:40] it happens all the time. And you know why that is? It’s because life [00:22:45] gets in the way. Yeah, life gets in the way. And it has these funny things [00:22:50] of throwing things at you. Whether it’s financial restrictions, time restrictions, work restrictions, [00:22:55] work life balance, whatever that is. Right. And we see this so many times. [00:23:00] Right. And that’s why we’re following up for two years. Right. Because the one thing that we’ve seen [00:23:05] always talk about three lanes of the motorway, when I think about inquiries and leads. Right. So [00:23:10] I’m going to take you through that concept. Yeah. Of the inquiries that are coming in. Right. [00:23:15] Only 3% of them are fast lane buyers. The patients are going to inquire today, [00:23:20] buy today and transact today. Okay. About [00:23:25] 15% are middle lane buyers. What that means is they’ll inquire today, but they’ll make a transaction [00:23:30] between today and the next three months. Yeah, the next 90 days. [00:23:35] And it doesn’t there may be, you know, half crossing halfway across the middle lane to [00:23:40] the fast lane. Right. And so maybe they’re only 45 days away from making [00:23:45] that transaction or 20 days. But but let’s just put them in the middle lane. Right. The [00:23:50] slow lane buyers are buying over the next 18 months, and that comprises 50% [00:23:55] of the people who are engaging today, and 32% [00:24:00] are buying over 18 months later. Right.

Payman Langroudi: So it’s crazy. But based [00:24:05] on those stats, you literally will double your business by following up for two years. [00:24:10]

Prav Solanki: Yeah. And it’s insane. You know, and especially when you think about practices that [00:24:15] are doing. So so here’s the thing. The more expensive something is the longer [00:24:20] your decision making process.

Payman Langroudi: Yeah.

Prav Solanki: So it’s it’s more than double right. It’s [00:24:25] more than double. Because if it’s a big implant case or a big restorative case [00:24:30] or whatever, right. You’ll be considering that over a longer time. Yeah. If you close your eyes and think [00:24:35] about the last really expensive thing you bought and something you had to borrow money to buy. [00:24:40] Yeah. How long did that decision take and why? Why do we always give this example? Right. [00:24:45] If you think about something really expensive you had to borrow money to buy. It’s because our patients often [00:24:50] have to borrow money to buy teeth, right? Whether it’s, you know, a mouth full of veneers, [00:24:55] um, ortho restorative work, implant dentistry. [00:25:00] You know, finance is a big conversation in today’s world, right? And, [00:25:05] you know, then there’s the whole thing. Patient didn’t get accepted for finance. The need is there. [00:25:10] Right. They really want more.

Payman Langroudi: And more right now.

Prav Solanki: Loads.

Payman Langroudi: Yeah.

Prav Solanki: Loads. [00:25:15]

Payman Langroudi: That assessment that you said was that when you said 50% by over, you [00:25:20] know, in the longer period 18 months, 18 months. Yeah. But you know you should you should look at the analysis [00:25:25] here by by treatment value. That would be really interesting wouldn’t it. So if [00:25:30] the more expensive treatments are coming in slower, you say, [00:25:35] you know of the total turnover, 75% [00:25:40] of it came in slower.

Prav Solanki: Yeah yeah yeah.

Payman Langroudi: Yeah. And isn’t it.

Prav Solanki: It’s really it’s really interesting. [00:25:45] Right. So you know when you, when you delve deeper into it it’s definitely. And [00:25:50] so let’s go back to that question you asked. Right. Examples. Yeah. Yeah. So [00:25:55] it’s funny like some of our CEOs that we work closely with will say [00:26:00] to us, oh do you know what? I discarded this patient so you can tell lead flow like what’s [00:26:05] happened. So at some point you know, your TCO will let lead flow know that this [00:26:10] patient is no longer interested in treatment with us. And then it says to the TCO [00:26:15] lead flow will continue to follow up with this patient in the meantime. Right. And [00:26:20] then all of a sudden they get an email that says something like, have [00:26:25] you given up on fixing your smile? Right? Ten months later, [00:26:30] 12 months later, and then all of a sudden out of the woodwork, that patient responds, [00:26:35] have the TCO. Having said, this patient is not going to go ahead ever, right, and [00:26:40] says, I’m ready to go. What’s the next step? Can [00:26:45] I book that consultation right, and wakes the patient up. Now, when you’ve got a pipeline [00:26:50] of inquiries coming in month after month after month, and you’ve been using the CRM system [00:26:55] that is following up patients for a couple of years, right? That piece [00:27:00] is on autopilot. So there’s one of those every day. Yeah, every single [00:27:05] day somebody is responding to an auto text or an auto email.

Prav Solanki: And [00:27:10] what’s so important about these auto texts and auto emails is they need to come [00:27:15] across as being human is so important [00:27:20] that that patient thinks that somebody has sat there and crafted that email and [00:27:25] sent it just to them. So the language that we use in [00:27:30] that follow up communication is, is more important than anything else, right? So [00:27:35] some of our clients say, oh, can’t we have fancy follow up emails with like our logo [00:27:40] at the top and some graphics in there and this, that and the other? I said you could, but you’re [00:27:45] more likely to be filtered by junk. And the patient’s not going to think that you’ve just sat there and [00:27:50] bashed this out and sent them a specific email. Right. Um, and [00:27:55] so some of the language that we use and some of the follow ups is a little bit more informal. [00:28:00] Some of it is like, hey, I’m just at my desk right now. And um, I came across, [00:28:05] you know, came across your notes and wondered where you’d got to. Are you still interested? [00:28:10] Do you see what I mean? And so it feels very human. [00:28:15] And sales is human, right? That’s the whole process of it. So, [00:28:20] um, it’s loads and loads of examples like that that we see and [00:28:25] certainly, you know, the clients that we work with, will will know that [00:28:30] when, when, when they’ve got patients who are responding six, 12, 18 months later, [00:28:35] it’s um, it’s a wake up call.

Prav Solanki: It really is a wake up [00:28:40] call. Because when I ask this question to practices, I say, when an inquiry lands, tell me when you give up, [00:28:45] just answer me that question and say, what do you mean? I said, talk me through your process. [00:28:50] Inquiry lands. What do you do? Or send an email? Okay. Have you got a template. We’ve got this [00:28:55] copy and paste template. No problem. So send that out okay cool. And then do you text them. Yeah. [00:29:00] Do you call them. Yeah. Do you call them from a landline or a mobile or just [00:29:05] the landline or. I’ve got a practice mobile. Do you ever try both. No, it’s just one or the other. [00:29:10] Why not. Well, I’ve just got a landline or I’ve just got a practice mobile. I [00:29:15] just use that and then I try and humanise that process. And I ask them this. Hey, I’ll [00:29:20] ask you the question now. Right. What’s your local area code where you live? What is it, 0208 [00:29:25] or something like that? 70207 right, okay. So [00:29:30] answer this if you got a call, if you got a number flashing up on your phone [00:29:35] and it was an old 207 or it was an unknown mobile, which one are you more [00:29:40] likely to pick up?

Payman Langroudi: 007.

Prav Solanki: Okay, fine. Me and you have got [00:29:45] a lot in common, mate. Because if I had an 0161 number, call me. [00:29:50] I’d pick that up straight away, right? Why? Because local Manchester number might be local businesses. [00:29:55] Try and get into someone I’ve enquired with. Whatever. Right. But that’s just me, right? If it was a [00:30:00] mobile, absolutely not. Right. Someone’s handed my number out. I’m a busy guy. I don’t want to [00:30:05] speak to that person. But when I ask this question, there’s some people who respond just like Prav, just like [00:30:10] you did, but there’s some people who respond in the opposite way. [00:30:15] Oh, I’ll pick a mobile number up any time of the day. I’m really curious. I wonder who’s got my mobile, who’s trying to ring me [00:30:20] from their mobile? Right? Definitely not picking up the 0207 or the 0161 [00:30:25] number. Definitely not, because.

Payman Langroudi: I see that as a business. Maybe we’re.

Prav Solanki: All different.

Payman Langroudi: Yeah, [00:30:30] yeah, whatever. Right.

Prav Solanki: What whatever it is, I think the important the important [00:30:35] point is whether you’re like paying Prav or like that other person, we’re all [00:30:40] different. So shouldn’t our sales process cater to those different [00:30:45] people? So we try half of our follow up calls from a landline [00:30:50] and half of our follow up calls from a mobile. And what we’re trying to do is increase the probability [00:30:55] that a person’s going to pick up, because they’re not necessarily going to connect that [00:31:00] mobile number or that landline with the enquiry they’ve just made. Yeah, but [00:31:05] but let me tell you this. When the CRM system [00:31:10] sends them a text message saying, I’ve just tried to call you [00:31:15] when you tried to call them with that number, or I’ve just tried, or they get an email saying, [00:31:20] I’ve just tried to call you patients ring back, right? And [00:31:25] it’s the same thing. It’s what we do, right? Imagine pay someone tries to ring you on the mobile, [00:31:30] right? And it’s an unknown. So you ignore it, you’re busy, whatever. And [00:31:35] then you get a WhatsApp saying, hey, hey, we met at, um, yeah, yeah, the dentistry [00:31:40] show or whatever. You gave me a number. It’s just me trying to call you, and you go, oh, all right, I’ll ring the person [00:31:45] back. Yeah. Same situation when it comes to the sales process, right? The [00:31:50] intricacies of sales and communication and the psychology of that [00:31:55] is what I’m really passionate about when it comes to developing these automated systems. Right. [00:32:00] And flows. And, you know, we can sit here and get hung up on features [00:32:05] and integrations and this and that and so on and so forth. But actually the long [00:32:10] and short of it is, is conversion rates getting hold of patients trying all these different [00:32:15] ways of getting hold of patients. But more importantly is consistency wins [00:32:20] the race right. And long terme consistency definitely wins when it comes [00:32:25] to following up patients. Yeah two years minimum.

Payman Langroudi: We’ll see. Onboarding [00:32:30] like how long if I if I wanted to get my team trained how long [00:32:35] will it take to get to a point where we’re using it.

Prav Solanki: Well within a week [00:32:40] you’re rocking and rolling right. And the reason for that is the user [00:32:45] experience is so intuitive. Yeah. I could get mahanya. [00:32:50] My my eight year old on this tomorrow and she’d be able to use lead flow.

Payman Langroudi: Really? [00:32:55]

Prav Solanki: I kid you not.

Payman Langroudi: That is different because I was such a nightmare takes when [00:33:00] when we’re training people enlightened for our CRM. It I [00:33:05] just I just interviewed someone, actually, and I told her, yeah, at first you’ll find it very difficult. And then [00:33:10] after about a month, you’ll, you’ll get the feeling. And that’s a month full time in front of it. Yeah. [00:33:15]

Prav Solanki: So so I’ll you know those they can’t see the dashboard. Right. But I [00:33:20] can I can tell you this pay right that when you log on to the dashboard you’ll see your [00:33:25] new leads and it’ll say call James about Invisalign on zero seven, blah [00:33:30] blah blah, blah, blah. So guess what that person’s got to do? Have a guess call. And then when [00:33:35] they call, you’ve got a few options, right? So you press follow up and it says how should we follow up with them. They want [00:33:40] to discuss it later. They did not answer the phone or they provided an incorrect number. So [00:33:45] if you click on the thing where it says they did not answer the phone, you’ve done your job, you’ve [00:33:50] sent them a voicemail. And guess what happens next? Patient gets an automated email saying, James, I [00:33:55] just tried to call you.

Payman Langroudi: Oh nice.

Prav Solanki: Couldn’t get through. And they get a text message. James, it’s Sarah [00:34:00] here. Just tried to call you about your inquiry, but you’d have to type that image. Or you just press [00:34:05] a button and it goes right. And then what happens? Is it timestamps [00:34:10] the time that that you called that patient. Right. It’s really important. [00:34:15] And then it sets a follow up call and it says but but but the patient disappears. And [00:34:20] then it goes into another another channel or section of the CRM called Call Attempts. And it’ll [00:34:25] say call Prav. The second time, call Prav. The third time, call Prav the fourth time. Right. That [00:34:30] second call will come in, say, five days later. Right. But because, you know, your last called that patient at 10 [00:34:35] a.m. because it’s timestamped in the system. Yeah. What happens next. [00:34:40] You call that patient up one. And so I’ve got a process that I always tell clients [00:34:45] to follow. But you know sometimes they haven’t got the resources and the means to do [00:34:50] that. But my my process is this call the patient in the morning. Call the patient at lunch [00:34:55] time.

Prav Solanki: Call the patient. In late in the day after [00:35:00] hours and call the patient on a Saturday late morning. It [00:35:05] was that those are the minimum calls that you should be doing in your follow up process, [00:35:10] because you’re just trying to increase the probability of getting hold of them. Right. Because if if I’ve got a [00:35:15] regular thing that I’m doing first thing in the morning that I never answer the phone, you’re never going to get Ahold of me. Yeah. [00:35:20] And if you always try me at lunch time. But I don’t take a lunch, you’re never going to get Ahold of me, right? [00:35:25] If you happen to catch me on my commute back on the way from home and on board on my brains and [00:35:30] the phone rings, I think it’s an 0161 number. I wonder who this is. Yeah. And [00:35:35] I pick up and you might catch me on a Saturday morning, right? Or in the early evening, try and increase [00:35:40] the probability of catching this patient and getting hold of them. Right. So that protocol and process is [00:35:45] really, really important.

Payman Langroudi: You know, Prav when when I get my team to follow up more or for [00:35:50] longer, one of the most common objections I get from them is I don’t want to annoy [00:35:55] the person. Um, and by the way, I think it’s, it’s it’s it’s [00:36:00] mis founded because we’re not doing anywhere near the amount of follow up [00:36:05] that some companies do on me. And I still I still don’t see them as annoying. I see them as kind [00:36:10] of good at what they’re doing. But what is that something you hear commonly from practice [00:36:15] owners.

Prav Solanki: From all the time? Right. And the common thing is we don’t want to piss patients off. Right. [00:36:20] That’s that’s the thing. Right? So here’s the thing. There’s two things to think about. One of them is emotional [00:36:25] intelligence and how you follow up. And the other one is cadence, [00:36:30] right. And frequency. So here’s the thing. When a patient [00:36:35] initially inquires, you want the frequency to be a little bit higher in terms of the repetition. [00:36:40] Then you want to taper it off and reduce the cadence and the frequency of communication. Right. [00:36:45] You don’t want to be following this patient up for two years and hammering that phone every day. You’re really going to piss [00:36:50] them off then, right? Yeah. But when you email them, like a lot of the [00:36:55] emotional intelligence in the emails that we build into our platform, [00:37:00] we figured all that stuff out for you already. Yeah. The little nuances [00:37:05] of the words that go into there, the subject lines, the reason that you’re following up. Hey, Prav, [00:37:10] um, we’ve just had Sarah complete her implant treatment, and I know you inquired a [00:37:15] while ago. Wanted to share her story with you. Here’s a before and afters. [00:37:20]

Prav Solanki: Still, a follow up is still a chaser, but you’re sharing a success [00:37:25] story. You could do the same with an implant. Google review. You could do the same [00:37:30] with an implant video testimonial. You could also follow up and say, [00:37:35] Hey Sarah, just checking in. Are you still interested in replacing that missing tooth? [00:37:40] Later on in the journey, you could follow up and say, have you decided to go somewhere else? [00:37:45] Did you decide against using us? Could we have some feedback about our process [00:37:50] and why you decided to go somewhere else? And then they respond and go, oh, I haven’t gone anywhere else. [00:37:55] I’m still thinking it through. Right? So there’s the emotional intelligence of the reasons [00:38:00] over which you follow up. Yeah. Um, perhaps [00:38:05] saying to the patient, hey, Prav, I’m just calling to get [00:38:10] your permission to send you our new dental implant brochure, because I hadn’t passed [00:38:15] that on to you before. Have I got the permission to send you that via email? Well, of course you have. But [00:38:20] it’s another excuse to call. Yeah, and then that. Then you may break [00:38:25] into a conversation about let’s get you in for a consultation.

Payman Langroudi: Yeah, but. So how [00:38:30] much of that is within the system? All of it.

Prav Solanki: Most of it. Yeah. Yeah, [00:38:35] yeah. Most of it’s baked in. So look, what I will say is, is, you know, [00:38:40] the communication courses I teach write about, you know, the sales process, the words this, [00:38:45] that and the other and all the rest of it. Right. It’s all that that has been baked into there, right? [00:38:50] 15, 16 years of being at this game from, from, from entering [00:38:55] the world of dentistry as a naive person who knew very little about the [00:39:00] patient journey, treatments and all the rest of it. So to somebody [00:39:05] who knows a lot about dentistry, who knows a lot about the patient journey, who knows a lot about [00:39:10] the way the patients and dentists think and how to communicate different types [00:39:15] of dentistry to different people. That has all been unfiltered, injected [00:39:20] into the nuances of the system. Right?

Payman Langroudi: Sure. Can your experience [00:39:25] with owning practices is really, really sort of changed the way you look at this? [00:39:30]

Prav Solanki: Without question.

Payman Langroudi: Was such a thing, isn’t it? I mean, you were 15 [00:39:35] years in before you owned the practice sort of thing.

Prav Solanki: Yeah. And I think what [00:39:40] practice ownership taught me. It taught me a lot about what happens on the other side of the [00:39:45] reception desk. Yeah, or the other side of the door. Right. [00:39:50] Because as a supplier to the as a supplier to the industry, you [00:39:55] just see your side of the fence, okay. But when you [00:40:00] are both supplier and owner, you understand the challenges, you understand [00:40:05] the objections, you understand the staff training issues, you understand the staff turnover [00:40:10] issues. You understand the communication between nurse and dentist [00:40:15] and good nurse and dentist and not so good nurse and dentist and great TCO and patient [00:40:20] and and all the different bits in between. Right. And having owned [00:40:25] multiple practices and then worked with and coached lots of practices. Every [00:40:30] practice is different. Every single patient journey is different. Yeah. You [00:40:35] can say you’ve got the same patient journey as me. No you haven’t. And I’m not necessarily saying my [00:40:40] patient journey is better than yours either. But every single one is different because it it takes [00:40:45] its sort of elements from the fabric of the owners. Right. Or what [00:40:50] they’ve inherited and whatnot. And they, they have their little tweaks and changes to it, and there’s [00:40:55] no right or wrong way to do that journey. But I think, I think what’s really important is [00:41:00] that understanding that really helps me to. You [00:41:05] know, either serve clients really well, understand their problems really well, and then provide [00:41:10] solutions to that and be that in, you know, patient communication software [00:41:15] or, you know, just an advice that I give clients from, from time to time. Um, and [00:41:20] a lot of it’s just common sense.

Payman Langroudi: Me you see, [00:41:25] your little your little devil eyes came out there. So [00:41:30] why don’t you just pull the curtain back a bit on the process that you’ve [00:41:35] been through or that you go through to build software? [00:41:40] I mean, a bit different to agency work, right? And I know we did an episode on scrums [00:41:45] and, you know, uh, are you working with mainly people [00:41:50] in, in house or have you got people out? You know, developers are outside your business. How [00:41:55] are you doing it?

Prav Solanki: So everyone’s in. So every team member is in the business. [00:42:00] But since the whole Covid scenario. Right. And, um, we all went [00:42:05] fully remote. It opened my eyes to the talent of what is available [00:42:10] out there, right? So we have a team of software developers. [00:42:15] The core team are in-house and UK. Yeah. [00:42:20] Um, and everyone’s sort of, should we say employed, but we’ve managed [00:42:25] to tap into, um, additional team members who are based. So we’ve [00:42:30] got one but one guy who’s in Serbia, um, and we’ve got two [00:42:35] guys who are based in Ukraine and they’re insanely talented. [00:42:40] Right. But we follow a scrum or what’s called an agile methodology. When [00:42:45] we come to software development, we’ve got a product owner and a product manager who [00:42:50] is just focussed on product, is focussed on creating all the tasks [00:42:55] and all the what we call all the little breaking down like, [00:43:00] you know, let’s say, let’s say there’s a piece of work that says, hey, add a button here [00:43:05] to do this and whatever that functionality is, right? That’ll be broken down into 22 tasks [00:43:10] development tasks. And then each of the developers will pick up a task or whatever, do [00:43:15] it. And then if one person writes the code, the other person checks the code, they push it to live. [00:43:20]

Prav Solanki: The whole development process is like, I’ve learned so much about it [00:43:25] and, you know, like errors that come up and things like that. We’ve [00:43:30] learned so much about it. Right? But the team, the team now, I mean, that [00:43:35] whole development process is managed without me now. Um, I used to be very integral to it, but [00:43:40] now it’s really refreshing for me to log on to lead flow and see a new feature and go, oh shit, [00:43:45] when did that happen? That’s really cool. That’s really cool when stuff happens and you [00:43:50] don’t know about it and it happens without you and it’s cool. And the fact that it’s cool, right? [00:43:55] So it’s cool because it happens about you and the feature is cool. It’s it’s like double cool. Yeah. [00:44:00] So that that piece kind of takes, kind of takes care of itself now. But, um, you [00:44:05] know, like solving problems with software is not only, [00:44:10] um, interesting, but it can be very, very expensive as well, because [00:44:15] let’s say you make the wrong decision. Yeah. Let’s say you decide [00:44:20] to either build a feature. Or go or choose the wrong [00:44:25] library or technology on which to build this code base here. You could do [00:44:30] that for three months with a team of six developers. Right. [00:44:35] And then realise you’ve just wasted all that time, energy and resource [00:44:40] and you need to unwind that now, right? And that has happened several.

Prav Solanki: That has happened [00:44:45] several times. We’ve got systems and checks and balances in place now. And [00:44:50] the development team tend to when they’re thinking about solving problems, they’ll [00:44:55] get their heads together. I’d rather they spend two days planning [00:45:00] and figuring out or making decision, or two weeks right before even writing [00:45:05] a line of code, than spend all that time coding to realise we’ve just made the [00:45:10] wrong decision. Yeah, so so so that and I get involved in that discussion. And [00:45:15] even though I’m not a I don’t understand code, I’ll challenge the status quo. I’ll [00:45:20] ask questions around, well is this is there any alternative options. And someone will come. So there’s [00:45:25] definitely times during those technical discussions where my input has been valuable. On the whole it’s not. [00:45:30] Um, but there are there are times when it is valuable and [00:45:35] I just enjoy understanding and getting to grips with all the geeky language [00:45:40] and all this stuff about branches and version control and pull requests and [00:45:45] and all the rest of it. It’s, um, it’s it used to be all new language. And, you know, [00:45:50] my team are very good at doing things down for me.

Payman Langroudi: Nice [00:45:55] property. So is it got its own website now.

Prav Solanki: Yeah. Lead flow. Com. [00:46:00] So, um.

Payman Langroudi: How do you spell lead flow.

Prav Solanki: Flow. Yeah. So [00:46:05] lead flow. Oh. Um, yeah.

Payman Langroudi: Well, [00:46:10] congratulations. But I know this has been going on for a long time now. Congratulations [00:46:15] on on getting on the other side of it.

Prav Solanki: It’s never finished [00:46:20] though, mate. It’s never finished.

Payman Langroudi: So I know like, it’s always right. Yeah.

Prav Solanki: Kind of like [00:46:25] that. But but but here’s the thing. Because we take feedback from our clients very, very seriously [00:46:30] as well. We’ve got a whole product development roadmap. Right. So one of the latest requests [00:46:35] that we had was, um, I mean, I think you’ve got to be you’ve got to have been [00:46:40] sleeping under a rock if you don’t know what Care Stack is, for example. Right. So care stack is [00:46:45] a new dental practice. So management software sort of your equivalent of [00:46:50] the dentals or the SOS or the r4’s of this world. Right. And so we’re [00:46:55] currently working with their development team to write a full end to end integration with care [00:47:00] stack and lead flow. And so your work is never done because Care Stack didn’t [00:47:05] exist when we well, it probably did, but it wasn’t in our UK ecosystem anyway. And [00:47:10] then happened to have met with the CEO Abi, and worked alongside Adrian Dray as [00:47:15] well. And now we’re working with their software development team and creating this end to end [00:47:20] connection with them. Right. And so you know, but but then something else [00:47:25] will come out, another piece of technology or you know, we’ve, we’ve, you know, integrating [00:47:30] some AI into that.

Prav Solanki: And what does that look like. And there’s always [00:47:35] something there’s always feedback from clients and our, you know, motto of [00:47:40] being the best dental CRM system on the planet. You can’t stop. [00:47:45] You cannot stop. Yeah. You’ve got to continue developing [00:47:50] and evolving. And then and then what? What you know, what defines it as the best. Yeah, there’s [00:47:55] there’s loads of is it because it’s got features bells and whistles or is it because it’s the best [00:48:00] at converting. It’s the most user friendly experience. Right. Is it a Carlsberg thing. [00:48:05] Who knows. Um, but but for me to genuinely and [00:48:10] honestly stand there with my hand on my heart and sell it as the best [00:48:15] it has to be in my mind? It’s not. It’s not a biased Prav is [00:48:20] deluded scenario here. Yeah, I’m passionate and convinced, and there was a point [00:48:25] in the marketplace where it wasn’t, and so you would have never heard me singing [00:48:30] and shouting about it. What it is today is a completely different beast.

Payman Langroudi: Yeah, [00:48:35] I mean, look, products are interesting, man. You’ve been in the world of services mainly, [00:48:40] and products and obviously software products different again, like in in my [00:48:45] world the products problems tend to be regulatory. You know, you want to do this but you can’t [00:48:50] or you can do it, but it’ll take a year for the regulatory to work out. [00:48:55] Or you can do it and you can’t do it in this country because of regulatory. Whereas software’s [00:49:00] got its own sort of nuance, and a lot of it tends to be around speed, right? [00:49:05] Trying things, putting things in place.

Prav Solanki: Go on. Yeah, [00:49:10] yeah the speed. But there’s also regulation. Right. So you know when we look.

Payman Langroudi: At data right. [00:49:15]

Prav Solanki: Data GDPR and then you know HIPAA compliance [00:49:20] for the states. Yeah. What that looks like um, we’re [00:49:25] not us. Ready. Right. Um where’s that. Data stored. So if we had a customer [00:49:30] in the US, this data would need to be stored in the US and processed there. If it’s UK, it needs to be UK, right? [00:49:35] So there’s that whole piece as well. Right. So um, you know that’s on our product [00:49:40] development roadmap as well. But it’s database infrastructure that sort of stuff. [00:49:45] Do you know what I mean. It’s it gets it gets really, really interesting. And we’re [00:49:50] constantly solving problems. You know what? I just find it challenging as a [00:49:55] business owner involved in multiple businesses, I enjoy the challenge and working with people [00:50:00] who are super smart, who tell me they’ve solved the problem or show me the problem [00:50:05] that I’ve solved is cool.

Payman Langroudi: Yeah. Of course. Well, [00:50:10] you know, it’s a pleasure to have you back. And I know that you’ve been away, but we did get that one [00:50:15] interview with, um, Abby from Cass Tech this upcoming episode of [00:50:20] Coming Soon. Yeah, yeah.

Prav Solanki: That’s, uh, tune in for that one, [00:50:25] because, um, no spoiler alert here, but the [00:50:30] guys are crazy genius. I mean, he reminds me of [00:50:35] the Elon Musk of dentistry, and I’m not going to say anything more. I’m not going to spoil it. But it [00:50:40] was an insane interview. Um, so we’ve got that to look forward to, and I might [00:50:45] make some additional appearances. Who knows? Pay. I’ll pop [00:50:50] back every now and then. Um, I do really enjoy these sessions, um, especially connecting [00:50:55] with people in our industry. It’s just that, you know, time drags me away from time to [00:51:00] time, and, um, the fits and starts, right? There’ll be. There’ll be times where I’ll be more present and times [00:51:05] where I guess my other half, Doctor Langroudi [00:51:10] is, um, is running the show.

Payman Langroudi: We’ll have you on mind move as one of these days, but.

Prav Solanki: Yeah, yeah, [00:51:15] yeah.

Prav Solanki: Maybe maybe.

[Voice]: This [00:51:20] is Dental Leaders the podcast where you get to go one on one [00:51:25] with emerging leaders in dentistry. Your [00:51:30] hosts. Payman Langroudi and Prav Solanki.

Prav Solanki: Thanks [00:51:35] for listening, guys. If you got this far, you must have listened to the whole thing. And just [00:51:40] a huge thank you both from me and pay for actually sticking through and listening to what we’ve had to say [00:51:45] and what our guest has had to say, because I’m assuming you got some value out of it.

Payman Langroudi: If you did [00:51:50] get some value out of it, think about subscribing. And if you would share this [00:51:55] with a friend who you think might get some value out of it too. Thank you so so, so much for listening. Thanks. [00:52:00]

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

Dental technician Simon Caxton shares his unconventional path into dental technology, describing his hands-on learning style, passion for the craft, and drive to excel.

Our conversation takes a deep dive into the current landscape of dental labs in the UK. We explore the challenges in finding skilled technicians, the transformative impact of digital technologies, and the value of collaboration and communication between dentists and technicians.

Enjoy!

 

In This Episode

00:02:40 – Backstory

00:16:10 – Establishing a lab

00:24:30 – Challenges

00:42:15 – Dentist-technician relationships

00:49:15 – Anatomy and workflow

00:52:25 – Skills and training

00:56:40 – Blackbox thinking

01:03:40 – Business exit

01:08:20 – Aspirations 

01:12:40 – Techniques and workflow

01:17:25 – Fantasy dinner party 

01:21:25 – Last days and legacy     

                       

About Simon Caxton

Simon Caxton is a dental technician and director of the Romford-based Simplee Dental Ceramics laboratory.  

Simon Caxton: If I was to build up two centrals together, I always start with the left [00:00:05] one. So there’s patients, right? My left, because the model is upside down. And so I always start [00:00:10] with that one. And then two centrals although they’re similar they’re not identical. And [00:00:15] that’s the hardest thing when people say I want the Centrals to look exactly the same. Well, [00:00:20] in nature they’re not exactly the same. So that’s the hardest thing, is when people say they’ve got to [00:00:25] be identical and the gingival contour is different, you might have one gingival [00:00:30] margin higher than the other. And I think when dentists do composites [00:00:35] they’re building the composite onto unprepped which is yeah, [00:00:40] the majority of the ones I see where they’ve been added to. And that’s really [00:00:45] hard because you’re working with a structure underneath that’s already going [00:00:50] in one direction, or it’s going to be thinner or more bulky in areas. What [00:00:55] we have we generally or we like to have is something that’s been tracked down and [00:01:00] we’ve got a reasonable amount of room and space and we’re recreating that whole [00:01:05] thing. Then we’ve got more scope to to build those line angles in and [00:01:10] the bow bosses and make it look more natural. But as far as shapes go, [00:01:15] it’s get one looking right and then get the other ones to kind of match it.

Intro Voice: This [00:01:20] is Dental Leaders, [00:01:25] the podcast where you get to go one on one [00:01:30] with emerging leaders in dentistry. Your [00:01:35] hosts Payman Langroudi and Prav Solanki.

Payman Langroudi: Dental [00:01:40] technicians are some of the unsung heroes of our profession. [00:01:45] And you know, personally, I remember my first ever job. [00:01:50] I thought I was a brilliant dentist and it turned out actually my technician [00:01:55] was brilliant. I realised I realised 2 or 3 technicians later that that guy John Oliver [00:02:00] in Kent, what a hero. Everything would fit first time, everything would look [00:02:05] beautiful and your technician can make you look amazing and not get [00:02:10] much of the praise for that or make you look terrible. And often we do blame them [00:02:15] instead of blaming ourselves. So I want to have a conversation with some technicians, [00:02:20] and we’re going to start off with Simon Caxton. Massive pleasure to [00:02:25] have you, Simon. Thank you. Simon is the, what do you call it, principal. Uh, is that how [00:02:30] they call it? Manager?

Simon Caxton: Yeah. Well, um, our lead ceramist, the lead technician [00:02:35] may be lead technician.

Payman Langroudi: Lead technician at Simply Dental Ceramics with his partner, [00:02:40] Lee wood. Um, a business that’s been going for 20 years. 20 odd [00:02:45] years or no, sorry.

Simon Caxton: 15 years this year? Yeah.

Payman Langroudi: 15 years. I’m so sorry. Recently, [00:02:50] Simon also, um, sold his lab to a much bigger group, a group called [00:02:55] chorus, who run 80 plus labs all over Europe. So it’s going to be a massive [00:03:00] pleasure to get into all of that. But let’s start, Simon, with welcoming you onto the pod [00:03:05] and get into your backstory. So you know what kind of a kid were you? Where did you [00:03:10] grow up? You know, who were your parents? Why? Dental how did it happen? Well, it sounds.

Simon Caxton: Like [00:03:15] a beginning of a biography. So I grew up in, um, Essex. I’m from Romford [00:03:20] originally, and, uh, yeah, just council estate I grew up on [00:03:25] went to a standard comprehensive school. No real aspirations to do [00:03:30] anything, especially Dental. That was probably the last thing on my mind. Um, [00:03:35] I really wanted to be a policeman, so I’m far from that. That was always my [00:03:40] my main goal, even to the point when I finished my apprenticeship, I still applied [00:03:45] for the Metropolitan Police, but they turned me down. So maybe they they saw something in me [00:03:50] that I didn’t. But, um, yeah, my parents, both my mum worked [00:03:55] two jobs to sort of keep us going. My dad had a good job in the Inland [00:04:00] Revenue. So careful what you say, Payman. Um, but [00:04:05] he’s retired from that now. Um, yeah. I love my sport. [00:04:10] I still quite a sporty person. And that was kind of my downfall, really. [00:04:15] At college, I played too much sport, didn’t do enough work, and [00:04:20] then fell in to dentistry from there. Uh, how do how [00:04:25] so I was halfway through my A levels, did my mocks, got very bad results, [00:04:30] was told I’ve got a really buck my ideas up.

Simon Caxton: And even if. But [00:04:35] back to my ideas. I’d still struggle to get a good grade, so I thought [00:04:40] maybe now is the time to start looking for a job. And I just looked through the local [00:04:45] paper and I found this, uh, advert for an apprentice dental technician. Didn’t [00:04:50] really know what it was, but it was the opportunity to still go to college. [00:04:55] So it was a day release course and earn a bit of money, I thought. So I thought, [00:05:00] well, best of both worlds. I can still go to carry on my education and and [00:05:05] earn a bit of money to to go out and support my sporting lifestyle. When I got to [00:05:10] the interview, uh, actually before I got to the interview, my mum’s friend was [00:05:15] a careers adviser and she said, oh, you can start off being a dental technician. [00:05:20] Then you can work your way up and become a hygienist and a and a dentist that way. [00:05:25] But I actually thought I was going for the interview as a dental nurse. [00:05:30] I thought I’d be in. I actually thought I’d be in practice. I had no idea what this this job entailed. [00:05:35] So I went along to the interview. A bit blind really, but [00:05:40] got there.

Simon Caxton: The guy sold it to me. Really. He told me and [00:05:45] showed me all the different things that we’d be doing. I thought, oh, this, this sounds really interesting. [00:05:50] Um, all right, I’ll give it a go. And 30 years later, [00:05:55] I’m still giving it a go. So. So I must I must have done something [00:06:00] right. But it is a really, really interesting job. And I [00:06:05] think with me as well, when I get into something, I get into something [00:06:10] regardless, regardless of what it is, I want to know all the ins and outs and I want to be [00:06:15] do it to the best of my ability. I know it sounds a bit cliched when you hear things like Muhammad [00:06:20] Ali, if I if I was going to be a binman, I’d be the best binman there is. Yeah, [00:06:25] I’m a bit like that with everything I do, I don’t. I’ve done lots of different things [00:06:30] like hobbies and whatever, and and I always go into them very deeply. And I think [00:06:35] this is the same with, with this job as well. I just wanted to know how everything [00:06:40] works and how how to do it. So yeah, [00:06:45] it was what would.

Payman Langroudi: You say straight away you felt that way when you like, you took to it fast. [00:06:50]

Simon Caxton: Yeah, I, I say I’m a pretty quick learner, but [00:06:55] I struggle to retain information. That was part of the reason why I didn’t [00:07:00] do so great at college, at doing A-levels I can [00:07:05] take information in, but not actually necessarily put [00:07:10] it out at the right time. So exams. I’m terrible exams, but I can [00:07:15] remember little details of things that probably are relevant. Um, [00:07:20] but if someone asks me where something is in the lab, I could tell them what shelf [00:07:25] it’s on, how many boxes in it is. But you ask me the square root of something, or [00:07:30] what chemical formula of something is? I couldn’t tell you, but yeah, [00:07:35] I just kind of picked it up. I’m not a naturally artistic person [00:07:40] in respect of creating sort of drawings and paintings [00:07:45] and sculptures and things like that, but I think the science and the art together, [00:07:50] I think you can learn how to do certain processes, and that’s how I kind of picked [00:07:55] it up. And then I just got a feel for it, I suppose. And [00:08:00] the science part as well, but how things work. I always thought as a kid [00:08:05] I was always like to push the boundaries and stuff. So if someone says to me, you can’t [00:08:10] do that because it’s going to break, I’d have to check for myself. It’s going to break. And [00:08:15] then no, you’re right. Or then if it didn’t, it would be like, oh, so I can do that. [00:08:20] So there’s a lot of that kind of involved, especially with Dental technology. We do push the boundaries [00:08:25] on stuff, and when we get asked to make all kinds of different things and we have to work on [00:08:30] all types of. Preps and impressions and we have to make [00:08:35] things work. So yeah. Yeah, that I do think [00:08:40] that. Yeah, I did take to it fairly well.

Payman Langroudi: I mean we’ve we’ve got a Dental [00:08:45] lab now at enlighten and we make one item right. Bleaching tray. [00:08:50] Bleaching tray. Yeah. Which, which I know all technicians for technicians are bleaching trays are nothing. [00:08:55] Yeah. It’s, it’s the lowest of the low. And it’s actually it’s quite a problematic [00:09:00] thing, right. To persuade people to sit and make bleaching trays all day. Um, okay. We may come in a particular [00:09:05] way or whatever, but what one thing that’s I’ve realised by, by now, having [00:09:10] a lab is the sort of the people difficulties [00:09:15] of it, insomuch as, you know, it’s almost like one guy gets really good at this thing. [00:09:20] If this guy leaves, it really is a nightmare. So do you [00:09:25] have to tell me about that a little bit? Do you always have to have at least two people knowing how to do everything? [00:09:30] Yes. In case one of them leaves, I think. Is that how it works?

Simon Caxton: Well, I think the dental technician, [00:09:35] especially when I was training as as an apprentice, you kind of got pigeonholed [00:09:40] into doing certain areas, the type of work. Yeah. So yeah, I’ve only [00:09:45] ever done crown and bridge work. Um, never not really done any removals, [00:09:50] any prosthetics other than a college. I could probably fudge my way through it, but [00:09:55] I could never. I couldn’t do something that I would want to give someone to, to [00:10:00] wear. Um, and I think for me, [00:10:05] as I said, I always want to know how to do everything. So with Crown and Bridge, I wanted to [00:10:10] know how the models were made and how they were done. Right. The metal work, [00:10:15] which we don’t do too much of, now wax in and cast in, and then as it’s [00:10:20] moved through, I want it to be a ceramist. I knew that’s that’s what I wanted to do. And then. Start [00:10:25] with that. And then the CAD cam came in. I really wanted to know [00:10:30] that. And I think by knowing all aspects of maybe just Crown and Bridge, [00:10:35] I think that’s good. Because people, as I said, do get pigeonholed into [00:10:40] doing one thing. So if that one person leaves, you’ve got to then find that one person [00:10:45] who’s got that specific expertise in that that area. So yeah, I agree with what you say there. [00:10:50] It’s it is hard. Um, and it is still hard to find people that [00:10:55] have got a good all round knowledge of, of the, of the work we do. [00:11:00]

Payman Langroudi: But then you’ve got okay on one side, you’ve got that the actual technical work. [00:11:05] Um, and, and as you say, there’s a, there’s an artistry to it, but there is a definitely [00:11:10] a science side to it. Then you’ve got the sort of, you know, the type of technician who produces [00:11:15] beautiful looking stuff, but it doesn’t fit in the same way. [00:11:20] And you’ve got the other type of technician where it fits. Everything fits like a glove, but the aesthetics aren’t [00:11:25] quite there. And that’s just the technician piece. Yeah, let alone the business piece. The running, [00:11:30] running a business where there’s lots of technicians. And then what I’ve [00:11:35] noticed is that we just make bleaching trays and we’re already on our fourth printer. [00:11:40] Yeah, yeah. Because because you realise you need something else or something’s cheaper or something’s [00:11:45] more expensive or and your, your CapEx in a lab, like I [00:11:50] dread to think what it must be like, how much you must have to spend on machines and things. [00:11:55] When I’m just making bleaching trays, I’m spending hundreds of thousands on stuff.

Simon Caxton: Sometimes [00:12:00] we’ve probably got the same machines that do the same thing, but we’re using them differently.

Payman Langroudi: So yeah, [00:12:05] yeah, I mean, we’ve got.

Simon Caxton: Three printers now. Uh, we’ve got [00:12:10] our own in-house milling unit, but then you’ve got all the bits and pieces, as you know, that. Go [00:12:15] with that. So you’ve got the cleaning side of the printing and the post-processing. [00:12:20] Yeah. And all the, the areas to trim up as well. [00:12:25] And. We was having this conversation merely the other day [00:12:30] that we’ll do an implant for someone and they won’t have the right [00:12:35] driver to do that implant in the surgery. They’ve sent us the implant in the first place, [00:12:40] and it’s like I’m the driver to do that. And so we’ve got a driver for every system going. [00:12:45] You might have to buy a driver for a really obscure system that you’ve never heard [00:12:50] of before, for one case, for one case. And they’ve got it sitting in the drawer somewhere. But you’ve [00:12:55] got all these different drivers, we’ve got all the articulators known to man, so [00:13:00] you have to cover every eventuality. And someone said to us, we were [00:13:05] a bit like MacGyver of the dental world yesterday, and that that’s [00:13:10] just the things you can buy without the things that we’ve fashioned up and made ourselves as well.

Payman Langroudi: And [00:13:15] then this thing that you said where you sort of hyperfocus on some [00:13:20] stuff like like sport, for instance, and like, you know, technology, [00:13:25] um, I’ve noticed technicians have that they’ve got like a, I don’t [00:13:30] know if you’d call it ADHD or whatever. Yeah, but but something like that where [00:13:35] they’re focussed completely in and they’re in that world. And sometimes [00:13:40] if you, if you interrupt them, it can really get to them. It’s. Is that a thing? Yeah. Just my technician. [00:13:45] Definitely. Yeah. Uh.

Simon Caxton: It can take me a long time [00:13:50] during the day to actually sit down at my bench and start work. I might [00:13:55] I might not start building a case until, like, after lunch. And I’ve got to finish [00:14:00] it that day and to build up a case from start to finish. Could take me. If it’s a [00:14:05] full arch, it could take me anything from a full arch, probably an hour and a half plus, [00:14:10] and you get interrupted in the middle of that, a phone call or a text and email or whatever, [00:14:15] and you just lose, lose your focus. It it’s really hard. [00:14:20] And as you say, running a business as well. I think I’m still learning how to do that. Even [00:14:25] after 15 years. And since the, uh, we’ve been, um, become a part of the group. [00:14:30] Like you just said to me, CapEx there, I never even knew that what that was until last week. And all these abbreviations, [00:14:35] I’m getting these spreadsheets to fill out. And it’s [00:14:40] like, what? What does this mean? And it was before it was like, do we need is [00:14:45] it broken? Yeah. Can we fix it? No, we need to buy it and let’s get another one that.

Payman Langroudi: It’s quite it’s [00:14:50] quite similar to being a dentist, right. As a dentist you’re trained to do some dentistry, but you’ve got no idea [00:14:55] on running a business. Yeah. And, and and a lot of us fudge our way through, [00:15:00] don’t we. And make loads of mistakes and and and sort of. You [00:15:05] must now be in touch with loads of different labs. Does does is that true. [00:15:10] Is is each lab very different because of this fact that people are just making it up or [00:15:15] is there has there been like a professionalisation?

Simon Caxton: I always used to think that people didn’t have the same problems [00:15:20] that we had, and every lab was different and we were doing something wrong, and then you [00:15:25] speak to them and they have exactly the same problems, the same problems with staff, the same problem [00:15:30] with work coming in and impressions and preps, things going missing [00:15:35] in the post. The same the couriers they use, everybody has the same. I think it’s the same if [00:15:40] if that’s the standardisation, that’s it. We all have the same problems. Um, I [00:15:45] think with digital coming in now, that has started to standardise things [00:15:50] a little more with designs and people designing [00:15:55] work as well. Although there’s I’ve had a few people say to me, [00:16:00] oh, you can just get someone in who’s good on a computer and they can design, but yes, [00:16:05] they can. But going back to what you said earlier, you get people that make these beautiful looking [00:16:10] restorations, but they’re not functioning properly. They can they can fill a space [00:16:15] with a software design. But they don’t look [00:16:20] at the path of its excursion and the bite. So [00:16:25] you may get a lovely looking ground. You come to fit it. It could be as high as you like, really tight [00:16:30] contacts. So I think we try and the technicians we have here [00:16:35] that we bring on to CAD cam, we try and get them to do still diagnostic waxing by hand, [00:16:40] finishing the work themselves. So once they’ve designed it, they’ve got to finish it as well so [00:16:45] they can see the problems. Because if they’re getting problems at the next stage, [00:16:50] then the dentist is going to get problems coming to fix it. So they’ve [00:16:55] got they’ve got to learn that way. So CAD has standardise it a [00:17:00] little, but it’s all.

Payman Langroudi: Your work done with CAD now.

Simon Caxton: Um, I think [00:17:05] 80% of our income in work is CAD. So [00:17:10] intraoral scanners, most of it is designed by CAD. Now, I still do [00:17:15] quite a bit of, uh, feldspathic work like refractory veneers and things. They’ve, [00:17:20] they’ve come fashionable again I think.

Payman Langroudi: Is that like contact lens veneer. Yeah.

Simon Caxton: Yeah. So [00:17:25] yeah. So a lot of those still use the old techniques like duplicating [00:17:30] models and foil veneers, things like that. But yeah, all [00:17:35] of our posterior work is pretty much done CAD. Now we don’t really build anything up. And [00:17:40] in that respect. So.

Payman Langroudi: So tell me your training [00:17:45] when you say college to become a technician. How long is that?

Simon Caxton: So when I did it, [00:17:50] it was for a day. So a four year day release, one [00:17:55] day a week. And we it was broken up in each year. So first [00:18:00] year was sort of your basics and fundamental kind of stuff. So it was like basic blocks and [00:18:05] special trays, anatomy, things like that. Second year was removable. [00:18:10] Third year was also again never done any ortho since then. And the last stage [00:18:15] was crown and bridge, which was great for me. But I was like, I had to wait four [00:18:20] years to get to the bit that I really knew how to do, but now there [00:18:25] are. I think they do degree courses that are about 2 or 3 years. [00:18:30] I’m not sure. There are still day release courses. One of our, [00:18:35] um, trainees here is on a day release course. She’s an accidental nurse [00:18:40] who decided she’d had enough of nursing and was a bit arty and decided to come into this, which [00:18:45] is good. She’s doing really well. But yeah, the college is. Now that there’s not [00:18:50] enough of them, there’s not enough people coming into the trade that that that is.

Payman Langroudi: A and when you [00:18:55] when you get when you get a new person in the lab, how long does it take you to work out if that guy [00:19:00] is, you know, knows his stuff or is good? If it can tell pretty [00:19:05] quickly. Yeah.

Simon Caxton: If it’s a trainee, you can normally tell within sort of 3 to [00:19:10] 6 months. I’d say that. And they normally start off pretty good. [00:19:15] They’re quite keen. We used to do like a three month probation period, but we extended that [00:19:20] to six for trainees because say they start off very keen and want to know [00:19:25] everything and then they settle in and then it’s more down to their attitude to [00:19:30] work I suppose with any same with any job. But you can also then start to tell the more [00:19:35] you give them to do their manual dexterity, whether they can do [00:19:40] that, they might have the the right attitude, but they might not be actually necessarily be able to [00:19:45] to work with it.

Payman Langroudi: And so you have to make an assessment of can I teach this person. [00:19:50] Yeah. Or are there some things that can’t be taught?

Simon Caxton: I think there’s some things.

Payman Langroudi: That can’t be level of [00:19:55] artistry. Yeah. Like a your eyes basically. Yeah.

Simon Caxton: And the art [00:20:00] history sort of level of it comes into it. I mean they may have a really good knowledge of [00:20:05] how things work and how to do things, but if you can’t build [00:20:10] up a crowd or finish a crown, then, I mean, that’s our finished product at the end of the [00:20:15] day. That’s why people keep coming back. And yeah, yeah, you can [00:20:20] you can tell pretty quickly from that.

Payman Langroudi: So tell me you did your you did your college. What [00:20:25] did you do next? Did you go get a job at a lab.

Simon Caxton: So no. So the the apprenticeship [00:20:30] was four days in a lab. So the, the lab that I went to for an interview was, [00:20:35] um, all NHS work. This was sort of mid, mid 90s 93 [00:20:40] I started. So it was all NHS work, um, and [00:20:45] quite a high volume of NHS work as well. We were doing [00:20:50] between 100 and £120 a day, um, between [00:20:55] four people, and I was one of them as a trainee. So it was a real.

Payman Langroudi: The [00:21:00] old way as well. Yeah.

Simon Caxton: Everything that precious metal, um, which [00:21:05] you wouldn’t do now, um, just for the sheer cost of it. Um. [00:21:10] Yeah. So I did four days a week in the lab, one day at college, and then [00:21:15] when I qualified, I decided, well, when I qualified is when I [00:21:20] then applied for the Metropolitan Police because, um, I thought it would be a given [00:21:25] because in those days, uh, one of the stipulation was you had to be over six foot two and [00:21:30] I’m six foot five, so I thought, I’m definitely going to get in here, but no. So [00:21:35] I then because I got the knock back from the police and that was what [00:21:40] I really wanted to do then actually was wasn’t really what I wanted to do. But [00:21:45] I finished the apprenticeship, I went travelling to Australia for a few months and then came [00:21:50] back. And then because I didn’t really know how to do anything else, I [00:21:55] kind of got a job. In a lab again. And I got a job [00:22:00] as a freelance technician, and I worked in three labs. Um, six days a [00:22:05] week because that was what was available. And I did that for probably [00:22:10] about 18 months. And then one of the labs there was a really good lab [00:22:15] and all private work. It was only like a one man sort of lab. [00:22:20] And that’s where I really wanted to work, because I knew I could learn a lot there, [00:22:25] and I did. So I managed to get five days a week there and stayed [00:22:30] there for 11 years.

Payman Langroudi: Wow. Which lab was that?

Simon Caxton: That was, [00:22:35] uh, amdec. Ropsten. Oh, really? Yeah. So we have met before. [00:22:40] Payman. I don’t know if you remember me on on the, um. No action courses. [00:22:45]

Payman Langroudi: Oh, on the course.

Simon Caxton: Yeah, yeah. So, um.

Payman Langroudi: It was at that point [00:22:50] you were with Rob? Yeah.

Simon Caxton: So I used to do the lab work for the courses.

Payman Langroudi: I [00:22:55] see, I see, I see. So. So then tell me about the time you decided [00:23:00] I’m going to go out on my own. Well.

Simon Caxton: When I started as an apprentice, I always thought, [00:23:05] like, oh, maybe I could do this on my own. Like, I could see what? And it was [00:23:10] always an ambition of mine to do it. Yeah. I never really wanted to leave where I was, [00:23:15] but I didn’t see any way around doing [00:23:20] doing it any other way, really. I, I wanted the recognition for the work I was [00:23:25] doing. I think that’s what a lot of technicians don’t get. They don’t get [00:23:30] the recognition for the work they do. As you said at the beginning, the unsung heroes really, I think [00:23:35] without wanting to blow my own trumpet, it’s well, if we probably do get a blame for [00:23:40] a lot of stuff that don’t turn up on time, and I think that doesn’t fit. But [00:23:45] when it does go right and I see it a lot now on social media, these dentists [00:23:50] putting cases up, the technician very, very rarely gets a mention. [00:23:55] And it is a team effort when we’re half of that. So [00:24:00] a team that’s put that together. So yeah, I wanted to [00:24:05] get recognition for what I did and I wanted to do things my way. [00:24:10] I think when you work for somebody else, you can you sort of toe the line, really. [00:24:15] You have to kind of do things the way they want to do it. And I wanted to do things [00:24:20] my way, and I wanted to do a lot more courses. I wanted to learn a lot more. I’d [00:24:25] say I get really involved. I really, I really want to know stuff [00:24:30] like, I love doing a course. People that know me like I’ve I’ve [00:24:35] been on loads, I’ve seen some of the best technicians in the world and I’ve spent a lot [00:24:40] of money on courses. So I was trying to totally up the other day, and I reckon I’ve spent over £35,000 on [00:24:45] courses just in the last 15 years. Wow.

Payman Langroudi: So was Lee your partner [00:24:50] from the beginning? Yes.

Simon Caxton: So I knew Lee from college. So, um, we [00:24:55] started college at the same time, and, uh, we both live quite close [00:25:00] to each other, so we always stayed in touch. And then he came to work with us at Amdec [00:25:05] as well. It’s a bit controversial because we both left at the same time to, to [00:25:10] set up. Yeah, they go down too. Well, I bet.

Payman Langroudi: Yeah, I bet. [00:25:15]

Simon Caxton: So, um.

Payman Langroudi: But tell me about the thought processes. Like, you know, I guess [00:25:20] you decided you were going to do this and and did you take to business ownership? Well, [00:25:25] were you worried about it? What did you do? Did you have to save money and [00:25:30] and get a loan and. Just talk me through the process of actually making that [00:25:35] leap because it’s it’s a massive leap, right? Just like an associate going to become a principal. [00:25:40] Such a big thing to do. Yeah.

Simon Caxton: So like, I mean, I’ve [00:25:45] got a well paid job and and you want to make this [00:25:50] leap, as you say. And and it is I had a young family. I had two children under [00:25:55] two. So yeah, it was and it was a point where for [00:26:00] me, it was now or never. But one of the. How old were you? I was 37. [00:26:05] Yeah. 3637 something of that. And [00:26:10] I kept saying to Lee, do you want to start a lab? Do you want to start a lab? And he’s like, no, [00:26:15] no. And then one day I said to him, like, just tongue in cheek, you want to start [00:26:20] a lab? And he went, yeah, I do. And I was like, really? And he’s like, yeah, I want to do it. [00:26:25] So okay, so we looked into it and it was all done. We had [00:26:30] a little bit of savings, but it was all bank loans and credit cards. Yeah, just [00:26:35] maxed them out. We went unpaid for the first three months. Luckily, [00:26:40] we had a couple of people that, uh, knew we were leaving. [00:26:45] And then.

Payman Langroudi: Yeah. How does that how does the goodwill piece work in labs? Is that is [00:26:50] similar? Is it similar to a practice like an associate when he leaves the practice really shouldn’t be taking [00:26:55] patients with him. Yeah.

Simon Caxton: There’s no goodwill sort of thing. There’s no goodwill.

Payman Langroudi: Is that not [00:27:00] a thing? Is that not a thing with labs at all? Yeah, well.

Simon Caxton: It is, but I is there.

Payman Langroudi: Not a contract [00:27:05] that says, hey, don’t take my customers?

Simon Caxton: Um, no, no no, no, [00:27:10] there’s nothing. There was nothing in my contract. Um, I couldn’t [00:27:15] work within I think it was 12 miles of of of the [00:27:20] lab. But there was I mean, I think as a. An etiquette [00:27:25] thing. You shouldn’t do it. I mean, we never actually, we did. And hand on heart, I didn’t [00:27:30] approach anybody. And I still maintain that to this day. It’s a fight, what [00:27:35] people say. But, um, it’s just when social media was kind of, [00:27:40] sort of kicking off, like. So it was still early days with Facebook and [00:27:45] there was no real Instagram, but I just put out my intentions, what I was [00:27:50] doing on Facebook, and people found out that way. And. [00:27:55] When they found when they knew we’d actually left, they got in contact [00:28:00] then. So would you would.

Payman Langroudi: You say you were profitable in the first year? Yeah.

Simon Caxton: Oh, [00:28:05] brilliant. So we started in August 2010 [00:28:10] and by January 2011 we needed more staff. [00:28:15] We had so much work with, well, two people anyway. [00:28:20] We didn’t know what to do. And then we were thinking, have we done the right thing here?

Payman Langroudi: So [00:28:25] because there’s those growing pains as well, right? You know, like you suddenly [00:28:30] you need more people. The culture changes. How many people were you when you sold it?

Simon Caxton: Uh, [00:28:35] I.

Payman Langroudi: Eight in total.

Simon Caxton: Yeah.

Payman Langroudi: Is that eight [00:28:40] technicians or is that eight humans?

Simon Caxton: So seven technicians and one admin. But [00:28:45] since we’ve, we’ve um, the takeover, we’ve [00:28:50] actually added another admin because we just can’t keep up with. [00:28:55] All that side of it, and I do. Is there a.

Payman Langroudi: Simon? Is there an element of a technician [00:29:00] eventually getting to a point where he doesn’t do the work and everyone else is doing the work, or is that not [00:29:05] the kind of technician you want to be or what?

Simon Caxton: It’s not really the kind of technician I want to be because I [00:29:10] do enjoy doing what I do. I do like making making things [00:29:15] and stuff. Yeah. And getting getting my hands dirty. Still, I think I’d much rather do that [00:29:20] than have to run a business and. Yeah, and do all the [00:29:25] paperwork and sort out finances.

Payman Langroudi: But there is that other type of technician as well, isn’t there, [00:29:30] that you see it sometimes where it’s the senior guy, the one, the guy with the name on the door. Yeah. Isn’t [00:29:35] the one making. That’s kind of what you were saying. You weren’t getting the, the, the kudos [00:29:40] for the work you were doing was that the situation was that kind of the situation?

Simon Caxton: Yeah, that’s how I felt as well. But [00:29:45] I think it’s a bit like some the celebrity chefs now as well. But they have their [00:29:50] name on the door. But you go to their restaurant, they’re not cooking. Yeah, [00:29:55] yeah, yeah. But I think some people or some clients have got send work [00:30:00] because they want me to do the work. And I’m sure that’s the same with other labs as well. The other technicians [00:30:05] that have got a good reputation, they, they get the work because [00:30:10] people want them to do the work. Yeah. Yeah. So. Yeah, [00:30:15] I would rather be on the tools at the bench doing the work. [00:30:20]

Payman Langroudi: Let’s quickly let’s quickly while we’re on it. Let’s quickly sort of fast forward to the to the end of that [00:30:25] journey where you sold up. How did how did that come about? Were you looking [00:30:30] to sell? Did they come and find you? What was the process? Um, so.

Simon Caxton: No, it wasn’t looking to sell [00:30:35] at all? No. And we’d been approached by [00:30:40] another corporate to see if he was interested and we wasn’t. And then [00:30:45] Ashley Byrne, who had joined chorus last year. Uh, [00:30:50] he was the first.

Payman Langroudi: He wasn’t the first one.

Simon Caxton: Yeah. So we met him. Well. [00:30:55] Bumped into him in a bar at the Addy last year and we [00:31:00] were just chatting and then we asked him the question, so why have you joined? Chorus. [00:31:05] Like any sort of explain why and his thought process behind [00:31:10] it and why he’d done it, and he said, there, I’m glad I’ve bumped into [00:31:15] you actually, because we’d like you to join as well. Was that? Ah, okay. [00:31:20] And mainly had a conversation. Quite a few conversations [00:31:25] as to the pros and cons for it, and [00:31:30] we can only really see pros for for us. And so [00:31:35] that’s why we decided to go down that route.

Payman Langroudi: How are how are labs valued? [00:31:40] Is it just like like practices. Is it like a multiple of your EBITDA EBITDA? [00:31:45]

Simon Caxton: Yeah, yeah. So um.

Payman Langroudi: But then is there to explain it to me. Like what what [00:31:50] kind of EBITDA is good EBITDA and what kind of EBITDA isn’t good? Like what what makes a [00:31:55] lab like increase the multiple?

Simon Caxton: I don’t know, because it’s just another thing I’ve had to learn. [00:32:00] I’ve I didn’t even know what EBITDA was when until last year I had to [00:32:05] Google it and work it out. And I’m.

Payman Langroudi: Not. No. Okay. My question kind of my question is if it’s let’s [00:32:10] say the lab is turning over £2 million, if it’s 2 million NHS pounds, is that [00:32:15] as valuable as 2 million private pounds for the sake of the argument?

Simon Caxton: Uh, yeah, probably. I mean, because [00:32:20] the actual doesn’t make a difference. No, because the type of work you do from an NHS crowns were [00:32:25] private crown other than maybe materials, the work should be the same. [00:32:30] That’s why when we we set up the lab, we didn’t decide. We decided we just wanted to do [00:32:35] private work. But the actual type of restoration you’re making is [00:32:40] the same. You might be able to to skimp on a use a cheaper material here and there. [00:32:45] Um, but the processes you do is exactly the same. So I [00:32:50] don’t really see that there should be any difference in or there should only really be one price [00:32:55] for a crown, um, because you’re doing the same thing and [00:33:00] by calling it an NHS crown or whatever, or giving it to [00:33:05] like a junior technician to do. You’re devaluing it and they’re not getting the best work. [00:33:10] Really. That makes sense.

Payman Langroudi: It does. It does give us the lay of the land [00:33:15] right now. Yeah. For someone from an outsider kind of looking in and at the [00:33:20] dental technician, the dental technology sector in the UK, what’s the lay of the land? [00:33:25] It’s not. What, because there’s been loads of changes. I know there’s been loads [00:33:30] of outsourcing that um to abroad and then you’ve got [00:33:35] the changes in the NHS, private system itself. Just give us a, give us an outline [00:33:40] of the lay of the land, land. And where do you sit in that? I know you’re a very, very private and [00:33:45] award winning and so forth. Right.

Simon Caxton: So, um, it sounds [00:33:50] great from my point of view because there’s very there’s less technicians [00:33:55] now. Why? Well, I think Covid didn’t help. [00:34:00] So since Covid there were unregistered GDC registering 2020, [00:34:05] there were 7500 technicians in the UK. [00:34:10] There’s 5000 registered technicians now. And well, [00:34:15] there’s there’s not enough people coming into it to there’s more people leaving than there [00:34:20] is. Joining the education doesn’t help. I think [00:34:25] there’s only something like 6 or 7 colleges or universities that are doing Dental [00:34:30] technology now. The average age of technicians doesn’t help. I think [00:34:35] it’s going up. Yeah. What do you think the average age of a technician is in the UK today? [00:34:40]

Payman Langroudi: 30, 30.

Simon Caxton: 56.

Payman Langroudi: The [00:34:45] average.

Simon Caxton: I’ve actually got some stats on my phone. Oh my goodness, I am so. [00:34:50] Nearly 40%. Of technicians are over 55. [00:34:55] Wow and 22% are over 65. A [00:35:00] less than 16% are under 44.

Payman Langroudi: 22% are [00:35:05] over 65.

Simon Caxton: That’s crazy, isn’t it? So in a few years time. [00:35:10] It’s if they’re lucky.

Payman Langroudi: Enough that 22% gone.

Simon Caxton: Yeah. So yeah. [00:35:15] And there’s not 22% new technicians coming in. So. [00:35:20] Yeah. In that respect, that doesn’t look too, too good. Um. [00:35:25]

Payman Langroudi: But when you say Covid had a lot to do with it, what does a lot of labs go under [00:35:30] during Covid?

Simon Caxton: Some. Some went under, especially NHS sort of level labs. And [00:35:35] then a lot of techniques, especially, uh, foreign technicians, [00:35:40] went home during Covid and then never came back.

Payman Langroudi: And then Brexit. [00:35:45]

Simon Caxton: Brexit had a big part, part of it as well. And [00:35:50] technicians that were coming over with qualifications, the GDC wouldn’t recognise [00:35:55] them. So they some of them are working in the UK but they’re not [00:36:00] GDC registered. We’ve got one ourself who is a very talented technician [00:36:05] from Hungary. She’s tried to register with the GDC, but [00:36:10] she’s got to jump through all these hoops with all the paperwork and everything. She just gave up in the end and [00:36:15] she’s more than capable of doing the work. But I think during Covid as [00:36:20] well, there was technicians, especially in the sort of lower end of the the scale, like the NHS [00:36:25] labs, they could earn more driving for Tesco’s or [00:36:30] doing other jobs which were less stressful than being a dental technician [00:36:35] and. Not not the money. I mean, we always [00:36:40] try and. Pay a little bit over the odds for technicians. Keep [00:36:45] your people happy. Yeah. Yeah. Um. Just because it’s hot. If you find [00:36:50] a good technician, you’ve got to retain. It’s like any job, I think. Yeah.

Payman Langroudi: Lock and key.

Simon Caxton: Yeah.

Payman Langroudi: I [00:36:55] agree, so. But go on. The lay of the land insomuch as. [00:37:00] Tell me the general makeup of a of an NHS lab. Is it a much bigger organisation [00:37:05] or smaller? Not necessarily. There’s not because you guys are eight, [00:37:10] eight. Kind of. You’re a boutique lab, right?

Simon Caxton: Yeah, I’d say so, yeah.

Payman Langroudi: So what are the big labs doing? [00:37:15] What’s the story with them?

Simon Caxton: But the bigger labs tend to do more full service [00:37:20] laboratories, so they’ll do prosthetics. And although they’ll do a lot more [00:37:25] disciplines, whereas the smaller labs tend to stick to your lovely prosthetic labs and your average [00:37:30] labs.

Payman Langroudi: Do you have any idea? Do you have any idea of what percentage is being outsourced [00:37:35] to China or wherever?

Simon Caxton: Not outsourced? No. Uh, China. So that [00:37:40] kind of all got, um, sort of a few years back. That was [00:37:45] the, uh, thing. The thing. Yeah. But then I think again, with Brexit [00:37:50] and, and whatever the import sort of side of it, that slowed everything down. [00:37:55] And I don’t know, I’m aware of the outsourcing part isn’t as much [00:38:00] of a threat to Dental labs now as it was as it was. I think the biggest threat is lack [00:38:05] of technicians and and most people and most lab owners. You say [00:38:10] you speak to them, they can’t find good technicians.

Payman Langroudi: So, [00:38:15] Simon, look, if you rewind 20 years, do [00:38:20] you think technicians were more valued then than they are now?

Simon Caxton: No, I think they’re more valued now, [00:38:25] I think, because.

Payman Langroudi: Then how can it be that they’re not getting paid enough to want to become technicians? [00:38:30] I think what’s going on? What’s the story there?

Simon Caxton: I don’t know. It’s not unless [00:38:35] you know about Dental technology or. Yeah, you’re not going to come into it. I [00:38:40] fell into it. Uh, Lee fell into it. He he leads [00:38:45] a qualified stonemason. So. And it was only because he couldn’t find a job as a stonemason. [00:38:50] His friend, who was doing a part time job at a lab, said, oh, we need someone part time [00:38:55] just to make some models. And he’s like, oh, I can make models. I’m a stonemason. And [00:39:00] then he’s been doing it ever since. There’s [00:39:05] not many people that go looking for Dental technology. I say they either fall into [00:39:10] it that they even know someone who’s already in dentistry, or [00:39:15] it happens by mistake. But I think we’re more valued now, especially by dentists. [00:39:20] I mean, because there isn’t many of us about and especially like I mean, [00:39:25] I’ve been doing it 30 years, people with our knowledge and our experience. We [00:39:30] get a lot of, um, young dentists that get in contact with [00:39:35] us and want to know. And we’ve had, um, know about the lab side [00:39:40] of it. We’ve had dentists come to the lab, spend a couple of days here [00:39:45] just to see what we do, and they haven’t got a clue. Some of them, especially ones straight [00:39:50] out of, uh, university, because I don’t think if I’m right, [00:39:55] I don’t think they teach the lab side so much now as they used to. So [00:40:00] yeah, they don’t really know. What goes on in a lab. [00:40:05]

Payman Langroudi: And I found I found one of the best ways to know, like, who’s [00:40:10] a great dentist is to go and ask technicians.

Simon Caxton: 100%. I always say, if people ask [00:40:15] me, do you see?

Payman Langroudi: You see the actual work, don’t you? I mean, I know a thousand dentists here, but I don’t know [00:40:20] what the actual work is like. Yeah, I see the end result. Right. But that’s, that’s that’s [00:40:25] not a true picture of what’s going on sometimes, you know, picture before and after doesn’t show me [00:40:30] anything, does it. As far as what happened. No. But you see it all.

Simon Caxton: Yeah. But those before [00:40:35] and afters they. They tell a story of this is what we started [00:40:40] with. This is what we finished. Yeah. They don’t tell you the bit in the middle. So we [00:40:45] might do a great case of a dentist that puts it on Instagram and say, oh, look at this. [00:40:50] This is the and it’s like, wow, that looks brilliant. But they don’t see all the stages [00:40:55] that have gone to get there. And the plan in. The [00:41:00] fight is of things that have gone wrong on that case, that we’ve been redone. [00:41:05] And, um, so you might get a dentist call you and say, oh, I’ve seen your [00:41:10] work. It looks great. I want it to look like this case. And then they’ll send you something and say, well, [00:41:15] I can’t do that with this. This. You’re not going to get the same thing. And then you’ve got to try and sort of talk [00:41:20] them through it. And plan it. And and I don’t always [00:41:25] want to do that. There are lots of people and there’s probably lots of technicians as well that cut corners and. [00:41:30] Just it’s the planning side. And that’s where. [00:41:35]

Payman Langroudi: I find, you know, I mean, okay, I wasn’t I wasn’t a pretty I wasn’t [00:41:40] a very accomplished dentist. You know, I gave up quite quickly. [00:41:45] Um, dentistry. And I think it takes a good, good, good ten years to become a good dentist. [00:41:50] I feel like, you know, once you’ve been through all the different sort of situations that can come up. [00:41:55] I never did ten years, but but one thing that I sort of figured out [00:42:00] early on was how much you can learn from your technician. I [00:42:05] mean, some of the best things that I learned were from my technician, you know, and [00:42:10] getting the technician involved early on in the process before you cut. Yeah. So [00:42:15] that so that together you can say, right. You know, you can I can use some porcelain that’s slightly more [00:42:20] opaque or the 100 different variables of things you could try. [00:42:25] Um, people don’t realise. And by the way, I think the same thing about salespeople, [00:42:30] you know, a lot, a lot of dentists see salespeople as a pain in the neck. You know, I don’t want to see that guy busy. [00:42:35] I want to drill teeth or whatever. But salespeople have got, you know, market knowledge [00:42:40] and it’s gold. Yeah. Do you have that? I mean, what would be your best case scenario is that is that it [00:42:45] to see the patient before or see pictures before the guy even goes ahead? Yeah. Do you have that relationship [00:42:50] with some dentists. Yeah.

Simon Caxton: And and new clients as well that ring up and ask me [00:42:55] to do a case before I’ve even decided on what we’re going to do and how we’re [00:43:00] going to do it. I need to to see the beginning so that that planning part is key. [00:43:05] Uh, they might say to me, I want to do this case and I will use all feldspathic [00:43:10] veneers. Is that why do you want to use Feldspathic? I think that will be the best case [00:43:15] or that would be best. You know that now. I don’t think it will. So I want to do a [00:43:20] all ceramic crown on a post and core or an implant and say, well, a [00:43:25] good old fashioned PFM might be best there because we’re going to mask everything out. It’s not [00:43:30] always like that product might not be the best answer [00:43:35] for that case. It’s not the best solution. And we’ve got a I like to have more, [00:43:40] uh, like the control over that. If people insist on something, I’ll do it for [00:43:45] them. I will point out that the the the shortfall in zone out and where it could [00:43:50] go wrong. And normally when you say if it goes wrong, you’ll be paying again, then they [00:43:55] start listening to you. I said.

Payman Langroudi: Look, I mean, it’s funny because [00:44:00] you got the one side of it, which is what you just described there. I mean, we get it all the time. We get terrible impressions sometimes [00:44:05] for for bleaching trays. Yeah. And we call them up and say, look, we need another impression. [00:44:10] And often they say, just go ahead and do it right.

Simon Caxton: You’re just going to come out with the classic line of do [00:44:15] your best. Yeah.

Payman Langroudi: Yeah, do your best, do your best. That is [00:44:20] the and I don’t know, we’re internally we had a whole situation about this about because [00:44:25] at the end of the day if, if then the the bleaching doesn’t work as well. That that that [00:44:30] does reflect on our brand as well. Yeah. And at what point do we refuse the [00:44:35] impression and say you have to retake. We’re not we’re not making it. Yeah. Because it’s it’s [00:44:40] slightly different with us. Right. Insomuch as that, you know, the brand gets gets its own Google reviews [00:44:45] and things. Yeah. So we can’t have it not working. But people get very violently angry [00:44:50] sometimes if you tell them that I do.

Simon Caxton: Yeah. And yeah. And [00:44:55] I’m glad you you’ve seen it from that side because that we get that all [00:45:00] the time. And I think some people don’t want to lose face with the patient [00:45:05] because they’ve got to get them back and redoing it again because then it looks reflects badly on them. [00:45:10] Um, yeah. And I always say that just tell them lab can’t do what [00:45:15] you’ve asked us to do. Blame. Blame me if you have to, I don’t care. Yeah. Um, I [00:45:20] mean, I’m not at the coalface. I don’t see them. So very rarely do I get to see patients. [00:45:25] Um, yeah.

Payman Langroudi: And to be fair, to be fair, there is the other side of it. Yeah, that sometimes clinically, things [00:45:30] are so difficult. Oh, yeah. That is the best you can do. You know, like the patient won’t go back. He [00:45:35] won’t open his mouth or, or whatever it is. You know, there’s a particular reason why [00:45:40] it’s such a terrible situation. Yeah. Um, but but I think it comes down [00:45:45] to the collaboration, the communication between dentists and lab. Even though these [00:45:50] days, I’m sure, you know, with you and your customers, it’s all very like, you know, together [00:45:55] there isn’t best practice, hasn’t really been figured out or no one really taught us [00:46:00] here to be very collaborative with our technician. And and [00:46:05] I think it’s such an important thing is probably [00:46:10] the most important thing to be able to communicate quickly and effectively [00:46:15] with the technician. What percentage of cases do you end up actually coming in and doing [00:46:20] a shade or, you know, seeing the patient?

Simon Caxton: I couldn’t say percentages, but I probably [00:46:25] see on average about five patients a week to do shade matching. Yeah. Say [00:46:30] daddy and it is normally just anterior posterior [00:46:35] stuff that they do themselves, but it is normally the single central [00:46:40] or single lateral or smile cases. I might see someone that’s, um, been [00:46:45] in tents for a week or so and we do a review and sort of guide [00:46:50] them through a shade. And some people already have in their mind [00:46:55] they want white, they just want a white, white set of teeth and that’s it. And then others [00:47:00] want white, but they want him to look natural. And you have to kind of try and explain to them. Which [00:47:05] shades will work best for them. And I think when they come into [00:47:10] the lab as well, they. They’re amazed that what they say because it [00:47:15] half of them come in and say, oh, do you make them here? And it’s like, yeah, we make everything here. [00:47:20] And because where we do the show taking it at area, it’s like a glass partition [00:47:25] off to the rest of the lab so they can see out and see everybody [00:47:30] working away. And. All the machinery go in and and a [00:47:35] lot of them are genuinely interested in what’s going on and how [00:47:40] their teeth are being made, and that’s not really something they see. So. It. [00:47:45] I think it gives a bit of added value as well to the case [00:47:50] when the patient comes down. And definitely. So definitely. Yeah. So we [00:47:55] see a lot of people, um.

Payman Langroudi: Simon, tell me from the anatomy perspective because, [00:48:00] you know, it’s funny, since this sort of composite bonding thing is taken off, a lot, dentists [00:48:05] are having to learn the very basics of line angles and, [00:48:10] and just, just, just smile design. Right. Actually making making the teeth themselves. [00:48:15] Right. And for instance, we run a composite bonding course and Dipesh [00:48:20] who’s the teacher? His brother is a technician at Palmer. Right. Yeah. Yeah. [00:48:25] And and the, the amount of stuff that Dipesh has picked up from hit and, [00:48:30] and the kind of things that he says that. Oh yeah. My brother [00:48:35] would do it this way. It’s it’s almost like the teaching of anatomy [00:48:40] and shade is separate for dentists and for technicians. We’re taught separate [00:48:45] things, different things and, and and yet we both need to get to this final [00:48:50] result right of the tooth. Um, so it’s a bit of an unfair [00:48:55] question what I’m going to ask you next here, but it’s kind of like, what’s the crux? [00:49:00] What’s the crux of making two centrals look great?

Simon Caxton: Make them look great.

Payman Langroudi: Yeah. [00:49:05] Where do you start? Where do you. What do you really? I’m familiar at the medial line angles. Right. Obviously. [00:49:10] Yeah. They have to be the same.

Simon Caxton: So when I, if I was to build up two centrals together, I always [00:49:15] start with the left one. Start with just. [00:49:20] Oh, sorry. Oh, so it’s patience, right? My left. Because the model is upside down. [00:49:25] And so I always start with that one. And then. Two Centrals are, though. They’re similar. [00:49:30] They’re not identical. And that’s the hardest thing when people say, I want the Centrals to look [00:49:35] exactly the same. When nature did not exactly the same. So that’s [00:49:40] the hardest thing, is when people say they’ve got to be identical and the gingival [00:49:45] contour is different. You might have one, uh, gingival margin higher than the other. [00:49:50] And. I think when dentists do composites, they’re building [00:49:55] the composite onto Unprepped, which is something. Yeah. Yeah. The majority [00:50:00] of the ones I see where they’ve been added to, and that’s really hard because [00:50:05] you’re working with a structure underneath that’s already going in one direction, [00:50:10] or it’s going to be thinner or more bulky in areas. What we have [00:50:15] with generally, or we like to have is something that’s been tracked down and we’ve got a reasonable [00:50:20] amount of room and space, and we’re recreating that whole thing. Then [00:50:25] we’ve got more scope to to build those line angles in and the [00:50:30] bow bosses and make it look more natural. But as far as [00:50:35] shapes go, it’s get one looking right and then get the other one to kind of match it. And [00:50:40] get. Yeah, but.

Payman Langroudi: What are you what are you looking out for specifically? Like give [00:50:45] me, give me like some for you. It’s probably totally second nature now that you just do it. Yeah.

Simon Caxton: So. It’s [00:50:50] hard to say that each case is different. So [00:50:55] yeah, you look at I look at the laterals and work out whether they’re an oval [00:51:00] shape, a square shape, a more triangular shape. So you’ve got [00:51:05] there’s no point to putting an oval central next to the triangular lateral, because the [00:51:10] rest of the teeth have got that triangular shape. And you’ve got to get the the length right, the incisal [00:51:15] edge position right, you want it to be depending on the way the [00:51:20] patient wants it, if they want it to look natural, then they’re going to be slightly longer than the laterals, [00:51:25] about the same length as the canines. But the way some of the market’s [00:51:30] going now, everyone wants their straight the same length and it’s horrendous. It’s so [00:51:35] hard to do. It goes against what we’ve been told to do. Um yeah. So [00:51:40] getting that shape right, getting the proportions right. The [00:51:45] length width ratio. Yeah. And then I think that that’s what I [00:51:50] kind of like about canines.

Payman Langroudi: Canines are canines are challenging teeth isn’t it. To, to build. [00:51:55] What’s the key to that. Is it the two faces of it.

Simon Caxton: Uh, yeah. The kind of [00:52:00] three. So get the cervical. Uh bogosity. Right. And then I [00:52:05] look at the mesial and distal sort of line angles. And again, some are more [00:52:10] rounded than others. Some have a nice slight, sharp, uh, cusp to it. [00:52:15] Others are quite worn and flat. So I think if you’re matching a single tooth into [00:52:20] existing dentition, it’s just looking at what’s around in [00:52:25] the rest of the arch or, and looking at the, the wear patterns of the other teeth [00:52:30] as well, because you can use that to your advantage to if something’s guiding [00:52:35] across and you can see that it, it’s flat on the centre or the canine [00:52:40] or. Yeah, the canine or the lateral, you can build that wear into a central when [00:52:45] it’s the same each. Yeah. Each tooth is. Yeah, each mouth.

Payman Langroudi: You guys [00:52:50] have like a signature. Like like if you look at a case and you can tell that’s Lee’s work [00:52:55] because of just the, just the way he does things.

Simon Caxton: Um, Lee’s Lee doesn’t do ceramics, so [00:53:00] I’d be able to. I’d be able to spot these a mile off if he did. Um, [00:53:05] or someone else’s?

Payman Langroudi: Or could someone look at your work and say, that’s a Simon case?

Simon Caxton: Because [00:53:10] my shapes are very similar. You might get the triangular or the oval, but [00:53:15] I tend to do, especially if a smile case. They all look the same. I’ve got one shape that I like to do and [00:53:20] I really. Yeah.

Payman Langroudi: It’s funny. Is it because you get that with dentists as well? [00:53:25] You get you could, you could kind of tell the, the, the signature of that dentist [00:53:30] in his, in his composite sometimes.

Simon Caxton: Yeah. And you can tell as well like if they’re left and right handed, especially [00:53:35] if they’re prepping a whole arch because all the preps face one direction. [00:53:40] So yeah.

Payman Langroudi: Yeah, yeah. But let’s, [00:53:45] let’s talk about you’re kind of at the forefront of things. Right. You’re trying to, you know, be [00:53:50] very digital, very private, very aesthetic. Tell me about things that [00:53:55] being at the forefront has obviously its, its benefits. But sometimes a new [00:54:00] thing comes along and you’re pushing the boundaries and you try something [00:54:05] and it might not necessarily work out because it’s a new thing. Right? You [00:54:10] know, improvement is, by its nature, two steps forward, one step back, isn’t it? You sort of tell [00:54:15] me about times where that’s happened to you and where it’s bit you, you know, like where it’s, I don’t know, some, some [00:54:20] company came out with an amazing new idea. And then later on you found out they’re all breaking [00:54:25] or something like that. A story like that would help me.

Simon Caxton: Uh, so we had [00:54:30] a lot of problems with there was, there was a stage a few years back where there was a [00:54:35] material, uh, peak, uh, um, peak material. It’s like a [00:54:40] composite, like a resin. So people were using it to do full arch sort [00:54:45] of restorations and bonding composite to it, especially for like all fours. And we [00:54:50] did a couple ourself. But what happens is that the peak material was [00:54:55] quite flexible, even though it’s very, very strong, it’s quite flexible. But the composite [00:55:00] that was being bonded to it.

Payman Langroudi: Wasn’t a different.

Simon Caxton: Flex. Yeah. So [00:55:05] you were getting cracking. Um, and because you would bond like venture [00:55:10] teeth to it and they’d pop off. So we had a few things like that [00:55:15] that we, we, we did a couple of big cases that we had some failures with. [00:55:20]

Payman Langroudi: Was it a couple, was it like a couple of hundred?

Simon Caxton: No, because we didn’t really do lots [00:55:25] of those type of cases. Uh, but when they come out they look brilliant. And the thought behind [00:55:30] them is like, oh, you’re right. Yeah, we’re going to do that. We’re going to do it all this way now. And then they [00:55:35] started coming back and we was having problems with them. And it’s like, we’ve got to redo and like [00:55:40] redo our own costs as well because I. Um, is just [00:55:45] said earlier, like we like to do things how we want to do them, and we kind of gone down [00:55:50] that route and said, oh yeah, it’ll be fine. It wasn’t fine. Um, so [00:55:55] yeah, but sometimes, as you say, you have to take two steps forwards, go one step back. [00:56:00] And we learned from that. And it’s like we went back to how we used to do them. That [00:56:05] we tried it and didn’t work. I know it’s or have you been.

Payman Langroudi: Sometimes an early adopter on something?

Simon Caxton: I [00:56:10] lost share time and things like that.

Payman Langroudi: Yeah, but like maybe if you maybe been an early [00:56:15] adopter on something, bought a piece of equipment for hundreds of thousands, it turned out to be a turkey. Has that happened? [00:56:20]

Simon Caxton: Uh. No, we haven’t done that. Luckily, [00:56:25] we did buy one of the a couple of the early printers that came out. Um, [00:56:30] and we didn’t get very good results with those. So no, I [00:56:35] think we’ve from our side of it just owning our own lab. We’ve [00:56:40] not done that. So thankfully.

Payman Langroudi: Okay. Well we do we do like to discuss [00:56:45] mistakes on this pod. So tell me a mistake you’ve made then as a technician that [00:56:50] other technicians can learn from.

Simon Caxton: I was trying to think about this and and a lot of our mistakes [00:56:55] don’t don’t see the light of day. So we the dentist. I mean, we [00:57:00] dentists will get things that have gone wrong. I mean, I’ve built up a [00:57:05] small case in completely the wrong shade and sent it out. Uh, just because [00:57:10] I was busy didn’t really notice. I’ve got to get it done. I’ve got to get it. Get it [00:57:15] gone. Um, it’s being fitted tomorrow. Uh, I’ve done that. So, as I always [00:57:20] say to people, always read the ticket. And so I’m guilty of that. [00:57:25] I’ve fired a full arch of veneers on the wrong program [00:57:30] in the furnace and melted everything.

Payman Langroudi: Oh.

Simon Caxton: I’d like [00:57:35] that again. The night before that, that, just due to go out, sent a [00:57:40] rush case of a patient that was getting married to the wrong practice. [00:57:45] So it’s always.

Payman Langroudi: It’s always the ones you’re trying to help out.

Simon Caxton: And [00:57:50] so she was getting married. Uh, had to be there on this certain time and [00:57:55] whatever. Finished up the case up, put it on the side. And the person doing [00:58:00] the post put the wrong post label on it and sent it somewhere else. And so, [00:58:05] I mean, mistakes happen. Uh, I know that I’m not blaming them for that. It was just one of them things, but [00:58:10] it just happens to be that one that had to be there on that day.

Payman Langroudi: So what about [00:58:15] what about, like, um, like a business? What would you have done differently in the business?

Simon Caxton: Well [00:58:20] done differently.

Payman Langroudi: Uh, would you have grown quicker earlier, something like that, or at. [00:58:25]

Simon Caxton: The start, we always said we didn’t want to grow too big, and we wanted to try and keep it small. [00:58:30] And I think that the mistake from there was we [00:58:35] didn’t take on enough people and we tried to do too much. And that was [00:58:40] about, I would say, a big mistake because it had a big effect on me [00:58:45] and I couldn’t cope with it to the point that I wanted to walk away [00:58:50] as and really. Yeah.

Payman Langroudi: Anxiety.

Simon Caxton: Yeah. And overwhelmed. [00:58:55] And yeah, it was, it was bad. It was, I was, [00:59:00] I was really bad. It was like I, I think it’s because they’re trying to control too much [00:59:05] and trying to do too much and not trusting people to, to, to do other things. [00:59:10] And we didn’t get someone doing admin work for [00:59:15] about 4 or 5 years, maybe more. So we were trying to juggle that as well as [00:59:20] doing that like bench work as well. So.

Payman Langroudi: As [00:59:25] he would have not done that earlier.

Simon Caxton: Yeah, I think we should have, um, got more people in earlier. Um, [00:59:30] not necessarily to to grow bigger, but just to make life easier.

Payman Langroudi: Make [00:59:35] life easier?

Simon Caxton: Yeah.

Payman Langroudi: I mean, you said you said you you still stay at the lab till seven at [00:59:40] night.

Simon Caxton: Yeah.

Payman Langroudi: It’s just I’ve noticed that with labs as well, labs do late nights. [00:59:45] So why is that?

Simon Caxton: I think it’s just the nature of the job. [00:59:50] I when I started deadlines. Yeah, deadlines. And when I started, one [00:59:55] of the first things that someone said to me was, this is not a 9 to 5 job. You you will. [01:00:00] Be here late. You will work weekends and a lot of people [01:00:05] did that, I think it. I think the deadlines are the. The [01:00:10] biggest thing, and especially running your own lab. And your name is above the door. [01:00:15] You’ve got to spend. Why do I spend a lot of time doing a case? [01:00:20] And you want it to be right because. You’re only as good as your [01:00:25] last case. If it’s not right, then people are not going to send you work. And there’s always that fear [01:00:30] of especially for me, there was always that fear of people not to send any more work in. So [01:00:35] but I know plenty of technicians. That go through [01:00:40] these stages of working late nights. And so I [01:00:45] think the latest I’ve been in the lab is 2:00 in the morning and then go [01:00:50] home and then back in at like 5 or 6:00 [01:00:55] and then do it all again. And I know lots of yeah.

Payman Langroudi: As a business owner, you kind [01:01:00] of think, all right, there are going to be times where the business just needs you completely. But [01:01:05] how do you persuade, you know, your other techs, the guys, the employees [01:01:10] to stay late? Do you pay extra? What do you do? Or is it just known? It’s known if there’s a deadline [01:01:15] everyone has to chip in. How does it work? Yeah, I think I mean.

Simon Caxton: I think it goes [01:01:20] to the individual as well. Um, and I think it’s the same with any industry, not just Dental laboratory. [01:01:25] Uh, laboratories is you get people that are conscientious [01:01:30] and will chip in and help some. You have to ask some just do it. [01:01:35] We’ve always said that if something needs to get done, we don’t expect you to stay and do it [01:01:40] for nothing. We will pay over time, but we got to a point where [01:01:45] we knew we were doing too much, and we didn’t want people to miss out on home [01:01:50] life and stuff as well. So we don’t we don’t make people stay. [01:01:55] I think if we really need need them to, we will, we will, we’ll ask. [01:02:00] But we understand if they can’t or they don’t want to, we pay them to [01:02:05] do a job from 9 to 5. And I think now going [01:02:10] forward, we we just need to get more people in if it gets too busy, [01:02:15] rather than expecting to put extra workloads onto other people. I mean, I’ve [01:02:20] done, I think like 27 days straight in the lab when we started [01:02:25] off like late, early, early mornings, late nights.

Simon Caxton: And [01:02:30] you can’t do that. And I wouldn’t want to expect that. And I don’t expect other people to [01:02:35] do that. So because it had a big effect on me and yeah, I, [01:02:40] one of the a guy that used to work with us just started up his own lab. And [01:02:45] those labs, you go through stages, it’s like feast or famine. You’ll have no work, and [01:02:50] then you’ll be absolutely snowed under. And you want to please those people. So you want to get [01:02:55] all the work that’s come in, you want to do because you haven’t had any and you don’t want to upset anybody. So you just [01:03:00] do it. And I think sometimes it can be. Detrimental to the [01:03:05] to what you’re trying to achieve because, yeah, you’re not doing your best. Like, [01:03:10] I wouldn’t want my tape made by someone who’s been up since 5:00 [01:03:15] in the morning and finishing my work at 1:00 the next morning. Yeah. [01:03:20] So you’ve got to take that into consideration as well. Um, but [01:03:25] I think, yeah, there’s there’s lots of labs, uh, technicians that do work weekends still and [01:03:30] do work late.

Payman Langroudi: It’s in the culture, isn’t it? It’s in the culture of technicians, I’ve noticed. Yeah, I.

Simon Caxton: Think in [01:03:35] the older technicians as well. I think that’s just because the way not so much the younger ones now, [01:03:40] maybe because they’ve realised, like the older ones have realised [01:03:45] what’s and don’t want others to go through it like I have.

Payman Langroudi: So Simon, when you sold [01:03:50] this business, is there a period of time where you have to stay in it?

Simon Caxton: Uh, [01:03:55] there is, yeah. Um, but I’m not looking to go anywhere. [01:04:00] And I’m not just saying that I’m not looking to go anywhere anytime soon. You’re happy? Yeah. I’m happy doing what I do. [01:04:05] I made it.

Payman Langroudi: So in a way, you kind of took some money off the table. All the money off the table. [01:04:10] And now you’re an employee there. Is that how it works? Yeah.

Simon Caxton: That’s it. Yeah. So, um.

Payman Langroudi: Oh, amazing. [01:04:15] So what was your feeling on the day that you signed it away? Was it like pride? Was it relief? [01:04:20] Was it elation? Was it emptiness? Like a lot of people say they [01:04:25] feel empty when they sell their business. How did you feel? Probably a bit of all of those things.

Simon Caxton: I didn’t feel empty. [01:04:30] I felt excited because I feel. Yeah. And. That. [01:04:35] I mean, I felt pride as well because I’ve, I’ve not just me, but Lee as [01:04:40] well. We’ve built up this business that somebody else wants. So it’s got it’s got value for someone. But [01:04:45] yeah. Yeah, it did feel like we were given a little bit of ourselves [01:04:50] away because we’d built up this, this business, and we’ve put a lot of our heart [01:04:55] and soul into it over the last 15 years. But. I was excited because [01:05:00] we’re now part of this group, especially in the UK. There’s four labs in the in the group [01:05:05] and we’re almost like a bit of a Start-Up because we’re, we’re getting we’re starting [01:05:10] up the UK arm of the European. So we’re finding our feet [01:05:15] with that, and we’ve got processes that we need to put in place and systems that we need to put [01:05:20] in place. And it it gave us a bit of a, um, new lease of life, really. [01:05:25] I think we’ve come a bit stale doing our same [01:05:30] thing every day, turning up, making our cases and going home. And you say, why [01:05:35] I was still here till seven because I, I get in at eight. I go home at [01:05:40] seven. That’s my day.

Payman Langroudi: That’s what you.

Simon Caxton: Do. Yeah. And that’s what I’ve done for the last [01:05:45] ten, 15 years.

Payman Langroudi: So did you go and buy something, go crazy by and buy [01:05:50] a fast car or something? Did you. I mean, did you enjoy it?

Simon Caxton: No, [01:05:55] I’ve got a I’ve got a phone. I’ve got a fast car. Um.

Payman Langroudi: What [01:06:00] did you do? I mean, did you take more holidays or. You’re just working just as hard? [01:06:05]

Payman Langroudi: Um.

Simon Caxton: Nothing’s really changed yet. I’m just carrying on the same. [01:06:10] When did you sell it?

Payman Langroudi: When did you sell it? December. Oh, I see, it’s very new.

Simon Caxton: Yeah. [01:06:15]

Payman Langroudi: So it’s very new. All right. I’m gonna. So. Yeah. Call me when. Call me when you get the, you know, [01:06:20] flat in Miami.

Payman Langroudi: Yeah. I’m gonna.

Simon Caxton: Spend it all.

Payman Langroudi: On, uh.

Simon Caxton: Women cars and.

Payman Langroudi: Drink [01:06:25] and.

Simon Caxton: The rest I’m gonna waste.

Payman Langroudi: Yeah, exactly. [01:06:30] Alex Higgins. Yeah. George Fest, I think, said that. How was it? [01:06:35] Was it was it?

Payman Langroudi: So, listen, man, um, it’s a lovely sort [01:06:40] of opening into this, this area of Dental, Tex. That I wanted to go into. Your [01:06:45] desire to be the best. Yeah, but you must be right. The two of you must have decided. [01:06:50] Yeah, that you’re gonna. You’re gonna position this, this lab at the [01:06:55] the position that you’ve positioned it right, which is very sort of high end aesthetic. [01:07:00] Yeah. At what? At what point did that do you feel like a flip happened where, you know, you [01:07:05] said you said you weren’t interested in A levels. You got into NHS labs. [01:07:10] And at what point was it that you decided, oh God, I’m going to be the best at something? Was that always within [01:07:15] you?

Simon Caxton: That’s within me, I think, as just everything I do. Really? [01:07:20] Yeah. So, I mean, I wouldn’t say I’m the best technician by a long shot. I, [01:07:25] I can.

Payman Langroudi: Do it, but you’re going to.

Payman Langroudi: Try. Yeah, I’m.

Payman Langroudi: Going to try.

Simon Caxton: I’m going to try to be the best I can. I’m, I [01:07:30] can do a good case. I can do some nice cases I can do, I can do some shockers [01:07:35] and like anybody else. So, um, there’s some fantastic technicians out there. There really is. And there’s [01:07:40] some real artists. And I still look at their work, and especially now with social media on [01:07:45] Instagram and things like that. You see these cases and I look at that all the time and think, I want [01:07:50] to do that. That’s where I want to be. And I’m still pushing to get up to those cases. But [01:07:55] I started playing golf a few years back and [01:08:00] I practised every day. Every single day I would be at the driving range because I wanted to get better and better and [01:08:05] better. Uh, I bought my my now wife an engagement ring. I learned all [01:08:10] there was to learn about diamonds, the different polarities, the different cuts. I’ve done all [01:08:15] this research on them and everything like that. I go into, like, massive [01:08:20] detail. Um, and then I get bored of it and I move on to the next thing I don’t. Maybe [01:08:25] that is some kind of ADHD thing, I don’t know, but, um, but as [01:08:30] far as I’m concerned, that’s just me. Uh.

Payman Langroudi: So what are the hobbies of yours?

Simon Caxton: I [01:08:35] play rugby, I still play rugby. Um.

Payman Langroudi: Yeah.

Simon Caxton: So that’s quite a good release for [01:08:40] me, especially if you’ve had a. That’s how stressful week at work. [01:08:45] I just imagine a team of 15 dentists in front of me and I can run [01:08:50] them over.

Payman Langroudi: Flatten them.

Simon Caxton: People often ask me, [01:08:55] why are you so aggressive on the rugby pitch?

Payman Langroudi: I’ve got a question for you, buddy. [01:09:00] As far as like other countries, which one? Which ones do you rate as far as their [01:09:05] technicians? Because. Or am I wrong on this? Am I looking at it in the wrong way? Because. [01:09:10] Because I had some German technicians, man. And the work fitted like the occlusion and [01:09:15] the fit was amazing.

Payman Langroudi: Yeah.

Simon Caxton: And yeah, German technicians. But [01:09:20] it’s like with German cars and engineering. Yeah, they’re so precise. [01:09:25] And I think their way, their education system is as well like is [01:09:30] is great. And to own a lab you have to be a master dental technician. [01:09:35] You can’t open up a lab unless you’ve got this master dental technician status. [01:09:40] Yeah. So.

Payman Langroudi: Um.

Simon Caxton: There. Worked fantastic. [01:09:45]

Payman Langroudi: Where else? Um, Italy. Brazil? Yeah, Italy, Italy and.

Simon Caxton: Brazil have got some fantastic technicians. [01:09:50] I think every country has got really good technicians. Um, I mean, the Japanese [01:09:55] as well, they’re known for, for their work and I would say probably [01:10:00] like in terms of like ceramic work and you’re probably looking at like Japan. [01:10:05] Italy. Yeah. Brazil. But inside [01:10:10] every country’s got their great ones. So.

Payman Langroudi: And who of of the sort of [01:10:15] big famous or not famous for that matter. Who are your, like, heroes? Like who are the people [01:10:20] you look up to so far as technicians?

Simon Caxton: Gaspar Guerra For me, I’ve [01:10:25] been on about 4 or 5 of his courses, and I was lucky enough to spend a [01:10:30] week in his lab in Barcelona a few years back, just just with him and [01:10:35] two other technicians. Who else is there as like Oliver Bricks? [01:10:40] There’s guy that is an Argentinian technician who I went on a course with this year, Mariano [01:10:45] Maurizi. Fantastic work. I mean, I say I’ve [01:10:50] seen so many of them and some of them twice. Three times even, just [01:10:55] because I don’t think I learned enough from them the first time. Um, but [01:11:00] can you.

Payman Langroudi: Explain it to me? Like like if I go on a dentist course. Yeah, it might be something about composite [01:11:05] bonding for the sake of the argument. Yeah. Um, it might be the anteriority. What kind of courses? Like how how [01:11:10] detailed does it go? Like, what kind, of course do you go on? So what are you learning on that course.

Simon Caxton: So most of them are [01:11:15] ceramic layering courses. And there’s only so many ways you can [01:11:20] layer a crown. But they each will have their own sort of technique. [01:11:25] And I’ve been on sort of show taking courses and how to understand [01:11:30] the different opacities of the ceramics and, and the different translucency, where [01:11:35] to apply them. So each one has their own sort of little spin on it [01:11:40] and their own technique. And some are with one manufacturer work [01:11:45] with one manufacturer’s ceramic, others will work with another one and another one, [01:11:50] and you just take bits from each one and and pick something up, like layering [01:11:55] ceramic gum work as well and learning like that’s only [01:12:00] really probably 5 or 6 different colours of pink, but it’s [01:12:05] the way they use them and where they put them that makes it look so lifelike. [01:12:10]

Payman Langroudi: And I just we don’t appreciate us.

Payman Langroudi: We don’t appreciate sometimes that with with your [01:12:15] work, between the actual layering and the final piece, there’s a there’s a [01:12:20] change in dimension in the teeth. Right?

Payman Langroudi: Yeah.

Simon Caxton: So with the ceramic you have to build it up bigger, [01:12:25] uh, to start with because it will shrink.

Payman Langroudi: It’s weird. But yeah.

Simon Caxton: So if [01:12:30] you get an effect in the wrong place and it shrinks down, yeah, you’ve got to cut it out [01:12:35] or start again. It’s really hard.

Payman Langroudi: What’s the percentage of shrink?

Payman Langroudi: They used to.

Simon Caxton: Be quite [01:12:40] big, but it’s it’s not so much now. So if I might over build a [01:12:45] central by a millimetre in length and it will shrink down a millimetre. Yeah.

Payman Langroudi: So [01:12:50] and you just have a feel for how much it’s going to shrink with that particular material.

Payman Langroudi: Yeah.

Simon Caxton: You do. You get [01:12:55] used to the material you use. So I all I use all ivoclar ceramics and [01:13:00] I have them for quite a few years now. So I’m kind of used to how they react. [01:13:05] And I know what’s going to happen. But they might pick up another [01:13:10] ceramic and it might shrink more, or it might have more opacity [01:13:15] so than the other dentine. So they’re all different and it’s just getting [01:13:20] used to the one you use. Um. You can have some really good results, [01:13:25] like one technician might get a really good result with one ceramic, and another technician might get [01:13:30] a completely different result with that ceramic.

Payman Langroudi: Yeah. What works in your hands right.

Payman Langroudi: So [01:13:35] but.

Simon Caxton: Yeah, most of my courses have been ceramic courses. I’ve done CAD courses and [01:13:40] implant courses and but overall the courses I’ve ever done and I used to go [01:13:45] to like the Bacb conferences and um, like the DTA or the dental technology [01:13:50] shows. And I used to go and sit in the dentist’s lectures [01:13:55] because I wanted to understand what they were doing.

Payman Langroudi: Yeah, yeah, I wanted.

Simon Caxton: To [01:14:00] know the bit before I get it, what they’re doing. And if I can understand that, then I’ve got that [01:14:05] bit more understanding. On where the problems could lie and [01:14:10] what their thinking is behind things. But I very rarely see dentists on that [01:14:15] technician’s courses or in technicians lectures.

Payman Langroudi: The ones who go are the really top [01:14:20] ones. Oh yeah, oh yeah, I’ve noticed. Yeah, definitely. And then you get [01:14:25] that wonderful master race of, of human who’s like started out as a technician and then [01:14:30] become a dentist.

Payman Langroudi: Yeah. Like coach which.

Payman Langroudi: Coachman? I, um, [01:14:35] uh, Neil Gerrard was one in the UK. Yeah, but it’s [01:14:40] a very unique position, isn’t it? It’s a unique. You must know loads like you must know several. Right.

Payman Langroudi: Um, [01:14:45] well not.

Simon Caxton: Really.

Payman Langroudi: There’s not, you know, there’s [01:14:50] not many.

Simon Caxton: That have gone from technician to dentist. Um, I tried, I got talked out of [01:14:55] it. I that was one of the things I wanted to do early on is like, oh, maybe I will go on and become a dentist and, and [01:15:00] that now you can you’ll be better off because it’s going to take you so many [01:15:05] years. And I was like, well, maybe, maybe not then, but maybe.

Payman Langroudi: And you [01:15:10] must be fully aware of, like this tension between technician and dentist when it comes to [01:15:15] in a way to make your life easier. He just needs to drill more, doesn’t he? [01:15:20] Yeah.

Payman Langroudi: Yeah, yeah, a.

Payman Langroudi: Dentist, but he doesn’t want to drill. He doesn’t want a drill, right. Because [01:15:25] he’s trying to be super minimal. Yeah.

Simon Caxton: Millimetre and a technicians millimetre a completely different. [01:15:30]

Payman Langroudi: Yeah. But but there is, there must be this like sweet spot, right. Isn’t it, [01:15:35] that there’s an amount of drilling that that would help both of you, the dentist [01:15:40] and the technician.

Payman Langroudi: Yeah. You’re very, very rarely.

Simon Caxton: Find it that sweet spot.

Payman Langroudi: Yeah, [01:15:45] yeah, yeah, yeah. But but also like, in the last ten, 15 years, you must have noticed people getting more [01:15:50] and more and more conservative. Yeah.

Simon Caxton: It’s come harder.

Payman Langroudi: It makes your life harder, right?

Payman Langroudi: Yeah.

Simon Caxton: Especially [01:15:55] so that’s where these contact lens veneers have sort of been coming back in as well because [01:16:00] you can make them a lot thinner. Again, they’re only right for certain situations. [01:16:05] But yeah, definitely people have become more conservative. Um, I think they’re more [01:16:10] scared of litigation and things like that. Um.

Payman Langroudi: So it’s [01:16:15] just the teaching and it’s like cutting enamels become like really bad thing to do nowadays, you know, [01:16:20] like it’s, it’s it’s everyone’s just, you know, I do a lot with the younger dentists and they [01:16:25] just don’t want to cut enamel, you know, at all. No. Um, whereas, [01:16:30] you know, back in, back in the day, people. Do you remember the whole Rosenthal [01:16:35] wave as that came through?

Payman Langroudi: Yeah.

Simon Caxton: So, um, I kind of.

Payman Langroudi: What stage were you at when that [01:16:40] happened?

Simon Caxton: I just started working with Rob, and then he went on the course, [01:16:45] and he even went over to one of the labs in New York to learn how they were doing it. And so. [01:16:50] Well, I mean, we were doing loads of cases when that first started, I didn’t start, [01:16:55] I was still doing sort of diagnostic waxing at that stage, but I was I was waxing [01:17:00] up probably three cases a day of those and then moved on to [01:17:05] the ceramic side of it. Um, and that was a lot of feldspathic veneers. [01:17:10] So it’s kind of gone full circle again now. But yeah.

Payman Langroudi: Yeah, yeah.

Simon Caxton: We [01:17:15] saw some, uh, pretty aggressive preps in those things.

Payman Langroudi: Yeah yeah yeah yeah yeah yeah [01:17:20] absolutely man. Well it’s been a massive pleasure. I’m going to end it with our usual [01:17:25] questions okay.

Simon Caxton: I’ve been thinking long and hard.

Payman Langroudi: Yeah. [01:17:30]

Payman Langroudi: Fantasy dinner party. Three guests. Dead or alive.

Payman Langroudi: Who would you have? [01:17:35]

Simon Caxton: So my first one, without a doubt, would be Rik Mayall, the comedian.

Payman Langroudi: Amazing. [01:17:40] I absolutely the young ones. Yeah.

Simon Caxton: I love the young ones growing up, big fan of [01:17:45] like bottom and that sense of humour. And when [01:17:50] he died I was absolutely gutted. I was I’ve never met the guy, [01:17:55] only seen him on TV, but it left a big hole. Um, for me. [01:18:00]

Payman Langroudi: I didn’t know he was dead, man.

Payman Langroudi: Yeah.

Simon Caxton: Yeah, about 15 years ago. I think it was quite [01:18:05] a while back. You’re kidding. No. Sorry to break that to you, Payman.

Payman Langroudi: Sorry. On air. On air. [01:18:10] I’m going to.

Payman Langroudi: Grieve right now.

Payman Langroudi: Yeah.

Simon Caxton: So, um. I still watch a lot of [01:18:15] the reruns of bottom and, um, the young ones and things like that. [01:18:20]

Payman Langroudi: What was that? What was.

Payman Langroudi: That political thing he was in was.

Payman Langroudi: Brilliant. Bastard.

Payman Langroudi: Bastard.

Payman Langroudi: Bastard. [01:18:25] Yeah.

Simon Caxton: And he could make me laugh a bit like Rowan Atkinson. Like [01:18:30] just his facial expressions. And I think someone like him [01:18:35] at a dinner party would really brighten things up. Absolutely. So I [01:18:40] think for entertainment value.

Payman Langroudi: That’s a.

Payman Langroudi: Goodie. Rik Mayall.

Payman Langroudi: Yeah. Um. [01:18:45]

Simon Caxton: And I like people that tell stories and say like, interesting [01:18:50] people. So my second one would be Richard Attenborough. So [01:18:55] sorry, not Richard Edwards, sir David Attenborough. David.

Payman Langroudi: David Attenborough. Yeah.

Simon Caxton: Just [01:19:00] because of what he’s seen in a lifetime and what he’s achieved. I mean, all [01:19:05] the plays, all the nature documentaries and all those things that not [01:19:10] many people get to see in real life. And he’s been there recording them and [01:19:15] all these different animals and. Bit like tribes [01:19:20] and whatever that you’ve seen throughout the world, I think you’d have a good few stories [01:19:25] to tell. I think he’d be a good after dinner speaker to sit back with a glass of port or [01:19:30] a nice whisky and just listen to.

Payman Langroudi: I mean, you might be [01:19:35] the most, the most, the most popular Brit right now, right.

Payman Langroudi: He I think so, yeah.

Payman Langroudi: 1997 [01:19:40] the you know, I reckon if, if, God [01:19:45] forbid anything, Amsterdam is going to be like a state funeral.

Payman Langroudi: Yeah, and rightly. [01:19:50]

Simon Caxton: So, and.

Payman Langroudi: Rightly.

Payman Langroudi: So. Yeah. Rightly so. Well rightly so. Who’s [01:19:55] your third?

Payman Langroudi: Oh no, I.

Simon Caxton: Struggled with this one, but. I’ll go. Gordon [01:20:00] Ramsay.

Payman Langroudi: Oh, really? Yeah. So I need someone.

Simon Caxton: To cook as well, so I [01:20:05] think.

Payman Langroudi: I think I.

Simon Caxton: Think you’d be quite good, but I just think because [01:20:10] I’ve listened, I’ve read his books and.

Payman Langroudi: He’s fun. He is fun.

Payman Langroudi: He’s I think.

Simon Caxton: He’s got a good sense of.

Payman Langroudi: Humour, but. [01:20:15]

Simon Caxton: I think he’s I mean, he’s a good businessman. So I think I could learn a thing or two off of him. [01:20:20] And I think with chefs and, and technicians, I think some of it’s slightly similar, as [01:20:25] I said earlier, like it’s their name above the door sometimes.

Payman Langroudi: Behind the scenes as well.

Simon Caxton: They have to check [01:20:30] everything. And we were a bit like that as well as like a lead technician. You’re [01:20:35] kind of.

Payman Langroudi: Guide in all these.

Payman Langroudi: Making sure everything’s.

Payman Langroudi: Right. Yeah.

Simon Caxton: And then you’re checking that [01:20:40] final dish or case before it goes out. And I think [01:20:45] I’ve seen him on TV and he can be quite harsh, [01:20:50] but sometimes I think he’s harsh but fair. And then when people do something right, he’s full of praise [01:20:55] for them. And that’s where I’d like to be, and that’s how I’d like people to be. If it was my kids [01:21:00] working for someone like that, I think that would be. It’d be hard, but fair, I think.

Payman Langroudi: So [01:21:05] I think.

Payman Langroudi: He’s normally right isn’t he?

Payman Langroudi: Yeah. So I think.

Payman Langroudi: That’s the thing.

Simon Caxton: I could learn a lot [01:21:10] from him. I think I could still be entertained by him and well fed as well. So, uh.

Payman Langroudi: It’s [01:21:15] a different kind of dinner party where the guest is doing the cooking, but. All right, there you go. Yeah, I’ll give you that. The [01:21:20] final question. It’s a deathbed question. Okay. [01:21:25] On your deathbed, surrounded by your loved ones. Gotta [01:21:30] give him three pieces of advice. What would that be?

Simon Caxton: First one would be. Don’t [01:21:35] work too hard. Like make time for your family. Like I, [01:21:40] I did something unlike you. You mean I did something that I said I would never do, [01:21:45] especially with two young kids. I spend more time at the lab than I did at home. Um. [01:21:50] Which I really, really regret. Yeah. So spend [01:21:55] more time with your family and just don’t work so hard. Work smart, not hard. [01:22:00]

Payman Langroudi: How old are they now? Like 17?

Payman Langroudi: 18? Yeah. 17.

Simon Caxton: 117 next week. And the other [01:22:05] one’s 15. So, uh.

Payman Langroudi: Yeah. Yeah. So I know the feeling.

Payman Langroudi: You suddenly you suddenly [01:22:10] realise they’re about to go, right.

Payman Langroudi: That’s it. Yeah, yeah.

Simon Caxton: So that’ll be my first part. [01:22:15] Travel more. See the world. Don’t don’t get pinned down to one [01:22:20] spot. I like going on nice holidays and. Same places. [01:22:25] I don’t like to lay around on the beach too much. I want to see what’s there. I like going [01:22:30] to somewhere different and experience the culture and the the food. [01:22:35]

Payman Langroudi: Yeah.

Payman Langroudi: Just go do some of your favourite places.

Payman Langroudi: You go. Um.

Simon Caxton: New [01:22:40] York is probably one of my favourite.

Payman Langroudi: I love New York. Yeah. Um, do [01:22:45] you.

Payman Langroudi: Know people there?

Payman Langroudi: No, I just went there.

Simon Caxton: Um, we went there a couple of years ago with the kids, and [01:22:50] they loved it. We had a great, probably one of our best holidays. Like family holidays. It was only there five days, [01:22:55] but it’s one that’s stuck in everybody’s mind. I like different [01:23:00] places in Europe, so I love Barcelona.

Payman Langroudi: Um, yeah.

Simon Caxton: That’s really nice. Which which [01:23:05] is quite nice as that’s where chorus headquarters are. So gets.

Payman Langroudi: Uh.

Simon Caxton: Hopefully [01:23:10] get to go there a bit more. Thailand. Love Thailand.

Payman Langroudi: I love Thailand and [01:23:15] Asia.

Simon Caxton: We’re going we’re going back this year. We’re going to Vietnam this year. So.

Payman Langroudi: Well [01:23:20] it’s lovely to travel right. But I if I, if it was me I’d extend on top of that [01:23:25] piece of advice travel young as well.

Payman Langroudi: Yeah.

Payman Langroudi: Before you’ve made your mind [01:23:30] up about everything.

Payman Langroudi: Yeah definitely.

Payman Langroudi: Although although maybe you’re saying your mind is still open and you’re, [01:23:35] you know, you know, there are that some people are like that, but, you know, I don’t know, man. 115 [01:23:40] star hotel in Thailand. So it’s similar to another one in wherever. Yeah. And [01:23:45] I’m not saying I want to go to five star hotel but but I also don’t want a backpack [01:23:50] and things anymore. Yeah.

Payman Langroudi: Yeah.

Payman Langroudi: Whereas whereas when, when you were in that backpack where [01:23:55] you’re meeting and you’re open to everyone and everything, it’s gold. It’s proper gold. Young [01:24:00] travel.

Payman Langroudi: Yeah. So I did.

Simon Caxton: I travelled around Australia for uh, a few months when [01:24:05] I was.

Payman Langroudi: Um.

Payman Langroudi: How was that.

Payman Langroudi: Amazing. Yeah, it was great.

Simon Caxton: Yeah.

Payman Langroudi: Um.

Simon Caxton: And [01:24:10] I went with my now wife. So that’s one way to make or break a relationship [01:24:15] is to live in each other’s pockets for 24, seven for a few [01:24:20] months.

Payman Langroudi: Um, yeah.

Simon Caxton: So it definitely made it, but I was. Yeah, only [01:24:25] 22, 23 when we did that. So as you say yeah [01:24:30] I agree. Travel young. Um, my daughter’s already said to me, I want to do a gap year. And I’m like, yeah, [01:24:35] do it. Like.

Payman Langroudi: Yeah, yeah.

Payman Langroudi: Yeah, yeah. I’m saying the same to my son. Yeah, I’m saying the same. [01:24:40] All right. So don’t work too hard.

Payman Langroudi: More. Yeah.

Payman Langroudi: And [01:24:45] what’s the third one?

Payman Langroudi: Just just, uh.

Simon Caxton: I’ve [01:24:50] been. I’ve thought long and hard about this one and I couldn’t get the third one. But maybe [01:24:55] just try and be the best you can at whatever you decide to do. That’s [01:25:00] what I’ve tried to do. Just tried to do my best. You’re not going to please [01:25:05] everybody all the time, but. As long as you’re happy. And. Yeah. [01:25:10] Don’t don’t take things to heart. I mean, I do know I have done I you [01:25:15] spend all this time on something and if it don’t go right, I’m, I’m, I’m too hard [01:25:20] on myself. I, I just need to chill out more. So. Yeah. Maybe just. It [01:25:25] feels like I was telling my kids that. Tell them just to chill out more.

Payman Langroudi: But [01:25:30] you know, it’s a funny thing because, you know, that thing they say to you, I bet you’re in meetings, [01:25:35] these sort of corporate meetings with these people now. Yeah, yeah. Where it’s it’s almost like what [01:25:40] got you here isn’t going to get you to the next step. It’s a different skill that’s going to get you [01:25:45] to the next step. Yeah. And but you know that idea of your [01:25:50] biggest strength being your biggest weakness, sort of like let’s say you’re a massive [01:25:55] perfectionist. Well, as a as a dental technician, that’s super important. I want my technician to be a massive [01:26:00] perfectionist. And yet that perfectionism is also the [01:26:05] thing that brings you down. The slightest thing doesn’t work out, and it makes you stress [01:26:10] or you get anxiety. You know what I mean? Yeah, or it could be anything. You’re super [01:26:15] kind. But then, you know, kindness sounds like such a brilliant thing. How could it [01:26:20] possibly go wrong? But then maybe you don’t like confrontation and you can’t fire anyone. Yeah. You know, like [01:26:25] things like that. Yeah. It’s super interesting. It’s been a massive pleasure, man. I’ve really enjoyed [01:26:30] it. Thank you so much for doing this.

Simon Caxton: Yeah I hope to see more technicians on here. So I’ve been a big. [01:26:35]

Payman Langroudi: Yeah.

Payman Langroudi: Well as I say I do plan it I do plan it. I’ve got another one for sure. And [01:26:40] another one who’s who I’ve promised I will. Excellent.

Payman Langroudi: So yeah, I’ve been a.

Simon Caxton: Long time listener and, [01:26:45] uh, I’ve always said there’s never any technicians on it. It’s like.

Payman Langroudi: I [01:26:50] was. I was aware of it.

Payman Langroudi: I was aware of it, but.

Payman Langroudi: Uh.

Payman Langroudi: But. Yeah. Thanks. Thanks [01:26:55] a lot for coming on, buddy. I really enjoyed that very much.

Payman Langroudi: Yeah. No, I enjoyed it, too.

Simon Caxton: Thank you for having me.

Intro Voice: This [01:27:00] is Dental Leaders, the podcast [01:27:05] where you get to go one on one with emerging leaders in dentistry. Your [01:27:10] hosts. Payman Langroudi and Prav [01:27:15] Solanki.

Prav Solanki: Thanks for listening, guys. If you got this far, you must [01:27:20] have listened to the whole thing. And just a huge thank you both from me and pay for actually sticking [01:27:25] through and listening to what we’ve had to say and what our guest has had to say, because I’m assuming [01:27:30] you got some value out of it.

Payman Langroudi: If you did get some value out of it, think about subscribing. And [01:27:35] if you would share this with a friend who you think might get some value out of it too. Thank [01:27:40] you so so, so much for listening. Thanks.

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

 

This week’s episode reaches spots other podcasts miss as Payman sits down with dentist-turned-inventor Michael Alatsaris.

Michael shares his journey from a dissatisfied clinician and practice owner to a fulfilled product designer and entrepreneur, discussing the highs and lows of the painstaking process of bringing an innovative new toothbrush to market.

Enjoy!

 

In This Episode

00:02:30 – Choosing dentistry

00:06:40 – Practice purchase

00:16:25 – Challenges of practice ownership

00:22:25 – Exit

00:27:00 – Product design

00:30:50 – Problem-solution

00:38:25 – ErgoProx

00:44:00 – Prototyping and tooling

00:51:10 – Going to market

00:56:15 – Execution Vs ideation

01:03:40 – Challenging the status quo

01:05:35 – Blackbox thinking

01:08:10 – Marketing and trajectory

01:09:09 – Fantasy dinner party 

01:12:02 – Last days and legacy

 

About Michael Alatsaris

Former dental practice owner Michael Alatsaris is the inventor of the ErgoProx toothbrush for cleaning mesial and distal surfaces next to spacing.

Speaker1: If I had acknowledged that by the age of 11 or 12 that, you know, this is what I must do [00:00:05] as an adult and ignore these, you know, classic, you know, astronaut, airline [00:00:10] pilot, doctor, dentist things, you know, just feel, sense and feel. [00:00:15] But what you keep thinking about, what you keep applying your attention to, [00:00:20] what you keep testing and experimenting with. That’s probably. But you [00:00:25] know, as a 12 year old, I can’t really blame myself. But that that was that was where the biggest mistakes started beginning. [00:00:30] And I ended up in this road, this academic pathway, doing this kind of quintessential [00:00:35] professional pathway. So those that’s probably the biggest mistake. But I think then once I was [00:00:40] into it and properly miserable and practice ownership. You’re [00:00:45] really in a rut though, because when you’re so consumed by it, you can’t really see [00:00:50] options. But if somehow I could have found the belief that there are options, [00:00:55] I would have broken away sooner and not consumed the energy and time that I did. [00:01:00]

Speaker2: This [00:01:05] is Dental Leaders, the podcast where you get [00:01:10] to go one on one with emerging leaders in dentistry. Your [00:01:15] hosts Payman Langroudi and Prav [00:01:20] Solanki.

Speaker3: It gives me great pleasure to welcome Michael [00:01:25] Lazzari’s onto the podcast. Um. Michael is a dentist that I was introduced to 2 [00:01:30] or 3 years ago. Uh, when he was starting to develop a new [00:01:35] toothbrush. Um, and, uh, he’s got a very interesting story. Uh, someone who’s been a practice owner [00:01:40] who then stopped to do this kind of work with products. Someone’s [00:01:45] got a real passion for product design. Lovely to have you, Michael.

Speaker1: Good morning. Payman. [00:01:50] It’s a pleasure and an honour.

Speaker3: Where are you right now?

Speaker1: In my office in Edinburgh. Just [00:01:55] ready to chip away at this big project that you know about, but. Yeah, just at home. [00:02:00] Home office. That’s nice.

Speaker3: So, Michael, are you Scottish? Born and bred.

Speaker1: I [00:02:05] was born in Scotland. My dad’s Greek. I very much feel half Greek. [00:02:10] Uh, so guess I’m a bit mixed up like that, but half Greek, half Scottish. So that’s the. [00:02:15] That’s always been the Scotland. Yeah. Grew up here. Spent a lot of time in Greece [00:02:20] whenever I can. It’s Greek. So kind of strong roots there. And, uh. [00:02:25] Yeah. Back in Greece, whenever we can go next week. That’ll be great.

Speaker3: And [00:02:30] you studied dentistry in Glasgow, did you?

Speaker1: Yeah. That’s right. Um, 1998. [00:02:35] Started there. Qualified 2003.

Speaker3: What made you become a dentist? Why? Dentistry. [00:02:40]

Speaker1: Well, ah, I think I think I wanted to become [00:02:45] every profession that was under the sun. Lawyer, accountant, doctor. [00:02:50] I looked at it all really seriously. And, you know, for at least six months, I wanted to do each [00:02:55] of those. And eventually I kind of plumped for dentistry because it was, like, the [00:03:00] best of a bad bunch. Yeah. But essentially under sort of, I think, [00:03:05] parental pressure. Um, ultimately, um, I [00:03:10] think my dad just perhaps had a limited idea of what was [00:03:15] possible within other fields as far as career progression, you know, financial stability, [00:03:20] and could only envisage me becoming one of these quintessential [00:03:25] professions professionals. So that was the one I [00:03:30] went for. It seemed practical, very scientific. Um, [00:03:35] a lot of autonomy. I could see that you could get on with your own sort of little [00:03:40] practice enterprise, whatever. Um, pretty quickly after graduating. [00:03:45] So that was a big thing, and that was it. I just kind of got on with it. But I do remember my first [00:03:50] day at university. I thought, what the f have I done? Me too. And [00:03:55] then sexually, you know.

Speaker3: Was that dissection?

Speaker1: It was actually [00:04:00] it was just the first day of lecturing. First year I thought, why am I here? But I don’t know. This sense of [00:04:05] responsibility just kept me. Going and [00:04:10] before you know it, five years have passed and so did you.

Speaker3: Struggle with the course. [00:04:15]

Speaker1: I struggled with areas that I just had no interest in, like microbiology. [00:04:20] And, um, you know, anatomy is amazing, but I [00:04:25] just couldn’t I wasn’t motivated enough to. So I struggled through the first 1 [00:04:30] or 2 years of academia that I knew would not directly make [00:04:35] me a great dentist, so I struggled with apparent irrelevance [00:04:40] of those things. Um, scraped through first year, scraped through second year. [00:04:45] But once it became practical and really, you know, the engineering of [00:04:50] of dentistry, um, and using my hands, making, just making those [00:04:55] amazing things come to life. Um, restorations and everything. That’s when [00:05:00] I really sort of started tuning in and, you know, got into it.

Speaker3: And [00:05:05] did you had you grown up in Edinburgh or in Glasgow or somewhere else?

Speaker1: Just just say Glasgow. [00:05:10] Yeah.

Speaker3: So didn’t you think, hey, you know, leave, leave home a bit for university. Why [00:05:15] did you stay where you were.

Speaker1: Yes. It’s interesting. On my Ucas application form [00:05:20] from school, it was the first two lines where I was Glasgow Dentistry. Dundee [00:05:25] Dentistry. And then it was Glasgow Electronic Engineering. Glasgow [00:05:30] electronic and Avionic engineering. I just wanted to stay at home. You [00:05:35] know, it’s just I was just too comfortable. It’s funny my parents [00:05:40] moved out from or I didn’t move out. My parents moved out when I was 24. They [00:05:45] just went to Greece for like the next ten, 20 years. Uh huh. Um, and then I realised, [00:05:50] ah, why am I here? Uh, I could work anywhere. So [00:05:55] yeah, I took a job in Dundee, which was exotic for me because it was more than 20 miles [00:06:00] away. And, uh, but then that was that was really good for me, actually. [00:06:05] That kind of opened my mind that I could just work anywhere. Yeah, it was a bit of a home boy at that point. [00:06:10] Um, bit too comfortable, perhaps, but. Yeah.

Speaker3: And tell us about your Dental career, your first few [00:06:15] jobs. How did you get on?

Speaker1: Yeah. I mean, you know, the show, the opportunity to be an show, [00:06:20] which I had a few I had a few show positions was just incredible, [00:06:25] you know, a training job and you’re being paid and the atmosphere is just is light. [00:06:30] But it’s, you know, it’s so immersive as well working beside specialists. What, [00:06:35] what a what a privilege. And that was I had sensed [00:06:40] that, you know, coming out with a BDS. It wasn’t it wasn’t adequate, it wasn’t enough. [00:06:45] But it was a great foundation. But I knew I had to be more [00:06:50] prepared to practice than what the BDS gave me. So I pursued those show jobs. And then [00:06:55] after after that, it was, you know, getting into private practice as soon as possible. [00:07:00] Um, because that had been my vision. I could see the, the NHS, [00:07:05] uh, business model wouldn’t support what we had learned at university even. [00:07:10] And, and furthermore, what I was to learn as a, as an show which [00:07:15] was basically practising in line with the evidence, the science, what the science was telling us to do [00:07:20] that had. No, no. Um. I didn’t have any [00:07:25] belief in the government’s approach to how I was to apply the science, [00:07:30] so I needed that autonomy ultimately, and give myself that [00:07:35] foundation and then look for the autonomy to apply it.

Speaker3: To which year are we talking now? [00:07:40]

Speaker1: So that was, um, when into private practice in 2007, [00:07:45] I think. So just, you know, three years after qualifying, [00:07:50] I didn’t buy the practice at that point, but I just I phoned around all [00:07:55] the practises in Edinburgh just asking if they had a job. And a couple did have private associate [00:08:00] jobs and got into one. And then that led me to the next associate job. Um, [00:08:05] and the principle in that job, he offered me the practice. [00:08:10] It was very early on in the job was like six weeks, I think they said, I want you to take [00:08:15] over the practice. I was like, let’s go for it.

Speaker3: Six weeks in.

Speaker1: Yeah. It [00:08:20] was just it was great. It was a nice small team. Just everything [00:08:25] just clicked. Um, it was, he was. I could tell he was a bit more senior. And I thought, [00:08:30] yeah, maybe in five, ten years he’ll want to retire. This is this is a possible opportunity [00:08:35] in the future as an associate, I could take it on from him. I had thought of that when I met him. If he was a really [00:08:40] young principal, I thought there’s no real unless it would be partnership. I wasn’t keen on that. [00:08:45] I wanted to be the sole owner and I thought, yeah, he’s kind of old enough, but [00:08:50] I may be able to succeed him. And uh, but yeah, right enough. I didn’t realise he was [00:08:55] planning to retire so suddenly. He was 55. Um, and that was it? Yeah. Just [00:09:00] took that over. And it was January 2008. It was. Did you [00:09:05] have the money already?

Speaker3: Did you have you had some savings or how did that side of it.

Speaker1: At that time [00:09:10] banks were throwing money at you. So. Oh that’s right. That was not.

Speaker3: 100%, 110% mortgages. [00:09:15] Like.

Speaker1: Yeah, yeah. It was I remember him saying, do you want, do you want any more. You know, we had agreed on [00:09:20] the sums like is that all you need. And I was like, okay, stick another 20 on, you know, just in case. And [00:09:25] I remember actually paying them that back like just a few months in, I thought, I don’t [00:09:30] need that. Um, it was. Yeah. It’s very different nowadays isn’t it.

Speaker3: And you were, you were very [00:09:35] young. But can you remember what was going through your head as you were buying this practice? Were you thinking this [00:09:40] potential to change it, or were you just thinking it’s running like clockwork, [00:09:45] so I’ll just take it over. What was going through your head?

Speaker1: I really appreciated what they had there already [00:09:50] and it was all paper based. It was very analogue. It was, but it worked [00:09:55] sweetly. The patients were happy. There was a long established practice. 40 years, I think. Very [00:10:00] dedicated. Normal, pleasant. A patience [00:10:05] and same to same for the team. You know, long established [00:10:10] loyal team. Just a really sweet, healthy place to be. And [00:10:15] on that basis, I plan to change nothing for at least six [00:10:20] months. Just find my feet. I’m sure there’s a lot for me to learn and integrate into, uh, [00:10:25] embrace what’s there, embrace what’s working and see where to take it from [00:10:30] there. And actually, after that, it really wasn’t much to change about [00:10:35] the practice. As such, it was more just to continue developing myself as a dentist [00:10:40] and learn from my on going experiences and get better and better. [00:10:45] So I was very much a value add type rather than volume. But volume [00:10:50] never really appealed to me in dentistry, so it was just constant. This journey of value add, [00:10:55] you know, and upskilling all the time. Um, and [00:11:00] that was the approach. And in the end, you know, it probably [00:11:05] served me so far, you know, served me for 11 years. But that’s [00:11:10] that’s another story as to how I reached my limit with that, you know. But that was that was my approach in the beginning. [00:11:15]

Speaker3: So what kind of dentist were you becoming? What was what kind of work were you doing?

Speaker1: I [00:11:20] did, um, I think the first few years are really focussed on being great [00:11:25] at being general. Yeah. I really valued, you know, doing dentistry [00:11:30] that most people needed, but doing it extremely well. So just being really proud of [00:11:35] my, my handle, you know, my restorative work. Yeah. And being great at what [00:11:40] maintaining percent of people needed, which is what general dentistry was. And so [00:11:45] that was, that was that was my focus in the first few years. And it was actually [00:11:50] in maybe fourth or fifth year, maybe that I started looking at courses [00:11:55] and CPD requirements. I thought, I actually am going to this next CPD [00:12:00] cycle. I’ve got nothing to show. Um, I’ve just been reflecting mostly [00:12:05] until then and, you know, just making my work better and better under my own steam type of thing. [00:12:10] But then I get into the courses and implants, um, or so, [00:12:15] um, that type of thing. Um, I never really get into the cosmetic [00:12:20] as a core cosmetic work as a core. Everything I [00:12:25] did, I wanted to achieve a cosmetic result, but the cosmetic side didn’t really ever [00:12:30] draw me. I was very much about function and health, uh, that [00:12:35] type of thing, and making it look nice when I’ve done it. But not cosmetic [00:12:40] as I Corps. But everything else I did kind of, um, have an interest in [00:12:45] enough to get into it.

Speaker1: But I must say though, that with the implants I had. Actually [00:12:50] previously decided never to get into it, but by [00:12:55] this point, I’d become so miserable and lost in practice [00:13:00] that I thought if I need to do something. I was in such a quandary, [00:13:05] which I can go into, um. But basically I was so lost and miserable I [00:13:10] thought, I need to do something. So I threw myself at the Strowman uh, course at the I.T [00:13:15] course, which changed my life, um, personally [00:13:20] and professionally, and breathed out a bit of life back into [00:13:25] the practice and to myself as a principle. And actually, maybe it helped [00:13:30] it survive because it was another big value add. The practice wasn’t growing in numbers, [00:13:35] it was just very, very static and stable. But I knew that wasn’t future proof enough. [00:13:40] So again, it was a next stage of sort of value add, but it was through the implant course that I met my wife, [00:13:45] through a friend that I’d made on the implant course, and meeting on these other great people [00:13:50] on the course and getting myself exposed to that community, because I had become just too [00:13:55] isolated in practice prior to then as well. And so that course just [00:14:00] helped so much.

Speaker3: But it wasn’t enough. So go on, tell me why. [00:14:05] Why were you so lost?

Speaker1: Essentially, I working [00:14:10] directly with the public and the nature of employment law [00:14:15] in Britain had me quite disillusioned because of 1 or 2 undesirable characters [00:14:20] that I had working for me along the way. Um, but essentially, you [00:14:25] know, chatting to 15 different members of the public each day was exhausting for me. Yeah, [00:14:30] I loved the analysis and strategy and the technical work [00:14:35] of the industry. Um, but the chat I would rather get into deep and meaningful [00:14:40] with three people every day about talk about the deepest subjects, [00:14:45] rather than chit chat with 15 or 20 people. That was exhausting for me. So [00:14:50] perhaps if I’d managed to cut down to say, 1 or 2 days a week, it would have been healthier. [00:14:55] I was also terrible at delegation, so by design, I’m just going to get exposed [00:15:00] to. You know, NGOs that just pull me, tear me apart [00:15:05] from all, all sides, you know. So that was that was, you [00:15:10] know, probably the summary of why it was a toxic place for me, a toxic situation. [00:15:15] Ultimately, um, when you say employment, say.

Speaker3: You mean you mean you wanted to [00:15:20] fire someone and you couldn’t like that sort of thing?

Speaker1: Yeah. I mean, it’s, um, I [00:15:25] because because of this was the wrong environment for me ultimately, even though it [00:15:30] was going extremely well on paper and clinically, it was just fantastic. Absolutely fantastic. [00:15:35] But for me personally, it was really not not right. Which [00:15:40] meant that as my energy was consumed and I was distracted, it meant I wasn’t a [00:15:45] great leader in that environment. Um, the team knew what to do. They [00:15:50] were so responsible, um, but meant I wasn’t a great leader. Which also meant that [00:15:55] if 1 or 2 unsavoury characters crept into the team over the years, I didn’t deal with them. [00:16:00] Well enough. I just wasn’t able or willing [00:16:05] to deal with them correctly. The team were great though. I mean, we kind of dealt with them as a team, [00:16:10] and it’s funny to see that acting out. Um, team are great. [00:16:15] Yeah, it’s it’s, um, the employment law in [00:16:20] Britain. I felt put some employers like myself at [00:16:25] risk to, to these people ultimately who I’m talking about, they didn’t do any [00:16:30] long term harm to the practice or patients or to me. It’s just hard at the time to deal [00:16:35] with, though. So.

Speaker3: But did you know, did you not think that, you know, that [00:16:40] is a business problem rather than a dentistry problem?

Speaker1: Yeah. I mean, it’s [00:16:45] I think it was a me problem. I think I was the problem there because I was just in the wrong environment, [00:16:50] and I just had no reserves to deal with this character. [00:16:55] It’s as simple as that. And I know what I would do now, but it took me two [00:17:00] years to. Get them out. Um, they’re very toxic. And [00:17:05] the team, um, and I just. I just had nothing. I had nothing left. My [00:17:10] focus was on my responsibilities to the patient. My technical skills [00:17:15] and serving the patient. And, you know, keeping the rest of that team [00:17:20] happy and keeping that peaceful, happy place. But driving [00:17:25] the practice, I just didn’t have enough interest in it to [00:17:30] drive it.

Speaker3: It’s interesting, isn’t it? Like, what is it about your job or one’s [00:17:35] job that drives us? Right? And in dentistry, I mean, [00:17:40] personally, I was the opposite of you. I didn’t like the Meccano, didn’t like the [00:17:45] putting bits together, and even the treatment planning piece didn’t like it. Always worried [00:17:50] I was doing the wrong thing and that sort of thing. Um, but I enjoyed the human [00:17:55] side of it. And I hear what you’re saying about the, you know, it’s a bit too [00:18:00] surface. Um, you can’t get into it deep and meaningful. But somehow I felt like I was, [00:18:05] I was, I was, but you know what drives us? That other people are driven by the staff management [00:18:10] bit, other people are driven by now in your new project, the the [00:18:15] marketing and design and all of that. Um, but now [00:18:20] that you’re out of it, do you not recognise dentistry as, um, better [00:18:25] than you thought it was when you were in it? Because I certainly did when I, when I stopped practising, [00:18:30] um, I realised that it’s, it’s actually I mean, it’s a hard job, [00:18:35] but anyone can do it was the way I was thinking.

Speaker1: Right? Um, [00:18:40] I mean, I do appreciate everything I got out of it. I knew along the way [00:18:45] with every challenge that I was going to learn something, every, every brutal [00:18:50] challenge that dentistry brings you. I just, you know. Got my head [00:18:55] down and dealt with it and learned and conquered it. And there was there was [00:19:00] so much that was great about it. And I, and I still describe it as an amazing profession. I really do. [00:19:05] Um, I have so much appreciation for it. And and yes, I could go back [00:19:10] and probably enjoy an associate job for a day or two. It [00:19:15] doesn’t appeal to me just now, and I kind of don’t need to. But yeah, there’s there is a lot that I [00:19:20] that I look back on and I do appreciate and I was appreciating those things at the [00:19:25] time, but it is so demanding as a practice owner, a small practice owner, [00:19:30] you have to love it. You just have to love it. Yeah. And that’s [00:19:35] that’s all it was. That’s all it was missing. I just didn’t love it. And that can be enough [00:19:40] to send some people over the edge. And it almost sent me over the edge. So yeah, [00:19:45] the 90% or 80% that I liked was was amazing stuff. But [00:19:50] you also need that 20%, let’s say, and that such a demanding [00:19:55] environment and that 20% that I missed was just the passion and [00:20:00] that to be in that environment. So yeah, I do have big appreciation for it.

Speaker3: Do you remember [00:20:05] then thinking my way out of this is to sell this practice? Was that a moment that [00:20:10] you decided to do that?

Speaker1: It was a very, [00:20:15] very emotional event to realise that that [00:20:20] has to happen. And it was with my wife, the support of my wife, who, incidentally, is a dentist as well. [00:20:25] Was she working.

Speaker3: In the same practice?

Speaker1: She did a little bit, yeah. Uh, [00:20:30] she’s an orthodontist, and but it was together. She’s very, very [00:20:35] spiritual and in touch with, you know. All [00:20:40] of that and we just. I just realised that I have to go. I have to I [00:20:45] have to sell this. And the kind of the exit strategy began and [00:20:50] I realised also there was a halfway house of. And this seems so basic [00:20:55] to everybody who’s listening, but to get an associate, because I was single handed [00:21:00] with a therapist, a dental therapist, and I had had [00:21:05] my fingers burnt with a few associates before and, and had gone [00:21:10] single handed after that for a good five years. And I thought, [00:21:15] I need to readdress this kind of associate model and how can [00:21:20] I make it work? And I came up with this whole structure that, you know, especially [00:21:25] the the remuneration structure sort of tapered, um, remuneration [00:21:30] structure, which I don’t know how. Sliding. Sliding scale. Yeah. [00:21:35] Sliding scale. Yeah. Um, so I worked really hard on that sliding scale structure. [00:21:40] And got an associate and I thought, okay, if [00:21:45] if I can get a great associate, I could actually drop down to a day, a week. And [00:21:50] this might actually be healthy for me. And equally, if. I’m not [00:21:55] entirely happy with the associate, but they’re good enough. Then I might just. They [00:22:00] might make it easier to sell the practice as well.

Speaker1: The fact that the associates didn’t say 90% of [00:22:05] the work. And in the end, I wasn’t entirely [00:22:10] happy with what was going on. It was a it was a good associate, but just [00:22:15] not quite how I wanted it to be. And that did make it easier to sell. [00:22:20] And then I sold. And that was it was a [00:22:25] very, very easy sell because I had just fine tuned this [00:22:30] practice to, you know, everything was working so slick. [00:22:35] It was just such a transparent practice to [00:22:40] assess as a purchase and had been so fine tuned. And [00:22:45] systems and the team. It was just a lovely package to pass [00:22:50] on, something that was very proud of and something I knew that whoever took [00:22:55] it on, they weren’t going to get burnt with anything that had left lingering, not dealt with, [00:23:00] whether it was, you know, toxic stuff or broken systems or that type [00:23:05] of thing. It was just a nice package to pass on. And so thankfully. That [00:23:10] made it a very smooth sail because I couldn’t I wouldn’t have coped with a sail [00:23:15] that took 2 or 3 years. I know that happens to people. Um, I wouldn’t [00:23:20] have I don’t know what would have happened to me, but I had nothing left at that point. And did [00:23:25] you have a plan?

Speaker3: Did you have a plan for what you were going to do after? Or was it like I went out first and [00:23:30] I want to then decide, yeah.

Speaker1: And this is the this is the thing as well. I had through it, [00:23:35] through it maybe, maybe since a teenager I had lots of ideas for products [00:23:40] and reinvent and redesigning things. And this [00:23:45] growing list that I’d been keeping since I was a teenager, there must have been, you know, there’s probably [00:23:50] originally 100 products and it scored a 40, and I was now left with 50 or 60 products on [00:23:55] this list. And I’m seeing some of these products going appear in the market. Others [00:24:00] had actually come up with it, and I see it actually become a success. I’m like, oh, I better score that one off. That’s somebody [00:24:05] else ended up doing that. And to continually see these ideas come [00:24:10] and the possibility for success and bringing a product to market was [00:24:15] this kind of burning passion in the background the whole time. And [00:24:20] I thought, there’s I need to give one of these a try. I [00:24:25] also had discovered that my previous passion of [00:24:30] becoming an airline pilot as a child was actually very feasible with [00:24:35] today’s, uh, affordable and flexible modular training pathways. So [00:24:40] I thought I could train as an airline pilot, but also have some [00:24:45] products developing on the side. And I had understood the the model of licensing [00:24:50] where you come up with IP, a design and you. Two, though to [00:24:55] accompany, and they take on the rights to the IP in return for a royalty. So I thought, [00:25:00] I can churn out these ideas and be an airline pilot and also start [00:25:05] a family. So that all kind of lined up. And [00:25:10] so that was the plan to start all of the above. And [00:25:15] and I did I did start over. Um, and also to get into investing [00:25:20] and learn a bit more about that. And so actually property was an interest. [00:25:25]

Speaker1: I had a couple of rental flats that give me a taste of things, but I’d [00:25:30] also learned that there were so many ways within property to to do well. So [00:25:35] the other plan that came up after I sold was to get into house building [00:25:40] with my dad. So I was training to be a pilot. I was [00:25:45] writing these patents for products. We had already had a first child, second one was on the way, and [00:25:50] I was also starting the business with my dad to start to build houses. And then Covid happened [00:25:55] and basically wiped out the property game [00:26:00] and the aviation industry. And by then I was getting [00:26:05] on for 40 and I had planned, I had decided that if [00:26:10] I’m going to become a become a pilot, I need to do this by the time I’m 40, because [00:26:15] it’s such a gruelling, physically demanding lifestyle. That, [00:26:20] combined with family and everything else, that was going to be my deadline and then Covid [00:26:25] basically. Destroyed that deadline by, it would need another 3 or 4 years then [00:26:30] with the unknown that it presented. So I gave up on the aviation idea, [00:26:35] gave up on the property, um, business. That was for six months until that. [00:26:40] Thankfully, we didn’t start digging because I don’t know what would have happened. But [00:26:45] yeah, the supply issues with materials and things in the building industry, [00:26:50] um, was the was the thing that threw the whole business plan. And [00:26:55] just the shift change in how people use property affected the [00:27:00] whole strategy. So, um, yeah, so I just focussed on products and [00:27:05] family and uh, yeah, the rest is kind of can [00:27:10] talk more about that if you like, but lots of product ideas. But I’d say focus on the one which was [00:27:15] the toothbrush, ergo prox toothbrush.

Speaker3: I’d like to get to a good prox, but [00:27:20] I would like to know some of the other ones. But what was one? What was one that you thought up when you were [00:27:25] 17 and then someone else brought to market?

Speaker1: Or the idea just to think [00:27:30] another day that the idea of a sort of CCTV system within a car. I [00:27:35] think I was maybe 16 or 17. And now everybody has these, you know, dash cams [00:27:40] and it’s like the technology is so cheap. And another one was, uh [00:27:45] oh, I had have you ever seen these old LCD alarm clocks where the LCD [00:27:50] sits on a glass pane, so it’s completely see through, but the LCD numbers are on it. And [00:27:55] I thought if this could be enlarged into a massive window, you could have like [00:28:00] a window that can go pick at the flick of a switch. And then. I [00:28:05] think it was maybe a year.

Speaker3: That exists, isn’t it?

Speaker1: It [00:28:10] does. Yeah. And then it came out, you know, like five, ten years later I actually came out. I think it was like dental [00:28:15] surgery in Glasgow. I really high end one. And they, they have this surgery [00:28:20] and it’s, you know, maybe 5 or 6 big panes of glass and that flick of a switch, it just becomes this white opaque. [00:28:25]

Speaker3: Yeah. I think attic attic practice at that.

Speaker1: Yeah. Yeah yeah.

Speaker3: And [00:28:30] Chris all centres got that as well. Um but don’t you think [00:28:35] dude. Yeah. That, you know, the execution is much more important than idea [00:28:40] anyway.

Speaker1: Um, I mean, yeah, it has to. That’s that’s the stage for that now [00:28:45] with the business.

Speaker3: And but you know, like, you know what I mean. We’ve we’ve all had ideas haven’t we all had ideas. [00:28:50] Ideas. Yeah. Is, is I know what you mean though about that being [00:28:55] the driver for you saying, God damn it, I’m going to execute this time. Yeah. Because [00:29:00] I’ve felt that feeling too, you know, that, you know, this is the thing that pushes you into actually doing [00:29:05] it is when you see someone else executing on your your idea. Right? Yeah. [00:29:10]

Speaker1: It’s, uh, and it was thing is, it was giving myself that chance to execute because [00:29:15] I was so swamped and density that had all these ideas and couldn’t execute. [00:29:20] And now I love I love the design engineering. So engineering [00:29:25] an idea to become, to be able to become a physical reality and also to become manufacturable [00:29:30] and at scale, not just manufacturable, but at scale as well. [00:29:35] So designing the machines, the tools that allow that object to come to life is [00:29:40] great. So that’s the that’s the physical execution. And then there’s the execution of the business. And always being [00:29:45] having been entrepreneurial all my life without actually. Giving [00:29:50] it enough credit to be honest along the way. But now I’m doing that. It’s I can now now [00:29:55] execute in the business, making a business out of it, which is just as exciting to me.

Speaker3: So [00:30:00] okay, let’s let’s get to Ergo Proxy. When was the first [00:30:05] time you thought that there’s a problem? Let’s describe the problem first. The problem is [00:30:10] missing teeth. The teeth next to the abutment, teeth next to the missing teeth, and [00:30:15] how clean you can keep those and, you know, the general public, how they can [00:30:20] angle their brushes and so forth. Is that right? Is that what we’re talking about?

Speaker1: Absolutely. So ten years [00:30:25] ago now actually, that I realised in practice that we were not able, over [00:30:30] decades of attrition with these patients seeing a hygienist. But we’re not able to coach these [00:30:35] clever, keen able patients. To [00:30:40] clean these sites. So I thought, let’s do a study on my own patients. So I just had [00:30:45] two columns and a bit of paper beside my desk. I didn’t even label the columns. My staff had no idea what I was [00:30:50] writing down. I just started like creating these stats for what was going on. And I found [00:30:55] that in this private practice, 95% of people with a missing tooth [00:31:00] could not clean all of the plaque from all of the teeth adjacent [00:31:05] to this edentulous site.

Speaker3: Are you talking about the ones with removable dentures? [00:31:10] The ones with a gap?

Speaker1: The ones anyone who’s lost a tooth other than a wisdom tooth. [00:31:15] So they’ve lost one two, seven, one, two, five six however many. I [00:31:20] counted all the sites. Just surfaces next to the Dental space, [00:31:25] and 95% of them could not clean all of the sites next to [00:31:30] all of their edentulous spaces, so they might have managed to clean.

Speaker3: A bit of it. You know.

Speaker1: Four out of the [00:31:35] five sites that were next to the initial space. But there was one that they just couldn’t. Yeah, yeah, yeah. [00:31:40] And so it was named and they might not have disease there. Fair enough. But you get [00:31:45] you get the path to and I thought this is massive. This is an ergonomic issue. We cannot [00:31:50] coach these people. I had a patient who had missing uppers and lower [00:31:55] left five present round to lower right four. Uh, sorry. It was [00:32:00] a three was a 4 to 3. So lower left, four to lower right. Three. The four I had just [00:32:05] crowned because of caries. And she’s still getting plaque at the distal. [00:32:10] Now with her dentures out, she has full access with any [00:32:15] old toothbrush to clean the back of that four to clean the distal of that four. And she [00:32:20] simply couldn’t in her mind’s eye, get her hand round at the correct angle consistently [00:32:25] every day to remove that plaque. And I said, you’re going to get caries here [00:32:30] because you’re still not cleaning there. And she’s basically burst into tears. [00:32:35] She knows that she’s about to lose. She might lose this critical tooth. It’s just [00:32:40] that helps to support the occlusion for our upper denture and something [00:32:45] to brace against for the lower one. This is a critical anchor tooth in your mouth. And [00:32:50] but she’s she’s perilous. I thought enough is enough that this this their toothbrush [00:32:55] architecture needs completely redesigned to deal with this. And [00:33:00] that was that was the that was the moment. I realise something has to be done [00:33:05] and. Yeah, and I thought if it’s 95% of my private patients, then what is it. What’s [00:33:10] it like in the general population. Mhm.

Speaker3: Yeah. And so you must have looked at research [00:33:15] now is there work out there confirming this.

Speaker1: Yeah I mean [00:33:20] the I think the partial denture case is, is, is brilliant because [00:33:25] um, these people, these people are at an even higher risk of this domino [00:33:30] effect of disease. And they are statistically, [00:33:35] they feel disempowered with their oral hygiene. They statistically feel out [00:33:40] of control. They statistically are not clear on what their [00:33:45] oral hygiene regime is, should be. And that that [00:33:50] that he traced that back to their experience in the surgery with the hygienist. The [00:33:55] hygienist is having to make up for the current toothbrushes are having to describe [00:34:00] and prescribe and coach a regime. Once you’re coaching somebody [00:34:05] beyond 30s how to clean a site, it’s probably not going to [00:34:10] work in the long term for that patient. If it needs that much tuition, you’re [00:34:15] entering the realms of spatial awareness, manual dexterity, motivation, [00:34:20] forming good habits for the rest of their life. And [00:34:25] you’re just you’re up against it. So it’s been unfair, [00:34:30] but what choice have we had? But it’s unfair to expect a patient to to take [00:34:35] on such a surgical technique essentially. So basically statistically [00:34:40] this is a serious issue. And I reached out to, I think, 150 hygienists and [00:34:45] therapists personally and engaged in dialogue with all of them about this problem. And [00:34:50] every single one was pulling their hair out with us. I even had hygienist saying, [00:34:55] I don’t know what to do about these areas. I just prescribe single tufted brush. [00:35:00] But no, it doesn’t work.

Speaker1: Or a bent toothbrush, which doesn’t work either. [00:35:05] So they’re actually telling me we’re prescribing something that doesn’t work, which is [00:35:10] a horrible position to be in. It sets them up for disappointment. The patient [00:35:15] comes back to me today what’s basically being patronised. You’re not cleaning. [00:35:20] They’re even though we understood and we told you and you agreed it’s not their fault, [00:35:25] it’s the tool. And so as I recognise the issue there and [00:35:30] it’s global. So yeah, that’s, you know, just through writing the patent, I did the [00:35:35] research and the prior art, which is basically all of the existing toothbrush designs. [00:35:40] And, and it has never been addressed. And the funny thing here [00:35:45] is, you know, I thought, am I reinventing the toothbrush here? Is this when I say, what am I doing here? [00:35:50] Why has this never been invented in the hundreds of years that we’ve been extracting teeth? [00:35:55] And here it is. The thing is, when the tooth is lost, we think space [00:36:00] has been created. Therefore, we should be able to clean the adjacent surfaces. Yeah. [00:36:05] And that’s it. Because there’s space. Because the hygienist can see [00:36:10] it. We believe the patient should also be able to see it or reach it. And [00:36:15] that’s it. But the angle required is impossible with [00:36:20] current toothbrushes and also the size of the toothbrush heads. But it’s all about the angle. Um, [00:36:25] so yeah, it’s a global issue.

Speaker3: Quickly describe it [00:36:30] for someone who’s listening. Kind of to me, looks like a closet, but [00:36:35] with the brushes.

Speaker1: Like a wishbone, sort of wishbone. Yeah. It’s like, almost [00:36:40] like a wishbone structure at the end of a handle. Yeah. And suspended between the legs of the [00:36:45] wishbone is a double sided brush head. Yeah. The bristles are [00:36:50] angled slightly towards the gingival margin. So it’s got the bass technique built [00:36:55] in and it’s very forgiving. And because of that you can just [00:37:00] use any brushing action. Push pull left right up and down. It’s so efficient [00:37:05] at applying pressure at the bristle tips to exactly [00:37:10] where it’s needed on a single tooth. Just because [00:37:15] of the positioning, because of the architecture, the layout.

Speaker3: And the curve. The curve of [00:37:20] the filaments. Right.

Speaker1: Yeah. So the the. Yeah, the curve of the head, it’s [00:37:25] um, it’s curved on two planes, uh, the two relevant planes in that position [00:37:30] and also deforms under under excess pressure. [00:37:35]

Speaker3: And they’re not filaments. They’re. What is it? Silicone.

Speaker1: It’s elastomer. [00:37:40] Yeah. And, you know, if it was nylon on a rigid base, which [00:37:45] is what nylon, the nylon bristles would need, it would actually be. This [00:37:50] is so efficient at directing the bristles where they need to go that the nylon structure would actually [00:37:55] be traumatic for tissues. So we had to de de risk de distress [00:38:00] the bristle tips. It’s so effective at brushing their. And, [00:38:05] you know, a lot of a lot of brush designs, even, you know, a Philips Sonicare [00:38:10] brush head. There’s a lot built into that that bristles set to account for inefficiency [00:38:15] with the positioning of the brush head. You know, long ones, short ones. It’s kind of covering [00:38:20] all covering all eventualities. But this brush head is positioned [00:38:25] so precisely that we had to basically de-stress the [00:38:30] the contact points, the contact between the bristle tips and the tooth. So [00:38:35] hence um, ferm elastomer, but a deformable head and [00:38:40] also curved to distribute the load.

Speaker3: I mean, ergo proxicom [00:38:45] if you want to look at a picture of it, I’m looking at it right now. Is the is the brush head piece replaceable. [00:38:50] Is that and the handles is the same. Is that what it is?

Speaker1: Different colour at the moment. At the moment it’s not replaceable [00:38:55] as a whole. Other level of engineering that will come in the future, but it’s really [00:39:00] easy to snip that head off and the handle is fully recyclable. So [00:39:05] for every ergo proxy toothbrush is 97% recyclable material and [00:39:10] you know, we can easily move to compostable plastics and things later as well, [00:39:15] you know. But yeah, just normal domestic scissors. Cut the head off and recycle the handle. [00:39:20]

Speaker3: So look, obviously I’m involved in product design, right. So I [00:39:25] appreciate how much work has gone into that. And a lot of people wouldn’t appreciate [00:39:30] it. But, um, I, it makes me think of, uh, with our latest version [00:39:35] of enlightened, we decided to change the tray case, uh, and, [00:39:40] and we didn’t want it to be plastic. We wanted it to be metal. And having [00:39:45] having been through this process many times before myself, I did not want to design [00:39:50] it ourselves. I wanted just to buy it off the shelf somewhere. Someone, you know, OEM stick [00:39:55] my name on it, but we couldn’t find one. Could not find one. Um, so [00:40:00] all it is? Dude, I don’t know if you’ve seen it. All it is is a case. Like, that’s all it [00:40:05] is. It’s aluminium round. Looks like a flying saucer, let’s say. Yeah. Uh, the [00:40:10] number of iterations that we had to go through for it. And [00:40:15] by the way, it’s still not right. It’s never right, is it? Um, I wanted it to open with one hand or whatever. [00:40:20] And, you know, sticking a hinge in there became a cost issue. Uh, just a whole [00:40:25] lot of problems. Yeah. Um, so, yeah.

Speaker1: It’s very involved, [00:40:30] isn’t it? Yeah, it is engineering. A lot of eyeballing, engineering, a lot of, uh, kind of sensing, [00:40:35] like, and density where you kind of just need to judge, you know, with your senses, through [00:40:40] experience about how to bring that tool together or bring those two pieces together. [00:40:45]

Speaker3: And then the cost of tooling I found, you know, just surprising, [00:40:50] surprisingly high. Um, so let’s go [00:40:55] through the process. Okay. You realise this was a problem. You started making some drawings, I guess [00:41:00] some 3D drawings after that. Well, the first thing.

Speaker1: I did was I got some modelling [00:41:05] clay. Yeah, and just mocked it up into shape. That felt right. [00:41:10] Uh, did a couple of iterations of that and felt I had enough to start doing [00:41:15] 3D drawings. I got somebody to do the drawing, just told them where to put the curves [00:41:20] and what angles and things, and then got that 3D printed, and [00:41:25] from then it was reiterations of 3D printed models.

Speaker3: So [00:41:30] maybe 3D printing makes it a lot easier, doesn’t it?

Speaker1: Yeah, yeah. [00:41:35] And um, because your main die can be fantastic, but once you get it in [00:41:40] your hand, you really can feel it and sense what the market will perceive it like, the size [00:41:45] of it, or how somebody would want to hold it. And you can even just pass it to somebody and see how [00:41:50] how they manage it in their hands. How many, how many.

Speaker3: Iterations did you go through before [00:41:55] getting to this?

Speaker1: Raw prototypes, probably [00:42:00] 10 to 15, however. Within within the [00:42:05] design process. And there must have been. There must have been another [00:42:10] sort of. 1020. Iterations to [00:42:15] tweak. And that’s before that’s before tooling started. And then when [00:42:20] you have the tool made, the tool then needs redesigned and [00:42:25] tweaked. So there were another 5 or 6 iterations in the tool itself, [00:42:30] which that in its in its own consumed six months, I think 6 to [00:42:35] 9 months. Those reiterations just within the tool. So you think you have this product [00:42:40] and yes, on on in A3D print, it’s perfect. But [00:42:45] then it needs to be manufacturable at scale and the tool needs to be fine tuned to produce that. [00:42:50] So that was that was really interesting as well. I think a lot of people might have been really frustrated by that process. [00:42:55] It took me a year longer than I had planned for, but it was technical. [00:43:00] It was, you know, even the a three engineers involved along the way putting their opinion [00:43:05] in and the tool maker, at one point, he actually wasn’t sure if it was even going to be possible, but [00:43:10] I just felt I knew what I needed these bristles to do and [00:43:15] therefore what the tool needed to make. And I [00:43:20] think he was actually he wasn’t used to dealing with things that this [00:43:25] such small dimension, but I was very familiar with dealing with fractions, tiny fractions [00:43:30] of a millimetre through implant dentistry and everything. So I felt completely at home [00:43:35] there. So I was able to help him, you know, make decisions on [00:43:40] the tool. I felt I knew what the material was going to do once it was injected under tons [00:43:45] of pressure, and how it would flow and reach those cavities within the tool, [00:43:50] and how it would all bond together and that molten state and then produce [00:43:55] the brush that I need. So that was that was a an amazing [00:44:00] process.

Speaker3: But I guess you wouldn’t have even gotten into this process before you’d written the patent, right? [00:44:05]

Speaker1: Correct. Yeah.

Speaker3: So, so so you wrote the patent, you checked [00:44:10] if the if it had been designed before you, I don’t know, you hire a patent [00:44:15] attorney or whatever.

Speaker1: Yeah. How much, how much.

Speaker3: How much does it cost you patent wise to get to [00:44:20] that point? Not much. Not too much. Um.

Speaker1: Well. Just [00:44:25] to just to quickly add because you mentioned there about not considering the manufacturing. But as I was writing [00:44:30] the patent, I had considered how this would be manufactured as I was writing the patent, because I’d always [00:44:35] been interested in how things were manufactured. So I just thought, if this is like a two piece [00:44:40] opening tool or injection moulding tool, it needs to be able to come out. Yeah. And [00:44:45] on that one dimension ideally. But yeah, the patent process I had kind of learned [00:44:50] through some tuition I had on, on patent licensing how [00:44:55] to write a very basic, basic patent draft, which is really cheap. You can file [00:45:00] one for £70 and. Had. By then I had written a few [00:45:05] patent applications, such a good idea of what was technically required. And [00:45:10] I knew ultimately, the more I could put on paper and describe clearly, the less work my patent [00:45:15] attorney would need to do. Yeah, so I am not even sure how much I’ve spent [00:45:20] on the patent attorney up until now on this product. Um, but it’s it’s [00:45:25] probably it’s probably it must be over. It must be over 10,000 [00:45:30] by now. And it’s probably not necessary to go that far. But my [00:45:35] applications are global. So as US, Europe and China. So there’s a bit [00:45:40] more involved.

Speaker3: So this is now. This is now to get it to the patent pending stage. [00:45:45]

Speaker1: So a patent pending can start with £70, and you file your own draft document [00:45:50] under your own steam. If you’re really clear technically about what your innovation is, why it’s innovative and [00:45:55] include lots of drawings, you can have a patent pending with £70. And for one year you’ve [00:46:00] got this grace period to look at the commercial viability of it. You can start looking at what’s [00:46:05] possible. You can even present it to companies if you just want to go down the licensing route. Um, but [00:46:10] you can basically explore the whole venture and with a huge degree of protection because you’ve got [00:46:15] that filed document. But within that year, you need to start making your decision [00:46:20] and then raise it to the next level of filing, at which point you want to [00:46:25] really drill down and articulate in the legally and [00:46:30] legal terminology what your innovation is within that document. And that’s where a patent attorney [00:46:35] can help. So my first draft for this patent was like 10,000 words long. And [00:46:40] my patent. A patent attorney. Added another 3000 words, I think. [00:46:45]

Speaker3: Is that it? I mean, I always understood the full cost of patenting in all [00:46:50] those different regions was into the hundreds of thousands. Is that incorrect?

Speaker1: I don’t think it’s going to come [00:46:55] to that. So it’s the number of communications that you need [00:47:00] to have with the patent office. Will affect the amount you have to spend [00:47:05] on getting it to grant. So if you and your patent attorney can be [00:47:10] clear and efficient as possible, then it will reduce the number of exchanges between your patent attorney [00:47:15] and the the the patent office. And, you [00:47:20] know, for example, once it’s approved in Europe, it’s then maybe [00:47:25] it then gets assigned to whichever countries within Europe that you want it to be sitting [00:47:30] in. So I think for like 5 or 6 biggest countries, it’s then maybe 7 [00:47:35] or £8000 to have it assigned to those countries. But the legwork prior [00:47:40] to that is really kind of how long is a piece of string. And if you can be clear and [00:47:45] efficient with your patent attorney, you can really minimise those costs. I think it [00:47:50] does come down to complexity of the product as well. A toothbrush is essentially pretty simple. [00:47:55] Yeah. Um, you’d be surprised at how complex the patent [00:48:00] is for a simple object. So my advice would be to stick to a simple product if [00:48:05] somebody wants to go down this road, but something that’s far more engineered and complex. [00:48:10] And so it must be into, as you said, you know, over £100,000.

Speaker3: So the conversations, [00:48:15] the conversations with the hygienists made you think, yeah, they’re enthusiastic. [00:48:20] They know the problem I’m talking about. So there is a market here. And [00:48:25] did you feel like that was enough to say, I’m going for this? And or [00:48:30] was there was there had you talked to any other companies regarding, um, licensing? [00:48:35] I had this is where the real, real risk and cost starts now doesn’t [00:48:40] it? At this point in the, in the cycle.

Speaker1: Front load the risk. [00:48:45] I’ve tried to, you know, through speaking to the profession and through speaking to companies as well, [00:48:50] but mostly the profession. When I had a unanimous response from the profession [00:48:55] about number one, but the seriousness of the problem and number two, [00:49:00] about the solution that I was presenting to them, it was it was such [00:49:05] a it was a no brainer. You know, there was simply no doubt from anyone [00:49:10] of the 150 of them. And that was just as resounding, [00:49:15] you know, proof of product market fit. And yes, [00:49:20] it was it was very much on that basis, along with other serious factors like [00:49:25] commercial viability of it, you know, how cheaply can this be produced and [00:49:30] will it actually work? And just with the material science from, from uni, [00:49:35] from, from dentistry, I knew that we could get the performance out of the materials. Uh, [00:49:40] the rough idea of how my manufactured with a simple kind of sliding [00:49:45] mechanism with a tool rather than extra. You know, uh, [00:49:50] cause they call it, um, other aspects of the tool that would make [00:49:55] for a much more complex machine and development process. So [00:50:00] yeah, it was proof of the product market fit. Um, the materials they knew the materials could [00:50:05] perform and that it could be manufactured at scale and be accessible, [00:50:10] accessible to the masses.

Speaker1: It wasn’t some wild, you know, £200 [00:50:15] electric toothbrush or something that was, you know, £5 and it [00:50:20] works and can transform people’s oral health overnight. So I think that was [00:50:25] as much evidence as anybody could ever gather. And and yes, then it came down [00:50:30] to whether companies would take it on under licence. And these behemoths, you know, they move pretty [00:50:35] slowly. And because this seemed like a niche product to them, it [00:50:40] felt like too much of a punt to them. And they were like, they loved it. But they’re like, yeah, but [00:50:45] no thanks. We’re we’re just not sure enough about this. And I could sense they didn’t have [00:50:50] that clinical insight, that real world insight, seeing how a patient holds [00:50:55] a toothbrush, how that the mind’s eye of a patient works. You know, that member [00:51:00] of the public for this situation, it was completely new to them. And [00:51:05] it was on that basis I decided. Well, I’m just going to dip myself. [00:51:10] A had committed to just licensing out IP, but because [00:51:15] I like the manufacturing and because having spoken to the companies and understanding their position, [00:51:20] it just encouraged me more. How many did you get on with it?

Speaker3: How many did you speak to?

Speaker1: 30, [00:51:25] maybe.

Speaker3: 30. Toothbrush type manufacturers? Yeah. [00:51:30] And how did you how did you go about getting their details and how did you approach them?

Speaker1: Linkedin. Linkedin. [00:51:35] And you know, the biggest ones like Unilever and Colgate, they have open innovation [00:51:40] portals. So you submit your product idea [00:51:45] and they you know, they respond. So I think, you know, top five big [00:51:50] players, they they have open innovation portals. But otherwise you’re reaching out personally to people [00:51:55] through LinkedIn.

Speaker3: So you’re going on LinkedIn finding out who’s the CEO of, I don’t know, the TP [00:52:00] or whatever. And and then or somebody in.

Speaker1: Yeah, somebody in [00:52:05] marketing or in R&D. Yeah.

Speaker3: And then sending them a message saying I’ve got [00:52:10] this new product for like go on step by step. What happened?

Speaker1: Okay. I mean, you [00:52:15] know, they’re obviously busy people and I don’t know how many pitches they get every day and things. But just [00:52:20] to introduce that, I might be able to add value to their range [00:52:25] and if they might be willing to look at what I have, and, [00:52:30] you know, I might have needed to reach out to ten people within the same company to get a response. [00:52:35] And it wasn’t necessarily under the Arima, or they just weren’t willing [00:52:40] to respond, whatever. Um, you just have to respect that. So it’s just perseverance [00:52:45] and, you know, trying to reach out to the right people, the relevant people. But [00:52:50] I originally thought it would always need to be sort of R&D people to reach out to because they’re at [00:52:55] the product development end. But often it’s the marketing people because they [00:53:00] are the ones that, you know, they they sell it, they know what the market likes, and they [00:53:05] can feed back the business potential to their boss for for considering this innovation [00:53:10] to add to the range. So it can be it can be surprising people that. You [00:53:15] need to speak to.

Speaker3: Yeah, it’s interesting, isn’t it? So someone listening to this might [00:53:20] be thinking. I’ve not. I haven’t got this in me because I haven’t got the engineering [00:53:25] mind to think about these things. Yeah, but [00:53:30] I think the I think you and I both know, right, that the tapestry that goes [00:53:35] into a successful product, one aspect is engineering and design. Yeah. [00:53:40] But then another aspect is marketing and another aspect is funding. [00:53:45] And you could be any of these guys, you know, your particular interest could be marketing, let’s say. [00:53:50] Yeah. And then absolutely. And then you go to a product designer who’s got someone like Michael sitting there [00:53:55] who likes putting things together and, and and so on. So did it not [00:54:00] put you off that all these big companies didn’t want to know? Did you not think, well, what makes [00:54:05] me think I can do it?

Speaker1: I could understand their position, and I was very much approached it [00:54:10] from wanting to understand their position. And having had having been coached on licensing [00:54:15] to big companies, I had some insight and [00:54:20] I knew what kind of holds them back and how they, you know, they might have a budget [00:54:25] allocation and, you know, a pipeline of projects that, you know, they [00:54:30] like it, but this would be a kind of year two in their pipeline. And [00:54:35] I didn’t want to wait a year or two to see if it fits in their pipeline. So [00:54:40] I could sense the lack of agility within those companies. Yeah. And [00:54:45] also their never ending pursuit of what I would call as a dentist. [00:54:50] Quite gimmicky designs. Of toothbrush. And when I say game, [00:54:55] I mean it’s just it’s just an aesthetic reiteration of the same function and [00:55:00] that it bores me and it excites me, you know? So [00:55:05] I like functional development and I love building beauty into Israel. [00:55:10] Absolutely. But I could see them just changing the visual design all the time and [00:55:15] understood what their business model was to largely stick with what works. And [00:55:20] this is a whole new. Toothbrush. It works on a whole new way, [00:55:25] and I could sense it was just too much of a leap for them to truly measure and understand, [00:55:30] and a sense they didn’t have that broad kind of [00:55:35] understanding of. Just the patient, the member of the public and how they would [00:55:40] how they would respond to this and also how the hygienist would respond to it. [00:55:45] You know, I don’t know how closely they they work with hygienists. I’m sure they have some [00:55:50] in their development, um, departments and things. But I felt I just understood [00:55:55] it from all these angles that the product market fit was just so clear to me.

Speaker3: And, you know, dude, [00:56:00] it might be that a lot of times the product market fit comes in a few years time when when this [00:56:05] problem becomes more obvious and, you know, however much you’re responsible for making this problem [00:56:10] more obvious. But it’s interesting that as a, as a profession, [00:56:15] this issue isn’t really emphasised in our training. Yeah. And so you’re you’re [00:56:20] having to tell dentists hygienists that this is a problem. What [00:56:25] about the communication direct to consumer. Have you have you looked at that. And [00:56:30] and does that have you had any traction there or have you found it easier or harder than [00:56:35] talking to a professional?

Speaker1: It’s, uh it’s interesting. They they are [00:56:40] worried about these teeth. They’ve just lost the tooth, so they’re highly motivated. Somebody [00:56:45] has lost a tooth. They’re on a whole other psychological mindset now about their teeth. [00:56:50] If they’ve developed a finite, you know, outlook for their dentition [00:56:55] and they don’t want to lose more. So highly motivated. And they do [00:57:00] worry about the teeth next to the partial dentures like all the time. And [00:57:05] when once this is in their hand and they put it there at that site, they just get [00:57:10] it, they just get it. And they suddenly feel empowered. They feel in control now [00:57:15] of this area. They suddenly feel not too bad about having a partial denture there. [00:57:20] They I tell them that your denture is actually a wonderful piece of engineering. [00:57:25] It’s been made for your mouth. It does work. You don’t need to lose the teeth next [00:57:30] to it. You can control your oral health completely. And this [00:57:35] is the missing piece. You’ve got your electric toothbrush for everywhere else. Maybe a water flosser for in between [00:57:40] your teeth. And this is for those sites. There are three distinct mechanical [00:57:45] ways of cleaning your mouth reliably every day, so they really get it. Um, [00:57:50] and yeah, so that’s, that’s actually the basis of a big sort of TikTok, [00:57:55] uh, campaign we’re about to launch.

Speaker1: And because it’s so you’re speaking [00:58:00] to them directly and they’ll be sort of live events and things on TikTok [00:58:05] and they’re, you know, they’re sitting at home, they’re not distracted. They’re [00:58:10] they know their problem. They see the solution, they get it. And it’s [00:58:15] just so direct. I’m really looking forward to that part of it. Um, at the moment, interestingly, although [00:58:20] all the hygienists love it and they rave about it, there’s so much friction [00:58:25] to getting this product into their patients hands. You know, their principal needs to agree to stock [00:58:30] the brush and transpose. You know, they don’t want to clutter up reception area more [00:58:35] with more products. And they’re like, yeah, but okay, it’s a £5 toothbrush. And [00:58:40] like, what’s the point of stocking this? And but yeah, we agree it does the job. Can you not just [00:58:45] recommend it to patients. But then if you just recommend it to the patient then patient needs to remember you need [00:58:50] to go home. You need to look it up and then they might lose interest. Yeah. There’s all these layers of [00:58:55] uh obstacles to the patient.

Speaker3: From from from the hygienist. It does need demonstrating. [00:59:00] You know, that’s that’s the important point of hygiene. Shows the guy what to do. [00:59:05] And, you know, before you said £5 price point three accessible, [00:59:10] you know, but from a from a business perspective, it makes it much harder [00:59:15] because cost of acquisition of a new customer has to be below £5. You know, I mean, you [00:59:20] can look at lifetime value and all that, but it has to be way below because of your margins and all that. [00:59:25] What do you what do you sell the package to a practice? I mean, do you sell them a package of [00:59:30] a number of them or how does that work?

Speaker1: Yeah, I mean, sell 20 packs, you know, about [00:59:35] £3 each. Um, so, you know, they can sell it for, you know, [00:59:40] places in London sell it for over £10. Oh, really? Um, yeah. But I mean, [00:59:45] there’s places that they only want to sell it for £4. £4.50. Uh, you know, [00:59:50] they’ll cover their costs and they provide a service to their patient. The patient can access what [00:59:55] they need. And the reality is, most people that need this, you [01:00:00] know, they maybe cannot afford, you know, another £30 [01:00:05] device in their bathroom to use every day. And £5 suddenly empowers them. [01:00:10] Um, you get three months use out of it. That’s, um, [01:00:15] I want I really want the masses to have this in their hands. The masses need it, [01:00:20] and they should have it. So it’s on that basis that I wanted to make it [01:00:25] manufacturable at scale and cheaply and yet perform clinically in anybody’s hands. [01:00:30] And yet on top of that, you could build a business around, you know, a £10 price point, make it more [01:00:35] glittery and fancy shiny, you know? Yeah, all of those things, you know, you can always add that later. [01:00:40] But my focus was, how do I get this to the masses? Because the masses need it.

Speaker3: So [01:00:45] what’s your advice to. Yeah, I mean, loads of dentists have ideas [01:00:50] about different things they can do. Outside of dentistry. [01:00:55] I mean, and, you know, both me and you are kind of still in dentistry, aren’t we? I mean, we’re not we’re not practising, [01:01:00] but we’re in dentistry. Um, let’s let’s say I come across [01:01:05] so many dentists who want to do toothpaste and mouthwash and toothbrushes. And [01:01:10] what’s your advice? What’s your advice? The the pitfalls. What should [01:01:15] they do?

Speaker1: So a year to find somebody who wants to get out of the industry, and [01:01:20] not.

Speaker3: Necessarily someone who wants to do a thing like like, you know, in a way, I’d call you an inventor. [01:01:25] Yeah. Um, and by the way, there’s I say there’s another era. Some people [01:01:30] make people think they have to come up with something completely new to do a new business. And [01:01:35] that’s not necessarily true. You could you could have re-engineered the toothbrush right into a [01:01:40] better TP brush and not have to, you know, explain a whole new thing to people, [01:01:45] for instance, for the sake of the argument. Yeah, yeah, yeah.

Speaker1: And you know, you’re right. I mean, within [01:01:50] everything around you there are, there are, there are assumptions built into [01:01:55] every object. And, you know, things that we’ve taken for granted that are limitations [01:02:00] to everything you touch and hold and what you’re holding and using might have been [01:02:05] engineered 15 years ago and the market might have changed. The market interest [01:02:10] might have changed, materials might have changed, manufacturing processes might have changed. [01:02:15] So if they have a if they have an urge for a fresh approach to something, you [01:02:20] know, if they can, if they can do a bit of market research, if enough people enough [01:02:25] other people share that, you know, passion and urge for that change, [01:02:30] then, you know, they could get on with it. They could pursue it. This [01:02:35] don’t take it for granted that the way we do things, it needs to stay that way. I, [01:02:40] by nature have always questioned the status quo. Everything, every, every [01:02:45] how, every y, every y. Why is it the way it is? And I’ve always questioned [01:02:50] that just out of interest. This is a bit of a nuisance to people, because I kind of go in and [01:02:55] kind of meddle with things and reconfigure things and like, but [01:03:00] and I say, but is this not easier now? Is this I’ve just made your life easier. Oh yeah. Okay. [01:03:05] And you didn’t realise they had been just trying to adapt the whole time [01:03:10] and accepting this limited tool and a tool. It could be a tool, [01:03:15] it could be a toy, it could be any household object. It could be anything we use every [01:03:20] day. So yeah, it’s I do I do encourage people to scratch that itch if they [01:03:25] have that interest in design or creativity.

Speaker3: It’s [01:03:30] so true. What you said that really resonates for me is that the assumptions [01:03:35] the product relied on may be out of date, but they [01:03:40] may be. They may be completely random. You know, I’ve been trying to get my head [01:03:45] around particularly. I mean, you’re looking at sort of objects, right? I’ve been trying to get my head around chemistry. [01:03:50] Right. The chemistry. Why is the chemistry of this like that? And I [01:03:55] was talking to a couple of professors, you know, like leaders in [01:04:00] the field, many, many formulators chemists at, at contract manufacturers, [01:04:05] many, many dentists, competitors are trying to find out why. [01:04:10] Why is this thing like. And no one can tell me no one. Yeah, yeah. [01:04:15]

Speaker1: Yeah I love that I love that.

Speaker3: Yeah yeah yeah, yeah. Um, and you know it’s like a where [01:04:20] time question, right. Why one hour. Why not all night type thing. Yeah. Is it toxicity. Is [01:04:25] it. You know, what is it. What’s the it. It looks to me now that it just [01:04:30] was just a convention someone decided on in the 70s. Yeah, [01:04:35] yeah. And that’s it. Yeah. Yeah, yeah, I love it.

Speaker1: And that excites [01:04:40] me so much. It’s such a an inspiration that. Because you think what else [01:04:45] can be invented, you know, and are we reinventing the wheel here? And it’s like, it’s not that [01:04:50] dramatic. There’s, you know, there’s always scope and I always will be.

Speaker3: Tell [01:04:55] me about things you would have done differently, mistakes you made.

Speaker1: Yeah. [01:05:00] Uh, I think my interest in product design, [01:05:05] you know, it’s my life now and business. So product design and business was with me from [01:05:10] very early on in my childhood, and. As [01:05:15] I dunno, is it my fault? Should I have communicated it more? Those were. Those were the fire in my belly. [01:05:20] And if I had acknowledged that by the age of 11 or 12 that, [01:05:25] you know, this is what I must do as an adult and ignore these, you know, classic, [01:05:30] you know, astronaut, airline pilot, doctor, dentist things, you [01:05:35] know, just feel sense and feel what what you keep thinking about, what [01:05:40] you keep applying your attention to, what you keep testing and experimenting [01:05:45] with. That’s probably. But you know, as a 12 year old, I can’t really blame myself. [01:05:50] But that that was that was where the biggest mistake started beginning. And I ended up in this road, [01:05:55] this academic pathway and this kind of quintessential professional pathway. Um, so [01:06:00] those that’s probably the biggest mistake. Um, but I think then once, once I was into [01:06:05] it and properly miserable and practice ownership. But [01:06:10] it’s kind of it’s a hard it’s a really you’re really in a rut though, because when you’re so [01:06:15] consumed by it, you can’t really see options. But if, if somehow I could have. [01:06:20] And the belief that there are options. I would have broken away sooner [01:06:25] and not consumed the energy and time that I did. Those [01:06:30] are the two probably the biggest aspects of my life that, you know, you [01:06:35] might call a mistake, you know?

Speaker3: We’ll do this. And I’m really impressed by [01:06:40] how far you’ve come since the last time me and you spoke. Um, I’m [01:06:45] excited about the TikTok. I’m interested to see who these denture wearers are on TikTok. But [01:06:50] I know why you’re doing it. I know why you’re doing it. I’m also doing. We [01:06:55] need to compare notes on that. Yeah.

Speaker1: That’s an interesting [01:07:00] idea. Yeah. It’s just it’s a young audience at the moment with TikTok, but it is expanding. They [01:07:05] have to take.

Speaker3: Over all the time myself. But I don’t know about you. Yeah, all the time. [01:07:10]

Speaker1: You know that the word on the street is it’s gonna, you know, take market share from Amazon for [01:07:15] for people’s purchasing habits because the TikTok shop, you know, and and [01:07:20] the Amazon experiences to go on to the Amazon website is such a bland experience. And you’ve basically [01:07:25] already made your choice and you’re just kind of looking, flicking like these 2D pictures. [01:07:30] It’s like, so I don’t like using Amazon. It’s I reckon.

Speaker3: So Amazon is also going [01:07:35] to turn more like TikTok though. Yeah, they’ll they’ll have a social feed on the side of Amazon. Yeah. Good [01:07:40] good. You know what I love about TikTok? How with one push of a button on your phone, the [01:07:45] things arriving in your, you know, it’s like it’s even more frictionless than than Apple Pay. I’ve bought things [01:07:50] on it by mistake. Oh, just there it is. Done. Yeah. I [01:07:55] mean.

Speaker1: It’s amazing and it’s immersive. And, you know, people are there. They’re making choices based [01:08:00] on their their their emotion, their the experience being [01:08:05] on, you know, watching and being on the app. They’re [01:08:10] shopping based on an experience. First wear an app and you go to Amazon. You’re shopping based on [01:08:15] a logical choice, which is boring, you know? So it’s like that’s the [01:08:20] way forward.

Speaker3: Tommy, what do you need now? Do you need you know, I guess you need customers. Do [01:08:25] you need do you need investors?

Speaker1: I think we’re okay just now for funds. And, [01:08:30] you know, the TikTok thing is really I’m really excited about that. And it is the perfect [01:08:35] type of product for TikTok for that type of platform. Yeah. So yeah, we’ll just see how it goes [01:08:40] and hopefully it can just continue to be self-funded, you know?

Speaker3: So if someone if someone [01:08:45] wants to get in touch they go through the same website.

Speaker1: Yeah. There’s a contact [01:08:50] form in there. I’d be happy to speak to anybody and, you know, happy to speak to any dentists who, who love [01:08:55] product design and have ideas about that and different options for them within that, [01:09:00] um, realistic risk free options to get an idea into the market. [01:09:05] It doesn’t need to be a massive, risky venture. Yeah.

Speaker3: Amazing. [01:09:10] We’ve come to the end of our time. Let’s let’s get through the final questions, buddy. Yeah. [01:09:15] Fantasy dinner party. Three guests. Dead or alive? Yes. [01:09:20]

Speaker1: Party. Yeah. I think you know, the whole product [01:09:25] and entrepreneurship is my life now. And I totally am immersed in it. [01:09:30] And I’ve been reborn. And so it’d be related to that. I think, you know, James Dyson [01:09:35] and how he has built his empire on redesigning [01:09:40] objects that we have taken for granted in life and found new layers of innovation [01:09:45] and redeployment of current technology into these [01:09:50] stunning and ergonomic, amazing inventions, [01:09:55] and to just to just get an insight. And he seems so peaceful and happy within his life [01:10:00] and path, and where he’s brought his passion and [01:10:05] his skills and that would be cool. Um, also, I think maybe [01:10:10] David Gilmour from Pink Floyd, he, um, you know, I’ve [01:10:15] been a fan of Pink Floyd since I was like 7 or 8. And again, [01:10:20] his his philosophy in life and combining that with his musical talent [01:10:25] to bring us a product which nourishes endlessly [01:10:30] and. Has been such a huge influence to me. Um, [01:10:35] and it’s just, just seems like a great guy to. To hang out with. [01:10:40] Um, so to have him as well. And and also this 1st May surprise you. [01:10:45] This relates to basically having somebody close. To [01:10:50] bounce ideas from who’s maybe a few steps ahead of me, but not so [01:10:55] far ahead. That is legendary, but still massive influence. And it would be [01:11:00] you Payman me. Yeah. So take this [01:11:05] as a as an official invitation. You’re welcome to dinner anytime. And you’re doing [01:11:10] what I want to do. You’re launching amazing products into the market. Is highly respected [01:11:15] figure and, you know, great products that work and making [01:11:20] a real difference to people. Um, you’ve got that kind of tenacious, you know, never [01:11:25] ending pursuit for development and improvement. And, you know, you’re you’re kind [01:11:30] of you’re you’re doing what I want to do. You’re nice guy. And it would just be [01:11:35] great.

Speaker3: Did not expect you to waste a vote on me.

Speaker1: I was I.

Speaker3: Was trying to second guess you. I [01:11:40] was like, Ellen’s coming. Ellen’s coming. Ellen’s coming.

Speaker1: You’re [01:11:45] welcome. Anytime. But yeah.

Speaker3: Yeah, I love, love to do. [01:11:50] And same. Same with you in London, my buddy. Same with you in London. You must come to London once in a while, right?

Speaker1: Yeah, [01:11:55] yeah, I do try to get down, um, just a bit mad. Still here, but. Yeah, maybe [01:12:00] over the summer or into autumn.

Speaker3: Final. Final question. It’s a [01:12:05] deathbed one. On your deathbed, surrounded by your loved ones. You [01:12:10] can give them three pieces of advice. What would they be?

Speaker1: Three [01:12:15] pieces of advice for my loved ones. I think. First one I think [01:12:20] would be. Once. Once you’ve got your attitude sorted [01:12:25] and sorted yourself as a person and you’ve become [01:12:30] a hard working type, whether it’s at school age or even in adulthood. [01:12:35] Once that’s established, follow your passion. And [01:12:40] I know everybody barks on about this in the internet. Like follow your passion, follow your dreams. Get [01:12:45] get your get your shit together first, right as a person. Once [01:12:50] you know that you’re committed to being responsible to serving society, [01:12:55] you have a. Cleanouts should your just. [01:13:00] Just do what you want. Do what you want if you’re going to work hard. Three [01:13:05] one, and I didn’t do that early enough. I should have done that 30 [01:13:10] years ago when I was in my early teens. Yeah. So yeah. Um, [01:13:15] that’s the first one. I think the other one is in life, [01:13:20] in relationships, in business, and a service as a service provider. [01:13:25] Uh, know your audience? Have [01:13:30] an undying and undeniable interest in the person [01:13:35] in front of you. For this contact, [01:13:40] this relationship, this engagement, this service provision under that. No, no. Your [01:13:45] audience, um, whether it’s, you know, dental treatment, whether it’s in conversation, [01:13:50] um. They have a background, they have a, you know, preconception [01:13:55] of things.

Speaker1: They have their own nature, their own needs. And [01:14:00] now that was that was very powerful for me through dentistry and [01:14:05] in business and relationships. That’s the second one. Um, [01:14:10] and the third one. I’ve just written down [01:14:15] here, come in in a crisis. And it’s it’s [01:14:20] when, when life happens, when when shit happens and [01:14:25] you’re on your knees and the the calmness, the the the. [01:14:30] You know the belief in those moments. That [01:14:35] as a way and to stay calm. Through that process [01:14:40] to to to to not add. Emotion [01:14:45] onto what is already a really, really hard situation. If you can stay calm in those [01:14:50] crises and have the belief, the authentic voice [01:14:55] that comes. The that pulls you out [01:15:00] the light. I call it the light and the light that comes [01:15:05] in those dark moments. It comes. It will come and [01:15:10] believe in it. And as you’re falling into the crisis, that [01:15:15] light will appear. And as you’re falling, it doesn’t, it doesn’t doesn’t feel [01:15:20] like that will ever come. And some people never make it out of that, bless them, [01:15:25] you know. But. Crisis happens in life and. But the light comes if [01:15:30] you’re calm and you wait for it and you believe in it. So that’s the other. That would be the third [01:15:35] bit of advice.

Speaker3: Very lovely man. A bit like when you say crisis, you’re not talking [01:15:40] about the lingual side of that tooth falling off, right?

Speaker1: Yeah.

Speaker3: Light [01:15:45] will come. Yeah. Thank you so much for doing [01:15:50] this, buddy. I think I feel like I need to catch up with you again in a couple of years time, see where Ergo Proxy [01:15:55] has gone. And even more exciting, what other products you’ve you’ve come out with and [01:16:00] what other things you’ve turned turned your hand to. But really super impressed that you told me [01:16:05] what you were going to do a couple of years ago, whenever it was. Was it a couple of years ago? It was. It was Covid.

Speaker1: Yeah, I think yeah. [01:16:10] Two years ago. Yeah.

Speaker3: And then at least and then you’ve gone ahead and done it exactly as you said. And [01:16:15] now I wish you the best my buddy. It’s really, really impressive. Well done buddy.

Speaker1: Thank you so much and [01:16:20] thanks for the opportunity. And um, yeah, great to speak to you, buddy. And, uh, I hope to catch up with you in London [01:16:25] someday.

Speaker2: This is Dental Leaders, the [01:16:30] podcast where you get to go one on one with emerging leaders in dentistry. [01:16:35] Your hosts. Payman Langroudi [01:16:40] and Prav Solanki.

Speaker4: Thanks for listening, guys. If [01:16:45] you got this far, you must have listened to the whole thing. And just a huge thank you both from me and pay [01:16:50] for actually sticking through and listening to what we’ve had to say and what our guest has had to say, because [01:16:55] I’m assuming you got some value out of it.

Speaker3: If you did get some value out of it, think about subscribing. [01:17:00] And if you would share this with a friend who you think might get some value [01:17:05] out of it too. Thank you so so, so much for listening. Thanks.

Speaker4: And don’t forget our six star rating.

 

Mind Movers brings things home this week as Rhona has a heart-to-heart with her father, Dr Alex Eskander, a renowned obstetrician and gynaecologist. 

Dr Eskander shares his inspiring journey from Egypt to the UK, his experiences as a junior doctor in the NHS, and his transition to private practice. 

The conversation delves into important topics such as the importance of egg freezing, increasing rates of fertility issues, the psychological impact of infertility, and the option of adoption. 

Enjoy!

 

In This Episode

00:01:45 – Backstory

00:05:50 – Journey to the UK and medical training

00:23:40 – NHS experience

00:35:30 – A love story

00:54:40 – Return to the UK

01:08:05 – Private practice

01:11:40 – Egg freezing and ovarian reserve

01:16:25 – Fertility and IVF

01:29:10 – Societal pressures

01:36:30 – Adoption

01:42:15 – Male infertility

01:44:25 – Dr. Iskander’s experience with prostate cancer

01:48:15 – Advice for younger self

 

About Dr Alex Eskander

Dr Alex Eskander is an obstetrician, gynaecologist and assisted conception consultant. He is the co-director of The Fertility & Gynaecology Academy and founder of the Gynae Centre, London.

Speaker1: I think the most important thing in life is to have to develop an ambition. You [00:00:05] can’t say I’m studying this because and [00:00:10] I don’t know what I’m going to do at the end. I think it’s always better to set up a goal and [00:00:15] then you work towards this goal.

Speaker2: This is mind [00:00:20] movers. Moving the conversation forward on mental health [00:00:25] and optimisation for dental professionals. Your hosts [00:00:30] Rhona Eskander and Payman Langroudi. Hi [00:00:35] everyone. Welcome to another episode of Mind Movers Season two. Today [00:00:40] I am bringing my dad, Doctor Alex Iskandar, which makes me so happy because [00:00:45] he literally is my hero. And you know, Payman asked me. He said, what’s [00:00:50] the angle? And I said, you know, my dad is an incredible because his story of he always downplays it, like [00:00:55] typically from someone that comes from the Middle East. But his story is incredible how he came to the UK, [00:01:00] how he created what he created, harnessed the right kind of values [00:01:05] in me and my sister, who’s ended up working really hard. And on top of that, he’s one of the top [00:01:10] gynaecologists in the UK, which is true. And what’s amazing is any time I post [00:01:15] him a whole load of people on my Instagram, go, he’s my gynaecologist, you know, and [00:01:20] they say, always the most wonderful things about you. Oh, my father also [00:01:25] is the person that told me to do egg freezing. I think way before it was topical, there [00:01:30] was a lot of taboo, and he’d been talking about it a long before people had started doing it. And [00:01:35] I think it’s a really great way for people who are listening to this podcast [00:01:40] to really understand the implications for female health and why that’s beneficial. So welcome, daddy.

Speaker1: Hi. [00:01:45] Thank you. Welcome to you. Thank you for having me on your shows.

Speaker2: Amazing. Okay, [00:01:50] dad. So I want people to hear your story about how you came to the UK from Egypt. [00:01:55]

Speaker1: Okay, so back in the 60s, [00:02:00] uh, when I went to medical school in 1963. [00:02:05] I immediately knew after the third or fourth [00:02:10] year that I wanted to be an obstetrician gynaecologist. Actually, it’s just the [00:02:15] first moment I delivered a baby. I just felt [00:02:20] joy and happiness and I thought I did a great job. In fact, just the [00:02:25] baby came out and I just held the baby. But it was just a great experience. And, [00:02:30] um, and from then onwards, I just planned to be a gynaecologist. And [00:02:35] in the 60s and still until today, [00:02:40] uh, being a member of the Royal College of Obstetricians and Gynaecologists [00:02:45] in the UK has always been a big name, you know, to be a member of that college, very distinguished. [00:02:50] And so it’s been my ambition and ambition of a lot of people in [00:02:55] Egypt, and I’m sure around the world and I’m sure until today. So it was more famous than the American [00:03:00] board at that time. So I planned my journey that I’m [00:03:05] going to leave at the end of my first year year internship. To [00:03:10] go to UK to study for the membership and train [00:03:15] because again, the British training, English training at that time was one of the best. [00:03:20] Okay. So, uh, the last year of my [00:03:25] internship, last year in university, an internship was not an easy year because [00:03:30] during my working hours, I had to obtain the approval of [00:03:35] my work where I was working, the approval of the army [00:03:40] to let me go because I was supposed to be going to the Army for the regular, [00:03:45] uh, um.

Speaker3: Uh, military service.

Speaker1: Military [00:03:50] service.

Speaker2: So that was normal in Egypt. I didn’t even know that today.

Speaker1: Until today. Do you know that? But [00:03:55] only yes. So at 18, you are supposed to go to.

Speaker2: So everyone does.

Speaker1: It. Everyone one does [00:04:00] it. Even Doctor George did it. Wow. So you’re only exempted if you’re the only son. I [00:04:05] was the only son. But it was, uh, still temporary because [00:04:10] my mother could have had another another boy. And therefore, both of us have to go. [00:04:15] But. So how.

Speaker3: Old? How old were you when you decided that was. [00:04:20]

Speaker1: I was about 23 at that time. So when [00:04:25] I was in that position, uh, so I actually went, I said I wanted [00:04:30] a final, uh, exemption from the military because I was [00:04:35] the only son, and my mother had a strict to me. Now, funny enough, I went to the. So [00:04:40] I went to the army officer and I said, listen, but, you know, my mother had her womb out, so [00:04:45] she’s not going to have any more children, so you don’t have to worry. He said, I’ve never had that [00:04:50] that heard of that before, doctor. So we still have to make it temporary. It was [00:04:55] the most difficult period of my internship for [00:05:00] three months trying to obtain a a visa. We had exit visa [00:05:05] at that time. So you have to have the government to sign to say you can go out of the country, which [00:05:10] I hated, and it’s no longer the case. However, anyway, I managed with [00:05:15] difficulty and who I was.

Speaker2: How did you get your plane ticket to England?

Speaker1: Well, actually my [00:05:20] my mother was very clever, so I was engaged to a girl whom she didn’t like, [00:05:25] funny enough. And, uh, and but I liked [00:05:30] her. And I said, you know, it doesn’t matter if you don’t like her. I like her. So she knew the only [00:05:35] way to get me out was a one way ticket to pursue my dream in the UK. [00:05:40] And who could refuse a ticket to the UK to study and to [00:05:45] see the Beatles country? The happy you’ve never.

Speaker3: Been before.

Speaker1: Never been?

Speaker3: And what were your [00:05:50] initial reaction when you when you got the what excitement?

Speaker1: I mean, I was only 22, [00:05:55] 23 when she said, and London.

Speaker3: In the 60s was the centre of the world. Right?

Speaker1: No, no, I mean, not many [00:06:00] people travelled like that nowadays. I mean, it was, you know, fantastic to travel. And I also [00:06:05] had my best friend here already. So I’m going to join him as well. And I’m going to work in, [00:06:10] uh, in uh, British hospitals. And the NHS was a great institution, [00:06:15] really to train. So everybody aspired to go and train in [00:06:20] the UK. So here we are. I took the flight, I landed, [00:06:25] uh, stayed with my friend, and the sooner or later, 2 to 3 months [00:06:30] later, I took my first post in Lincoln.

Speaker2: Lincoln, can you do I know, [00:06:35] and.

Speaker1: I wanted to stay in London. Really? Did you.

Speaker2: Cry?

Speaker1: No I didn’t, I was excited to [00:06:40] see the countryside. Everybody talked about the countryside of England, but I was disappointed. [00:06:45] Why? Why? Number one? I took a train, [00:06:50] a very cold train from King’s Cross to Newark, [00:06:55] I remember. And when I arrived, number one, the train [00:07:00] that I had actually was not luxurious as the train we had in Egypt. So [00:07:05] in Egypt we had a Hungarian kind of train, which was really like a bullet [00:07:10] train nowadays. But the train I had from King’s Cross was really like [00:07:15] a steam train from the past. I was really disappointed. And anyway, I [00:07:20] got to Newark, small station, empty and cold. It [00:07:25] was cold. It was the month of December.

Speaker2: And you were in summer clothes, [00:07:30] I assume? Well, of.

Speaker1: Course I didn’t have heavy clothes. It took me years to accept [00:07:35] that this country needs a heavy coat. So I had a light coat. And anyway, it was a [00:07:40] very small train to take me from Newark to Lincoln. And when I got to Lincoln, [00:07:45] it was dark. It was lonely. There was nobody there at 930. I [00:07:50] remember in Egypt it’s a 24 hour party. You had people open all [00:07:55] the time. So I was very disappointed. Anyway, I landed [00:08:00] in a good health hospital eventually.

Speaker2: How were you funding medical school?

Speaker1: Medical [00:08:05] school in Egypt was free. But when.

Speaker2: You got to the UK, that.

Speaker1: Was [00:08:10] all. I came to the UK with. You’re not allowed to take more than 30 sterling pounds [00:08:15] £30 in his pocket.

Speaker2: That’s it.

Speaker1: 30 but 30, you know. Remember at that time the [00:08:20] the salary of a doctor was about £106 per month, but [00:08:25] still £30 was not much. So I had to work in London in the first two months I [00:08:30] waiter, I did no first you didn’t know that. First [00:08:35] I did kitchen porter.

Speaker2: Was the.

Speaker4: Kitchen kitchen.

Speaker1: Wash wash wash.

Speaker3: Washing [00:08:40] up the dishes.

Speaker2: Spaghetti house no.

Speaker1: Well it was the one behind I think it [00:08:45] was. It was spaghetti house.

Speaker4: Spaghetti house. Yeah.

Speaker1: Because the chef was [00:08:50] a friend of mine and he said, do you want to come? Just temporary. And I thought dishwashers, [00:08:55] you know, plates and spoons and probably have a machine as well. But in fact, [00:09:00] no. When you work as a kitchen porter, junior kitchen porter, remember [00:09:05] the other one who was there before you goes to the washing machine or dishwasher [00:09:10] and you go to the big, big saucepans. You are [00:09:15] talking about big saucepans. You have you need a ladder to to wipe it inside. Did [00:09:20] you.

Speaker3: Already speak English, French, Arabic, some.

Speaker1: English, Arabic of course, but some English, [00:09:25] which I was a better communicator than anybody who didn’t know English. So I could communicate [00:09:30] and I could speak good English. Actually, relatively speaking, I [00:09:35] now I will articulate it that you think that I understand English. So I managed to get by [00:09:40] very well. Anyway, I resigned, I walked out after two hours. I couldn’t do [00:09:45] that. And then I enlisted in a cleaner, uh, agency shop. So. [00:09:50] And I did some cleaning shop. I enjoyed that, actually. The dad.

Speaker2: Loves it. He’s like.

Speaker4: Quiet. I’m [00:09:55] a clean.

Speaker1: Person. He likes.

Speaker4: It. He loves.

Speaker1: Well, I’m. I’m a Boy scout. I was a boy Scout. Really? So [00:10:00] I mean, that helped me a lot to understand many things in life anyway. And [00:10:05] from there I progressed into a waiter at, uh, Texas Pancake House, [00:10:10] which was good. And I saved some money on top of the £30. I think I managed [00:10:15] to get it up to 100, 120 in in a couple of months. It was not too bad with the tips. [00:10:20] And, uh, we encouraged the people who didn’t pay tips to pay tips by [00:10:25] singing to them after the service in French sometimes, or [00:10:30] in Spanish. There was a lovely Spanish boy with me anyway, so. But [00:10:35] I was so pleased. I really appreciated the medical degree then. I [00:10:40] really, really appreciate it. So when you do those other things, you know, and I strongly [00:10:45] recommend everybody to have a degree because a degree really separates you from [00:10:50] the big, big mass. Yes, I disagree okay.

Speaker2: So I’m going to disagree with you now obviously, [00:10:55] like growing up my instilled values and Payman, you can share your thoughts with your own children. [00:11:00] It was instilled you have to go to university. As my mum and dad always said, a degree is worth [00:11:05] its weight in gold. However, as time has gone on and I’ve told you this, I [00:11:10] have met plenty of people who are more successful than people with degrees, especially [00:11:15] in the business world, and some of them that have elevated more. And they would argue that [00:11:20] a degrees are useless and a waste of time. So I think it depends on the person and what they want to do. If you [00:11:25] want to be a doctor, a dentist, a lawyer, etc., then of course it matters what degree [00:11:30] that you do. But I think now people can be entrepreneurial, online and very smart and [00:11:35] very successful without having degrees, I’d say.

Speaker3: I’d say education is less important than it [00:11:40] was back in, in in your day. I remember my, my dad said his degree from [00:11:45] Belfast was like a ticket to printing money back home. Yeah. You know, so it’s that [00:11:50] it’s no longer like that.

Speaker2: Yeah, but what if your children.

Speaker3: Said they didn’t? But with the kids, I almost [00:11:55] see university as like a a holiday or something. Yeah. Like something you should. [00:12:00] Something they should be looking forward to. So if, if they decide they don’t want to go, [00:12:05] I’d say they’re missing out on something like a.

Speaker2: Life experience.

Speaker3: The actual experience of it. And I know your your, your [00:12:10] college wasn’t as fun as mine. I, we had that episode. Yeah, but but [00:12:15] nonetheless, I’d say they’re missing out on just the experience of it. [00:12:20] But I think you’re right that, you know, okay, you could give three years to I agree something else. [00:12:25]

Speaker1: I agree, but I also disagree. Just tell me, what are the percentage [00:12:30] of people without a degree who can be something without [00:12:35] without going to university? Just a figure, just a figure in a hundred person who [00:12:40] are already around us? How many?

Speaker2: What do you think?

Speaker1: Percentage? Uh. [00:12:45]

Speaker3: I mean, okay. Yeah, a lower, a lower, [00:12:50] a lower percentage.

Speaker1: Is 1%, uh, too little or too.

Speaker3: Much? No. Too little, too little. [00:12:55] Yeah. That’s really. Yeah. You can be super successful without a degree. You can more than 1%. [00:13:00]

Speaker1: Yeah.

Speaker3: Oh, yeah. And you can be super unsuccessful with it.

Speaker1: I agree, I think. Listen, so [00:13:05] I’ve.

Speaker2: Actually googled it. Yeah. So it says based on the findings from Entrepreneur.com. [00:13:10] Those who become highly successful without an education appear [00:13:15] to be roughly 6%. So I don’t know.

Speaker1: That’s still 94% [00:13:20] who can make it. And among the entrepreneurs? Well, no, no.

Speaker2: But listen to [00:13:25] this. The percentage of jobs this is from Harvard Business Review. The percentage of jobs requiring [00:13:30] a college degree fell from 51% in 2070 [00:13:35] to 44% in 2021. So most some people now are not requiring [00:13:40] degrees.

Speaker4: Now.

Speaker1: In my days.

Speaker3: No no no, that’s right, that’s right.

Speaker2: That’s what he’s.

Speaker1: Saying. In my [00:13:45] days it was different. Okay, so I agree I was a frustrated entrepreneur. [00:13:50] I could have gone into business straight away after secondary school. [00:13:55] Now secondary school is definitely.

Speaker3: What did your dad do?

Speaker1: Well, he was a civil servant. He was [00:14:00] not really ambitious. He was happy with and he wanted to have a pension. And there are many [00:14:05] people, I think the majority of people want a stable job and a salary. Not [00:14:10] everybody is an entrepreneur. I’m not sure whether you know, whether you can [00:14:15] apply that to everyone. But, you know, if you have an entrepreneurial skills, such [00:14:20] as Zuckerberg, for example. I mean, he knew he had a talent or Richard.

Speaker2: Branson. [00:14:25]

Speaker1: Whatever. You know, those are people who recognise themselves and got frustrated with education. [00:14:30] I got frustrated with education initially because I was an entrepreneur. [00:14:35] But how many business, how many business people succeed? How many end [00:14:40] that also, I.

Speaker2: Think also, but the thing is, is that the school and education system is extremely flawed because [00:14:45] it’s like one fits all kind of model and also but listen like, you know, as well. For example, [00:14:50] when I was young at school, I struggled academically. I’m not talking about Queens when I worked really [00:14:55] hard and etc. but I struggled academically and teachers didn’t help, you [00:15:00] know, my strengths. They would focus on my weaknesses. For example, like, I’m lucky because Queens College, [00:15:05] which was a school that I went to, it was more designed for like the creative type of person, which then [00:15:10] I could thrive in that environment better. But like for example, the education system, like Richard [00:15:15] Branson, is he, um, dyslexic or. Yeah, he’s dyslexic, you know, so he physically [00:15:20] struggled to read and write, for example. But his skills he have obviously he’s an [00:15:25] intelligent person in a different way.

Speaker3: I think it comes to. Do you do you have any sort of feelings of [00:15:30] you might not have become a dentist if you if you weren’t groomed to become a dentist. And, and do you [00:15:35] think that you would be something, something else. Well that you’d rather be.

Speaker2: Well, my dad knows the story [00:15:40] already. I mean, I was always good at drama and English literature. Do you remember? I was really good at [00:15:45] that. And some of my English teachers even said, why don’t you go to university and study English? Do you remember [00:15:50] the teacher saying this? And they said, Go to Oxford? Miss Kalia said that, go, go, [00:15:55] here we go. Look, it sounds like that. And my dad said, listen, don’t waste your time. [00:16:00] Do do the dentistry and you can always do English later.

Speaker4: Whatever you want to do. Yeah, but listen. [00:16:05]

Speaker1: But you had a flair for dentistry.

Speaker4: Of course I wanted.

Speaker2: To be a dentist since I was.

Speaker1: 12. Yeah. I mean, you know, at nine we visited [00:16:10] my cousin in LA who was a successful dentist, and I loved it. And she looked [00:16:15] she loved it because, you know, she had a nice house and in Santa Monica in LA. And [00:16:20] she immediately said, dad, I want to be a dentist.

Speaker3: And what kind of a kid was she?

Speaker4: Fiona? [00:16:25]

Speaker1: She was a strong kid. She was. She knew what she wanted. Handful from [00:16:30] three years old. She would really. She has a strong mind. [00:16:35] That’s what I want. Wow. She she shout at me. So once I was shouting at her mom and [00:16:40] she was only a baby then she was maybe one year plus. She shouted back at me. [00:16:45] She said like that? She couldn’t say shout back, but she [00:16:50] just made a noise to say that she didn’t like what I said. She she’s all been been always [00:16:55] been strong, always been ambitious as well. I think the most important thing in life is [00:17:00] to have to develop an ambition. You can’t say I’m studying this because [00:17:05] and I don’t know what I’m going to do at the end. I think it’s always [00:17:10] better to set up a goal and then you work towards this goal about the education system. [00:17:15] What I think I would have liked if I, if I would have [00:17:20] known that I want to be a doctor at the age of 13, 14. [00:17:25] I would rather have made that choice at that age. And there is a specialised [00:17:30] school from then. I entered medical school then because everything I [00:17:35] studied then from advanced maths to advanced chemistry, [00:17:40] I mean, you need the basics, but you don’t need the advanced one. You know, I forgot all about it. Most [00:17:45] of us forgot.

Speaker2: But people say, for example, that the things like the education system is extremely outdated [00:17:50] and I would I would agree as well. They agree. They said they don’t teach you anything about taxes. They don’t teach [00:17:55] you anything about fertility. Correct. Yet they teach you Pythagoras theorem. You know what I mean? Like, and [00:18:00] it’s like, when have we ever used it?

Speaker1: They concentrate on the basics. And I think there is a reason for that very important [00:18:05] reason, actually. You have to understand that they want you to be a researcher and. [00:18:10] Advance your speciality. They don’t want everybody just to open a clinic and just [00:18:15] really carry on with what they’re doing.

Speaker2: But I’m talking about even like primary school and secondary school as well. Like there’s [00:18:20] such a disconnect. Like for example, people don’t have a basic understanding, including dentists about [00:18:25] accounting, for example, taxes, things like this. We don’t know. You know what I mean? You’re meant to learn. [00:18:30] And actually if you those are important life skills and extremely helpful. Now [00:18:35] I want to talk to you, dad, a little bit about your time as a junior doctor. [00:18:40] As we know, junior doctors now, for the first time in many years, are speaking out [00:18:45] about their experiences. Nhs dentistry is also in a [00:18:50] huge crisis. I haven’t talked to you about it. As you know, I worked for many years on the NHS. Ten years. My dad [00:18:55] made it very, very clear to me. He said you do your time on the NHS by the way, you know, and you know, a lot of dentists don’t do that. He said to [00:19:00] me, you do your time on there. That’s what he said.

Speaker4: And we all have. We all have to do. A [00:19:05] lot of people don’t. It’s a fantastic.

Speaker3: I didn’t.

Speaker2: See he didn’t.

Speaker4: Really. Yeah, yeah. [00:19:10]

Speaker2: So, so.

Speaker4: But it may.

Speaker1: Be different in dentistry.

Speaker2: Why didn’t.

Speaker4: You.

Speaker3: Because [00:19:15] I didn’t want a third party in between me and the patient.

Speaker1: But did you train before [00:19:20] you came here? Sorry.

Speaker4: Were you born here?

Speaker3: Yeah, I trained here, I trained here.

Speaker1: So you trained. [00:19:25]

Speaker3: I trained here.

Speaker2: But he didn’t have to work on the NHS.

Speaker4: He did his training.

Speaker1: But you trained the NHS. You mean just one year. [00:19:30] So like.

Speaker2: He’s saying.

Speaker3: Oh, I did the one year. The.

Speaker1: The only one year.

Speaker3: Yeah, yeah I did, I [00:19:35] did university here and then one year that you have to do. Yes.

Speaker1: But I think you can do that with dentistry [00:19:40] that. But you can’t do it with medicine because you need them. You need the experience.

Speaker4: I [00:19:45] would.

Speaker2: Say. And I you know, people might think that I’m quite bold saying this, but I would say arguably [00:19:50] sometimes working in systems like that can actually de-skill you. Because I did [00:19:55] I did so many years using materials that the budget allowed for [00:20:00] on the NHS system. So for example, like the silver fillings and all this stuff that I actually [00:20:05] didn’t learn how to do, like the white fillings and things like that. So actually my skills are much less than my [00:20:10] colleagues that started doing that work. Of course, you can do that kind of work within the health care system. [00:20:15] It’s just more limited. You know.

Speaker3: People, young dentists ask me all the time, what should I do? [00:20:20] Yeah. And, and our young doctors probably asking you the same question, what should I do? And the [00:20:25] normal advice is do three four years on the NHS, learn [00:20:30] your skill sort of thing, try lots of different things, see what you like, [00:20:35] then start going into those things that you like. But my advice is kind of opposite. [00:20:40] My my advice is, uh, don’t stay in, you know, pick something, pick something, anything. [00:20:45] Yeah, get good at something. And, uh, don’t go into NHS at all because. Because [00:20:50] the standards are low on the NHS. Um, as far as materials, time that you’re given [00:20:55] and so forth, in dentistry, it’s not the same.

Speaker1: I agree. Well, no, no, even in medicine, [00:21:00] let me tell you also that I did general training for [00:21:05] an average of five years until I got my membership. Yeah. [00:21:10] During those five years of training, which I value very much, I worked so hard. I [00:21:15] did a lot of operations which made me a competent gynaecologist more than the today’s [00:21:20] gynaecologist. Sorry, today’s gynaecologist, but you don’t do enough training really like [00:21:25] what we did. But again, is that required? People then specialise. So [00:21:30] we didn’t have subspecialization then. So I had to start [00:21:35] thinking about Subspecialized Subspecializing. So I [00:21:40] actually started to develop some interest in 1973. During [00:21:45] my NHS years I developed an interest in ultrasound. Ultrasound was very [00:21:50] early then. You could only see blips, you couldn’t see a picture. Oh, and we used big [00:21:55] machines. Then from there we. And then I finished my membership in 1977. [00:22:00] So I started 72. Five years was the average. And then I’m again [00:22:05] I thought, I’m qualified. I thought I’m just done and now I want to go out on [00:22:10] my own to practice. Would would have been wrong. Why? In the following two years, [00:22:15] I’ve also learned additional surgical experience. I’ve also started [00:22:20] to do real ultrasound, and then two years later I thought, well, that’s [00:22:25] it, I have enough now. I can’t face the world alone. But I decided to take advanced [00:22:30] three years in research at King’s College and then learn more about [00:22:35] ultra.

Speaker2: Was that based on the recommendation of your consultants? No. Okay, [00:22:40] so you did that. He became.

Speaker4: An expert.

Speaker1: I did that because I wanted.

Speaker2: To become an expert.

Speaker1: Well, I was planning [00:22:45] to go back home and have a lot of experience, like what you did here, but you did [00:22:50] that privately. So I did it in the NHS because there was nothing private. You had to work with the top people [00:22:55] like Stuart Campbell that I worked with in ultrasound. And then eventually when I really [00:23:00] left the NHS, NHS and resigned completely in 1984 [00:23:05] and then I went to the Middle East, I still developed. I worked in institutions where I had to teach. [00:23:10] Myself fertility. So I became multitask. The [00:23:15] problem because I pursued a career which allows in myself. I took it myself [00:23:20] like you. Now that today’s doctors subspecialize [00:23:25] five years after. And if you work in the NHS, [00:23:30] you only work in one subject. They don’t want you to be multitask anymore. So [00:23:35] my time is different from this time and that’s the NHS and you know.

Speaker2: But let’s [00:23:40] talk a little bit about your junior doctor experience because as I said to you, I don’t you know, you qualified [00:23:45] so many years ago and I think the situation has somewhat got worse for junior [00:23:50] doctors. And we’re living, you know, Gen Z in the millennials, they’re much more outspoken. [00:23:55] But do you think?

Speaker3: Yeah, I think that’s the thing. I don’t think the situation has got worse. The situation was [00:24:00] very hard for junior doctors.

Speaker2: So what like what kind of things is it wasn’t easier.

Speaker1: It was harder.

Speaker4: Yeah. [00:24:05]

Speaker3: They should do more work.

Speaker4: Let me.

Speaker2: Talk us through the kind of things that.

Speaker4: Happened to tell you.

Speaker1: Then. So I, you know, my [00:24:10] initial years as a senior House officer was I had to be on call one [00:24:15] and two and sometimes wanting to talk in obstetrics, you’re up all night. [00:24:20] And when my colleague one, one, one of my colleagues went off, he couldn’t find [00:24:25] the locum. They said, do you mind to cover 1 in 1? Being a young [00:24:30] hero, I did it for 15 days straight. They said, we will pay you. [00:24:35] But then, in fact, I wasn’t paid because they said, we can’t find how to pay you because you’re [00:24:40] only you’re not allowed to do overtime. And I accept it then because I was grateful [00:24:45] for the system teaching me.

Speaker2: This is such an interesting point because for me now, [00:24:50] and I want you to chime in as well, a lot of people, they say that the new generation [00:24:55] don’t want to work as hard. They very much say, this is the hours I want to do. They come to job interviews [00:25:00] now and they actually say so this even I’ve seen it within my own clinic, whether it’s dentist, [00:25:05] auxiliary stuff, they decide what hours they want to work. They also very much [00:25:10] prioritise their lifestyle because they don’t want to be burnt out, they don’t want to be tired, [00:25:15] etc. and I don’t think that’s necessarily a bad thing because people are a good thing. [00:25:20] See, my dad’s doing this right. And I think because also I am the kind of person that, you know, [00:25:25] my first NHS practice, I was on £8.75 a UDA. Some of my friends [00:25:30] were on way more, but I just accepted it and if they wanted me to do overtime, I accepted it. And if [00:25:35] they wanted me to do Saturdays, I accepted it. Do you see what I mean? Whereas now people would argue.

Speaker3: The thing [00:25:40] is, it doesn’t go with running a super efficient business to have people who [00:25:45] are only in one day, a week or two days a week, especially in the mixed practices. Right? And so I [00:25:50] know loads of principles of mixed practices when when a young dentist comes and says, I want to do three [00:25:55] days a week and they do, you know, now and self-care and whatever, they don’t like that. [00:26:00] Yeah, but.

Speaker1: We couldn’t do that in our time.

Speaker3: Yeah, yeah. But but but now I couldn’t have.

Speaker4: What do you think about it. I couldn’t, [00:26:05] I.

Speaker1: Couldn’t have driving lessons even really to commit because I finished, you know, later [00:26:10] than, you know, the time. And many times I said, you know, do you mind if I go because I have a driving lesson, [00:26:15] but, you know, you’re doing surgery at 630, 7:00, so we had to stay. But do you.

Speaker2: Think it’s better [00:26:20] now that people, including medical. I think.

Speaker4: It’s better.

Speaker1: I would I would like to be a [00:26:25] junior doctor now. However, the system was much more forgiving. The people [00:26:30] were lovely. There was no complaints. Then. If things went wrong, you say, oh, don’t [00:26:35] worry doctor, things sometimes go wrong. So we had a culture of forgiveness and.

Speaker4: The GMC. [00:26:40]

Speaker1: Around. I like that culture better then.

Speaker2: Was the GMC around then?

Speaker4: Of course.

Speaker1: Oh absolutely. [00:26:45] Around.

Speaker2: And but was it less of a complaint culture with the.

Speaker1: Less of a complaint?

Speaker3: I think.

Speaker4: They [00:26:50] appreciated.

Speaker1: Doctors more.

Speaker3: Guyanese get sued more than all other doctors, don’t they?

Speaker1: One of the highest.

Speaker3: One of the highest [00:26:55] really more.

Speaker2: Than plastics.

Speaker3: Because it’s kids involved, right. So when something goes wrong, people want to [00:27:00] find they.

Speaker1: Are in the first three, you know, worst.

Speaker4: Subs. That’s why you gave up obstetrics. [00:27:05]

Speaker1: Absolutely. So your insurance I would have had to pay 100,000 back in 1999 [00:27:10] per year. Nowadays. Now nowadays they pay 200, 250,000. [00:27:15] And that’s to do it. Well that’s why, that’s why if you want to have a baby [00:27:20] privately now, they will put you. They would want you to put down payment at the Portland [00:27:25] of 30,000 before you enter the hospital.

Speaker2: Okay. So my question [00:27:30] for you this and obviously you don’t have to answer. It’s too difficult. But did you ever have an incident where a baby died [00:27:35] when you delivered the baby.

Speaker4: Yes of course.

Speaker2: How did that impact you?

Speaker4: I’ve had.

Speaker1: Incidents. When [00:27:40] a baby died, I had an incident, said the time when a mother died also. Yeah. So? [00:27:45] So the first one was devastating. Of course. It’s just terrible. I had to go on holiday the following [00:27:50] day. I couldn’t face it. Big young and she had severe preeclampsia, [00:27:55] so that must have happened 1974. So [00:28:00] I was about maybe 26 really young and it affected me. [00:28:05] But you had the support. The family also consoled you. You did every, uh every. You [00:28:10] think you could? You know, I had to do one day a hysterectomy in the world because she was bleeding to, [00:28:15] you know, she had she had conditions, which she didn’t. We did not recognise the placenta [00:28:20] accreta. She she also died. And a baby has died from [00:28:25] a very easy delivery. Very, very easy delivery. And then [00:28:30] after three days, he just died. And then, uh, when the [00:28:35] coroner did the autopsy, there was a bit of blood in the in the brain. You [00:28:40] would think it’s traumatic because, you know, because the delivery was traumatic, but the delivery [00:28:45] wasn’t traumatic. And then when I asked the the coroner’s, you know, how often [00:28:50] do you see blood in the brain in a straight in in babies in general, you know, delivered [00:28:55] it’s not uncommon. So but again, you feel guilty all the time.

Speaker4: But we [00:29:00] feel.

Speaker2: Guilty as dentists like. Well, you know, Payman works with one of the top dentists in the UK. [00:29:05] And like, I know how it feels like we’ll have like, sleepless nights over a margin. Do you know what I mean? On a tooth. Do you see [00:29:10] what I mean? Like it’s like, we’ll think about it and think about it or, you know, a shade match or something like that. But then [00:29:15] you hear this, you know what?

Speaker1: It’s normal. It will be unusual not to get upset. We get upset [00:29:20] even when we have a complaint. Where did I where did I go wrong?

Speaker4: So.

Speaker2: But was it those [00:29:25] events that you said I want to stop OBS? Or was it more the complaints side of things that made you want to stop obstetrics? [00:29:30]

Speaker4: No, no.

Speaker1: No, I loved obstetrics all the way. It was age. I was past 50 by [00:29:35] then. I knew I couldn’t carry any longer getting up during the night. You actually sleep on [00:29:40] edge, you know, half asleep, half. You’re waiting for a call, you know? And to be [00:29:45] honest, at that time, I decided that I’m going to stay with my patients in the hospital [00:29:50] if I had a private obstetrics until she’s delivered. So I looked after her because I couldn’t wait [00:29:55] to go to to bed and then wake up again and wake up. So imagine how many nights like [00:30:00] that. So I gave it up and for the insurance as well. And I decided to become only gynaecologist [00:30:05] then.

Speaker3: So, doctor, tell me about when you made the decision to leave the NHS. [00:30:10]

Speaker2: This is, this is so interesting by the way. Also I want to before he [00:30:15] talks about the decision to leave the NHS. I want to like rewind a little bit because people are very interested in my [00:30:20] childhood. I got trolled the other day on TikTok. I didn’t tell you all you, but basically someone [00:30:25] said this woman is lying about her success because her father is a multi-millionaire gynaecologist [00:30:30] who paid for everything and bought her her clinic and everything in it. [00:30:35] Can we just have it on her? Did you buy me my clinic at all?

Speaker4: Exactly. [00:30:40]

Speaker2: And no.

Speaker4: Are you a mona?

Speaker1: Iskander did everything herself. [00:30:45] Trust me. Rhona Eskander. She works three three years [00:30:50] in the NHS. Not three.

Speaker2: Years. I did eight.

Speaker4: Years.

Speaker1: Well, whatever. In the first three years in the NHS [00:30:55] she where she worked, she was earning 42,000 [00:31:00] a year. And I’m saying it really in front of everybody. [00:31:05] She came after three years said, she said dad, I managed to save £80,000 [00:31:10] because I want to buy a flat.

Speaker4: In three [00:31:15] years.

Speaker1: And trust me, in these three years I.

Speaker4: Didn’t do anything I saved.

Speaker1: I [00:31:20] did not help her rent for rent. I couldn’t help her for anything.

Speaker2: I [00:31:25] only university, that’s what I say. You paid for my education? Yes.

Speaker4: In school. [00:31:30]

Speaker2: Yes, etc. but then after university I was done right. I saved everything. [00:31:35]

Speaker4: Myself.

Speaker1: Cheers. And I’m not a multi-millionaire at all.

Speaker4: There we go.

Speaker1: I told I couldn’t [00:31:40] afford to be honest. I had one policy, always with them since she was very young, her or [00:31:45] her sister. I gave you a pocket money from day. From the two years [00:31:50] of age I think I gave them. I give them a weekly pocket money. And I said, well, it’s up to you to [00:31:55] save or to spend it or spend it. It doesn’t really matter. But they’ve learned the value of money [00:32:00] from a.

Speaker4: Young age since I was three and.

Speaker1: And then during education, [00:32:05] then they got used to that pocket money. It was a trick to also [00:32:10] bargain with education. If you don’t do your homework, there’s no pocket money this week. I’m terribly sorry. [00:32:15] So did you.

Speaker3: Work as well?

Speaker4: No, no.

Speaker2: Because for me, just.

Speaker3: Saved. You were a good saver.

Speaker2: No, I was good. [00:32:20] Say, I was a really good saver. Remember, I don’t drink. So when people were spending loads of money on drinking, I think I [00:32:25] saved a lot of money on on no alcohol because I just don’t drink. I think that also [00:32:30] the other thing is like you said, like I remember I was only 2 or 3, but I really remember it. Dad sat me down, just [00:32:35] had bath time, and he goes, I’m going to give you something called pocket money. You’re going to get one dinner [00:32:40] because we lived in Bahrain, by the way, at this.

Speaker4: Point, equivalent to £2.

Speaker2: And then um, so my [00:32:45] dad went to the Middle East. It’s quite interesting because I want him to tell you why he went to the Middle East and how his experience, [00:32:50] that’s when he met my mum. But even more interestingly, is when we came back to the UK, [00:32:55] there was huge financial struggle because I remember we went to Asda and [00:33:00] we weren’t allowed to buy, we weren’t allowed to buy normal coke, Coca Cola because I.

Speaker1: Only bought Asda. [00:33:05]

Speaker4: Cola.

Speaker2: Coke because we couldn’t afford it. So I think that’s quite interesting.

Speaker3: I think the. Decision [00:33:10] needs to be had. Yeah, that if you were a multi-millionaire. Yeah. And there are plenty [00:33:15] of people who are multimillionaires whose kid might be a dentist. Yeah. Yeah, that that still [00:33:20] doesn’t mean there’s anything less about your, you know, your your achievement [00:33:25] of what you’ve managed to do. Yeah. Whether or not there was money [00:33:30] at at the beginning or not or not, the achievement is its own achievement. [00:33:35] Yeah.

Speaker1: Oh, absolutely.

Speaker3: So so, you know, I can understand if someone said your [00:33:40] dad’s multimillionaire and that’s not true.

Speaker4: Yeah.

Speaker3: Not true. You want to set that record straight? Yeah. [00:33:45] But if my dad was a multi-millionaire and he helped me start enlightened. Great. [00:33:50] Yeah, yeah, the last 23 years of ups and downs and all of that, [00:33:55] you know, my own work or whatever. But the person who started out rich or [00:34:00] started out poor, shouldn’t you? It makes no difference. We all have our life struggles to get through. [00:34:05] Yeah. And, you know, even the poorest person in the UK isn’t one of the [00:34:10] richest people on the world global scale. Yeah. So, you know, it depends on how you’re [00:34:15] also.

Speaker1: Also how many millionaires children have made it. A lot of them [00:34:20] are failures as well.

Speaker4: It’s more difficult. Many many, many.

Speaker3: Many can never [00:34:25] get their own achievements recognised.

Speaker1: But trust me, I just [00:34:30] I didn’t. I only paid for education. Her mother paid her also for her private schooling.

Speaker2: Let’s go [00:34:35] a little bit into that. So why did you move to the Middle East. So you’re working in the UK? You were.

Speaker4: 30.

Speaker1: I was multitask [00:34:40] and really I knew now by then I knew I had a lot of experience. I had [00:34:45] colposcopy behind my wings, I had ultrasound experience, all advanced. I had [00:34:50] advanced keyhole surgery. And you’re talking about 1984. Not nowadays. [00:34:55] Um, and then, you know, I had some fertility experience. But [00:35:00] to be honest, by 84 I was so tired and and also the competition [00:35:05] was different. When you applied for consultant jobs, you know, there was another [00:35:10] hundred applicants with you as well to apply and you had to really be [00:35:15] shortlisted. And I was shortlisted a few times, but I couldn’t just go through the bottleneck [00:35:20] one more time and I said, I just need a break. And everybody was having fun. [00:35:25] It was a party in the Middle East. And also I went.

Speaker2: But also, can you, can you be honest that there [00:35:30] were too many women in the UK and you couldn’t settle down?

Speaker1: I couldn’t say no, not not because of too [00:35:35] many women. I couldn’t settle with the person that I wanted to be.

Speaker4: With too much.

Speaker2: Choice.

Speaker1: Maybe [00:35:40] it’s the London is distracting.

Speaker4: Distracting London.

Speaker1: London [00:35:45] is distracting and I tell you so. There are not many loving relationships. There are [00:35:50] many, many people.

Speaker4: And well, it.

Speaker1: Still is. A lot of people find it difficult [00:35:55] to find a loving relationship so you can be friendly.

Speaker4: Do you feel that a.

Speaker2: Lot of women talk to you about that in the clinic? [00:36:00] Like there’s a lot of women.

Speaker4: Who tell me.

Speaker1: Exactly that you can have sex and a lot of sex in London, [00:36:05] but you can’t have too much love. Many love.

Speaker2: Why do you think that is?

Speaker1: I think this [00:36:10] is the way people are, you know, people are just more focussed on their career now. They’re not [00:36:15] really ready to have a family until later in life. And that’s when we talk about egg [00:36:20] freezing. It’s a fact most people don’t have children in [00:36:25] my clinic by the age of 33, to be fair, maybe 35 [00:36:30] even.

Speaker2: But but my question for you is is not so much that part, but why do you think they say they struggle [00:36:35] to find a decent partner?

Speaker3: Bruno, do you agree that these days getting married for [00:36:40] a man is a lot less interesting than it was?

Speaker1: And that’s that’s [00:36:45] also that’s also a point. Yes. He’s got many choices and he doesn’t have to commit herself [00:36:50] himself. But also, I think men get worried about litigation. [00:36:55] The law stands more with women than men. It’s against men. Yeah. [00:37:00]

Speaker3: It’s maybe the worst thing.

Speaker1: That can happen. They are at a disadvantage.

Speaker2: It’s funny, my fiance said the other day, [00:37:05] it’s going to make you laugh. He was getting so stressed about the civil ceremony and I was [00:37:10] like, don’t stress. I was like, just, it’s fine. Like, we’re going to get the date when we get the date. And he goes, you don’t understand. [00:37:15] If the papers aren’t signed, I’ll have no rights to the baby. And I was like, oh, okay. I was [00:37:20] like, I would never do that to you. I would never do that to him. Like, we have such a strong relationship. But I think, [00:37:25] like men subconsciously do worry and like, of course one of my best friends. Would you would.

Speaker3: You sign [00:37:30] a what’s a prenup, a.

Speaker2: Prenup? I wouldn’t mind a prenup. You know, I was listening to [00:37:35] a really amazing podcast. I’m going to send it to you, Lex Friedman and James Sexton. Have you listened to it? No, it [00:37:40] is phenomenal. The podcast basically is, um, the biggest [00:37:45] divorce lawyer in America. And he talks about everything. He talks about everything. So [00:37:50] in this podcast he basically talks about Prenups and everything like that. He goes, everyone [00:37:55] gets so upset about prenup. Oh, do they love me because it is just an insurance [00:38:00] policy. He goes, I tell you this, even he goes, even the people that you see, all the celebrities that pretend they [00:38:05] haven’t had a prenup, he goes 90% have had a prenup. And then he goes on to say. One [00:38:10] of the most interesting things about the prenup is, is that a lot of [00:38:15] people are obsessed with putting an infidelity clause. So whether it’s either party, they [00:38:20] say the prenup will only apply if there’s no infidelity. Right? But he says if you put an infidelity [00:38:25] clause, it just makes it more interesting for the lawyers because he discourages them. Because what [00:38:30] defines infidelity? Texting someone, even if they say, oh, look, here’s the hotel [00:38:35] room. He was in the hotel with the room. How can you prove something happened? Do you see what I mean? So it becomes very difficult [00:38:40] to prove what what is actually. And you start getting into the nitty gritty. But would you.

Speaker3: Worry? So [00:38:45] if your fiance, you know, pulled out a piece of paper and said, I wouldn’t.

Speaker2: Worry, I.

Speaker3: Wouldn’t worry, you’d be.

Speaker2: Cut? I think [00:38:50] that’s because I’m not financially driven when it comes to my choice [00:38:55] of partner, like as like, and I think the same goes his way, like with me and him and again, like, but. [00:39:00]

Speaker3: I’ve had friends. I’ve had friends where I’ve said to them, I’ve recommended, hey, you know, get a prenup. And, [00:39:05] and they say.

Speaker1: Does it work?

Speaker3: I can’t even bring it up.

Speaker1: But does it work?

Speaker2: Yeah. Well, according to [00:39:10] Rolanda.

Speaker3: Does a prenup work? Yes. Well, I don’t know the law in the UK. Yeah, but. But they can’t [00:39:15] even bring it up with their with their fiance because bringing it up brings an argument, brings in an [00:39:20] argument.

Speaker2: That has a friend. I’m not going to mention her name, but the daughter called off the wedding [00:39:25] because the guy wanted a prenup, remember? You know, I’m talking about she called off the wedding. Yes, she called it [00:39:30] off.

Speaker1: He was American. She was English. And, um, she called off the wedding [00:39:35] and has to withdraw all the invitations. You have to think about which I think, you know, I [00:39:40] think you know.

Speaker3: You know what? No, no.

Speaker1: But but I think it was fair from the guy. He had a lot of wealth [00:39:45] and she didn’t have any wealth. It’s fine to to no prenup.

Speaker4: But I’ve.

Speaker2: Had. [00:39:50] Can I be completely transparent with you? Sure. My clinic is my clinic. I’ve worked so damn hard for that [00:39:55] clinic. No matter who I marry, I still want my clinic to be my clinic. What we build together thereafter [00:40:00] during the wedding.

Speaker4: Exactly.

Speaker2: Also what he has got. [00:40:05] I don’t expect to just take that for what he has worked for, for hard, for prior to me. Do you understand [00:40:10] what I’m saying? Us together is a different thing. But, you know, like immediately, as you know, in a separation, [00:40:15] they get 50% of everything, including what you had before. So I think it’s like you have these discussions [00:40:20] and as you know, it’s a bit like getting into disputes with business partners. It’s much easier to have [00:40:25] the conversations when you love each other and care about each other, like like doing a shareholders agreement, for example. The beginning. [00:40:30]

Speaker4: Set the boundaries. What you’ve done.

Speaker1: Before is yours. It’s very.

Speaker2: Nice. I mean, that’s what I believe.

Speaker1: A friend [00:40:35] of mine whom you know very well is going through a divorce at the moment. Really? Her [00:40:40] lawyers, her lawyers, they wanted they want him to declare what [00:40:45] he had inherited from his parents. So going after his parents [00:40:50] properties as well, who died?

Speaker3: Lawyers, lawyers love to get the money right. And wherever, wherever the money [00:40:55] is exactly they will go after.

Speaker1: They will just want to know. And they will. They will have a go. They will have [00:41:00] a go.

Speaker4: Yeah. So so I’m.

Speaker1: Sorry, I have to write my property to [00:41:05] the doc charity.

Speaker4: No. Okay.

Speaker2: So but okay. So dad. So [00:41:10] anyway, so you were there. But this made me laugh so much. He actually really wanted to get married at 38. And [00:41:15] he decided because.

Speaker1: 37.

Speaker4: There was no.

Speaker2: There was no. Can you believe I’m going to be 37 on Wednesday? [00:41:20]

Speaker3: Congratulations.

Speaker2: So depressed.

Speaker4: I know old.

Speaker1: Or no, if you don’t [00:41:25] say it, nobody will know. But it doesn’t really matter.

Speaker4: People still think I’m young. He just told 10,000 people. Yes.

Speaker2: Yes, [00:41:30] 10,000 people. Listen to this podcast. Anyway, listen. So the one, the other thing [00:41:35] that I wanted to say to you was, is, um, now my age thing. Yeah. So he wants he [00:41:40] said there was no Tinder. There was no, he said that he put out an advert on the Yellow Pages describing [00:41:45] a secretary that he wanted, but basically his perfect woman.

Speaker1: Well, when I didn’t [00:41:50] really find the one I really, really want, I said, but why don’t you interview [00:41:55] people? But not for marriage, but as a secretary. So I plan [00:42:00] to take up a suite in the Hilton Cairo and and, [00:42:05] you know, at that time and I was close now in Saudi Arabia, I was close to Cairo and, [00:42:10] and I planned to have a secretary with all the specification of what [00:42:15] I want. And in fact, a lot of it applies to my wife. So she has [00:42:20] to speak.

Speaker4: She manifested her, she.

Speaker1: Has to speak Arabic and as well as English, French [00:42:25] as well will be an advantage. Uh, American University of Cairo educated [00:42:30] my mum.

Speaker4: Yeah.

Speaker2: Lebanon.

Speaker4: Yeah, yeah.

Speaker1: And then in fact. But I [00:42:35] met my wife without the advert. And just before that I met my wife. And it was an interesting [00:42:40] point because I was going to advertise for a secretary and I was going to choose one of them then to be [00:42:45] my wife. But it didn’t happen. I didn’t have to go through that. But it was a fun. [00:42:50] That was your.

Speaker4: Version of a fun.

Speaker1: Experience to go.

Speaker4: Through it. How was how was.

Speaker2: Saudi [00:42:55] when you went? Because he was in Saudi then in the 80s.

Speaker4: Then how was it?

Speaker1: Saudi was very primitive and very [00:43:00] Islamic. You know, there were it’s all Wahhabis and they had their own rules. Yeah. And [00:43:05] but I.

Speaker4: Worked I.

Speaker1: Worked in the American. Yes. In the, in the. Arabian [00:43:10] American oil company called Aramco, and Aramco had a [00:43:15] walled village of 60,000 people from all from the States, from, [00:43:20] uh, the whole Arab world, from England, from Canada as well. So I lived [00:43:25] among a foreign international community, and the hospital was advanced so I could use [00:43:30] all the skills. We had ultrasounds, we had colposcopy, we had everything. So I was happy there. Is that.

Speaker3: Where you [00:43:35] met.

Speaker1: Rodney? That’s where I met my wife. Yeah. My wife. I saw her in the streets [00:43:40] of, uh, Hobart, which is just outside Aramco. And I said, My [00:43:45] God, this is my woman.

Speaker4: Can you imagine? She loved to.

Speaker1: Hear [00:43:50] that on broadcast. I really said it. And I just fell in love with her. Just walking the streets [00:43:55] with a modest cover. She looked incredible.

Speaker2: Bright green eyes.

Speaker1: Yeah. Three days later, [00:44:00] I met her in the hospital, and I just sat close to her so [00:44:05] she can notice me in the dining room. And then I went to. I moved on to [00:44:10] a coma to a friend who happened to. She knew as well. She also came for me as [00:44:15] well on that table because she also.

Speaker4: Uh, admired me. So it was.

Speaker1: And, [00:44:20] you know, which is great. You know, I love it when a woman. My advice to women, if you like a man, [00:44:25] go for him. You know, because men are generally men, men are generally [00:44:30] shy, and they love the woman who chooses them as well.

Speaker4: But, you know, but.

Speaker2: It’s interesting that [00:44:35] you say that because I have a friend of mine, you know, my best friend, her new boyfriend chased [00:44:40] her and he said he finds it a complete turn off when a woman [00:44:45] approaches him or when a woman, he finds it a turn off because he likes to feel alpha and macho and like [00:44:50] he’s done the choosing. But having said that, do you know. Sorry, dad, I’m going to.

Speaker3: Break a Russian.

Speaker2: No, he’s not. [00:44:55] He’s not Russian at all. Um, but he’s he’s he’s he’s pretty modern, but isn’t like, he just [00:45:00] doesn’t like that. The other thing is, my sister. You probably know this well, my [00:45:05] sister, if she likes someone, she makes it known. She will even give her phone number on a piece of paper.

Speaker1: Yeah, yeah, [00:45:10] but.

Speaker2: And it’s worked out for her perfectly.

Speaker1: But it’s not. It’s not for a one night stand. That’s [00:45:15] wrong. It’s really. There has to be an attraction and a love and a relationship. [00:45:20]

Speaker4: But do you not think.

Speaker2: Men like.

Speaker3: What’s wrong with the one night stand?

Speaker4: What’s wrong?

Speaker1: Everything wrong?

Speaker2: Don’t [00:45:25] say that on a podcast.

Speaker4: No, no, no, it’s wrong, it’s wrong.

Speaker1: There’s no really. A [00:45:30] sexual relationship is fantastic within a loving relationship.

Speaker4: But some people [00:45:35] like.

Speaker1: No emotions and love. Well, it’s just an attraction. It’s just beauty. And to be honest, [00:45:40] it’s all the same. If there is no love, it’s all the same.

Speaker2: But the thing is, some people might say that [00:45:45] they enjoy one night stands because they feel empowered and that they feel that they are [00:45:50] they are in their sexual element. I don’t know, I’ve never had it’s not me. So I don’t know.

Speaker1: It’s not [00:45:55] me. I mean, as I said, I’m.

Speaker4: Just one time.

Speaker2: It’s personal choice, I.

Speaker4: Think, which I.

Speaker1: Don’t, I well, from my experience [00:46:00] I did never enjoyed it really hard. I’m sorry for all the girls that I had to be with.

Speaker4: But [00:46:05] really, well, you know.

Speaker1: There was some attraction, of course, but I had [00:46:10] to really develop some attraction and understanding and some love, some love which.

Speaker4: You [00:46:15] make the same.

Speaker2: As in like I feel that to really like someone it has to always be emotional connection. [00:46:20] Yes. Emotional connection.

Speaker4: But that’s that’s the case for women.

Speaker1: Women always need and I’m. [00:46:25]

Speaker2: Not sure anymore. What do you think?

Speaker3: No, I think I think that traditionally that was the case. I think there [00:46:30] is something about women that leads them that way. Different. Yeah. Yeah. Women and men are different. Yes. [00:46:35] But I know plenty of men who say exactly what you said. Yes, yes. And I know plenty of women who [00:46:40] are up for lots of one. Yes. Correct. You know.

Speaker1: Because they don’t want to be committed. And it’s a good thing.

Speaker3: I feel like it’s [00:46:45] a good thing.

Speaker1: But I was a romantic guy when I was young in the NHS, and I tried to fall in [00:46:50] love many times. The girls didn’t like it. Oh, you’re too serious. Yeah, yeah, yeah, exactly. So I, you know, I.

Speaker4: Gave [00:46:55] up eventually.

Speaker2: I think nowadays also women do complain that they want to have a really loving, emotionally [00:47:00] available person, but then they always classically go for like the guy that isn’t that, [00:47:05] you know, and then they start complaining, you know, there is something to blame. And I definitely went through a period where I [00:47:10] realised I was the common denominator in my bad situations, because I was choosing the wrong [00:47:15] man subconsciously. I remember like, um, choosing the wrong men subconsciously. And actually [00:47:20] I looked at it and I was like, you know what? Like, my parents are like the beacon of like, healthiness. [00:47:25] And my partner now who was emotionally unavailable. But there was a change there [00:47:30] definitely like reflects more of, you know what I have grown up with, doctor.

Speaker3: You’ve been married [00:47:35] how many years?

Speaker1: Oh, 1985, 1985. [00:47:40] So coming close to 40 years, I think 38.

Speaker4: Years. [00:47:45] You still love her.

Speaker2: As much as you did.

Speaker4: Back then? Just as.

Speaker3: Much. But what’s the secret?

Speaker1: And, you know, my wife also just [00:47:50] loves. What’s the.

Speaker3: Secret? Because. Because, you know, 40 years is a long time. And so [00:47:55] in constant forgiveness.

Speaker1: Do we do we pick her? We pick her all [00:48:00] the time. Somebody said, and I said all the time. But you know what? Because there is [00:48:05] love. We forget really and forgive within. Now I [00:48:10] am 24, 48 hours, but I used to be 14, 15 days of sulking [00:48:15] as well in the past. But my wife five minutes. Yeah, five minutes. [00:48:20] And I can feel and you know, what do.

Speaker2: You think as well? Because mum used to tell me as well, like in the early stages of your relationship, [00:48:25] that one thing that was difficult for her, which you might not know about, is there were women constantly [00:48:30] trying also to deter your attention away from her. And there was like, you know what [00:48:35] women get like, I know, I know. And mum mum found that difficult. But what do you think that also within that relationship [00:48:40] because a lot of people like a mistake that happens is they get so comfortable in relationships [00:48:45] that they do start to cheat on their partner or they lose interest because, as you know, relationships [00:48:50] go for different stages from the two year to the five year to the ten year. So why? What do you think? Also [00:48:55] held you together? My mum’s a bit.

Speaker4: Of a I.

Speaker1: Mean, I have a theory which not many women are [00:49:00] going are going to agree about. Really, I have a feeling that men [00:49:05] are hypersexual in general. They just really more [00:49:10] sexually easily aroused and attracted, and [00:49:15] they’re very vulnerable and weak because of that. Until they get into their 40s [00:49:20] and 50s and sometimes even carry on, they are just vulnerable women, [00:49:25] you know, they’re emotionally more emotionally driven. So they’re not. But I mean, a lot of women will disagree. [00:49:30]

Speaker3: Well, on an evolutionary level, you know, a woman cannot [00:49:35] be as careless as a man, correct. Because you know, the consequences are correct. [00:49:40] A child.

Speaker4: You know, many.

Speaker1: Many men really don’t care whether you they don’t know whether they [00:49:45] can make you pregnant or the night. Very few are responsible.

Speaker2: Very few, of course, very.

Speaker4: Few.

Speaker1: Only [00:49:50] the women have to be responsible. It’s not fair.

Speaker2: Okay, so tell us your point then.

Speaker1: So my [00:49:55] point is that so men will be easily attracted to [00:50:00] women.

Speaker4: Then how did.

Speaker1: Because they are inherently like that. Women are not. They’re more emotionally [00:50:05] driven. Unless they feel that they become less attractive. [00:50:10] They become egotistic. They want the attraction, they want to know they’re desired as well. [00:50:15] And that happens to women after a long, boring message and where everything became just really [00:50:20] a routine. I think the secret. Of a loving relationship is [00:50:25] to forgive the men more, and [00:50:30] the man has to forgive the woman. But it’s always very difficult. And men usually don’t forgive very [00:50:35] much, but they have to forgive. So it’s a matter of forgiveness, even if there was infidelity. [00:50:40]

Speaker2: So this is so interesting.

Speaker4: Interesting, because.

Speaker3: You and Shivani spoke about this.

Speaker4: Because.

Speaker1: Because the long, loving relationship [00:50:45] should concre that.

Speaker2: So one thing that I would say to you is, is again, in the James Sexton [00:50:50] podcast, which you should definitely listen to, the first question that’s asked by clients when [00:50:55] they find out about infidelity, the men ask, did you have sex with [00:51:00] him? Yes. The women asks, do you love her? So that’s the first question. Correct. So when a woman finds [00:51:05] out her husband cheated is do you love her? When a men finds out his wife has cheated, he says, did you have sex with him? And it’s quite [00:51:10] interesting to see that like psychology of different. Correct. You know, when it comes to [00:51:15] that, because you can see then where the importance lies.

Speaker3: It’s such an unfair question. You’re not even married yet. But if it did [00:51:20] happen to you.

Speaker2: Oh, here we go.

Speaker3: Yeah. Would you have hard and fast rules or would you [00:51:25] take your dad’s advice?

Speaker2: I think that I wouldn’t have hard and fast rules and I would probably get annihilated. [00:51:30] Shivani would definitely annihilate me for this. But I think that, like hearing stories from [00:51:35] my dad also about the patients that he gets in his clinic, there’s complications, [00:51:40] right? Like my dad might diagnose, for example, a sexually transmitted disease, [00:51:45] and the partner’s like. But I don’t get it. How could I have got a disease? I’ve only been with my partner. And then there’s like these [00:51:50] difficulties, etc., and he talks about like the nuances of relationships. My honest [00:51:55] answer would be is, I don’t know until I’m in that situation and I think we pass too much judgement. [00:52:00]

Speaker3: But I think, look, you draw a hard line at infidelity. Infidelity can be psychological. [00:52:05] Yeah, yeah, yeah.

Speaker2: Thinking about someone.

Speaker3: Yeah. Well, listen, someone.

Speaker4: For a week, but.

Speaker1: You know. But if [00:52:10] he’s in love, that’s it. Fine. You can go with her if you are in love. But [00:52:15] if it was only a matter of sexual encounter one night stand and I was wrong, [00:52:20] quite honestly, I wouldn’t destroy my marriage for that. You know.

Speaker2: I think it really depends on the situation [00:52:25] that you’re in. And as you said, if it happens, like multiple times and. Yeah. And the difficulty is I mean, [00:52:30] I talked about Esther Perel. Have you ever listened to her? Oh, she’s brilliant. She’s again a psychologist [00:52:35] and she does a lot. She’s French. So obviously very you know, she’s very open, [00:52:40] open to infidelity. But Esther Perel talks about infidelity, and she [00:52:45] also talks about how a lot of couples try to come back from it. But she says the biggest [00:52:50] judgement, what’s interesting because she goes into different types. But what’s interesting is, is that [00:52:55] back in the day, as you know, both of your generation, your generation and your generation, you’re not as old as [00:53:00] my dad. But still people, if people got, um, cheated [00:53:05] on people would judge you for [00:53:10] leaving. That’s what they would say. But nowadays people judge [00:53:15] you for staying. And I thought that was an interesting point, because what she’s saying is that, like people.

Speaker4: You mean if [00:53:20] you.

Speaker1: Forgive and stay in the relationship.

Speaker4: Nowadays? Yes.

Speaker3: Nowadays people blame.

Speaker2: In the past.

Speaker4: They [00:53:25] will judge.

Speaker2: Yes. But in the past they.

Speaker1: Judge you as being a nice person.

Speaker4: Or a fool. What a.

Speaker2: Stigma. And even when [00:53:30] I was growing up, having people that had divorced parents was such a stigma. Oh my God, not anymore. [00:53:35]

Speaker3: Yeah.

Speaker2: Not anymore. You know what I mean?

Speaker1: They’re not totally happy children as well.

Speaker2: There are no I [00:53:40] think it depends, dad, because there’s a lot of co-parenting. There’s a lot of healthy conversations, [00:53:45] you know, like the life has changed, etc..

Speaker3: Do you know anyone who has an open relationship?

Speaker2: Polyamorous [00:53:50] relationship? No. Do you get clients with polyamorous relationships?

Speaker3: It’s very it’s very much more common these days. [00:53:55]

Speaker2: Yeah. It is.

Speaker1: Polyamorous means.

Speaker2: Like say for example, it’s consensual like so say [00:54:00] say like.

Speaker1: So like husband share to husband.

Speaker4: But then couples your couples.

Speaker2: But you might go [00:54:05] to sex parties together. You might have.

Speaker3: You don’t have to. You agree that you don’t have to.

Speaker2: You agree [00:54:10] that it’s not complete monogamy, but you still come home together.

Speaker4: Of course. Of course I’ve had I’ve had.

Speaker1: One, one [00:54:15] that I know. And she said she was much happier. They’re both much happier than before, [00:54:20] you know. Interesting. Their marriage was really on a verge of a Break-Up. Now they are very close and they [00:54:25] really enjoy the company of that.

Speaker2: Because they still come home to each other and love each other, I think. I mean, [00:54:30] that’s a whole different topic, but quickly I want to get over like, so then you were in Saudi because I want [00:54:35] to go back onto that topic. You were in Saudi, then you decided to come back to the UK. For what reason?

Speaker4: Yes, [00:54:40] just.

Speaker1: To, but just I want to add one point. There are two cultures now about what we’ve just said [00:54:45] there. So I have people from the Gulf. Okay. [00:54:50] I’m because I see them more. Okay. And they have.

Speaker4: In London.

Speaker1: In London [00:54:55] and they have a loving relationship. They are intellectuals and [00:55:00] middle above middle class. And they come sometimes. I [00:55:05] mean, I hope I don’t offend obviously that come. They know their husband [00:55:10] cheats, they know and they forgive them completely. And sometimes they come for.

Speaker4: But [00:55:15] you don’t think they come for an.

Speaker1: Std screen because they want to make sure he hasn’t passed the strain. [00:55:20] Totally forgiven. Are they happy? So happy.

Speaker4: They [00:55:25] do, you know.

Speaker2: Think that’s like a cultural thing? Cultural thing. It’s a cultural.

Speaker4: Thing. So we go.

Speaker1: Back to culture. Yes, yes. But here [00:55:30] it would not be acceptable. They cut off the relationship. But to me ask [00:55:35] me, I have the two in front of me who’s happy, who’s more happy? The Saudi who did [00:55:40] not break a relationship and she accepts it as men are men doctors.

Speaker4: You don’t know if she’s. [00:55:45]

Speaker2: Very happy, actually.

Speaker4: Happy.

Speaker1: I know they are very happy because they’ve been a long time with me. I know. [00:55:50]

Speaker4: Okay, fine now.

Speaker1: So let’s now to Saudi. What made me come back?

Speaker2: Yeah. So you wanted us to grow [00:55:55] up in a more democratic society as two girls?

Speaker1: Yes, yes. I mean, this is a very important [00:56:00] point and a message to everybody who is outside their homeland. It doesn’t have to be England. But [00:56:05] I’m going to say home is home. Home is where you grow. Home is [00:56:10] where you can make your wealth and your future. So if you decide to stay longer [00:56:15] as an expatriate, and I’ve seen a lot of examples like that, you have to find out [00:56:20] where you’re going to educate your children. And most of the time, your children are going [00:56:25] to leave you and go into a private boarding school in, in England [00:56:30] or in America. And, and if you decide to educate [00:56:35] them, for example, in Dubai, sooner or later you or them have to leave. And if [00:56:40] you decide to stay, well, it’s not easy. Dubai is not their homeland. They don’t have a [00:56:45] Dubai or Emirati passport. I actually mainly left even [00:56:50] that though that I had a license to practice in Dubai. I left because of the children’s [00:56:55] future. I only really this is and this was the most important and most successful [00:57:00] decision I made from my life. Because they remain to be British, [00:57:05] I wanted them to adapt to the British culture and I wanted them [00:57:10] to make their future here, and I’m happy about that decision.

Speaker2: So when we came to London, [00:57:15] I remember us struggling a lot financially. I just remember that we couldn’t. Yes, as I said, afford [00:57:20] normal coke. We would go to Asda. I wasn’t allowed to buy like anything expensive [00:57:25] etc. and remember mum crying all the time and I remember being dragged around train stations [00:57:30] and like having to see my dad.

Speaker4: And now this is.

Speaker1: This is despite full employment, [00:57:35] the.

Speaker4: Nhs.

Speaker2: Why did we have such little money?

Speaker1: It’s just not enough. It’s not little money. [00:57:40] The salary isn’t enough. We are doctors are not well paid, I have to say. [00:57:45] And.

Speaker4: But this was worse back then.

Speaker1: Well, even now, I think, to be honest, [00:57:50] you know, you know, people do struggle. They have a regular job, regular salary, but they work very hard and [00:57:55] it’s never been enough.

Speaker2: And also my mum wasn’t working at the time. So what happened was, well.

Speaker1: Even [00:58:00] when she worked, she had to pay all her salary and even more in [00:58:05] for your private schooling.

Speaker2: So basically what happened was, is that my dad got offered by his friend a house [00:58:10] in Swiss Cottage and my dad said, okay, fine, we’ll go and like move in there. Mum couldn’t work [00:58:15] at the time because her degree wasn’t valid in the UK. She went to King’s College to see if she could like, revoke her degree. [00:58:20] And she was like, this is a joke. Like as in like the tray because she went, she’s a Berkeley graduate, [00:58:25] my mum. So my dad was like slogging it out to California. Yeah. My mum. Yeah. She has. [00:58:30]

Speaker1: A master’s degree from Berkeley in.

Speaker4: Nutrition. Yeah.

Speaker2: So then basically my dad ended up like working [00:58:35] really hard. Then we went to go visit the state schools and never forget around like Swiss cottage in that area. [00:58:40] Horrendous. Remember. And they were literally like people like like knifepoint. Like in the playground. [00:58:45] Well awful.

Speaker4: Yeah actually no no.

Speaker1: No, it’s not fair. We don’t know really. But you know, I [00:58:50] just said, listen, we can’t afford a private school.

Speaker2: Yeah. But we went and like, my [00:58:55] mum took one look and was like, this is not I’m not sending the kids here. It was really rough back then. It’s not like [00:59:00] it is now.

Speaker1: Rona, when I spoke to the administrator, she said, are you joking? You [00:59:05] want them to come this year? There’s a waiting list of about 2 to 3 years. You have to put your name down. [00:59:10] Yeah. And I said what I thought, you know, but, you know, inner London school is [00:59:15] inner London like any, like, inner New York like any other place. So that’s why people go and live.

Speaker3: We came [00:59:20] mid-year because of the revolution. Yeah. Iran. Yeah. No one would take us except.

Speaker1: Yes, [00:59:25] yes.

Speaker4: Catholic, but it’s still the same.

Speaker2: The Catholic school took us.

Speaker4: Yeah. They don’t listen. I mean, at.

Speaker1: The end, you know, Netanyahu [00:59:30] did go to Camden School for girls.

Speaker4: But, you know, so.

Speaker2: This is the interesting thing. So then what [00:59:35] happened was my mum was like, right, I can’t do this. So she got a job in retail. Was the Marie Claire at the time, her [00:59:40] first job.

Speaker4: A number of loads.

Speaker2: Of sales and.

Speaker4: Became a manager.

Speaker2: Every single bit of money [00:59:45] she got, she took, she put us to go to private school. The really. Thing was [00:59:50] though, is that like, this is so typical, they couldn’t afford to buy the uniform. You know how expensive private school uniform is, right? [00:59:55] So we had to buy it.

Speaker4: From the so expensive, so.

Speaker2: Expensive. We had to buy it from the charity [01:00:00] of the school basically. And then I got bullied from like the school kids [01:00:05] for having.

Speaker4: I don’t know.

Speaker2: Because they had like little holes in them and.

Speaker4: Stuff like that. So sorry [01:00:10] daddy. Don’t be.

Speaker2: Silly. But the point is that drove me because I so wanted [01:00:15] the kids and the parents of those kids to accept me, to see what I mean. So I was like, I’m going to make sure [01:00:20] that I work really hard and we’re not going to get to where, like, we can work really hard. But also my dad, [01:00:25] as I said, he wasn’t home much because he was doing all these shifts.

Speaker1: I was in tears all the time. You don’t know that [01:00:30] I was depressed and I was in tears. I just couldn’t believe it. Is that what I really aspire [01:00:35] to be? Honestly, a doctor with a membership and all this training I did [01:00:40] and I, you know, I just can’t. I haven’t got enough money. I mean, never mind holidays. [01:00:45] We had we had we had three stars and four stars. Holiday eventually you know, but [01:00:50] even the food I had to memorise how much everything on the shelf [01:00:55] at Asda, not even Waitrose, was a dream. You know, I couldn’t go to Waitrose, you know. [01:01:00] Anyway, so, you know, I had to. We struggled, but it was worth it [01:01:05] because it’s your home country. And I must admit, you know, I love this country. I think it gave me a lot [01:01:10] of strings. You know, the people are wonderful here.

Speaker2: But Payman obviously similarly. I mean, he came to the [01:01:15] UK a lot younger, but he came from where were you born? Revolution.

Speaker4: Iran. During the revolution.

Speaker1: Yeah. [01:01:20] Yeah. So you agree with me? This is a very welcoming country with a big heart.

Speaker3: Yeah, [01:01:25] yeah, I think I think the compared to a lot of Europe for instance. Yes. [01:01:30] People here are much more open, although, you know, these days.

Speaker4: There was but.

Speaker1: However [01:01:35] there was racism, there’s no doubt about it. You know, there was racism at the time. But nowadays [01:01:40] really, I think the younger generation are I mean, the whole country has made a U-turn better than many other [01:01:45] countries, you know, and my advice as well, they expect you to develop your own economy [01:01:50] as a person. In other words, you can’t just go to a British institution and get a top [01:01:55] job because, you know, the local also has worked very hard to reach that job. So I’ve learned that [01:02:00] at a later stage, as long as you look for yourself and become an entrepreneur and [01:02:05] add to the country, you’re fine. But if you want to find a job in a top position and you were [01:02:10] born abroad, it’s not fair for the locals.

Speaker3: I was at, um. You agree? Yeah, [01:02:15] I was at my. I think it’s changed a lot now. So I was I was on a collective in San Francisco. Yes. [01:02:20] And the dean of the university would take all the elective people to lunch. [01:02:25] And the dean was black and gay because it was South [01:02:30] San Francisco, right? Yes. And I remember and this was 94, 95, it was, you know, not [01:02:35] that many years ago. I remember thinking, there’s no way the dean of our dental school could [01:02:40] have been black or gay. Yeah, because it was it was a simple, you know, white man, [01:02:45] the, the kind of person. And but these days things have changed. Things have changed. [01:02:50] Interesting. And for the better. In that respect, I’d say.

Speaker2: So I wanted to say [01:02:55] so now that’s that. But obviously Payman wanted to get into that question. How did you end up in private [01:03:00] practice, and do you want to tell them about the shampoo business?

Speaker4: Yes.

Speaker1: I mean, at the end of the day, I [01:03:05] couldn’t go on and on like that. And because I have already left the system, the [01:03:10] medical system and moved abroad, nobody in the NHS was going to give me [01:03:15] a permanent post in London especially. That’s where I wanted to be. Can you.

Speaker2: Imagine? It’s like [01:03:20] a ladder. It’s like a little community.

Speaker4: Yes.

Speaker1: I mean, obviously those who stayed in the system, they were more [01:03:25] worthy of a permanent job and I wouldn’t have got a job in London. So I decided I’m [01:03:30] just going to give it another six months.

Speaker4: How old were you?

Speaker1: Uh, well, no, actually before that. [01:03:35] So. So at that time, I was about maybe 48, 49 and but but [01:03:40] I said, okay, the best way to be in the NHS and the money isn’t enough is to [01:03:45] try to develop your entrepreneurial skills and find [01:03:50] other business to do at the time when you’re off. And when was I off? I was off [01:03:55] from 6 p.m. till 8 a.m. the following day, every day, and I, I [01:04:00] was off 1 in 3 weekends at the time. So I said, well, I’m going to use that to just build another [01:04:05] business, get people to work and I can get extra money. All what I wanted really was another 20 [01:04:10] £30,000 on the side just to to keep our life going. So [01:04:15] I thought I went to a lot of, uh, exhibitions in [01:04:20] Olympia, in, in Wembley to get some ideas. And I decided since [01:04:25] I am a gynaecologist, I’m going to develop a cosmetic business for women. [01:04:30] So I went to a lab, but we developed our type of shampoo and conditioners [01:04:35] and all that, and I spent about a good six months going forwards and backwards to [01:04:40] a lab in Colchester. And as I went to the the now that the product [01:04:45] is finished now we’ve decided about everything. It’s a lot of hard work I. Tell your in business, [01:04:50] girls and boys and girls is not easy in business because you are competing [01:04:55] with big, big company, which I didn’t accept. I thought I will do even better [01:05:00] than them. Don’t be a fool.

Speaker2: We’ve all been there, right?

Speaker1: Don’t be a fool. Really. You’re not going to do better than [01:05:05] people who’ve been in the business for years, like Lancome and, you know, and all that. So. [01:05:10] And I went with the chequebook in my jacket to pay [01:05:15] the first consignment of 10,000 bottles. And [01:05:20] to my good luck, you will not believe it. The factory was closed by [01:05:25] Her Majesty’s order only. Really? That weekend they started to close it and. [01:05:30] And then they came running to me. They said, oh, don’t worry, we’ll find another lab. I said, when you find it, I pay. [01:05:35] I escaped just really by the hair. [01:05:40] By what? The expression.

Speaker3: By hair.

Speaker1: Yeah. Yeah, by. Just by. By. Anyway, [01:05:45] I escaped. However, I decided to give up the shampoo [01:05:50] then, and I was very lucky. And then I decided to look at other businesses. I said food, [01:05:55] and at that time, soups.

Speaker2: Do you remember that one? Was it Covent Garden soup? They [01:06:00] used to have the shops.

Speaker4: Yeah, soups.

Speaker1: Were coming up. But in fact I was really only the second [01:06:05] person in the country to think of soups as fast food. And I thought, I’m going to [01:06:10] squeeze in between McDonald’s and Kentucky Fried Chicken and [01:06:15] I’m going to make people eat healthy. Well, I didn’t realise that people don’t eat healthy. People [01:06:20] wants to feel full. That’s why I can thank you. Fried chicken and McDonald’s succeed [01:06:25] with due respect to the post institutions. And I developed the soups. And then [01:06:30] he said to me, no. And then I decided this time to take the advice [01:06:35] of a business consultant. And that is my advice to anybody who is listening before you [01:06:40] start a business and you agree. Rona.

Speaker4: Business consultant.

Speaker2: This [01:06:45] is what I said to you like Prav has been so invaluable. Like it’s so funny because Rolando, [01:06:50] my accountant, she’s like, so I don’t understand. She was like, it’s a business consultant, someone [01:06:55] that you call for, like a shoulder to cry. And I was like, well, he is my shoulders crying. I was like, but he’s also strategic. He’s [01:07:00] been through things like, do you know what I mean? I think it’s like invaluable. But I also advocate coaches [01:07:05] and all this. I had a love coach for my relationship, you know what I mean? I’ve had I [01:07:10] believe in yeah I love coach amazing. She was.

Speaker4: Brilliant.

Speaker1: You did very well with this [01:07:15] advice. So I went actually to a business consultant, not because I had the money to pay for a business [01:07:20] consultant for, for, uh, for uh, ten sessions. Actually, [01:07:25] the Labour government, the Labour government at that time offered [01:07:30] business advice for free for any project which is going to be turned over, over 100,000. [01:07:35] And of course, my soup business was going to turn over 100,000 because I [01:07:40] planned to have it all over the world. So I went to his my business plan and funnily [01:07:45] enough, also, I made the guy the business consultant, to sign a secrecy agreement. That’s how [01:07:50] much I believed in the soups. Anyway, he signed and then I gave him the idea [01:07:55] and then we kept working out the figures. The figures were terrible. After [01:08:00] the six sessions, he told me, you have 60% [01:08:05] chance that you will close after one year completely and [01:08:10] lose your capital of 100,000 initially of the equipments, the other 40%. [01:08:15] You only have 10% chance to make £60,000 a year, 10% [01:08:20] and the other 30%. My chances were to make £40,000 [01:08:25] a year at best, providing I work. I have experience at [01:08:30] a fast food restaurant like McDonald’s, me and my wife for six months, and then [01:08:35] I have to be prepared to work the first year plus of us minimum [01:08:40] 12 hours a day behind the counters for the business to take off. [01:08:45] And then he said, what about medicine? Are you have you lost [01:08:50] your license or anything? I said, not at all. I just wanted this on the side. She said, well, let’s [01:08:55] talk about medicine. And then he actually developed the whole idea that with [01:09:00] my skills I could open my own. Were you.

Speaker2: Scared to open on your.

Speaker4: Own? Very scared. Why do you think. [01:09:05]

Speaker2: Private practice scared you? Because I know that scares a lot of dentists.

Speaker1: Well, you know, listen, listen, I had commitments. [01:09:10] I had 4 or 5000 expenses coming out of of my. Or [01:09:15] actually, it wasn’t four and five star. It was about 3000 a month between mortgage, [01:09:20] you know, um, schooling, whatever expenses I had. And I said, where am I going to get this [01:09:25] regular salary? Regular salary really ties you up and you lose a lot of opportunity, [01:09:30] I have to say. So. And and obviously also a little bit of the NHS pension, it’s [01:09:35] fine. But then eventually I took up his idea. He designed [01:09:40] the logo for me. He actually gave me a strategy as well. I said I’m [01:09:45] going to give it six months and if it doesn’t work, I’m going to go back to the Middle East. Doctor with [01:09:50] within three months. Within three months, I [01:09:55] was earning more than what I was earning.

Speaker4: In private practice.

Speaker1: In private practice. Wow. [01:10:00] Three months.

Speaker2: But what how was how were you spreading the word at that time? Were you doing Google then or not there [01:10:05] yet?

Speaker4: There was no Google then.

Speaker1: There was only the Yellow Pages. And you have to wait your turn because it’s only [01:10:10] published once a year. And if you just missed it, bad luck. We used we used the [01:10:15] usual business strategies, you know, flyers into people’s homes, for example.

Speaker3: And was it fertility? [01:10:20]

Speaker4: No specific gynae? No, this was gynae.

Speaker1: It was a one stop gynaecological centre. [01:10:25] It still is because of the skills I had. You can have the ultrasound at the same time. [01:10:30] You can have blood tests almost at the same time. You know, we are we are a unique [01:10:35] clinic. Really, to be honest, you don’t have to to come back for follow ups. We give the results [01:10:40] by email. I don’t bring people back and we do the ultrasound at the same time. If [01:10:45] you need a colposcopy, you have it at the same time. So we were attractive and obviously the price [01:10:50] was less than most private hospitals. And also [01:10:55] the services were better than a lot. You have to have a best selling point. You can’t really have a [01:11:00] business successful without a better selling point. That’s what makes business more advanced. [01:11:05] And then I went to partnership because the only thing was missing is an IVF clinic. So I went [01:11:10] to partnership with my. How old are you colleague Doctor Gorgi? Yes, we opened in 2004, [01:11:15] but but we’ve been talking since 2002, so I was only about 50, [01:11:20] 52, 53.

Speaker2: But see how late dad started his private practice. [01:11:25]

Speaker1: So it’s never too late.

Speaker4: It’s never too late.

Speaker1: And I’m 77 and I don’t intend [01:11:30] to stop really completely, but obviously reduced my my sessions a little bit.

Speaker4: Yeah. [01:11:35]

Speaker2: So I want to talk a little bit about obviously fertility. So now you said the [01:11:40] average age of women having children in your clinic is 33 to 35 years.

Speaker4: Old in [01:11:45] this country.

Speaker2: In this country. Now, talk to me, first of all, from a biological perspective, [01:11:50] totally like factually, scientifically, what happens [01:11:55] to women’s fertility when they hit 30? Yes. And above. [01:12:00]

Speaker1: So women, when they reach adulthood, say 13, 14, [01:12:05] they have about a quarter of a million follicle and follicle contains [01:12:10] immature eggs inside, and only one of them come out each [01:12:15] month. So, you know, you do the math yourself. So by the time you reach 20, [01:12:20] you know, you had some reductions. And and the rate of reduction is very slow [01:12:25] until about 30. And then the curve starts to become steeper. [01:12:30] So you lose more eggs as the ovaries get older. I’m not talking about [01:12:35] women getting older now because the women are much younger now at an older age. [01:12:40] So you might feel young because you’re going to the gym and you’re keeping the heart and you’re keeping everything going. But [01:12:45] the ovary hasn’t got hasn’t evolved really to accustom to that. So [01:12:50] at 30 you lose more eggs between 30 and 35, then [01:12:55] 20 to 30. And after 35 the curve even becomes more [01:13:00] steeper. So between 35 and 40. Sorry, and I told you that [01:13:05] before 30. But it doesn’t mean you can’t get pregnant, but you just lose, you know, more [01:13:10] eggs, they just die. They just become atrophied. But you still have eggs.

Speaker2: Can anyone do anything [01:13:15] to improve their egg quality and quantity later on in life? Can you do anything [01:13:20] or is it just the usual stuff like good diet, la la la?

Speaker1: No, nothing. Even diet? I cannot [01:13:25] tell you. The ovary.

Speaker4: Has it, so there’s no studies to.

Speaker1: Show its own cycles. No.

Speaker2: What about stress [01:13:30] though? Because we’ve there’s been a massive there has been studies to show [01:13:35] that a stress in general. Not like let’s talk about whatever.

Speaker4: Makes you age.

Speaker2: No. But also [01:13:40] stress has an implication on people’s ability to get pregnant. You know, some people say the moment [01:13:45] I. Stop stressing about it, I fell pregnant, do you see.

Speaker4: What I mean? Ah, but.

Speaker1: That’s. You’re talking about ovulation, [01:13:50] not ovarian ageing. Okay. Yes. Stress can affect a monthly ovulation. [01:13:55] You can have irregular periods due to stress because you’re not ovulating on a regular basis. So let’s [01:14:00] be clear. In order to to to have a regular period you have to have an egg coming [01:14:05] out, you know, in the middle of the month. So ovulation can be affected by stress but not ovarian ageing. [01:14:10] So when you reach there’s another complicating factor. So by the time you reach [01:14:15] 35 the egg quality and what I mean [01:14:20] by equality, you know, in order for the eggs to fertilise and make a human beings, you [01:14:25] know, you have 23 pairs of chromosomes. So these [01:14:30] 23 pairs have to split to become 23 single. So [01:14:35] when they unite with the man’s sperm’s also 23 singles, you make [01:14:40] 23 pairs a human being which is a mix of data. Mom. However, [01:14:45] when you when the ovarian ovary ages from 35 [01:14:50] onwards, that splitting of the chromosomes is not perfect. So [01:14:55] some chromosomes, especially 21, chromosome 18, chromosome 13, they [01:15:00] just stick, they continue to stick together. And you end up having one egg with [01:15:05] 24 chromosomes and one egg with 22 either [01:15:10] of them. When they unite with the with the partners or husband, [01:15:15] you end up with a 145 chromosome and 147 chromosome. [01:15:20] Both of them are abnormalities are abnormal children interesting.

Speaker2: Do you have statistics [01:15:25] on how many people nowadays are undergoing fertility treatment [01:15:30] within the UK? Do you know any stats like as in like how many people are having either IVF or egg [01:15:35] freezing or anything?

Speaker4: Not in my head.

Speaker1: Yes, I must say.

Speaker4: Egg.

Speaker3: Sorry, I decided enough. Egg [01:15:40] freezing is where you’re fertile. You’re going to save some eggs because you want to have kids later.

Speaker2: So let [01:15:45] me. So let me.

Speaker3: Ivf is not fertile, but you’re trying so.

Speaker2: So dad can go into this further. [01:15:50] But basically, when I was 32, he said to me, you’ve not had kids yet. You better think [01:15:55] about freezing your eggs. So he had a frank conversation. He said, because the the, um, quality [01:16:00] and quantity of your eggs is better early on than later on because a lot of women, they try to [01:16:05] freeze their eggs, as far as I know, 38, 39 and they can get like four eggs, right? Isn’t they [01:16:10] don’t get many at all, depending on each case. But the earlier you do it, from what I understand, [01:16:15] the better the outcome could be. So when I froze my eggs I found [01:16:20] it a very stressful experience. Like to be honest, Doctor George, who is my dad’s business [01:16:25] partner, he’s brilliant. He gets really high success rates. That’s why I like refer a lot of people, but [01:16:30] it’s a really emotional experience. The hormones, the hormones. I mean, [01:16:35] ask my dad. I was in tears, you know, the daily.

Speaker3: Injections.

Speaker2: Daily injections, and that was okay. But [01:16:40] for me, it was like they removed the eggs under sedation. They got 19 [01:16:45] eggs, 19 healthy eggs in one go. That was pretty good, you know.

Speaker4: Very good. Yeah.

Speaker2: And, [01:16:50] um, they’re they’re now in the bank. They are there. But you know what’s also hilarious, [01:16:55] which you again, can explain. You get charged for storage as a woman. No, but apparently [01:17:00] sperm doesn’t get charged for storage. Is that true?

Speaker1: No. If you want.

Speaker4: You know, listen. [01:17:05]

Speaker1: Storage needs a building, needs a freezer and needs people to monitor it. You have [01:17:10] to pay.

Speaker4: Yeah, so.

Speaker2: You have to pay the.

Speaker4: Storage. Of course.

Speaker3: Everything you have to pay for storage. Yes. [01:17:15]

Speaker2: Fine, fine. I’m spreading fake.

Speaker4: News.

Speaker1: Why why why store it then? If you don’t have a building.

Speaker4: Where would you store? [01:17:20]

Speaker2: And then IVF is when people have a problem conceiving a child. But [01:17:25] I think there’s loads of different problems that can happen. And again, dad can shed a light on it that people. [01:17:30] So there’s people that can get an embryo can be formed, but it doesn’t stick. So they get [01:17:35] miscarriages and there’s people that actually can’t get pregnant. So what’s your thoughts on that. [01:17:40] Like why are these numbers increasing?

Speaker1: I want to have a full stop. And then I come back.

Speaker4: Toilet. [01:17:45] Yeah sure.

Speaker1: Toilet and water as well.

Speaker4: Yeah okay okay. [01:17:50]

Speaker1: This is a normal tap.

Speaker5: No no no [01:17:55] don’t go to toilet. You [01:18:25] want something to go?

Speaker2: I’m all right. Thank you. He’s [01:18:30] so cute, isn’t he?

Speaker5: He’s sharp.

Speaker2: Can you believe he’s almost [01:18:35] 80?

Speaker5: He’s stronger than my mom.

Speaker3: Who’s 77.

Speaker2: Think [01:19:40] this is a really interesting one [01:19:45] because it’s quite it will give people quite a lot of facts as well. Because [01:19:50] so stressed, man, I got to get on with it and have a baby what, 37 now on Wednesday. [01:19:55] Yeah I know.

Speaker6: I’d like to go into. [01:20:00]

Speaker3: What would it mean to you if you didn’t? If you.

Speaker6: If you couldn’t have kids?

Speaker2: I [01:20:05] think I’ll talk to you about that openly.

Speaker5: Yeah.

Speaker2: Were you young? 28. About when? [01:20:10] Your kids.

Speaker5: How is it going so far?

Speaker2: It’s amazing. We just had. You’re so sharp and so amazing. [01:20:15]

Speaker1: And and I speak with a better accent. The one you keep mocking [01:20:20] me about.

Speaker2: I love your Egyptian, but can I just say, um. Do you. Are [01:20:25] you enjoying it?

Speaker4: Yes.

Speaker1: I mean, I enjoy it more when I see it. That’s excellent. I love [01:20:30] it, you know, it’s a memory as well.

Speaker2: Yeah, it is really good. But the [01:20:35] thing is, like, there’s also really interesting, like doctors and stuff doing all these podcasts. And [01:20:40] there’s one I told you, the gynae geek, she’s become very big now.

Speaker4: Because because. [01:20:45]

Speaker1: Of the podcasts.

Speaker2: And all the Instagram, you know how you said you trained her?

Speaker1: What’s her [01:20:50] name?

Speaker4: How [01:20:55] much you.

Speaker1: Have to pay for that session.

Speaker2: No payment. Does it for me for free.

Speaker4: Wow. [01:21:00]

Speaker2: Because we collaborate together.

Speaker1: But but generally speaking.

Speaker4: You know, there’s only 32.

Speaker1: Hours. How much you [01:21:05] cost.

Speaker2: What? To produce it. Yeah, I don’t know. You can ask.

Speaker1: Him. Yeah, but, [01:21:10] you know, I have Jessica’s husband who does it very cheap for me. 200. But, [01:21:15] you know, I can’t do it because I’m. I’m mainly doing terminations [01:21:20] now, you know.

Speaker2: Um, we have about [01:21:25] like half an hour, by the way. So we’ve got a few things to wrap up, but I want to. Uh Payman. This is [01:21:30] I don’t know.

Speaker4: This is I want to talk.

Speaker1: About, you know, egg, uh, ovarian reserve. It’s very [01:21:35] important. And also about the importance of egg freezing. Yeah. Okay. So we [01:21:40] we still. It’s carrying on. Yeah. Okay. So I really want to make a very important [01:21:45] point okay. So we already explained that the number of egg or [01:21:50] follicles contains immature eggs decreases every [01:21:55] year. Every year. So slowly until the age of 30 a little [01:22:00] bit steeper, 30 to 35 more steep from 35 to [01:22:05] 40 and from 40 onwards even worse. So by the time you reach the menopause, [01:22:10] there are hardly any, any eggs. So we call that egg attrition. [01:22:15] So everybody assumes I will be okay at 30, [01:22:20] 30, one, 32. I’m still okay, okay until 35. It’s [01:22:25] not true. But I don’t want to scare you. I have seen ovaries which [01:22:30] hardly contains any eggs or contain eggs equivalent [01:22:35] to the age of 38, and I’ve seen it at 25 years of age.

Speaker4: Wow. [01:22:40]

Speaker1: And as a result of seeing it. And that’s not only just by ultrasound. [01:22:45] Also there’s a blood test to monitor it called anti-mullerian hormone.

Speaker4: It’s AMH, [01:22:50] AMH mine was quite low.

Speaker2: That’s what Gorgui told me.

Speaker1: Well yours was borderline. It’s 12 was [01:22:55] okay still you know but but under ten and under 60 is worse. Um, so [01:23:00] my recommendation is that before you reach such a decision to delay your [01:23:05] pregnancy, have an ultrasound at the age check at the age of 25 [01:23:10] to check your ovarian reserve. And if it’s a lot and it’s fine and it’s absolutely normal, [01:23:15] I think you can leave it then safely at perhaps until 2830 [01:23:20] before you have another. But I strongly recommend from 30 to [01:23:25] 40 every year you monitor your ovarian reserve, just like an ovarian [01:23:30] health by ultrasound where we can where we observe [01:23:35] and count the number of eggs, as well as anti-mullerian hormones. And as long as they [01:23:40] are healthy, then you’re okay to wait. But once they start going down, then you [01:23:45] can seriously think, am I going to have a baby? Am I? Am I in a position to have [01:23:50] a baby? Or shall I freeze my eggs? Now? The advantage [01:23:55] of freezing your eggs early at a younger age is because the quality is [01:24:00] much better. So having 19 eggs at the age of [01:24:05] 35. Is not the same as having 19 [01:24:10] eggs at the age of 25, for example, because some of the eggs are [01:24:15] bound to be unhealthy, poor quality, and they may not fertilise. But [01:24:20] that’s fine. But 19 is better. Not only that, if you leave it until 35, the [01:24:25] number of follicles will be less. The number of eggs retrieved really for freezing [01:24:30] will be less. The quality will be less. So you can see you can see my point. So that’s [01:24:35] my advice as far as ovarian reserve. Just to summarise, an [01:24:40] ultrasound scan at 25, just to know that you are always following the normal care and [01:24:45] then 30 and from 30 onwards once a year, unless you decide to have a baby already. [01:24:50]

Speaker2: Do you know what is interesting actually? So there is a dentist. Lovely, lovely [01:24:55] one you know as well. And his wife was so grateful to me when I spoke openly [01:25:00] about my egg freezing. People weren’t talking about it that much online. I went out and was like, guys, I’ve just done this. And everyone was like, whoa! [01:25:05] And the reason was because they tried to have a baby when she was 32. They couldn’t. [01:25:10] And when they went to the doctor, she had early onset menopause. [01:25:15] Yeah, yeah. And then they got two eggs from her and [01:25:20] luckily one implanted and they had one. They are very lucky. One child and she only has one child at [01:25:25] 32.

Speaker3: I’m very interested to learn. Okay. We had the scientific side there. [01:25:30] But from a woman, the sort of the social side of numbers. [01:25:35] Now the question of the.

Speaker1: Ball is in your court now the.

Speaker3: The question of [01:25:40] what? How would it feel if someone told you you can’t have children? Number one, um, number [01:25:45] two, the process going through the process. And you said you said you had stress [01:25:50] or hormonal issues and then from yourself, you must have had to break it to people [01:25:55] that you can’t have children a million, a million times.

Speaker1: I never say that. Well, it’s a [01:26:00] wrong statement. Sure, sure.

Speaker4: Because I was going to ask that.

Speaker2: Why is it wrong statement?

Speaker4: Wrong statement?

Speaker1: Because we know [01:26:05] of sporadic rare pregnancies which happen even two years after the menopause. [01:26:10] Really? And the Family Planning Association is the oldest.

Speaker2: Recommend Gordon Ramsay’s wife, [01:26:15] huh? Gordon Ramsay’s wife got naturally pregnant at 47.

Speaker3: What’s the oldest pregnancy you know of?

Speaker1: As [01:26:20] I’ve seen at 47 and 48? 48 and spontaneous.

Speaker2: But [01:26:25] can I ask you something, though? Um. Do women. It must be a very difficult conversation. [01:26:30] Do they get offended in the clinic? If you advise them to think about having a kid soon, do they get offended? [01:26:35]

Speaker1: I had a complaint. I had a complaint. When I mentioned to somebody [01:26:40] I noticed the low ovarian reserve and I said, everything looks normal, but the number of eggs [01:26:45] is small. I mean, I’m obliged to tell her it’s a finding which I have to write. And, [01:26:50] uh, and, you know, if if you are really in a position [01:26:55] to have pregnancy, I think you should perhaps get on with it or monitor [01:27:00] to the future. But people really hear half of the words they triggered.

Speaker4: Yeah, but so [01:27:05] be complaint.

Speaker1: And by a famous journalist as well. Her, uh, her mother in law [01:27:10] is a famous journalist, I’ll tell you off the record after that, who achieved. But it’s just [01:27:15] it was terrible for me because here I tried to convey the facts, but [01:27:20] people get upset from the facts. And not only that, they complain, they make a complaint. So I had to spend [01:27:25] time to reply and explain.

Speaker2: Yeah, I think it’s like a really difficult one because I [01:27:30] think, like you said, more and more women, they want to delay having a child because [01:27:35] they are more career focussed. Also, I think that women have hired their standards from what [01:27:40] they expect from a man as well, because they bring a lot more to the table. Now they’re like, I [01:27:45] want to date someone that’s X, Y and Z. And then that all like delays the process. Now, [01:27:50] I think ideally, if I’m completely honest with you, I would have had a child by now. Already [01:27:55] I put like an onus onto my career, but also I’ve always been like a serial [01:28:00] monogamous. Do you see what I mean? And for whatever reason in the past, the relationship hasn’t [01:28:05] worked out in that way. And I was a very late bloomer, like my dad will tell you. Like, [01:28:10] as in like I was very focussed on, like my studies always had friends and stuff.

Speaker3: So you couldn’t have children. Yeah. [01:28:15] What would that mean?

Speaker2: I think there’s loads of options now and I’ve already like discussed this with my partner. Like if [01:28:20] I couldn’t have children now, naturally I’d number one try to use my eggs. If I couldn’t use my eggs, [01:28:25] then I’d go through IVF. If I couldn’t go through IVF, I’d consider a surrogate. I would even say that. Do you see [01:28:30] what I mean? You know. So, yes, but you know.

Speaker1: But some women, and to be honest, I think you may be one of them. [01:28:35] You’re not really, really hot about having a child. You just says this.

Speaker4: Because you’re [01:28:40] a career.

Speaker1: But you’re a career woman. You’re you have already married your career [01:28:45] and you’re enjoying it. You’re having a happy life. Is it important nowadays to have a child?

Speaker2: Yes. But [01:28:50] I think more so to you.

Speaker4: Yeah. Because this individual.

Speaker5: Makes a.

Speaker3: Very good point. Yeah.

Speaker4: An individual [01:28:55] it’s not.

Speaker3: All you had.

Speaker1: Nowadays.

Speaker4: Is motherhood. Yeah, yeah. So I went and.

Speaker3: Then someone said you [01:29:00] can’t have a child. Yeah. That would your purpose in life.

Speaker4: Yeah.

Speaker2: I mean I mean I had a.

Speaker4: Friend no longer.

Speaker1: The purpose [01:29:05] of life, you.

Speaker2: Know. Yeah, but. No, but. So now that I’m turning 37, I think I’m really [01:29:10] stressed about the fact that I haven’t had a child because I think that I would feel very upset. [01:29:15] This is like a personal thing I think I feel. Don’t worry, dad, you’ll be a granddad.

Speaker4: No.

Speaker2: It’s [01:29:20] like I think that. No, I would feel, I would feel I think it’s. But, you know, like two [01:29:25] of the girls, the message me saying oh, I’ve booked with Doctor Gorgui, one of them is a doctor. [01:29:30] She’s a doctor herself. And she was like messaging me. She was like, oh, I’ve got such bad depression at the moment because [01:29:35] I can’t find a partner and I’m doing all these like, night shifts.

Speaker4: And it.

Speaker2: Needn’t be tough.

Speaker4: It is. No, [01:29:40] it.

Speaker1: Needn’t be like that, to be honest. It is a life without children as well.

Speaker2: My dad always said to me [01:29:45] when I used to, because what happened to me was, is I went to university. I met someone when I was 22 years [01:29:50] old. We were together till I was 27. I thought I was going to get married to him. [01:29:55] My parents thought I was going to get married to him. And in my mind, because of the narrative which we’ve talked about, [01:30:00] I was like, oh, it’s cool. I’m not 30 yet, so I’m not off the shelf. We broke up. [01:30:05] Then I went into like, right, I have to try and find someone before I’m 30. Then I went [01:30:10] for like some of the wrong people, these alpha male narcissists. And then my dad turned around to me and he said, do you know [01:30:15] what? He goes better to be alone than with the wrong person.

Speaker5: Yeah, yeah. This look, this fear of.

Speaker3: Being left [01:30:20] on the shelf. Yeah.

Speaker5: Yeah, exactly.

Speaker3: It’s a funny one because I [01:30:25] come across some, some, you know, like just out of dental school now, out [01:30:30] looking for their husband, like people. I mean, is that how how real is that fear of being left [01:30:35] on the shelf?

Speaker2: I think it’s so real. But even like some of my closest friends, they got into depression because [01:30:40] they weren’t, like getting married or proposed to by 30 and they got into depression. But [01:30:45] I just think like 30, as I told you. However, when I said this online as well, people, men, [01:30:50] the Andrew Tate lovers were like, oh, of course no man wants a woman who’s 30. Her [01:30:55] run through rate is like massive, which is like hilarious because as we’ve just said, the [01:31:00] Gen Z girls arguably are way more like sexually empowered. Do you know what I mean?

Speaker3: Someone trying to get a [01:31:05] rise.

Speaker2: Out of you. Yeah, but I think I think like, I think it’s I think it’s very real. But I think it’s interesting, [01:31:10] dad, do a lot of people also women in your office express anxiety about [01:31:15] not finding the right partner?

Speaker4: Yes.

Speaker2: And having kids?

Speaker4: Not a lot.

Speaker1: But not as much as [01:31:20] it used to be. But you know, ten years ago was more common. I don’t see it often now.

Speaker4: Why [01:31:25] do you think somebody would?

Speaker3: Some someone doesn’t have a partner comes freezes their eggs.

Speaker2: No not necessarily. He’ll [01:31:30] see someone for a gynaecologist generally and then they’ll express he’s saying ten years [01:31:35] ago I’m really sad I don’t have anyone. Why do you think that’s reduced now?

Speaker1: Because a lot [01:31:40] of more women are career oriented.

Speaker2: So now they don’t care.

Speaker1: They tell me at 32 they come. [01:31:45] I just can’t have a child. Now. I’ve just really I’m just about to start to, [01:31:50] to to get a good job and, you know, be promoted company.

Speaker3: If you had a child at 30. [01:31:55]

Speaker1: Yeah.

Speaker4: And I’ve seen.

Speaker3: That for the last seven years would have happened do you.

Speaker2: Think? [01:32:00] I think I always think that I could balance it. I don’t know, maybe I’m being maybe you can, maybe you can. Yeah, [01:32:05] but look, look.

Speaker3: You wouldn’t be dispersed.

Speaker2: Look at some amazing people. Like within like [01:32:10] the dental and medical community. Look at Yusra, for example. Like she’s got like three kids. Do you see? I mean, and her own [01:32:15] clinic and her own. Do you see what I mean? There are women out there that do it.

Speaker3: It’s possible. I’m just saying you would not be the same [01:32:20] person at all. Yeah. Um, and okay, maybe a bit controversial. I don’t think you’d [01:32:25] be as successful as you’ve been. Really? When you’ve got a child, you’ve got a child to look after.

Speaker1: The problem in [01:32:30] this country is child care. Yeah, but. If you are. And that’s one [01:32:35] of the reasons we chose to have children in the Middle East, because you can easily have child care, child care, [01:32:40] drivers.

Speaker3: Nannies, gardeners, cooks for a.

Speaker1: Small fee.

Speaker2: So I want [01:32:45] to ask you, right. Like it was interesting because I’ve had a couple of patients in recently, about 32, 33. And [01:32:50] I say to them, any medical changes a lot now, I would say two out of five of my clients [01:32:55] are doing IVF at the moment when I check their medical history. And I said, they [01:33:00] said, it’s really weird. The doctor actually can’t find anything wrong. I menstruate, my husband, we [01:33:05] try having sex during ovulation. Um, we’ve been trying for two years. I can’t get pregnant. [01:33:10] And she goes, I’m doing my second round of IVF. So what I’m trying to say to you is something must be [01:33:15] going on beyond biological circumstances.

Speaker1: I don’t understand it yet. We call it idiopathic. [01:33:20] There are obviously reasons which are. That’s why I think.

Speaker4: Undergoing.

Speaker1: Research and immunology. [01:33:25] You know, Doctor Gorg is very hot on finding immune reasons. And there are [01:33:30] some mixed feelings in the society about immune immune problems [01:33:35] being a reason for infertility. He’s one of the very few in this country, in in London [01:33:40] who looks into these reasons. And he brings success when [01:33:45] somebody’s had ten failed IVF. Mhm. So there are some immune reasons but yet [01:33:50] it has to be proven as well in bigger studies and all that. There are some studies which shows it’s [01:33:55] yes, it improves fertility rate. There are some studies which say no it doesn’t.

Speaker3: I’m not sure [01:34:00] there’s more stress now than there was before.

Speaker4: No, no.

Speaker1: No, it’s not stress, stress.

Speaker5: Pollution.

Speaker3: Maybe, [01:34:05] you know, maybe processed foods or whatever that is, sleep or whatever. Um, [01:34:10] would you adopt.

Speaker2: So I think.

Speaker4: Excellent.

Speaker1: Excellent consideration [01:34:15] to adopt.

Speaker2: So it was interesting because I was having oh I have to bring Bianca on the podcast. Bianca is my best [01:34:20] friend. She told my dad that he was closest when we were 12 years old because she she wanted [01:34:25] to go when we were 13. She wanted to go to a rave in Kings Cross when Kings Cross was when I was 13. So you remember [01:34:30] Kings cross was like, we went to a place called Bagley’s and my dad dressed, dressed like little like. Yeah, [01:34:35] Bagley’s like dressed in these little mini skirts. And my dad was like, you are not getting out of this car. So she’s like, [01:34:40] Doctor Iskander, stop being cast. You know, classes. Imagine just because it was Kings Cross. [01:34:45]

Speaker3: Kings cross.

Speaker4: Was an.

Speaker1: Empty bed.

Speaker4: Land. Yeah.

Speaker5: A dodgy area with.

Speaker1: Drugs [01:34:50] and, you know, and we.

Speaker4: Were sex workers.

Speaker2: So anyway, Bianca is so [01:34:55] opinionated and she has made the conscious decision. She had said, I do not [01:35:00] want to have children. She made that from a young age. You know, I haven’t told you this about her. Like she just didn’t want [01:35:05] to. She wouldn’t mind me saying this. She’s an incredible psychotherapist. She was a journalist working in the Middle [01:35:10] East, has worked for loads of different places. He loves her lots, like she’s like a second daughter. But [01:35:15] interestingly, her sister had IVF with a donor [01:35:20] at 44. So she went to Greece. She got [01:35:25] a donor, chose a very handsome Dutch man. Whatever got implanted had the baby completely [01:35:30] healthy, fine. Second time round. She’s 46. [01:35:35] She couldn’t. The IVF didn’t work. So now she’s going to be adopting a child. Now, [01:35:40] I was having this conversation with Bianca and she turned around to me and she said, I think it was her partner that said, which I thought was a really interesting [01:35:45] point. He goes, human beings have such an obsession with passing on their [01:35:50] DNA and having a genetic.

Speaker4: Yes, of.

Speaker2: Course. And he goes, but it’s a weird obsession. And he gave an example [01:35:55] of his friends that tried to have a child for maybe ten years. [01:36:00] Couldn’t they got a surrogate? The surrogate had twins. [01:36:05] One of the babies had meningitis early and now is in a wheelchair. And [01:36:10] he said that their whole life has been dedicated to the child in the wheelchair. And he said, but their [01:36:15] obsession with trying to, like, fight the biology.

Speaker4: Yes.

Speaker2: Also was like hampered [01:36:20] them in the end. Does that make sense? But you could argue, obviously, that it’s been very fulfilling their life as [01:36:25] a result. You could argue it both ways. But the point is it’s a.

Speaker1: Very important point.

Speaker2: Yeah, it’s a very important point. But I don’t think I [01:36:30] necessarily want a child for my genetic DNA. I don’t even think about that. I [01:36:35] don’t want to lose the surname Iskander. I told you, because then after you, it’s gone. So I want to be Doctor Iskander. But [01:36:40] in terms of like for me, having a child is more about like that bond and [01:36:45] like having a human being that’s like you’re like someone you bring up [01:36:50] and someone that you look after and nourish. And yeah, I think that, you know, you could adopt. If I adopted, [01:36:55] though, I think I’d want someone that’s like a child that’s maybe really like opposite to me, as in like a completely [01:37:00] different, like culture and ethnicity. Like, I don’t know why I don’t know, I really don’t know. [01:37:05] I think I don’t know why. It’s just something that I was like, you know, like sometimes I meet children [01:37:10] that have been adopted and I don’t know, I just feel like you.

Speaker3: Insomuch as you don’t want it to be a secret [01:37:15] at all. You want it to be out.

Speaker2: Of out in the out in the open. Exactly. And people just know. But not [01:37:20] to get like not for people to give me praise or anything, but I’d want it to be.

Speaker3: I don’t want it to be a thing.

Speaker2: To be a thing [01:37:25] to hide. Correct.

Speaker3: How interesting.

Speaker2: How would you feel about adoption? Grandchildren? [01:37:30]

Speaker1: How do you know that your DNA is. Are half from me and half. Well, how do you know? [01:37:35] From me and your mom?

Speaker4: How do you mean?

Speaker2: I’ve been cheating on mum.

Speaker4: I mean, that’s how.

Speaker1: Does [01:37:40] anybody know what’s inside you? I mean, a child whom you actually [01:37:45] bring up from a young age is your child.

Speaker4: Yeah.

Speaker1: Does [01:37:50] anybody take a test from him and say, oh, I want to see who you are? [01:37:55] I mean, really, you don’t see. Well, I know.

Speaker3: I know several men who who say [01:38:00] they wouldn’t adopt.

Speaker1: Um, yeah. But I think, you know. But think about it. Really?

Speaker3: Yeah. No, I. [01:38:05]

Speaker1: Agree with you. Brought up a child so young and I agree with you. Adopted your environment and everything. What does [01:38:10] it matter about the DNA? I agree with.

Speaker3: You. I agree with you. But there is there’s an element of.

Speaker1: I know there.

Speaker3: Is. [01:38:15] Having kids is so hard anyway. Yes, yes. Having your own child is such a massive look. [01:38:20]

Speaker2: I think this is such a huge topic because also, for example, daddy, we had, um, someone who I’m seeing tomorrow, [01:38:25] we had an incredible man called, uh, John Lancaster on the podcast. He was born with Treacher Collins syndrome. [01:38:30] Do you know about Treacher Collins? No. So you have you’re born with certain features, [01:38:35] so you don’t have cheekbones, you don’t have ear bones, and you look very distinct. And [01:38:40] his parents didn’t know at the time because I don’t think the technology was available. So when he was born, they [01:38:45] gave him up for adoption two days later. And on the adoption paper, they wrote that the parents were horrified [01:38:50] by the child’s face. Imagine he saw that he grew up to be one of the most beautiful, kind, [01:38:55] incredible human beings in the world like us. Payman incredibly successful. He did a documentary. [01:39:00] He tried to find his parents when he reached 30 because he thought maybe they were young. They didn’t understand. He [01:39:05] tried to reconnect. They still didn’t want to have anything to do with him. However, the love that he [01:39:10] has and the bond that he has with his adopted mother is unbelievable.

Speaker4: Exactly.

Speaker2: And he considers [01:39:15] it to be his mother. Yeah. And I think.

Speaker1: Why did he have to worry about his, uh.

Speaker2: And [01:39:20] I think he’s. But he’s okay with it now.

Speaker4: I know he.

Speaker2: Is okay with it now, but I think, like the [01:39:25] point is, is that we all it is that love and bond. [01:39:30] But then on the other side of the spectrum, I have certain friends that have now [01:39:35] because we’re older, they meet people and they get into relationships. And the guy already has kids. [01:39:40] Yeah. Two kids, three kids. Yeah. It’s tough. Would you do tough? I’m [01:39:45] not sure. It really depends. And I always say, like, complicated. It’s complicated because [01:39:50] certain friends of mine, like, I’ve gone from living my best single life. I love this human. But [01:39:55] we have to now pick up the kids. We can’t go on holiday. It’s a lot to take on someone else’s. [01:40:00]

Speaker4: It is a lot. It is a lot. Yeah.

Speaker2: But then, is there a difference between taking on someone’s child, [01:40:05] as you said, where you’re being a step parent rather than when you’re a doctor? Do you see what I mean?

Speaker4: There [01:40:10] is there is a difference. There is a difference.

Speaker2: You see what I mean? Because you could argue.

Speaker4: That’s a massive.

Speaker2: Difference, because you could [01:40:15] argue being a step parent wasn’t necessarily choice, whereas an adoption is complete choice. [01:40:20] Does that make sense? Yes. Okay. We’re running out of time.

Speaker4: Just before we leave that point. [01:40:25]

Speaker1: Some people can accept an abnormal child and some people cannot. [01:40:30] It’s fine. I think both of them are correct. And to give it to a foster parents [01:40:35] who actually are happy to have a down syndrome baby is better than growing with two parents [01:40:40] who cannot physically look after a down syndrome. What do you think? They are both [01:40:45] just different. Kind of.

Speaker3: It’s an important question because now you can screen for down syndrome and you can you [01:40:50] can abort the kid, right? Yeah. And but then you also see.

Speaker2: Some beautiful down syndrome children. Yes [01:40:55] yes yes yes yes.

Speaker1: But some people cannot accept it.

Speaker3: It’s fine. I’ve had the situation where someone asking [01:41:00] me for advice. What should I do? Yeah, yeah. And and we have in Iran [01:41:05] I know of two down syndrome, uh, kids like in our, in our circle, [01:41:10] in our, in my direct community. And you’re right in that they’re [01:41:15] loving and so on. But the one thing that I was trying to impress on this person was that, [01:41:20] you know, it’s a once you’re gone, you have to worry about this kid. Yeah. So [01:41:25] understand that you could you can give your whole life to this kid. But but then once you’re finished, [01:41:30] once you’re gone, you there’s that worry of who looks after the kid now, which [01:41:35] a lot of people have with any child with a.

Speaker1: In Iran it’s a problem. But here the institutions [01:41:40] and the country looks after them very well still, and they are integrated into [01:41:45] society now. But you’re right, they are at a disadvantage. But it doesn’t mean I mean she.

Speaker3: Decided to abort [01:41:50] and, and, uh, you know, understandably difficult decision. It’s a difficult.

Speaker4: Decision. And [01:41:55] such a difficult decision. It is a difficult decision.

Speaker2: Um, I want to ask something else on the men, because I feel like this is not [01:42:00] talked about. A couple of my friends also had IVF, and it was turned out it was actually the man’s sperm. How common is it [01:42:05] for it to also be the man’s sperm? So she couldn’t get pregnant because there was something. The man was.

Speaker3: Infertile.

Speaker2: Yeah. So [01:42:10] it’s he’s not infertile, but there was nothing wrong with the motility or something like that.

Speaker1: I mean, it says it’s [01:42:15] a manufacture. The factory in the testes, which doesn’t function very well, doesn’t bring them. [01:42:20]

Speaker4: Are we seeing.

Speaker2: That it is also something that is being talked about. So men can also experience problems? [01:42:25]

Speaker4: Of course. Yes.

Speaker1: 15% of fertility problems are because of the men.

Speaker4: We know that. [01:42:30]

Speaker1: So it’s 1 in 6. It’s fine. And men in this country accepts it very well, [01:42:35] do they?

Speaker2: So do you feel so? I mean, as a man. And both of you can tell me [01:42:40] if you were told or that you had problems, your sperm as well.

Speaker1: Wouldn’t [01:42:45] have bothered me, and I would have been quite happy to have a sperm donor.

Speaker2: So is that the only [01:42:50] option? If you have sperm problems, or can you then or do then they do IVF.

Speaker1: It depends on the problem. [01:42:55] So some of them have problem in the whole formation. There is not one normal sperm. [01:43:00] The percentage of abnormal sperms in an ejaculate. [01:43:05] Just guess. Tell me what is? How many normal sperms in a normal ejaculate percentage? [01:43:10]

Speaker3: Abnormal.

Speaker1: Abnormal or abnormal? Normal. Let’s say normal. [01:43:15] How many do you expect to be normal?

Speaker3: 80%.

Speaker1: And you just [01:43:20] give a give a guess.

Speaker2: I’m just going to go with you 70.

Speaker1: Only 4% [01:43:25] are normal.

Speaker3: Oh. In a normal ejaculate.

Speaker1: In a normal ejaculate. Is that right? That’s the count. [01:43:30] 4 to 5%. Wow. 95% lack a head. [01:43:35] Lack a tail. No, absolutely. They can’t swim. Absolutely. That’s why they come out [01:43:40] in millions. And those ones don’t reach the egg because they can’t swim. So. [01:43:45] But 4% they manage. They are you know, the winner. You start the race for the [01:43:50] best sperm. From then from that time of ejaculation the best one will reach the egg. [01:43:55]

Speaker2: How would you feel if you were told that something was wrong with your sperm, and that was affecting [01:44:00] your ability to have a child? Yeah. How would you have reacted?

Speaker5: Uh, I.

Speaker3: Think at the time I’d be okay with [01:44:05] it, really. Not now, having had kids and so on. Now, in retrospect, it would would [01:44:10] be something more difficult. But I think at the time I would have either thought of [01:44:15] something a donor or, or I was actually, I’m actually up for people who say, [01:44:20] I don’t want children.

Speaker2: Well, Bianca’s one of them, I told you.

Speaker4: But listen.

Speaker1: I would have been very upset [01:44:25] if I didn’t have you. Yeah, imagine.

Speaker4: Imagine. But listen. [01:44:30] Imagine.

Speaker2: But I think, like, my dad’s incredible because he’s always been very open. [01:44:35] Um, my dad also had prostate cancer when he was, um. How old were you, daddy, when you had that [01:44:40] happened? Worst time of my life. It’s like I blocked.

Speaker4: It, you know, it’s.

Speaker1: In the early 60s, actually.

Speaker4: But it’s actually [01:44:45] 64, 65.

Speaker2: Um, it was, um, the prostate cancer. [01:44:50]

Speaker1: He early. It was early. It was precancerous, really.

Speaker4: Daddy was.

Speaker2: Type. It was stage two, [01:44:55] I remember. So this is how they get over it. You know, my mom was the same. Um, but [01:45:00] he said a lot of men are in denial about prostate cancer. It’s actually as [01:45:05] common I read somewhere as diabetes for men. It’s very, very common cancer. Yeah. [01:45:10] And a lot of men are in denial because the prostate is so, like, linked to, you know, [01:45:15] like manly hood or whatever. Virility. Yeah.

Speaker3: A lot of men don’t visit the doctor. [01:45:20] Yeah.

Speaker2: They don’t, and they ignore it.

Speaker1: Terrible about their health. We are just we don’t check as women. [01:45:25] And that’s why I decided to become a gynaecologist.

Speaker2: And, um. Yeah, [01:45:30] my dad actually, like, was very, like, open as in, like it didn’t ruin his life. He was like, this is what’s [01:45:35] happened to me. He had the surgery and you know, you got on with it. You got on with [01:45:40] it because you you just felt. And a lot of men won’t have the surgery, by the way, for their prostate. Because obviously, when this was going [01:45:45] on, a lot of men refused to have it.

Speaker1: Because, yes, I know because of the complications. Yeah.

Speaker2: You know, and. [01:45:50]

Speaker3: Doctor, do you know in if you’re looking at the psychology of, of fertility. [01:45:55]

Speaker1: Psychology.

Speaker3: Psychology.

Speaker5: Psychology.

Speaker3: That we have in cosmetic [01:46:00] dentistry, we’ve got there’s a, there’s a type of patient that’s like a body dysmorphic system. Yeah. [01:46:05] That that is looking for the cosmetic dentistry. But the.

Speaker5: Cosmetic a lot.

Speaker1: Of women will consider [01:46:10] it failure. Yeah. That they can’t have a child.

Speaker3: Yeah. Really.

Speaker1: So you have to be so sympathetic. [01:46:15] Empathetic, rather and supportive. Really? Yeah. And also never [01:46:20] lose hope. Never use the word that you. And it’s really, truly you can’t lose hope. Some [01:46:25] people even go and have IVF one, two, three cycles. It doesn’t succeed. [01:46:30] A year later they become pregnant.

Speaker4: Naturally.

Speaker1: Yeah, yeah. So really never give up hope at any, [01:46:35] any time.

Speaker3: What about what about the body dysmorphic syndrome person will [01:46:40] will will be blaming their, in this case their teeth for their happiness. [01:46:45] And whatever you do to their teeth, they’re not going to be happy. Yeah. Is there an equivalent [01:46:50] in fertility. Is that like someone who’s given the name to their pain, the fact they can’t have children and and is going [01:46:55] after it in as bad in a sort of crazy.

Speaker5: Way, they.

Speaker1: Get disappointed, that’s [01:47:00] all. And then nowadays they think of options of egg donation. So egg donation [01:47:05] is available now and a lot of people accept it. Just like sperm donation as well. Do a [01:47:10] lot in this country, obviously different cultures. You know, if you go for example, to the [01:47:15] to my Egyptian world or to the Gulf world, they would they would be very [01:47:20] upset. You’d be the man would be insulted in his masculinity and the woman in her femininity because that’s [01:47:25] their role. But as they become educated now, and I think they become.

Speaker4: Less one of. [01:47:30]

Speaker2: My beauticians who’s Iranian, who I’d been seeing for like 12 years, she sadly [01:47:35] could never get pregnant, and her husband became very abusive. Um, and [01:47:40] then she he ended up divorcing her because she never had children. But then later on, when tests were done, it turned out that [01:47:45] she doesn’t have a womb.

Speaker3: Yeah, doesn’t have a womb.

Speaker2: It’s never a womb in Iranian [01:47:50] culture. She was totally shamed for not being able to have children. But she was born. She was one of. Where she’s actually born.

Speaker4: Without [01:47:55] a womb. It’s not fair. She never had.

Speaker2: A period in her life. Yeah, right. We could go on for hours. We need to, [01:48:00] like, um, have you back on. I want to end the podcast because you’re always like my words [01:48:05] of wisdom. What’s one piece of advice that you would give to someone? Or what’s [01:48:10] the one piece of advice you could give your younger self, knowing what you know now?

Speaker1: My [01:48:15] younger self, myself.

Speaker2: So imagine you see now, Doctor Alex Iskandar [01:48:20] when he’s 20 years old, what would you tell him knowing what you know now about.

Speaker1: Yes, yes, [01:48:25] I think and I’ve told you that several times, stay focussed [01:48:30] as an early age. There’s nothing called. Oh, I’m just going to study this and then I’m going to find [01:48:35] out what I’m going to do. Focus. Decide what you want to do in life and work hard to [01:48:40] achieve your goal. And you must have a goal. If you don’t have a goal, then really [01:48:45] you could. You could waste a lot of years. So you must have a goal. You may be disappointed [01:48:50] you don’t reach your goal, but that will take you to other goals. You could reach as well on the [01:48:55] side, but you must have a goal and ambition in life. No ambitions means you [01:49:00] just become static and you leave it up to the world and to the circumstances [01:49:05] of the world. That’s my number one advice. Goal number two, you have to be [01:49:10] flexible in life at any stage. Had I not been flexible, I would [01:49:15] never have been successful. So my practice moved from one section of the things [01:49:20] I know to another section to the third section. I have modified it many times, pivoted [01:49:25] and same same with same in life in general. You just have to adapt.

Speaker1: So [01:49:30] if you can’t afford a certain a certain type of luxury, you just [01:49:35] have to downsize and then move upwards when you know, I’m sure you agree with that. If [01:49:40] you’re not flexible, you suffer as well. And I know people who had to even they [01:49:45] lost their house and they lived in government. I don’t want to say council, [01:49:50] but they lived in government houses. And then they made it again and they bought another property that [01:49:55] is life. As long as you keep going and you have and look after your health, I think. And I love [01:50:00] the young generation nowadays. They are so healthy all over the world. They go to [01:50:05] the gym. My generation, it was smoke and drinks [01:50:10] and style because we were marketed heavily by Hollywood. Yeah, so I could never [01:50:15] understand. They had a glass of whisky all the time. That’s why I drank whisky to keep in style. [01:50:20] Similarly with Marlboro and cans and a see through surgery. Do you remember nowadays [01:50:25] it’s actually a stigma and bravo for the government and the culture that [01:50:30] it has changed our perception of all these bad things. They are amazing. The new generation. [01:50:35]

Speaker5: On that.

Speaker3: Subject, I know, I know loads of 18 to 25 [01:50:40] year olds who don’t drink. Yeah, it’s a massive thing.

Speaker4: I know a lot of them.

Speaker3: And we went we went with with [01:50:45] one of them. Yeah, this guy was older but but he asked at the pub it was a pub. Normal pub said [01:50:50] what alcohol free lagers do you have. And they had six. Yeah. Not just one.

Speaker5: Six, [01:50:55] six.

Speaker3: Different types of alcohol free beer. Amazing.

Speaker4: Yeah.

Speaker1: Amazing. It’s become a thing. Health [01:51:00] is very important.

Speaker4: Yeah. I mean.

Speaker2: My dad can vouch for me. I’ve not been drinking.

Speaker4: Ever.

Speaker1: Ever. But [01:51:05] only because you’re lucky. You never liked it. Really? I mean, I tried to introduce [01:51:10] you in order. In order to become normal in a society, but, you know, [01:51:15] you are normal without drinks as well, you know?

Speaker2: Okay. Thank you so much, daddy.

Speaker4: It’s been a pleasure. It’s been [01:51:20] a real honour.

Speaker3: Thank you so much.

Speaker4: Thank you, thank you. Thanks for having me. All right. Thank you.

 

Selvaraj Balaji shares his journey from growing up in rural South India to the UK, where he is now a successful implant dentist at the helm of a small group of practices and implant training academy.

Selvaraj discusses the challenges of getting started in the UK,  the philosophy behind his  Academy of Soft and Hard Tissue Augmentation (ASHA) Club UK for advanced implant training and finding a healthy work-life balance.

Enjoy!

 

In This Episode

0:02:05: Backstory

00:04:00: Moving to the UK

00:24:00: Surgery to general practice

00:35:22: From VT to implantology

00:41:12: Practice purchase, management and growth

01:01:22: Family life

01:06:14: Teaching and ASHA

01:16:36: Blackbox thinking

01:19:17: Talent, mentorship and training

01:25:24: Ambition and plans

01:27:36: Last days and legacy

01:28:40: Fantasy dinner party

 

About Selvaraj Balaji

Implant dentist Selvaraj Balaji owns Buckinghamshire-based The Gallery and Meadow Walk dental clinics. He is also the founder of the Academy of Soft and Hard Tissue Augmentation (ASHA) Club UK for advanced implant training.

Speaker1: I pick 1 or 2 the best ones and I train them [00:00:05] personally. I go to their practice and they come to me, so I add them as my faculty member [00:00:10] in Dasha. So it’s just not me. So I want [00:00:15] others to be there. So so far we have three faculty members since I started [00:00:20] the course, so I train them to the level I feel they’re comfortable so [00:00:25] they can go and do things for others teach, teach.

Speaker2: Mentor, [00:00:30] that sort of thing. Yes.

Speaker1: Yes, that’s the way we do in our [00:00:35] shop because I don’t want to be just me, me, me, me. It’s not that we want [00:00:40] to have a group of clinicians who can go around the country and expand their skills [00:00:45] and teach them.

Speaker3: This [00:00:50] is Dental Leaders. The podcast where [00:00:55] you get to go one on one with emerging leaders in dentistry. Your [00:01:00] hosts Payman Langroudi and [00:01:05] Prav Solanki.

Speaker2: It gives me great pleasure to introduce [00:01:10] Doctor Balaji to the Dental Leaders podcast. Um, believe [00:01:15] it or not, Doctor Balaji has sort of popped up in my feed several times [00:01:20] as a basically in my mind, an implant educator even. I [00:01:25] think a few months ago we were both running courses in the same venue, [00:01:30] but we didn’t cross paths. Um, we were at, um, I think it was at the Heathrow, [00:01:35] um, skyline. Yeah. The Sheraton Skyline [00:01:40] Hotel. Right. I think I was speaking there on it might have been the old Bob day [00:01:45] with Jaz Gulati, and I think you were running a course at the time, but but we didn’t get to cross [00:01:50] paths. So I think we’ve crossed paths numerous times on social media.

Speaker1: Exactly.

Speaker2: Yeah. [00:01:55] I’ve had numerous people pointing me in your direction. Get him on the podcast. [00:02:00] He’s got a great story. Yeah. Um, so I want to I want to hear what this story is all [00:02:05] about. Doctor Balaji, um, I know you as, um, uh, an educator, [00:02:10] so founder of, um. I believe it’s the Asha Academy. The academy of soft and hard [00:02:15] tissue augmentation, which I’m sure will go into a little bit later. And you’re also a practice owner, [00:02:20] is that right?

Speaker1: That’s right. Bob.

Speaker2: So, Balaji, the way I like to sort [00:02:25] of go into these podcasts is, is to really start with your backstory, [00:02:30] where you grew up, what your childhood was like. Um, so just take [00:02:35] me, take me through your backstory and your earliest sort of childhood memories.

Speaker1: Thank [00:02:40] you. Bob. First of all, I’d like to start with thanking you for my the invitation. It’s a great opportunity [00:02:45] for me to share my story. And, you know, colleagues like, uh, like [00:02:50] my colleague, like you. Uh, yeah. My story started. I was born in a very, [00:02:55] very small village in South India where [00:03:00] this particular the village when my brother and myself, my brother is older than me, three [00:03:05] years older than me. So when my parents had my brother, there was [00:03:10] there were no decent school in that village. So my [00:03:15] parents and few other parents joined together and they started a school [00:03:20] for their own kids, hiring a teacher, local teachers and stuff. So that’s how [00:03:25] I started. And then I went followed him in to the similar same school, primary school. [00:03:30] And it was the only English medium school in the whole, uh, area. So [00:03:35] and that school grew up into a very popular school, and that’s different story. So [00:03:40] my education started like that. Then I went to a secondary school, [00:03:45] which is like around 20 miles away from the village where I was born. So [00:03:50] we had to travel by bicycle. That’s the mode of transport. We had [00:03:55] to reach there every day by sort of thing. So when I [00:04:00] finished my secondary school and, um, my brother was already in medical school in, [00:04:05] in the city in Chennai, uh, like it’s called now. [00:04:10] And I followed him to a dental school not far from him. So [00:04:15] when I finished dentistry and I was wanted to do more and I want to learn [00:04:20] more, and the opportunity came and again followed my brother again. He came to UK [00:04:25] first, then I followed him. And when I came to United Kingdom, [00:04:30] where I was not able to stay to practice into dental practice, [00:04:35] so I had to do hospital job as as house of house [00:04:40] officer, senior house officer in, uh, oral surgery or maxillofacial surgery [00:04:45] department for nearly six years. So that’s how it started.

Speaker2: Okay, Balaji, I [00:04:50] want to take you straight back to the school that you, um, that your family started, right? [00:04:55] Um, and you went to the school. I just want to get an insight into. What was that like? How many kids [00:05:00] in that school, you know, how far was it from home and just generally what your upbringing was [00:05:05] like? Parents just give us a flavour of what it was like to be a child in that, in [00:05:10] that small village, local community and your upbringing.

Speaker1: Yeah. [00:05:15] I mean, just two of us, me and my brother. Uh, so my parents were very supportive. [00:05:20] My dad was a businessman, but he always wanted to be educated. We [00:05:25] were educated to have a good job and, uh, in India. But he was not able to [00:05:30] be educated because of reasons like no schooling and no support. So he always [00:05:35] told us that, look, education is important. So he pushed us [00:05:40] and he started a school, as I said, with few of the parents, and we didn’t have many. [00:05:45] My class was only six students, uh, like we were four guys and two [00:05:50] girls. It’s a very, very small and in the evenings and we go [00:05:55] to each other’s house and study together and, um, and then there was no electricity like we [00:06:00] had electricity. Women, but mostly they are, you know, the evening just just just goes [00:06:05] off and power electricity.

Speaker2: Would just turn off in the evening.

Speaker1: Turn off [00:06:10] in the evening, like 2 or 2 hours or something every day. So I remember my brother and I, we were studying [00:06:15] in a small like a candle and sitting next to each other, and we’ve been just studying. And [00:06:20] then we because of the candle, we attract all the flies and insects [00:06:25] and stuff. But those are the memories you get back, you know? Uh, but my parents are always [00:06:30] been very, very supportive. They never let, let us do work or do any other job [00:06:35] like side jobs and stuff, like, uh, nothing. We just. You study. That’s all we need to do as a [00:06:40] parent. We are here to support you. Uh, and I’m very thankful for that.

Speaker2: It’s really interesting. [00:06:45] Right? Um, you know, even my parents, my, my well, my father [00:06:50] always pushed education, right? So, um, you know, my, my, my dad didn’t go [00:06:55] to university. And, you know, in this in, in the UK here, you know, worked [00:07:00] in factories, drove taxis and the shop and the one thing, the one message, the [00:07:05] overriding message was, um, look, son, the reason I’m working so hard is so [00:07:10] that you don’t have to do what I do, right. And I want a better life for you. And the overarching [00:07:15] the overarching philosophy was, um, education, education, [00:07:20] education. Right? It was it was all about that. And funny you say that, [00:07:25] that what they gave you was the freedom to say, look, you focus on education. We’ll [00:07:30] look after everything else around you. Right? You don’t need to work. Yeah. Um, [00:07:35] and funnily enough, you know, dad always gave me and my brother that that head space [00:07:40] in that room for education. Although we did work in the family business in the family shop. [00:07:45] Um, yeah. The one thing that he wouldn’t let us do is go out and get another job [00:07:50] or anything like that, or actually playing out and having fun with your mates and stuff, which we did quite a bit of. [00:07:55] Right. That wasn’t a priority. There was this strict overriding wasn’t, [00:08:00] you know, it was never said, but it was always sort of implied that the spend your [00:08:05] time studying. Right. And that’s where the direction what was that like from, from from your [00:08:10] folks. Right. In terms of the did you feel it as like a pressure? Did you feel it as [00:08:15] actually do you know what? I’m breaking the cycle here, and me and my brother are going to go out and [00:08:20] do something different and make dad proud or mum proud or whatever. What was going [00:08:25] on in your mind as a young kid back then?

Speaker1: The thing was, I never felt any [00:08:30] pressure, uh, or uh, any anything from anyone from my parents or anything [00:08:35] because they always, uh, explain to my brother and myself that, look, [00:08:40] you know, this is what we do, and we want you to be like, you know, the [00:08:45] next level and doing better in your life. And so that always pushed us in [00:08:50] a positive way. And I wanted to achieve something for myself and my [00:08:55] family. And moreover, I want to do something for the kids who may [00:09:00] be less fortunate than me, who doesn’t have parents, who [00:09:05] have, uh, you know, money or anything to push them. So that’s how I always my [00:09:10] back of my mind that my parents could start a school for their kids. And, [00:09:15] uh, I would like to do something, if not to the school, at least education [00:09:20] pass my skills to somebody else. So that’s how it started. Yeah. [00:09:25]

Speaker2: And so you do you do primary school, you go to a secondary school in a different town. [00:09:30] Or how like, how far away was that from, from where you grew up.

Speaker1: On [00:09:35] 15km from where I, uh, where my home [00:09:40] to their school. And the two. Only two ways you can go there is by a bus or [00:09:45] a or your own mode of transport. The one mode of transport is what we had was a bicycle. Because [00:09:50] there’s a bus. Sometimes it’s not reliable. Those days it comes in one day, doesn’t come next day. [00:09:55] So we just we just ride the bike as a friend and like a group of guys and [00:10:00] riding bike. It was fun.

Speaker2: Uh, yeah. I bet that was part and parcel [00:10:05] of the enjoyment, right? I remember as a kid growing up and playing around on BMX and stuff like [00:10:10] that and hanging out with my mates. Um, and so I guess there was much, as much [00:10:15] fun to be had on the way to and the way back from school as um, that’s school, right? [00:10:20] Um, and so you, you go to school and funnily enough, [00:10:25] I, um, I interviewed Devang Patel, who runs the Full Mouth Reconstruction Academy. [00:10:30] Right. And, you know, he told me some stories about, like, when he, um, got into [00:10:35] school there and then got into university there that he [00:10:40] was fortunate to have come from, um, parents who had some money. Right? Yeah. What [00:10:45] was the. Just just talk me through your process. Right. So you do the school thing, you sit some exams. [00:10:50] How do you get into dental school? In, in in India. And where did you where [00:10:55] did you go to dental school.

Speaker1: Right. The the process in India is similar to, uh, UK [00:11:00] educational system. You finished your secondary school, then you apply you. [00:11:05] It depends on the amount, the score, the mark you score in this secondary school. [00:11:10] Uh, similar to a level or GCSE here. Um, then you will be [00:11:15] doing another exam which is the we call entrance exam. So you go to school [00:11:20] again to the top mark in that. So then you they’ll be divided [00:11:25] into like the top creme of students. They go to medical [00:11:30] school. Yeah. Then the second thing comes to the dental uh school. [00:11:35] And then the third goes to veterinary or agricultural or engineering and stuff. So [00:11:40] I was offered a place in the medical school. And then I did go into medical school, [00:11:45] uh, for.

Speaker2: Where you went to medical school.

Speaker1: Yes, but I didn’t last for more than two, six [00:11:50] months. I didn’t like it. I didn’t enjoy.

Speaker2: So your brother, your brother went to medical [00:11:55] school, right? He older than you, I assume? Yes.

Speaker1: He’s three years older than me.

Speaker2: So your [00:12:00] brother was three years into the medical school system when you joined the medical school? That’s right. [00:12:05] You did it for six months?

Speaker1: Yes. I didn’t enjoy it. For [00:12:10] whatever reason, I. I didn’t like it. So then there’s a school, not the [00:12:15] building next to it. Like a few hundred yards. Next to it was a dental school building. Then I [00:12:20] went there to look at it, and then I had a friend who is three years older [00:12:25] than me, my in fact, my brother’s friend, he was doing dentistry and I started following [00:12:30] him, and I, I just loved it, the practical side of it and then the all [00:12:35] the stuff which really interested. So I opted out of the medical school. I went to the dental [00:12:40] school after that.

Speaker2: And was that as simple as just sort of saying, hey, [00:12:45] I’m not enjoying this anymore. Can I transfer to your course? What did you have to start from the beginning again [00:12:50] is something obviously at the beginning, like a lot of the curriculum is the same, right? Physiology, [00:12:55] pharmacology, anatomy, embryology, all that sort of stuff. Right?

Speaker1: The [00:13:00] year one is the same for both medical school and dental school, and even even year two almost [00:13:05] similar like you do medicine and all these things, a little bit of it. But from year three [00:13:10] it changes. Yes. So could you.

Speaker2: Easily transfer across?

Speaker1: No, [00:13:15] no, it’s not at all because it’s very, very hard. But I was lucky enough that that we had a [00:13:20] space that came available in dental school. The guy or a girl who was pulled out [00:13:25] to go into different things. So and then I had opportunity to that.

Speaker2: And so [00:13:30] you jumped into that spot basically, and then. Yes. And so, so did you start six [00:13:35] months into the dental school course, so to speak, you almost like swapped over or yes [00:13:40] or no?

Speaker1: I started again from the beginning. From the beginning, yes. The [00:13:45] year after.

Speaker2: The year after. Okay. So you took a year out and year after. And then what? [00:13:50] How did you explain this to your parents? Were they cool with this? I mean, I [00:13:55] guess you weren’t you weren’t dropping out to do something completely different, right? So. Yeah, but [00:14:00] but but how how did they take this? What did you say to them?

Speaker1: I mean, I just said, tell [00:14:05] them, look, this is what I want to do, and I like to do, but my dad, my dad was quite little bit, you know, [00:14:10] I can I could see that he was disappointed because he wanted both the son to want to be [00:14:15] a doctor and all those things. But, uh, but he didn’t say to me and he was very, very [00:14:20] supportive and said, look, okay, as long as you want to do what you want to do, then [00:14:25] yeah, that’s what happened. And they were very, very helpful.

Speaker2: Perfect. And then [00:14:30] so what was dental school like? Um, where you were, what was the name of the dental [00:14:35] school, by the way?

Speaker1: It’s called Madras Dental School, basically [00:14:40] the name of the city, Madras Dental School. And it was it [00:14:45] was I mean, I had a fun because I, because when I went [00:14:50] in until secondary school, uh, we had to work so hard, you know, no [00:14:55] day off is seven days a week. 24 by seven. You studied study, study. And [00:15:00] under the candlelight. Under the candlelight was from my mom and dad looking over you. But [00:15:05] when I left home, this is miles and miles away. So it’s the first two years, [00:15:10] as we all do, the best time of my life. University. And, uh, it’s kind [00:15:15] of fun. We had, uh, everything. Then my second, third year came and the reality [00:15:20] struck. Look, I got to do some very cool down that come down just to get [00:15:25] out of the school. Otherwise I’ll be here for another six, seven years. So. But it was fun. [00:15:30] Very good fun.

Speaker2: And so what was that like? So you went from obviously being [00:15:35] under the watchful eye of your parents to being free, so to speak. Yeah. What was what was [00:15:40] the fun stuff? What, what how would you describe those early days at university? [00:15:45]

Speaker1: The for me, uh, the most important thing is I love meeting [00:15:50] people and I can talk to strangers. My mom was [00:15:55] like that. My mom could speak to anyone on the street or anywhere she goes. And [00:16:00] I can do that, so I’m. I can make friends easily. I can, [00:16:05] you know, that’s what I enjoyed about it. Because in village and the village I come from is very [00:16:10] small. And then people I’ve known them from my all the time. But [00:16:15] when I went to this school, there are people all over from all over from India. India is a massive country, you know that. [00:16:20] Yeah. So different language, different culture, different, uh, everything. So [00:16:25] when you meet people like that, I love that. And second, my passion about travelling. [00:16:30] So I travelled with my friends. I had opportunity to go and see almost [00:16:35] everybody’s house, everybody’s village out of town, city, that part of the [00:16:40] Dental school or my university time I enjoyed. Wonderful. Even though. [00:16:45] Yeah. So I’m so sorry. But yeah, even though you didn’t party [00:16:50] that much those days, but, you know, that sort of thing. But we had a good [00:16:55] friendship. Yeah.

Speaker2: And so, um, what sort of student were you? Were you were [00:17:00] you sort of top of the class? We obviously you’re teaching now, right. Were you were you were the [00:17:05] equivalent of a grade A student or were you somewhere middle of the road or did you were you one of these guys [00:17:10] who right at the end, you just crammed, pulled out all the stops and did what you had to do to pass your exams? [00:17:15]

Speaker1: I maybe realised I’m always work, uh, on the last minute, [00:17:20] the I, I do well under pressure. That’s me. [00:17:25]

Speaker2: You know, funnily enough, I um so this last minute thing. Right. So if I’m and a [00:17:30] few of my friends who know me well, right, will will say if I’m giving a lecture tomorrow. [00:17:35] Yeah. Usually what I’ll do, I’ll be doing my slide prep if I’m doing it in the afternoon, [00:17:40] or I’ll be doing my slide prep in the morning, maybe right up until like an hour before. Right? [00:17:45] And I say, why the hell do you put this pressure on yourself? Like, why don’t you do [00:17:50] weeks? Because because I’ve got the time and I could do right. And I’ve got, I’ve got two, uh, two [00:17:55] answers to that question. One of them is my best ideas come when I’m under pressure. Yeah. [00:18:00] My best ideas come when I’m under pressure, right? Also, [00:18:05] always tell my friends this. If you leave it till the last minute, it only takes a minute. [00:18:10]

Speaker1: Yes, yes. No, I agree totally, because I always do [00:18:15] the last minute. Because I get more ideas and more, uh, my brain works better. [00:18:20] It’s like. Exactly. If you give me a week before I can, I tried, don’t get me wrong, I because [00:18:25] I try to do week before, but my mind will be thinking so many other things. [00:18:30] I can’t concentrate on that particular work.

Speaker2: That point you’ll have other last minute things [00:18:35] to do, right that the week before, right? Something else that’s high priority maybe in [00:18:40] the practice or whatever. Right. So definitely yeah, it’s shifting priorities. [00:18:45] Um, and then so as you go through dental school, um, you get you get your [00:18:50] dental degree, had your brother already come to the UK? Yes. [00:18:55] Before you.

Speaker1: He. That’s right. Yes. And he came to UK, [00:19:00] uh, three, two, two years before me. Yeah.

Speaker2: And was it always your plan as [00:19:05] well to, to to move to the UK, or were you thinking of staying in India. What [00:19:10] was your plan back then?

Speaker1: Like my plan I think to be honest, I’m a more of [00:19:15] a grafter. And, uh, I don’t I do plan a little bit, but I [00:19:20] don’t have many plans, like, I want to achieve this sort of guy. So when my [00:19:25] brother came to UK, my plan was to stay in, uh, India, to look [00:19:30] after my parents and stay there and do things. Then, uh, my, [00:19:35] my brother said, look, why don’t you come to UK, just have a look, see, feel how you feel [00:19:40] and what you want to do. Then I said, my parents said, okay, go. Go with him and if you [00:19:45] don’t like it, you can come back. And they knew. My parents knew that if I don’t like something, I won’t [00:19:50] do it. So and came here and then I straightaway got [00:19:55] into a hospital. Uh, observer job. Justin. Yeah.

Speaker2: So [00:20:00] so quick question around that. So when when your brother and your parents said, hey, go to the UK and [00:20:05] check it out. Was that you coming on holiday or was that you coming to apply for a job and [00:20:10] try a job here in the UK? What was the guys that you were that you were coming to [00:20:15] the UK and where in the UK did you land by the way?

Speaker1: Yeah, it was a uh what? [00:20:20] It’s a holiday visa. It’s a tourist visa. Okay. Yeah, yeah. I came as a tourist visa as [00:20:25] a holiday for six months and then landed in Heathrow in November, actually, uh, in [00:20:30] 1997. So my brother came and picked me up. And first time in the fall, [00:20:35] that’s what my first trip in my flight, I never flew before.

Speaker2: That was your first [00:20:40] flight ever.

Speaker1: First flight ever. So. And I, uh, it was amazing. Uh, [00:20:45] the memories and so I. Yeah. And my brother picked me up [00:20:50] from the airport, and I, he peop I mean, guys who comes [00:20:55] from India those days even baby now they, we all ended up in East Ham in London, [00:21:00] the East London where we all go there. And then that’s where we, [00:21:05] you know, we start our, uh, life, um, like, uh. Yeah. So [00:21:10] then my brother used to work there at that point in, uh, Cornwall, in [00:21:15] Truro. So next day we travelled to Truro and I stayed [00:21:20] with him, and, uh, I had a. Yeah, that’s that’s how I started.

Speaker2: So [00:21:25] cast your mind back to the point where your flight landed here [00:21:30] in Heathrow. Right? And then you step off that plane. What was that like for you? Was [00:21:35] it was there a big culture shock? Were you. Obviously you were taking everything in first time [00:21:40] in another country, right? Uh, what what what was what was that like? And [00:21:45] difference in culture or whatever they call it, the culture shock or whatever. What [00:21:50] did that feel like coming from where you’d where you’d come and used to that environment coming here [00:21:55] to UK. What are the biggest differences to you?

Speaker1: I was excited to be in UK, [00:22:00] but the one thing I was like, no, I was a bit, uh, surprised was because I watched [00:22:05] movies of English movies, like American movies and English movies. But always I thought, [00:22:10] there’ll be skyscrapers in London. So when I landed down and I was looking around, [00:22:15] I asked my brother, God, there’s no big buildings in London. He said, no, it’s not like America. [00:22:20] It’s not like New York that I remember very well. And then, uh, then [00:22:25] the culture shock wise. Yeah, I missed food. I still even [00:22:30] now I do. And, uh, I missed my parents because and, um, I haven’t left [00:22:35] India for until I was left and came to UK, so [00:22:40] that was a shock. But because, um, my brother was here, I felt [00:22:45] a bit more homely. And he was very supportive. Uh, so. Yeah, that’s how. And [00:22:50] were you.

Speaker2: Living with your brother at the time? In the early days, yes.

Speaker1: Yes. I was living with [00:22:55] him for nearly eight, six months and the same. And [00:23:00] so you.

Speaker2: Land here, you’re on a holiday visa. And then. And then [00:23:05] how do you go about getting your first job? And at what point did you think, hey, I’m going to be a dentist [00:23:10] in the UK now, how did that come about?

Speaker1: So what happened was by when I [00:23:15] was staying with my brother and I started writing to a few, um, [00:23:20] hospitals. There was, uh, to go and observe for like a, uh, observership [00:23:25] or assistantship. So you don’t get paid, but you just go and watch. So work experience sort [00:23:30] of thing. Yeah, exactly. Yeah. So, uh, I had a reply from, uh, lovely, [00:23:35] uh, consultant, uh, filled guest, uh, from Bristol Royal Infirmary. [00:23:40] He was a consultant. He was such a lovely man. He was the only one called me [00:23:45] and said, look, come here and watch what we’re doing. So I [00:23:50] went there and I stayed in Bristol, uh, in the hospital for two weeks. And I [00:23:55] went to the theatre every day with him. He was doing like, um, uh, all the [00:24:00] cancer works and neck dissection, that sort of work. And that made [00:24:05] me feel, wow, I want to be one of that. Inspired you to be a surgeon? I want [00:24:10] to do it. And then that’s that’s how. And then I asked him, look, I want to stay here for longer. [00:24:15] Do you have any job coming up? And, uh, because I was [00:24:20] not educated in this country, he said, look, there may not be a job coming up in Royal Infirmary [00:24:25] because the dental school attached to it, but I will help you to find a job. So [00:24:30] then I stayed there for another six months as a work experience, [00:24:35] unpaid job during every fall and training day, in [00:24:40] and out of doing as normal job or house officer does every day. [00:24:45]

Speaker2: So just. I just want to I’m just trying to wrap my head around, like, back [00:24:50] in 1997. Yeah, I think I got my first email address [00:24:55] in 1997. Right. I started university then. Right. So it’s so [00:25:00] I remember it really well. So back then when you wrote to Phil Guest, was it a handwritten [00:25:05] letter? Was it an email? How did you communicate with him?

Speaker1: Yeah, no, it was uh, [00:25:10] like a computer. And you know, those floppy disks, you know, you have. Yeah, yeah, yeah, yeah, [00:25:15] yeah. Do you remember that? Yes. So I had my CV and, uh, letter, uh, um, uh, handwritten [00:25:20] letter, but CV was typed in from the computer, so it’s a post [00:25:25] it to him. Uh, you posted a letter to him. Post a letter to him? Yes.

Speaker2: Yeah, yeah. [00:25:30]

Speaker1: And so then how did you.

Speaker2: Hear back from him? He. He rang you or he wrote back to you.

Speaker1: He [00:25:35] wrote back to me because I didn’t have a phone or no mobile phone those days, as you know. And so [00:25:40] I didn’t have a phone because I was staying with my brother in a hospital accommodation. So he wrote back to me. [00:25:45]

Speaker2: And how amazing, right? The, you know, you you post a [00:25:50] letter out and then this guy posts a letter back to you. And that’s the beginning [00:25:55] of your your career, right? That’s right. Your letter not landed or got lost [00:26:00] in the post or whatever. Right. You wouldn’t have thought about it again. Right? It’s really interesting that. [00:26:05]

Speaker1: That was the only reply I had for, uh, I maybe I posted 30 to 40 [00:26:10] letters and that was the only person who replied back to me. So.

Speaker2: Yeah. [00:26:15] Wow. And so he said, right, I’m gonna I’m gonna try [00:26:20] and find you a job. Right? He said, I can’t guarantee you what job, but I’ll find you a job. What was that [00:26:25] job? And what happened next?

Speaker1: Then, uh, I had opportunity [00:26:30] to I mean, he that he rang the consultant, uh, in Southampton [00:26:35] at that point, uh, Salisbury. Southampton. And then I, he said, go and [00:26:40] see him. If any job comes, you may get it. So I travelled, uh, I mean, I went there [00:26:45] to meet the, uh, Mr. Floyd, I think, remember, in Salisbury Capital. And that was my [00:26:50] first job. He said, yes, there’s a job coming in two months and, uh, come [00:26:55] and start working as a house officer. So as a junior doctor in a maxillofacial [00:27:00] surgery.

Speaker2: So what was there, was there any kind of academic stuff [00:27:05] that you had to get out of the way to be able to register? Like what [00:27:10] was the what was the process there for you? You have your dental degree from India. [00:27:15] You come here, you’ve been shadowing, not getting paid. Was there some [00:27:20] kind of conversion exam or tests for, uh.

Speaker1: But with [00:27:25] the, uh, temporary registration, it’s called, you know, you can’t practice [00:27:30] under, uh, without supervision, which means you can’t do House of the job in hospital [00:27:35] under supervision with the temporary registration. But that was the.

Speaker2: Basis [00:27:40] of your first.

Speaker1: Job. That’s the. That’s the basic of the first job. Yes.

Speaker2: Okay. So then what happened [00:27:45] then? You did that first job. How long were you in that job for?

Speaker1: I left that job. Every [00:27:50] job, uh, changes every six months. So I was there for six months. Then I went to Southampton, [00:27:55] uh, for six months. Then I worked, like, every six months. I moved away, [00:28:00] uh, to different hospitals, to Glasgow, to Nottingham, everywhere, all [00:28:05] over the country.

Speaker2: Just hopping from job to job every six months. Similar job in Max [00:28:10] FACs doing sort of under this temporary registration. What sort of work were you doing back [00:28:15] then under supervision? What was your day to day and what sort of hours were you doing.

Speaker1: Those [00:28:20] days was really, uh, I enjoyed purely because there were only 3 or [00:28:25] 4 shows, a senior house officers in each department and depend on which [00:28:30] department you go. Um, particularly I can remember I worked in near Liverpool, uh, [00:28:35] in Wirral, where we had, uh, the trauma was so much [00:28:40] okay, whatever reason. And then as a. Surgeon. I mean, [00:28:45] uh, dentist and maxillofacial dentist. You get to see fixing [00:28:50] fractured mandible, fixing maxilla or wisdom tooth extraction every day. [00:28:55] Wisdom tooth extraction was like a day to day, uh, bread and butter for us. Like 4 [00:29:00] or 5 a day, like shelling peas.

Speaker2: Right? Just super.

Speaker1: Easy. Exactly. Yeah. Super [00:29:05] easy. Like, do that sort of thing. And then sometime you get road traffic accident, you’re [00:29:10] working with your registrar, you know, fixing broken bones. So you get a lot of surgical exposures. [00:29:15] And then the hours of working was in a morning, you start at 8:00. [00:29:20] But if the busy unit starts at seven, we go on the ward rounds and everything, [00:29:25] and then you go and start your clinics or helping, um, consultant [00:29:30] in the theatre, which will be until five, six, sometimes 7:00 in the evening, [00:29:35] then weekends. It used to be 1 in 3 young girls every [00:29:40] week and every other sort of thing you do. You start on Friday night [00:29:45] and you finish on Saturday morning. You start and you finish on Monday morning. [00:29:50] So it’s continuous straight through on call, straight through those days. Yes, [00:29:55] straight through Saturday morning to Monday morning.

Speaker2: Did you get a couple of hours sleep [00:30:00] in the in the doctor’s mess or something like that in between?

Speaker1: Exactly. Yeah. You sleep in the doctor’s mess [00:30:05] and then you just go and they call you any facial lacerations or broken bone [00:30:10] or anything they call you and anything to do with face. Um, so you [00:30:15] have that all the time.

Speaker2: So you really got thrown into the deep end right in [00:30:20] your first job. Six every six months, jumping from hospital to hospital, city to city, town [00:30:25] to town, being exposed to doing these long hours, being woken up. And [00:30:30] you know, whether it’s from Saturday to Monday morning or whatever, right? You really got your. That’s [00:30:35] right. I have a feeling you got your 10,000 hours in really, really quickly. Exactly. [00:30:40] In those early days, right?

Speaker1: Yes. But the good thing was it’s like a family [00:30:45] bug, you know, when you are, uh, working in a hospital, you like, for example, weekends, you [00:30:50] literally you are a accident emergency department all the time. So [00:30:55] there will be you make friends from different, uh, specialities orthopaedic surgeons [00:31:00] or ophthalmic to everyone’s there as well, waiting for their cases to be treated. [00:31:05] So you it’s like a family and. Yeah, [00:31:10] that’s how you and the nurses and radiographers and stuff. Yeah.

Speaker2: And [00:31:15] so at what point did your did your registration [00:31:20] stroke career move from being under temporary registration or supervised [00:31:25] registration, whatever that’s called, to being a fully licensed hey, I can [00:31:30] do my own thing now. When did that happen?

Speaker1: Yeah, well what [00:31:35] happened? You can have a temporary registration for maximum four years. So. [00:31:40] But the four year came sort of thing. And again, last minute, like I said, I was like having [00:31:45] fun working, you know, enjoying it. Then at the time came, look, I have to do something [00:31:50] if I have to stay in this country, if not, I can’t do it. So the other option I had was I [00:31:55] because I want to do the Max Maxillofacial surgery. I thought going back to medical [00:32:00] school in UK where I left in India, I started again because you [00:32:05] got to be doubly qualified to become a max price consultant. So I played for [00:32:10] Nottingham University and then the Leeds and then Nottingham City [00:32:15] accepted sort of thing. And then I found out I had to pay £25,000 [00:32:20] a year for five years for as a fee, because overseas candidates [00:32:25] just for the job, just to go into medical school. Oh. [00:32:30]

Speaker2: I see, I got you. Yeah. Understood. Yeah. Right. Yeah.

Speaker1: So [00:32:35] then I didn’t have that money to go into medical school. So I told my consultant who was very helpful, [00:32:40] and I said, look, I can’t do it. So then I did, uh, what exam, [00:32:45] which is the IQ point and all these things. I passed the exam and before [00:32:50] I passed it, I was wanted to do something to get the permanent registration [00:32:55] in the GDC, which allows me to work unsupervised [00:33:00] in, let’s say, in a dental practice or whatever it is. So [00:33:05] I did my LDS RCS one year program in Glasgow Dental School. [00:33:10] Um, that was 2004, I believe. Uh, is [00:33:15] that a.

Speaker2: Full is that a full time thing, or were you able to work and earn money at the same.

Speaker1: Time? No, no, no, it [00:33:20] was a full time course. So I went back to student life again in Glasgow. Uh, for [00:33:25] a year I did my LDS RCS. By the time I finished LDS year, I got [00:33:30] my LDS year and I finished my two MFT and MVT DS, uh, [00:33:35] one in Glasgow and one in Edinburgh’s Royal College. Then [00:33:40] I got my IQ at the same time. So eventually when I came out of [00:33:45] that, by the time I was eligible to work in a dental practice as [00:33:50] unsupervised. So that’s open. Mind the whole thing.

Speaker2: So how long did that how [00:33:55] long did that piece take from you sort of saying, okay, I’ve been jumping from hospital job to [00:34:00] hospital job every six months for four years. My time’s run out now. I could go here, [00:34:05] but it’s 125 grand. I’ve got this other option, which is. Which is to [00:34:10] go for this mfds, um, option. And then you were in full time education [00:34:15] back as a student, I take it, not earning any money, but just sort of getting by [00:34:20] on savings, I guess. Yes.

Speaker1: That’s right. Yes. Whatever leftover I had. Yeah. After [00:34:25] spending years.

Speaker2: And then, uh, how long did that take before you had [00:34:30] your license?

Speaker1: Took me 16 months. Because there is 12 months of my, [00:34:35] uh, course education. The exam I passed, then I had my registration [00:34:40] came out two months after that. Then I started applying for a jobs. [00:34:45] And again, I want to go back into hospital. So even at that point, I didn’t know whether [00:34:50] should I go into Dental sort of practices or go into hospital. So [00:34:55] I went back into hospital as a staff grade in Stoke on Trent for [00:35:00] three months. Um, but I didn’t like it because I couldn’t see any [00:35:05] progress of my career. I know I will stay as a staff grader rest [00:35:10] of my life. So then I changed my mind and I came to, [00:35:15] uh, dentistry. And I did my vocational training, uh, in North [00:35:20] Wales at that point.

Speaker2: So what did you do? Did you have to apply for a bunch of jobs for [00:35:25] the vet or. Yes.

Speaker1: Yes. Uh, at that point there’s, uh, it came up, [00:35:30] uh, in Wales, uh, the area. So I applied for it and I got [00:35:35] selected in North Wales, and I did a vet for a year. So to get [00:35:40] my number.

Speaker2: So. So at this point I’m thinking, look, if I’ve just [00:35:45] employed you as my vet, right? And then there’s the other guys who are [00:35:50] coming out of dental school. You’ve got so much more experience, right? You’ve put [00:35:55] people’s faces back together. You’re pulling wisdom teeth out like it’s, um, you know, [00:36:00] putting your socks on. Do you know what I mean? Like, you’ve got all this ton of experience. What [00:36:05] was that like in that practice, and what was that like for your trainer? Um, [00:36:10] did you find it easy at that point, or were you were you learning completely new tricks that were outside [00:36:15] of hospital medicine now? Right. The totally different way of looking at patients. The journey taught [00:36:20] me through that.

Speaker1: Wow. That’s a really good question because when I went to VAT, you’re right. And I had so much [00:36:25] skills in surgical side, but I didn’t know how to do crown prep. I didn’t know [00:36:30] how to do, let’s say, root canal treatment. I didn’t know how to do a maybe class two fillings [00:36:35] because I lost touch in general dentistry for nearly six years. Yeah. So [00:36:40] and I went back and I learned the whole skills again. And the person I like [00:36:45] to mention the name here is, uh, Nigel Jones. Uh, he’s amazing guy. He’s a, uh, advisor [00:36:50] those days in Wales, in Abergavenny. He was so good. And [00:36:55] and so I approached him every time I had a block and said, look, I don’t know what to do. [00:37:00] So he said, look, turn over. These are the instruments you use. These are the amalgam fillings, how you do. [00:37:05] And um, so it was another learning back, going back to dental [00:37:10] school and learning those skills again.

Speaker2: You know, it [00:37:15] feels to me you’re going back and forth and back like it’s not the traditional straight line approach. Right? [00:37:20] Is the, you know, you come here and you’re going six months to six [00:37:25] months, but you’re putting people’s faces together, right? You’re pulling out wisdom. You’re doing all this [00:37:30] complex surgical stuff that people do like years after they’ve graduated. Right. And [00:37:35] but but then you’re going back to dental school and saying, right, I’m going to learn how to prep this crown. [00:37:40] I’m going to learn how to do a root canal. I’m going to learn how to do basic dentistry now. Right. So you’ve got it’s almost [00:37:45] like you take a step forward, take a step back, forward, back, and all the rest of it. Um, what [00:37:50] do you think that did for your overall sort of skill set and grounding in dentistry? It’s completely non-traditional [00:37:55] in the approach that most definitely most UK dentists would take. Right.

Speaker1: Exactly. [00:38:00] I mean, the one thing in life I learned as a career as a person is, [00:38:05] uh, every time something, uh, the difficulty faced and [00:38:10] you may step back and in your life. But what it gives me is it [00:38:15] gives me the character, you know, it gives me build me as a person. That’s [00:38:20] what I learned from that, you know, it’s a job. It’s a job. But what as a person, [00:38:25] what you can do as a human, the character building everything is a character building. [00:38:30] That’s how it is 100%.

Speaker2: And so so you go, you [00:38:35] you’ve got that sort of first job, you do your VTE, what [00:38:40] happens next?

Speaker1: So when I did a VAT and I could because [00:38:45] my, my again my trainer um in in where I work he was [00:38:50] very helpful. And he said, look, we have to refer all the wisdom to the hospital [00:38:55] and the waiting list is like six months or can you, can we do a [00:39:00] work here? I said, so I started doing all the wisdom tooth and a little bit of, uh, [00:39:05] difficult extraction work and everything, and the towards the end of my, uh, [00:39:10] my VAT and I approached my trainer and said, look, I like to do implants, I like to do [00:39:15] some surgical work. So he said, okay, he gave me a in, uh, sort of day [00:39:20] off towards the end of the VAT to go and do an implant course, which is the Hill. Tatum. [00:39:25] Uh, great guy, my first mentor of my life career [00:39:30] in, uh, Harley Street in London, where I started my implant career [00:39:35] and did my first course with Hill Tatum, where I learned the placing implants and sinus [00:39:40] graft and that sort of thing. Then I stayed in the same practice for three [00:39:45] years following my vet and, uh, doing start doing [00:39:50] implants and private dentistry slowly. Yeah.

Speaker2: And so did the implant [00:39:55] side of things just come naturally to you because of your years of like, four [00:40:00] years of, like, surgical grounding, right?

Speaker1: That’s [00:40:05] right. Yeah.

Speaker2: Do you think that was naturally the career that you were going to choose anyway because [00:40:10] of that, that grounding or.

Speaker1: No, not really. Then I went to [00:40:15] I studied in Florida, uh, in, uh, Peter Pete Dawson, uh, occlusion, [00:40:20] you know, occlusion. Yeah. Uh, occlusion, occlusion and all these things. And I before [00:40:25] he retired completely. So I travelled to Florida, Tampa, where [00:40:30] his, uh, his, his academy was. And then I travelled six months to [00:40:35] Florida every month. I was there for six, seven days trying to learn, you [00:40:40] know, occlusion and veneer or aesthetic dentistry and stuff. [00:40:45] And I enjoyed it. Uh, but same time I was doing implants on a little bit on [00:40:50] the side, but naturally I my skills are more [00:40:55] into surgery. So I slowly and then moved on to different techniques and different. Yeah, that’s what [00:41:00] it. So I tried, I tried orthodontics as well and did every bit of dentistry.

Speaker2: Yeah, [00:41:05] you had a bit of a crack at everything before settling on to.

Speaker1: Exactly to find what? Yeah, what [00:41:10] I enjoy and doing to.

Speaker2: To find what was right for you. And so [00:41:15] that’s like, how did you go from there to [00:41:20] what was the journey from there to becoming a practice owner?

Speaker1: Yes. Um, I [00:41:25] worked in Wales with that same practice for three years, and I worked in another practice in Colwyn [00:41:30] Bay for another, uh, part time, two part time job. Then [00:41:35] when I started doing implants, uh, that point, after 2 or 3 years, [00:41:40] I started seeing complications, like project or failures and my own job [00:41:45] and my own work, and I wanted to learn or I want to find an answer [00:41:50] for it, why this is happening? How can I improve it? Then what [00:41:55] happened was then I tried to do more courses, sort of travelling there [00:42:00] as associate, I can’t. I didn’t have freedom of choosing how many days [00:42:05] I can take time off or I instrument wise or that sort of thing. And so [00:42:10] I started looking for a practices where I can buy. In North [00:42:15] Wales Chester area. Because I’m from India, I don’t have any [00:42:20] plan to stay anywhere in UK. Right? Hop job to every six months to Glasgow, [00:42:25] to Southampton.

Speaker2: You’ve done the rounds right? You’ve been everywhere. So you’re not locked down [00:42:30] to a location.

Speaker1: Exactly. So I took him up and I said, look, this [00:42:35] is what I’m going to do. So I’m going to travel around and find the dream, uh, practice. [00:42:40] So I travelled everywhere and I went for a, you know, I like [00:42:45] buying a practice. I looked at so many practices. Then I found this place in Buckingham. Buckingham [00:42:50] is a very small town in Buckinghamshire, which I never knew this [00:42:55] place existed until I came to this place. So I found this place, and, [00:43:00] um, this place, the gallery dental implant centre is not. [00:43:05] Didn’t exist before I bought it. The dentist who had this practice [00:43:10] in different building, totally different building. He was doing two days of dentistry, that’s all. [00:43:15] He was just right running it down. And he. [00:43:20] I met him and said, no, I’m that practice was in a big eight house, coach [00:43:25] house, like eight room coach house, very old, uh, house. [00:43:30] So he said, I sold the house already to somebody else. The business is there, [00:43:35] and these are the patients you have. You want to buy it off me? I said, okay, [00:43:40] fine. And I took the business.

Speaker2: How did this come about? Was there [00:43:45] a broker involved? How did you know this guy? How did you approach him?

Speaker1: It [00:43:50] wasn’t a big, um. So I, um, practice [00:43:55] for sale. So I just came, and then I met him. And apparently nobody wanted to buy [00:44:00] this practice because he sold the building, and he just got the goodwill. So I [00:44:05] ended up. Yeah. So I ended up buying the goodwill. And, uh, he [00:44:10] pointed out this building where we are sitting right now. Look, there’s the empty building there. [00:44:15] Yeah, you can lease it and you can start the practice there. And this is your goodwill. [00:44:20] And I bought it. I bought it for us. Yeah.

Speaker2: How far from [00:44:25] the big courthouse building was the building you’re sitting right now?

Speaker1: It’s like a 200 [00:44:30] yards. Not far.

Speaker2: Okay, so not far. Um. And what how much [00:44:35] did you buy the goodwill of the practice for back then? What were the numbers back then?

Speaker1: I [00:44:40] mean, I didn’t even look into numbers, to be honest. Yeah, I’m not a number guy.

Speaker2: Yeah, [00:44:45] yeah.

Speaker1: When I paid, uh, yeah.

Speaker2: Out of curiosity, what did [00:44:50] you pay for the goodwill back then of the practice?

Speaker1: £80,000? Because [00:44:55] there were 80 grand. But they only had he had maybe 150 [00:45:00] patients in total.

Speaker2: And so what was going through your mind? I need to buy a practice. [00:45:05] There’s a building over there, and I take. It was an empty building. Didn’t have a chair in [00:45:10] it or anything like that, right? No. So you had to start from scratch there. I’m assuming you had to invest some money [00:45:15] into that, right?

Speaker1: Yes. That’s right. And that’s another big story. And then he pointed [00:45:20] to this building and I leased the building, and he [00:45:25] introduced the builder or the Dental thing guy. It’s [00:45:30] not a big company, very small company, something like that. And, uh, he started [00:45:35] on the guy who did the building. He said, oh, I will finish in six weeks for you. Um, you [00:45:40] can move straight away. Fine. Give me the whole money. And [00:45:45] I was naive enough to give not to give for money. But I gave him half of the money, and three days later, [00:45:50] he went into administration. Oh, crikey. [00:45:55] Yeah I saw I.

Speaker2: Just that just just humour [00:46:00] me on the numbers. Right. You’ve paid 80 grand for some goodwill. Um, on a practice [00:46:05] that. Was that still operating in the old coach house building or that shut [00:46:10] down.

Speaker1: No, that’s I don’t.

Speaker2: Okay, so you now got you’ve now got these this [00:46:15] goodwill of these patients who’ve got nowhere to go. Yep. Because there’s no practice. [00:46:20] You lease a building.

Speaker1: Yep.

Speaker2: You pay a builder. What what [00:46:25] did you pay this guy?

Speaker1: I paid him a 60,000. You paid this guy.

Speaker2: 60 [00:46:30] grand, right? So you’re now 140 grand in?

Speaker1: Yes.

Speaker2: Do [00:46:35] you have goodwill that’s deteriorating by the day? Because these patients have got nowhere to go, so they’re [00:46:40] probably finding another dentist, right?

Speaker1: That’s right, that’s right.

Speaker2: And you’ve got an empty. You’ve got an empty [00:46:45] building that you need to put a dental practice in. Right.

Speaker1: That’s right. Plus [00:46:50] the next plus the staff. Because the staff, the staff came. Oh shit. [00:46:55] Because yeah, you got to you got to take the staff with two, three rules. So I had one receptionist [00:47:00] and two nurse with me. All right.

Speaker2: So you’re paying their wages during [00:47:05] this time?

Speaker1: Yes, I have to. Yeah. So we were in this [00:47:10] building, new building with the boxes of 2 or 3 boxes full of the old paper [00:47:15] notes. Paper notes, of course. Yeah, yeah. Uh, and our phone number, we had the same phone number, [00:47:20] so there’s a phone and connected to the thing. Like you said, all the patients are ringing and [00:47:25] what’s happening and all this stuff. So what happened was, uh, there’s a practice [00:47:30] another 100 yards from where we are now. I called Meadowlark Dental Practice. [00:47:35] He was a lovely, lovely, uh, dentist. So I approached him and say, look, can [00:47:40] I hire you a room? Uh, one room at least two days a week just [00:47:45] to service my patients. And he said yes. So I hired [00:47:50] the room per two days per week, just treating the existing patients for [00:47:55] 3 to 4 months. And then I found another builder and I [00:48:00] paid the rest of the money and. The Gallery and Dental Implant Centre [00:48:05] was born at that point.

Speaker2: So how long did that take?

Speaker1: It took kind of the two [00:48:10] months to do it. Two months? Three. Yeah. So three, four months in total. I was like. [00:48:15]

Speaker2: But but in the meantime, you were paying this other guy to rent a surgery [00:48:20] or two or whatever to.

Speaker1: That’s right.

Speaker2: Keep the goodwill alive.

Speaker1: Yes. [00:48:25] That’s right. That’s what I did.

Speaker2: Excellent. And, um. So [00:48:30] now you’ve got, you’ve got you’ve got the practice. What was it back then and what is it today. What’s [00:48:35] happened to that practice in that time?

Speaker1: When we start, when we start working [00:48:40] in this practice, I had again a two days of dentistry. That’s it. Nothing else. We didn’t have enough patients more than [00:48:45] that. So, uh, I just, uh, started working still, [00:48:50] I kept my job in Wales, so I used to travel every Sunday night, work there [00:48:55] Monday, Tuesday, Wednesday. And I came down here, I worked, I worked on [00:49:00] Thursday and Friday, and I slept in this same building every, uh, when [00:49:05] I’m here because I used to, uh, have a house in Chester. That’s where I lived with my [00:49:10] family. So I used to sleep in this, uh, building, uh, when I’m here, [00:49:15] and I still. I got that, uh, Ikea couch, uh, as in my practice [00:49:20] where I used to sleep. And so. When.

Speaker2: When. So. Sorry. So when when you were working in, [00:49:25] in the practice, you’d you’d just sleep in the practice. Yeah. Yes. On the.

Speaker1: Couch. Practice on the couch. [00:49:30] Yes.

Speaker2: On the couch. Um, yeah. And then when would you go back home? [00:49:35]

Speaker1: So I go. I finished here on, uh, Friday, Thursday, [00:49:40] Friday. And I go home on Saturday in Chester. So I walk there on Monday, Tuesday, Wednesday. [00:49:45] I come back on Thursday, Friday. So, so two, three, three nights I slept here in [00:49:50] this place. And the practice I used to rent a room and I [00:49:55] purchased this practice six years ago now. So it’s through the practice of mine now here [00:50:00] in. Oh, so you went you.

Speaker2: Bought Meadow Walk Dental practice.

Speaker1: In the end? Yes, at the end. Six years [00:50:05] ago. Yes. That’s right. Yeah.

Speaker2: Isn’t that a lovely story?

Speaker1: It [00:50:10] is, it is? Yeah. I didn’t think back. Would I do it again? Maybe not. I wouldn’t do it, but [00:50:15] I it worked out, you know, it worked out well for me.

Speaker2: I think there’s a lot of things definitely [00:50:20] in business that we would all. Not do looking back [00:50:25] with the knowledge we have today. Exactly. But it shapes who we are today [00:50:30] as well. Right at the.

Speaker1: Very well. Well, said, Sir Paul.

Speaker2: The the [00:50:35] sleeping on the couch. Yeah, the the renting the room in the practice [00:50:40] and the. Yes. Paying the builder and him running off, you know, going [00:50:45] into administration three days later or whatever. Right. You clearly you would have made those mistakes again. [00:50:50] Right. But it’s those big mistakes that you become more cautious. You learn. You learn [00:50:55] from them. Right? You get burnt. Um, and you evolve as a business owner. Right? [00:51:00] So so you’ve got the two practices, you’ve got metal work and you’ve got the gallery. [00:51:05] So what are they? What are they like today? If you if you were to sort of describe them as in how [00:51:10] many surgeries are they busy, what type of dentistry are you doing across the practices. [00:51:15]

Speaker1: The gallery. Dental. Yeah. And the gallery is [00:51:20] purely to do with the surgical side eye implants, bone graft, soft tissue grafting and that sort [00:51:25] of thing. And we’ve got a hygienist room in two, only two rooms in the gallery. So [00:51:30] my plan was to expand this practice, but the [00:51:35] Meadows came on the market, so I bought it. So there we have five surgeries [00:51:40] and then we have four others, three associates and then part time associate. [00:51:45] And we got two hygienists there. So there we do all the day [00:51:50] to day dentistry, Invisalign, uh, all the facial regeneration, [00:51:55] that sort of thing. Gallery is purely to do with the surgical side of the thing. I’m [00:52:00] busy. I work four days a week. Monday is my admin day, but rest of the [00:52:05] time I do surgeries every day in and out and booked up for another 3 [00:52:10] to 4 months.

Speaker2: Wonderful. And and so in terms of the, [00:52:15] um, being a being a practice owner right now, a business owner, it seems [00:52:20] like the gallery is like your home where you’re doing your surgical stuff. That’s [00:52:25] right. Four days a week or whatever. Right. And it almost feels it almost feels to me. You’ve got this [00:52:30] other medical dental practice where there’s all sorts of other non implant related stuff going on [00:52:35] that takes care of itself. Are you have you got really good management team in place. How do [00:52:40] you run that business. Do you, do you do you do you get involved in the day to day of that.

Speaker1: No I’m [00:52:45] I’m not good in admin admin things. To be honest with you. I’m a surgeon. Like I do [00:52:50] like surgery I do, I’m a clinician. Yeah. So I got I’m so lucky that I got a fantastic [00:52:55] team. I got a business manager and Jenny and I got a clinical manager [00:53:00] who runs the look of the staff rota and payment and payroll and everything. And [00:53:05] I got two treatment coordinators, Bella and Emily. They look after all the [00:53:10] patient side of the journey. We got three receptionists between the two practices [00:53:15] and we got like nine, 11 nurses between the two practices. [00:53:20]

Speaker2: And you have team members that hop between the two practices. Are they close [00:53:25] enough for that to happen? Yeah.

Speaker1: Very close. Like yeah very very close. Like a the cactus. [00:53:30] Right. So the the swap between us I go there sometimes if you have a joint [00:53:35] consultation with my other colleagues because we got endodontist, we got a periodontist as [00:53:40] well in the other practice. So every new patient or whoever is seeing like [00:53:45] a multi-specialty thing, we do work together.

Speaker2: And I take it you’re [00:53:50] not travelling all that. You’ve relocated your home closer to the practice? Yeah.

Speaker1: Right now I [00:53:55] live near Oxford, so it’s not for 20 minutes, right?

Speaker2: Okay. Okay, [00:54:00] fine. And what what would you say the biggest challenges have been in growing those businesses [00:54:05] to. You’ve got you’re in a position where I think a lot of people would love to be in [00:54:10] where you’re doing four days a week, the type of dentistry you love doing day in and day [00:54:15] out. You’ve also got a business that’s kind of running itself very hands off. [00:54:20] What were the challenges in getting there?

Speaker1: The challenges was like, first [00:54:25] of all, because I didn’t have any support. And in [00:54:30] UK, as a mum, dad or whoever it is, apart from brothers. So financial challenges [00:54:35] was a big thing for me. Everything I had to, you know, financially, I have to go to the [00:54:40] bank and get the loan repayment. Second thing is the [00:54:45] like every business has got like building the business as a patient base, you know, [00:54:50] so gaining the trust because the Buckingham is a very, very small town. It’s not a [00:54:55] big city. So getting the trust from the patient was to start [00:55:00] with it was challenging. But now, you know, they are in a really good [00:55:05] position where we are. And then other thing is the for me, this [00:55:10] is my one thing is the communication of uh to my staff, our colleagues. [00:55:15] That’s the a lot of dentists I think I can talk for myself is, [00:55:20] uh, I have a vision, but I didn’t communicate that vision to my team, [00:55:25] so that sort of thing I’m learning. I’m slowly. I’m still. I’m learning [00:55:30] that to communicate with them such a way that they understand what I want or [00:55:35] what I need as a team, we need most of the time. It’s, uh. I always [00:55:40] happy to blame others. Oh, this didn’t happen because that doesn’t big thing. [00:55:45] But now I realise that is.

Speaker2: You know, it’s so true that that [00:55:50] that thing of, you know, in my mind. In your mind, probably the same thing, right? [00:55:55] That you give a team member a task or you ask them to do something, [00:56:00] but you assume that what you ask them to do and the outcome, they’ve [00:56:05] they’ve worked the bit out in the middle. Right. But you’ve never told them. You’ve never told them the [00:56:10] middle bit. Right? Yes. But you assume somehow by osmosis, they’ve picked that [00:56:15] up, the piece in the middle and they can go away and do it right, a bit like a [00:56:20] bit like somebody might assume that you’ve been to dental school and you’ve been putting people’s faces together, [00:56:25] so you’ll be able to do a crown prep in your sleep. Right?

Speaker1: But exactly. You’re right.

Speaker2: But but [00:56:30] you don’t. Right. And and often as a, as a business owner and a leader, [00:56:35] you I’ve often made that mistake as well, where I just expect a team member [00:56:40] to do things. And I think, do you know what? The only reason they’re making mistakes, the only reason they screwed [00:56:45] up. Yeah. Is my screw up. Right. Exactly.

Speaker1: Yeah. Yeah.

Speaker2: Because [00:56:50] either I’ve not delivered that message correctly or I’ve not given them the training or [00:56:55] spell everything out in a way that they can now fly with their own wings. Right. And that’s right. I [00:57:00] really believe that that, that whatever mistakes our team members make [00:57:05] and some of them, okay, they’ll make the mistakes by themselves. We all make mistakes, right? Of course, often the. [00:57:10]

Speaker1: Thing.

Speaker2: With with those expectations, sometimes we’ve got to look inwards and think, well, have I delivered [00:57:15] what I’m supposed to do on on the training or the delegation and that side of things?

Speaker1: That’s [00:57:20] very true. Yeah for.

Speaker2: Sure. Right. And it’s very easy to when you’re running a business [00:57:25] to point the finger and blame, you know, it’s um, very, very easy. But [00:57:30] as I, as I’m standing here, one thing, my daughter, my eldest daughter says to me, never [00:57:35] point like that. Because when you point, there’s three fingers pointing back at you, right? Uh. [00:57:40]

Speaker1: That’s true.

Speaker2: I learned it.

Speaker1: From my daughter as well. You learned that from you? Exactly. [00:57:45] My daughter says the same thing. Daddy, you know what? You don’t say things, but you expect [00:57:50] things, and you don’t do this. Yeah, yeah.

Speaker2: Yeah yeah, yeah. So, yeah. So [00:57:55] the challenge is in getting your team to. And I guess you’re still, you’re still coming across those challenges [00:58:00] right. As a business every day. Every every day. Yeah.

Speaker1: Yeah. But it’s getting [00:58:05] better I’m getting better I think.

Speaker2: And then in just in terms of like the patient journey, [00:58:10] how have you created that I guess, [00:58:15] um, demand or whatever it is, that brand that [00:58:20] patients come to you and you’re busy four days a week surgically, you’ve got months [00:58:25] ahead. So what that means to me is the patients don’t want to go anywhere else, right? They just want you. [00:58:30] Right? So they’ll wait for you. Yeah. So. So you went from [00:58:35] buying the practice for 80 grand, not having enough patients, not being busy to being [00:58:40] booked months in advance. Obviously it wasn’t an overnight success, but what was the journey in creating [00:58:45] that demand such that patients will wait months? And you’re super busy. And I’m [00:58:50] assuming, you know, your fee structure is appropriate as well for your skill set.

Speaker1: Yes, yes. [00:58:55] The thing I learned from a few of my mentors is like what I would [00:59:00] say, uh. My first. The next boss, he [00:59:05] said, told me this tone when I started working with him. Look, you worked [00:59:10] in the hospital, right? You see patient today. You won’t see them next day or the week after. They won’t [00:59:15] come back to you. But in practice, particularly in private practices, whatever [00:59:20] you do, you are the one fixing it, right? So when you do first [00:59:25] time, do it right. Okay. So yeah, don’t cut corners in [00:59:30] cost wise or work wise because if you do it wrong, they come back to you after a month or a week or a [00:59:35] year. You fix your own fault, more stress, more [00:59:40] money and more problems and then you lose trust. So do it. [00:59:45] First best, best job. First time. Yeah. Then I have my [00:59:50] own little saying. Tell me if I treat my dad coming to my practice or my brother [00:59:55] come to my practice, I have a treatment done just exactly same way I [01:00:00] treat everybody walking through the door in the surgery. And that’s the ethos. All of our I tell [01:00:05] this almost every day to my associates, my ministers, my receptionist, [01:00:10] treat every single patient as your relative or your brother or sister. No [01:00:15] difference. That’s the what we did. And we do still we do. And [01:00:20] that’s I think I believe that’s what helped us to grow where we are now.

Speaker2: It’s [01:00:25] really interesting, isn’t it, that you have this one overriding value. [01:00:30] Yeah. Which is look, every patient that walks through [01:00:35] that door is my niece, nephew, uncle, auntie, brother, sister, whatever. Right. [01:00:40] Exactly. And we want to deliver. We want to deliver the experience and the treatment so that and you don’t need to say any [01:00:45] more, right? Because that handles and covers everything, right? Everything.

Speaker1: Everything. Exactly. [01:00:50] Yeah. Be nice to them when I don’t. Yeah. That’s right. Yeah.

Speaker2: So you know, if [01:00:55] and when you take businesses that are very heavily value driven, [01:01:00] everything else falls into place. That’s right.

Speaker1: That’s true. That’s [01:01:05] the one thing my dad always told me I we went from when we were kids. Don’t follow [01:01:10] money, right. Do the right thing. Let money follows you. Yeah. [01:01:15] That’s always we’ve been told and that’s what we do. Um, I’d like [01:01:20] to.

Speaker2: So, Balaji, I want to. I want to touch upon the teaching. Um, [01:01:25] but before I do that, there’s. There’s one little thing that came in the midst of all this story, [01:01:30] and that’s family, right? Um, so so you’ve already mentioned, [01:01:35] you know, your daughter and my daughter tell us the same stories, right? So. That’s right. Tell [01:01:40] me how that all came about. Right. Because in between you landing in in Heathrow [01:01:45] and jumping from job to job for six months, voluntary under under and [01:01:50] paid under, um, under supervision and then going and doing your full time. At what point [01:01:55] did you, um, get married, have kids and have time to fit [01:02:00] this in? What point in the story did that all fit in?

Speaker1: Yeah, I met, uh, Heidi, [01:02:05] my my wife, uh, she’s Heidi, she’s half German, half English. Uh, I met her in [01:02:10] a senior house officer when working in, uh, Nottingham. Mansfield rotation. [01:02:15] And, uh, 2002, I met, [01:02:20] uh, no, 2001. We met. Then we got married in 2003. [01:02:25] Uh, August. And, um, then she [01:02:30] she.

Speaker2: She a dentist or a or.

Speaker1: No, she was, uh, and she works in the hospital [01:02:35] as an occupational health adviser. So I said, like, you know, when you’re in hospital, [01:02:40] you’re a sick family. You meet people, you meet things. So that’s how I met. And you make friends and that.

Speaker2: And that’s how [01:02:45] you, uh, that’s how you met led to.

Speaker1: That’s right. So you married in 2003, and, [01:02:50] uh, it’s still married together. And we have a daughter, Sienna. Uh, she [01:02:55] was born in 2012. We had a late child because of my job moving. And I [01:03:00] always wanted to be make sure I got to be available for them. So. Sienna is 12 years old [01:03:05] now. She’s studying in Oxford. Uh, in Scots in school. So. Yeah, [01:03:10] that’s my family.

Speaker2: And so, um, any challenges in terms of, [01:03:15] um, just in and amongst this, um, the work life balance side of things, being a husband, [01:03:20] being a father, um, balancing all of that, how how does that [01:03:25] play on you and how do you see that actually from from your perspective.

Speaker1: To be honest, [01:03:30] um, I for me, all the difficulties I’ve been through or all the struggle [01:03:35] I’ve been through or go through, the most difficult bit is the relationship, [01:03:40] particularly when you’re working this much, travelling this much, and, uh, all [01:03:45] these things and you even hide is very understanding. You know, I am almost away [01:03:50] every other week somewhere. Um, so she’s very understanding again. [01:03:55] Same thing I was trying telling you about the staff and me. Communication. That’s very [01:04:00] important, you know? Doesn’t matter. Work or a family life. That communication [01:04:05] is what’s going to keep you going. It’s. It’s not easy. I don’t want to sit [01:04:10] here and lie and say, oh, I like me. She’s amazing. I’m amazing. I have we all [01:04:15] have that struggle. But, um, it’s it’s but we’ve got she’s [01:04:20] understanding. I try to communicate as much I can and, uh, but [01:04:25] most importantly, my daughter now she’s 12 and she’s saying, daddy, you are out. Daddy, [01:04:30] why didn’t you do this? So when I’m at home and, uh, my phone will be taken [01:04:35] off from me and then be hidden somewhere by my daughter, so. That’s beautiful. Exactly. [01:04:40] He says keep the phone, keep it away. But we have good, good time together. We go holidays [01:04:45] quite a lot. Uh, at least six weeks. Seven weeks a year. I take time off [01:04:50] to be with the family. So trying my best, let me say.

Speaker2: Yeah, my [01:04:55] youngest is is very much like that. And, um, you know, always talking about [01:05:00] why do you work so hard, um, why are you working this weekend, all [01:05:05] these sort of questions. Right. The, the one question that hit me the [01:05:10] hardest because we went through this, I think I probably mentioned it on this show before. Right. Um, [01:05:15] which is we always go through this thing. Why do you work so hard? Yeah. [01:05:20] And part of it is, you know, try and describe it to them. That part and parcel of it is, is [01:05:25] for me, right. There’s no getting away from that. The challenge, the drive like [01:05:30] I am work and work is me, right. But take me away from work or work. There [01:05:35] is no Prav left. Right. Um, I truly believe that that is part of parcel [01:05:40] of who makes Prav or who makes me up. And I’m sure that’s the same for you, right? [01:05:45] But aside from that, it’s, um. Money [01:05:50] right there. Is that as well. Right. So that’s that’s the story [01:05:55] you tell your kids, right? It’s the story I tell my kids. And so my daughter, my daughter [01:06:00] once said to me, probably about a year ago now, said to me, this she goes. And bearing in mind my youngest, she’s [01:06:05] seven now. So when she was six, she said to me, daddy, um, can you stop working [01:06:10] until we’re poor again?

Speaker1: Yeah.

Speaker2: And that hit me [01:06:15] like a ton of bricks, right? Because it was a bit like, actually, this is why you’re working. I want you to [01:06:20] stop working till we run out of money. But while we’re running out of money, we [01:06:25] need to be with me. Exactly. That’s exactly. That’s the message. So. It’s [01:06:30] a constant back and forth. Right. So okay so in and amongst this you’re managing [01:06:35] work life balance. At what point did you say okay I [01:06:40] own one practice I own two practices. Um, you know I’ve had these jobs. Everything’s [01:06:45] going really well. I know I’m going to do I’m going to start teaching. How did that come [01:06:50] about?

Speaker1: Okay. Um, what happened from it comes from my [01:06:55] childhood days. Because, um, the education is always important. As my parents mentioned to you, I, [01:07:00] we talked about it. What happened when I started doing implants? [01:07:05] Uh, and I started coming across, uh, complications. Failures [01:07:10] of my own work. Of your own work. So, yeah, my own work. And then I didn’t know how to fix it. [01:07:15] And as I told you, I want to treat everyone as a family member. But if I can’t fix the problem [01:07:20] that that my ethos is completely going wrong. So I start like, exploring [01:07:25] the ways to learn to. Hence, I went to Tampa in Florida [01:07:30] to learn occlusion. Then I found, uh. So I should learn [01:07:35] a bit more about Implantology then. So I went to Germany. Prof. Cori. Uh, [01:07:40] in Augsburg, in Germany. I went there for four months. Every month [01:07:45] there are for three, four days of, uh, module. Each module went [01:07:50] and learned the techniques from the him, came back and I started [01:07:55] working on the technique for, uh, 4 or 5 years. Then still, there are some [01:08:00] more complications or things which I want to learn, which didn’t work in my hands. So then I [01:08:05] travelled to, uh, Budapest in Hungary is to an open six months [01:08:10] of training there. Every every time. But every time I [01:08:15] went there, I learned. Or whenever I start travelling to Europe, I always [01:08:20] found or heard that, oh, you’re from UK or England? The dentistry [01:08:25] is not as good as any part of the world or Europe or [01:08:30] America.

Speaker1: I start getting sick of hearing, hearing this, that we [01:08:35] are second to, uh, our neighbouring countries. So I [01:08:40] told myself, okay, I’m going to develop my skills and then I’m going to take these skills [01:08:45] back to my UK and then maybe share that and then start teaching. [01:08:50] So 20, 2014. Uh, I was thinking about it. Then [01:08:55] I finished my course with Estonia Open and he called me and said, Balaji, [01:09:00] I think you should run a course in in London. I thought he was joking [01:09:05] and I didn’t take it serious. So I went back for next year and said, oh, have you planned anything for the [01:09:10] course? I said, no, I said I was still at that point I was thinking, you know, he called me and said [01:09:15] you should because you got skills and you, why don’t you do it? [01:09:20] So. So every time I was travelling, I was thinking about it in the airport while I’m waiting in the airport [01:09:25] or whatever I was doing. I was thinking for the academy names, [01:09:30] different things, combination of different, uh, letters and that. So I came up [01:09:35] with Asha because, uh, Asha is like Indian name Hope, but it stands for, as you said, [01:09:40] Academy of Soft and Hard Tissue Augmentation. So this just came popped in [01:09:45] my head like a, you know, like a bulb moment. So that’s how I started [01:09:50] the, uh, academy in 2017. I started actually. Yeah.

Speaker2: Just. [01:09:55] Wow. And so tell me about the first course you ran. How did that go? The [01:10:00] first course. How many delegates?

Speaker1: Uh, when I started my first course, I. Okay. [01:10:05] That’s another story. Nobody wanted to know me, particularly the companies. None of the companies were supportive [01:10:10] because I’m new. New to the blog. Who is this guy who’s coming and talking about these techniques? Who [01:10:15] nobody does in in UK? So everywhere I went they [01:10:20] just no, no no no. So then one of the company [01:10:25] said, okay, we’ll do it for you. And this is a similar story. History with [01:10:30] the sort of thing. So I said okay. They said they’ll organise it and [01:10:35] then they start organising it. So advertised it. So I had only two people [01:10:40] booked in at that point. So month before the course the company [01:10:45] withdrew the support. They said look, you’ve got only two guys booked in, we can’t support you. [01:10:50] So they took over the whole thing off. But they, uh, reserved the [01:10:55] uh, venue in near Cheltenham in Gloucestershire. So they said, [01:11:00] okay, you pay the deposit. They are not giving the money back. So either you run the course [01:11:05] or you do whatever you want. So then I rang all my friends [01:11:10] who I knew and they said, look guys, you come free, you come free. If you want to pay me a little bit of [01:11:15] money for this fine half price, whatever, just want to get somebody. So we had a few. [01:11:20]

Speaker2: Mates, mainly your mates in two, two paying people.

Speaker1: Two paying people that [01:11:25] are still mates. So in total I had eight people in the first course. So that’s [01:11:30] how we started. But I had yeah, that’s my first course. Then, [01:11:35] uh, yeah. Now we are. We are now. Yeah.

Speaker2: So you run that course. [01:11:40] You’ve got two paying people, six of your friends who’ve come on for [01:11:45] something or nothing. Whatever. Figured it out between you, between yourselves. [01:11:50] Then. Then what happens next? And how have you got to the point where you’re running this academy? And [01:11:55] tell me about the courses that you run today. What you’re actually teaching. What what’s [01:12:00] your thing? You know, are they coming in to see you to learn about how to place implants? [01:12:05] Is it beginners? Is it advanced level? Is it everything in between? What is it that you’re actually [01:12:10] teaching today, and how did you go from the once again, two people [01:12:15] on the course, just my mates to where you are today. Yeah.

Speaker1: So. Right. My [01:12:20] course is basically as names two stands for I did a bit of market research in. [01:12:25] We have so many basic implant calls to place implants, how to place implants. [01:12:30] And that’s what I learned from, uh, Tatum. [01:12:35] And then my journey was like, after that, what’s going to do? What’s going [01:12:40] to happen? So that bit was the one we were like, uh, I found that in [01:12:45] here. We don’t didn’t do much. So all this course I did with Germany and Budapest, [01:12:50] and now I’m studying in Italy with Professor Zuccoli. All this knowledge as I’m [01:12:55] combining the different techniques and different skills in my course teaching [01:13:00] people, like I would say it’s a moderate to advanced course. It’s not for [01:13:05] a big beginners. If somebody has placed implant like let’s say 30, 40 implants or [01:13:10] 50 implants, then they want to take their skills to the next level to get it predictable [01:13:15] results. It’s not placing implants in my opinion. You know, we all can do implants, [01:13:20] but how predictable the results going to be. So my [01:13:25] aim is to if I place the implants like any work, it should last minimum ten [01:13:30] years. If it doesn’t last minimum ten years. So that sort of thing. So you’re talking about bone [01:13:35] grafting around it. You’re talking about soft tissue grafting around it. So my course is purely [01:13:40] with the bone and soft tissue graft are all implants from moderate to [01:13:45] severe these days I’m more busy not only from patients [01:13:50] from Buckingham. I get patients from all over the country, plus I get patients from Germany and [01:13:55] and, uh, few places as well referred to us because [01:14:00] the more and more patients I’m seeing now is patients who had implants placed or who had failures. [01:14:05] So we are treating them to gain more bone, more soft [01:14:10] tissue and redo the implant surgery, that sort of thing. So, so yeah. [01:14:15]

Speaker2: So in terms of the failures, um. These [01:14:20] implants that have been placed that shouldn’t have been placed because there wasn’t enough bone? Or [01:14:25] are these ones that have just naturally just, just just failed over a long [01:14:30] period of time? All the stuff that basically was too advanced to [01:14:35] have been done by whoever did it, and now they’ve come to you to fix that. And how much [01:14:40] of your time are you spending fixing other people’s stuff versus doing your own stuff from the beginning? [01:14:45]

Speaker1: 60% of my patients are fixing other people’s stuff now, [01:14:50] currently. 40% is my own stuff from my patients [01:14:55] base and the two practices and the local area. The reason because the failure [01:15:00] happens is implants are made, are meant to fail. It’s not given [01:15:05] by God. If you believe in that nature, it’s man made material. Every man [01:15:10] made material does fail. That’s when it’s going to fail. Is the question now [01:15:15] or in ten years time or 20 years time? Okay, so what as a human we can do [01:15:20] is to just, you know, prolong and get it, give them a longer time period. [01:15:25]

Speaker2: Understood? Yeah. And so what? What [01:15:30] is going to make an implant less. Longer?

Speaker1: A [01:15:35] diagnosis from start beginning. You know, like you said, does the patient implant [01:15:40] or does if you’re doing implants, what why need it and diagnosing the right [01:15:45] patient and right treatment plan then placing implants. This comes lost. [01:15:50] Then you need to know what where we are placing does. The implant is going to surrounded by [01:15:55] bone which is very important. And then when you have a bone you [01:16:00] need to have a good keratinised mucosa, thick keratinised mucosa around the crown [01:16:05] of the implant. Otherwise it’s like, you know, it’s like a periodontitis. You get implantitis once [01:16:10] you get the inflammation around the collar of the implant, if you don’t have more [01:16:15] than two millimetres of thick mucosa, then it reaches to the bone and the bone crest goes down. [01:16:20] And once the bone crest goes down, the implant exposed, then it’s a failure. So [01:16:25] that’s the basic of it, uh, giving a good base for [01:16:30] the implant and bone and a soft tissue around it, which prolongs the life, basically. [01:16:35]

Speaker2: So you spend a lot of your time fixing [01:16:40] other people’s failures? Yeah. Um, most of the time, yes. What would you say your biggest [01:16:45] clinical mistake has been to date? If you can pick one [01:16:50] big mistake that you made where either when you were in the mouth or afterwards [01:16:55] where you thought, shit, I shouldn’t have done that, or I could have done [01:17:00] this better or whatever. When did that happen in your career and what was the story? [01:17:05]

Speaker1: There are several, uh, mistakes still happens that, uh, the mistakes [01:17:10] always just happened. Complications happens to everyone. And for me, in my life, [01:17:15] even now, I get complications. And if I say I don’t get complications or failure, I’m lying [01:17:20] to you. Sitting here, my biggest one was the, uh. Then they start beginning [01:17:25] of the implant career. I, uh, doing implants. And the lady I still [01:17:30] remember, uh, had a full mouth implant based placement, which I did. [01:17:35] Everything was fine. But my manage her expectations, patients [01:17:40] expectations was too high, which I didn’t understand that. So I was doing [01:17:45] thinking, oh, I’m going to do it. I’ll do this implant. I’ll give her teeth. But I didn’t manage [01:17:50] the patient expectation, which means I didn’t communicate again, back to the same thing [01:17:55] of the patient. And I didn’t understand what patient wanted, but I gave whatever I thought was [01:18:00] right. But I was, uh, lost sleep over that for a long time because [01:18:05] I was sued for that. I had to give the money back and all those things. Yet [01:18:10] that was my one of the biggest mistake and a learning curve, I would say.

Speaker2: But [01:18:15] what actually happened? What did it failed or.

Speaker1: No, clinically it was [01:18:20] fine. Implant placement was fine. Uh, the bridge was fine, but the [01:18:25] patient didn’t like anything I did. Aesthetically, aesthetically, [01:18:30] and because she had a functional spine, [01:18:35] the, the the pink porcelain was there and she didn’t like the pink porcelain [01:18:40] or I didn’t want to have any of those. I want to have natural looking teeth, you know, all these things [01:18:45] and, um, so many things and just, just. And then that was the [01:18:50] mistake. I, I would say I made without not understanding what patient wanted [01:18:55] their expectations.

Speaker2: Yeah.

Speaker1: Expectations. That’s right. Yeah. That’s what the only thing [01:19:00] I can. But there are some surgical failures happen. But I thank goodness I know now how to fix [01:19:05] it if it happens. Uh, so I don’t really worry about [01:19:10] it. So I go back and do it again for them most of the time. So [01:19:15] which was okay.

Speaker2: And, um, in the delegates [01:19:20] that you have taught over the years, right. Those ones who come to you, they’re pretty [01:19:25] far. Well, I shouldn’t say far along in their implant career, but you said they you know, they’ve got to be at [01:19:30] the stage where they’ve they’ve stuck in, you know, 50, 60 implants or whatever there or thereabouts to then [01:19:35] take advantage of what you’re going to teach them. Mhm. Um. Can [01:19:40] you spot the the winners? Can you spot the [01:19:45] the ones who are really, really good clinically, [01:19:50] surgically? And what is that thing? If you were to bottle it up and say, [01:19:55] this person is a great surgeon, right? Whether it’s the bone, [01:20:00] the soft tissue, the implant placement, whatever it is, if you were to bottle up those ingredients into a formula, [01:20:05] what would that be? Being a teacher, are they certain things that you can spot [01:20:10] that straight away. You see a student, you meet them. You talk to them before [01:20:15] even seeing what they do with their hands, you know? Yeah, this person’s definitely the guy, right? I [01:20:20] can do that with Tecos. Right. So I can have a five minute conversation with a TCO. [01:20:25] Doesn’t have to be without about a patient. And I know this. This one can convert like crazy, [01:20:30] right? What’s your equivalent of that in the implant soft tissue bone [01:20:35] world.

Speaker1: Like I said skills is secondary because I don’t see them the skills when they come [01:20:40] in. But the way the approach of that person who is with me and, uh, they [01:20:45] are happy to accept what they’ve done wrong and then they happy to they [01:20:50] are there to learn. And then when they are there and I can see them [01:20:55] asking the way, the question they ask me, the way they admit that, oh, okay, I’ve been doing this for years. [01:21:00] I’m going to change it. Or like they are open mindedly saying, okay, I’m going to try [01:21:05] this technique. Rather than sit. I get delegates sitting there and say, oh, I do [01:21:10] this, why should I change? And this is not a light way of telling. [01:21:15] I have been doing this has been working. I said, look, every technique works as long as you [01:21:20] do it right. So the delegates who come to the, uh, college comes to the [01:21:25] courses. I. Now, what I do is to say that in every [01:21:30] module I pick 1 or 2 the best ones, and [01:21:35] I train them personally. I go to their practice and they come to me, so I add them [01:21:40] as my faculty member in the Asha. So it’s just not me. So [01:21:45] I want others to be there. So so far we have three faculty members [01:21:50] since I started the course, so I train them to the level I feel they’re comfortable [01:21:55] so they can go and do things for others teach, teach. [01:22:00]

Speaker2: Mentor.

Speaker1: That sort of thing. Yes, yes, that’s the way [01:22:05] we do in Asha, because I don’t want to be just me, me, me, me. It’s not that [01:22:10] we want to have a group of clinicians who can go the country and expand [01:22:15] their skills and teach them. Yeah.

Speaker2: So do you spend much of your time travelling around and operating in other [01:22:20] people’s practices now or.

Speaker1: Yeah. Well, again, another, uh, thing we [01:22:25] have in Asha, uh, Academy is because the skills are the which we [01:22:30] are teaching. It’s not two day or four day learning, uh, techniques. It’s a [01:22:35] really advanced technique we use. So I can another thing from my own [01:22:40] story. I went to Germany and I went to, uh, Budapest. Every time [01:22:45] I came back to the UK and start looking at the patient, I don’t know what I’m going to do because [01:22:50] it’s nobody there to hold your hand. So what we did my [01:22:55] I met a good friend from Germany. So we told each other, look, I [01:23:00] come to Germany. When you’re operating, don’t pay me anything. I’ll just come. I’ll help you. You come to [01:23:05] UK when I upgrade. So we just. What we did for nearly a year. He came every time. Flew to [01:23:10] the UK. I went to Germany. We worked together. Every single cases. So [01:23:15] what we do now in Asia is to. We committed to this. Whoever attends [01:23:20] the course, we go and mentor them in their practice first. [01:23:25] Like, you know, they can call me. We charge them a nominal fees. Nothing [01:23:30] like major fixed cost will come to your practice. We’ll do [01:23:35] you mentoring as long as you need us. Your, uh, our help until you feel comfortable [01:23:40] to do it yourself.

Speaker2: So. So if I’m a delegate and I invest in your course. [01:23:45] Yeah. And I come on your. How many days is your course?

Speaker1: Uh, four days. [01:23:50] Two. Two modules. Two, two days. Okay, so I come in.

Speaker2: So I invest [01:23:55] in your course. I do four days with you, and then [01:24:00] I want you in my practice to help me and mentor me. You will [01:24:05] do that.

Speaker1: That’s what we do. That’s our commitment to committed to every single delegates [01:24:10] in our group.

Speaker2: And is there enough of you to go around to do that for all your delegates? [01:24:15] No.

Speaker1: That’s why I’m starting this faculty. You mean like the faculty members now? [01:24:20] So it’s. I can’t do my way everywhere. So what I would do is, like, the other [01:24:25] three faculty members can go and do that.

Speaker2: Understood? Understood. So they they [01:24:30] go and do the the equivalent of. Now answer me this, answer me this. [01:24:35] If I came on your course, I’m not interested in the other three I want you. Right? [01:24:40] Yeah. Just like. Yes. Just like your patients want the principal dentists, right? [01:24:45] And you say, hey, go and see my associate. He’s better at crowns or whatever. Right. But I’m [01:24:50] coming on your course. You’re the founder of the Asha course, right? You’ve been doing it for years. I don’t want [01:24:55] the other three guys don’t care how good they are, I want you. Do you have that problem?

Speaker1: I, [01:25:00] I do, yes, I do, but I that at the moment. Yes, uh, I do, but [01:25:05] I do go there if I have to. But they have to wait if patient happy to wait until I get [01:25:10] free time to go, then I do, I do travel a lot for in that case, yes.

Speaker2: Okay. But then [01:25:15] if they wanted to be seen sooner, then one of your colleagues, um, could go and see them and [01:25:20] they could equally support them and do as just as good a job.

Speaker1: Yeah, definitely.

Speaker2: Yeah. [01:25:25] Yeah, yeah. Brilliant, brilliant. Um, but, um, I’ve [01:25:30] got a few final questions to ask you now. Um, and, [01:25:35] um, the, the first one is, um, imagine, you know, we’ve come to [01:25:40] actually, before I go there, before I go there, I’ve got one more question, which [01:25:45] is, um, where are you going with all of this? The the academy, [01:25:50] the clinic. Um, what’s what’s your overall ambition? Where do you want to [01:25:55] take this all? Is is it is it you want to grow the clinic and do more of that? Are you or [01:26:00] just keep that where it is? And do you want to grow the academy or you’re just happy just trucking [01:26:05] along in that lane, doing what you’re doing now? Is there a is there a [01:26:10] vision beyond what you’re doing right now?

Speaker1: Right. Yeah, there’s a project. [01:26:15] I mean, it just started, uh, in, uh, last year and, uh, we [01:26:20] purchased a big building in Buckingham, which is 5500ft². It’s [01:26:25] two, uh, two storey building. So next project will be we are moving [01:26:30] both practices into that building, ground floor. And on the top floor will be the teaching, [01:26:35] uh, Academy, where we’re going to be a live surgery and the teaching [01:26:40] everything there. So that’s amazing project.

Speaker2: And so you’ve got the building, you’ve secured [01:26:45] the building.

Speaker1: Secure the building. And now waiting for the bank to say yes for that next [01:26:50] stage. Okay. Right.

Speaker2: Okay. Brilliant. So, so [01:26:55] so then I guess teaching everything will all be in one place from that. From one place. [01:27:00]

Speaker1: Yeah. Yes. That’s right. Because one thing lacking in my academy is the live [01:27:05] surgery. Even though I videoed almost every single surgery and [01:27:10] everybody gets the video of the cases so they can watch in their own, uh, place, [01:27:15] practice wherever they want to, but lives, lives, lives different. So that’s the one thing [01:27:20] I wanted to do. So hopefully by next end of next year, we should have that.

Speaker2: That’s [01:27:25] beautiful. That’s awesome. And so you’re gonna you’re gonna. But this, this time, you’ll [01:27:30] be able to relocate the goodwill without any problems. Right? Exactly.

Speaker1: Hopefully, I find the right [01:27:35] builder who doesn’t run away.

Speaker2: Yeah, yeah, yeah. Let’s hope that your past experiences have [01:27:40] shaped that now. So, um. That’s right. Yeah. Brilliant. Um, so [01:27:45] for the last couple of questions, Balaji. And one of them relates to, um, just [01:27:50] sort of some advice, really imagine it was your last day on the planet and, [01:27:55] um, you know, you had your little one next to you. Um. [01:28:00] What three pieces of wisdom would you leave her?

Speaker1: Okay. [01:28:05] Uh, the first thing I would say is be [01:28:10] nice to people. Right. That’s the most important thing. Any human being. [01:28:15] Second thing is, don’t stop learning. And [01:28:20] most important thing I tell my daughter is, even now, every day, [01:28:25] she’s bored of it. Now. Never give up. Never, ever give up. [01:28:30] And, uh, that’s, uh, every day I say that to her so that the 2 or 3 things [01:28:35] will be nice to people. Never stop learning and never give up. Those are three things. Wonderful. [01:28:40]

Speaker2: And then final question. Fantasy dinner party. Three people are invited. [01:28:45] Dead or alive, who would they be?

Speaker1: She’s got to be three. Okay, three. Right. [01:28:50] Uh, I would say, um, the [01:28:55] Microsoft CEO, Sundar Pichai, uh, is the [01:29:00] because he got a similar background like me, where he comes from, similar language, we speak similar same language. [01:29:05] And then I’m sure he struggled a lot to where he is now. So [01:29:10] in the table, I would like to pick his brain and maybe share him. And hopefully he [01:29:15] share his experience with me. Yeah. And then uh, second one I would [01:29:20] say, um, Michael Palin, he’s the journalist [01:29:25] and comedian and actor. Yeah. And I love travelling. So and [01:29:30] I love the way he presents, the way he is as very simple man. And [01:29:35] then that’s what I would like to have us sing. And the final one, [01:29:40] maybe the first one could be. Is that David Attenborough? He’s, [01:29:45] uh. Yeah. He’s amazing, amazing human being. And, uh, that’s the [01:29:50] other person which I would like to have. Uh, these people. Definitely. [01:29:55] I would like to have them.

Speaker2: Trip. Baloji. Thank you for your time. Um. [01:30:00] This evening. Welcome. Um, for those of you who can’t see, can’t see you, you’re sat there [01:30:05] in a cold room in your coat. Um, for the for [01:30:10] this podcast. Um, because. Because you live in the middle of nowhere. So getting internet connection, [01:30:15] you said, is pretty tricky. So thanks for staying behind. Um, really, [01:30:20] really appreciate it. And thanks for your time today.

Speaker1: Thank thank you very much. It has been [01:30:25] a fantastic talking to you.

Speaker3: This is Dental [01:30:30] Leaders, the podcast where you get to go one on one with emerging leaders [01:30:35] in dentistry. Your hosts. [01:30:40] Payman Langroudi and Prav Solanki.

Speaker2: Thanks for listening, [01:30:45] guys. If you got this far, you must have listened to the whole thing. And just a huge thank [01:30:50] you both from me and pay for actually sticking through and listening to what we’ve had to say and what our [01:30:55] guest has had to say, because I’m assuming you got some value out of it.

Speaker4: If you did get some value out [01:31:00] of it, think about subscribing. And if you would share this with a friend who [01:31:05] you think might get some value out of it too. Thank you so so, so much for listening. Thanks.

Speaker2: And don’t forget [01:31:10] our six star rating.

Take a deep breath and tune in as Jamie Clements explores the transformative power of breathwork

Jamie shares his journey from the tech industry to breathwork coach and founder of The Breath Space, discussing the scientific and therapeutic aspects of breathwork for improving physical, mental, and emotional well-being. 

He offers practical advice for integrating breathwork into daily routines and insights into how it could improve focus and reduce stress in dentistry.

Enjoy! 

 

In This Episode

00:00:05 –  Importance and applications of breathwork

00:09:05 – Transition from tech 

00:16:40 – Breathwork as business.

00:27:30 – Functional breathing

00:32:55 – Breathwork in dentistry

00:39:40 – Techniques for managing panic, anxiety, and stress

00:43:40 – Male mental health 

00:54:35 –  Self-soothing 

01:19:35 – Personal growth

01:22:05 – Practical advice

 

Jamie Clements

Jamie Clements is a breathwork specialist and founder of The Breath Space. He has worked with entrepreneurs, politicians, and athletes to share the well-being benefits of breathwork and altered states of consciousness.

Speaker1: I very much view breathwork as sort of the the thing I teach [00:00:05] and the thing I talk about, but actually let’s, you know, I work with a 1 to 1 client. I’m talking [00:00:10] to them about their mindset, their past, their childhood. I’m talking to [00:00:15] them about mainly we’re talking through the lens of the nervous system. So that’s I would view [00:00:20] the work as really working with the nervous system, which is where ice baths start to come in, where other practices start to [00:00:25] come in, and the concept of rest, the concept of resilience, all of this stuff, it’s sort of breath [00:00:30] as a gateway into a much broader conversation around the nervous system.

Speaker2: This [00:00:35] is mind movers. Moving [00:00:40] the conversation forward on mental health and optimisation for dental professionals. [00:00:45] Your hosts Rhona Eskander and Payman [00:00:50] Langroudi.

Speaker3: Hey everyone, welcome to another episode of Mind [00:00:55] Movers. Today we have a very good friend of mine, Jamie Clements. Jamie Clements, if [00:01:00] you haven’t heard of him, where have you been? Because he has owned the breathwork space. He [00:01:05] is the CEO and founder of The Breath Space. He is [00:01:10] somebody that integrates breathwork into daily life, daily practice, and also works [00:01:15] with altered states of consciousness, creating a better life for people. I [00:01:20] met Jamie on a retreat. I had one on one sessions with him as well. He also used enlighten and loved [00:01:25] it. Excellent. And Jamie has really inspired [00:01:30] me in my own practice. But thinking about breathwork and dentistry, which we’re [00:01:35] going to cover as well, but in a very we’re going to go off piece today [00:01:40] and we’re going to do a guided breathwork session together. So for anyone that hasn’t tried this, [00:01:45] I really encourage you to join in on us. Try not to breathe too heavily Payman, because I don’t [00:01:50] know what he’s going to be like with this. So Jamie’s going to guide us through a couple of minutes of breathwork, and then we’re going to get into [00:01:55] it.

Speaker1: Yeah. Thank you. Ronan. Thank you for having me. It’s, uh. Yeah, it’s a pleasure to be here. And [00:02:00] as you said, I was, uh, actually on a podcast a couple of weeks ago where we did this, and it just [00:02:05] changed the trajectory of the conversation. I sort of arrived to that recording a little bit frantic, [00:02:10] a little bit hectic going. I just need a moment to centre. And we did literally two minutes of breathwork, [00:02:15] which was almost a perfect window into the power of this work as well, because it only [00:02:20] takes we’re seeing more and more in the research now a matter of five [00:02:25] breaths, ten breaths, 20 breaths to really create quite a profound shift in in state. [00:02:30] So for anybody listening and for you guys here with me now, um, I just invite you to find [00:02:35] a comfortable position sitting down and then when, if you if you feel comfortable doing so, just gently [00:02:40] closing the eyes. You can do this with your eyes open. But I’d encourage you to close down your eyes. So just take a moment [00:02:45] to close your eyes here. Notice what you’re feeling, notice how [00:02:50] you’re feeling. But most importantly here, notice how you’re breathing. Is [00:02:55] the breath fast or slow? Is it deep or is it shallow? [00:03:00] Is it through the nose? Is it through the mouth? Just starting to tune in [00:03:05] to your natural. Habitual breathing pattern. [00:03:10] And we’re just going to move through two very simple techniques that are designed to [00:03:15] calm, balance and down regulate the nervous system. The first is going to be a physiological [00:03:20] sigh, which is going to be a deep inhale through the nose, followed by a second [00:03:25] smaller inhale again through the nose and then a sigh out of the mouth.

Speaker1: We’ll [00:03:30] take two more like that deeply in through the nose. And [00:03:35] again and sigh out once [00:03:40] more deeply in and again and [00:03:45] sigh out. And then our second technique is going to be an extended exhale breath. [00:03:50] When we make our Excel longer than our inhale, we lower the heart rate. We shift ourselves into [00:03:55] this lovely parasympathetic rest and digest state. So this is just going to be, to your own count, [00:04:00] a deep, gentle breath in through the nose. And then we’re going to blow the exhale slowly and gently [00:04:05] back out through the mouth, through pursed lips like you’re blowing through a small straw. So we’ll take five of those [00:04:10] in your own time, taking a nice slow, steady breath in through the nose and [00:04:15] then blowing that exhale out softly and gently. Again, [00:04:25] breathing in through the nose. And extending that breath out through [00:04:30] the mouth. Go [00:04:35] ahead and we’ll take three more like that deeply, slowly in extending [00:04:40] that breath out. The [00:04:45] last two. Allow yourself to relax fully, deeply, [00:04:50] in and softly extending that outbreath, allowing [00:04:55] the whole body to soften. Allow the shoulders [00:05:00] to relax as we move into one final cycle of that breath. Extending [00:05:05] that outbreath, allowing that sense of calm, of relaxation [00:05:10] to wash over your whole body here. And then just allow the breath to come back to gently [00:05:15] flowing in and out of the nose. Take a moment just to pause to check in before [00:05:20] you start to bring some small, gentle movements back into the body. And whenever you’re [00:05:25] ready, you can blink. Open your eyes.

Speaker3: So good. [00:05:30]

Speaker1: Send everybody to sleep before the podcast starts.

Speaker3: I know such a simple thing, right? But [00:05:35] it’s. I think it’s. Jamie. I have to tell you. Like, you know me. Like I know people that are top of their game who [00:05:40] just said to me in the kitchen, if anyone was average, would you be friends with them? I was like, Payman, that’s not [00:05:45] true because he’s so impressed with the people, I would listen, I hang out with [00:05:50] winners and I’m joking, you know?

Speaker1: Hey, look, there’s you know, I always say, you know, we [00:05:55] have different people in our lives for different reasons, but there is certainly something to the company [00:06:00] you keep and and where that takes you in your life. Yeah. You know, I don’t think I actually heard [00:06:05] an amazing thing yesterday that was saying we often hear it’s, you know, your life. It’s the sum of the five [00:06:10] people that you spend the most time with. And the person was actually saying, it’s not quite that. It’s that you sink to [00:06:15] the standards of the lowest common denominator of the people you spend the most time with. And [00:06:20] so that’s where, and this is where the nervous system, I don’t want to dive in too deep, too early, but our [00:06:25] nervous systems are constantly in dialogue. And the people that regulate you, the people that elevate you, they’ll [00:06:30] be working with your nervous system in a certain way. And the people that keep you stuck, keep you limited, keep you dysregulated [00:06:35] will also have a set way in the nervous system that they’re working with. So there’s [00:06:40] there’s method to the madness and method to the company that we keep for sure.

Speaker4: So have you fired friends? [00:06:45]

Speaker1: Have I fired friends? I would say friendships have developed. Some have come, [00:06:50] some have gone. I would say the friends that I’ve made in the last five [00:06:55] years. Um. Are different, not for better or for [00:07:00] worse than the friends that I made previously. I think there are friends that come from a place of longevity, from having known me for a long [00:07:05] time, who, um, I’m still close with, but perhaps in a slightly different way to [00:07:10] how we were previously. And then I think there are people that I’ve met in the last few years where I have [00:07:15] been more open in myself and more regulated in myself, who mirror that. Um, [00:07:20] so yeah, I think it’s never been about cutting people out, but certainly [00:07:25] watching how I’ve developed and how the relationships have developed within that, I.

Speaker3: Think there’s a really [00:07:30] amazing podcast. I’m sure you guys have seen her. She’s Middle Eastern and she’s got like tattoos and [00:07:35] hat and she’s like an amazing motivational speaker. She actually works in tech. And she basically a [00:07:40] video that she did went viral because she basically said, you know, people have come and gone, but when people [00:07:45] have got rid of themselves, it feels so good because it’s like a detox. And she said, your brain is like tofu. [00:07:50] Be careful what you marinate in, you know. And you know, I love.

Speaker4: That you fired friends. [00:07:55]

Speaker3: I find it really difficult. I think over time I’ve naturally drifted [00:08:00] from people because they’ve not served the purpose in my life. But I think London is [00:08:05] a very complex place because I’m constantly living in dichotomy, because the identity that [00:08:10] I have built within London means that I naturally attract a certain type of person or [00:08:15] clientele, which doesn’t necessarily align with my true authentic self. I’ve been lucky [00:08:20] enough that when I spent time with Jamie, I’m actually my true authentic self. We’ve met on retreats, [00:08:25] um, and that space is when I’m my most vulnerable and when I feel most safest because the people [00:08:30] around me feel safe. Where I would argue that some of the people in London, not for bad reasons. [00:08:35] I’m more in survival mode more than, you know, being at my most relaxed state. Jamie, [00:08:40] let’s talk a little about your journey. So we always like to start from the beginning. I know that when I met you, I was [00:08:45] really surprised to hear that you worked in tech. Tech is one of these jobs. That’s super glamorised. It is. You know, [00:08:50] the sort of new, like, city banking job as it was, like in the 90s and 80. [00:08:55] You know, everyone wants to be in tech. It’s the place to be. But you told me it made you really miserable, affected your mental health [00:09:00] and then led you to breathwork. Do you want to tell us a little bit about that?

Speaker1: Yeah, absolutely. So I [00:09:05] always kind of, at this point when I speak about my story, say that I had a relatively [00:09:10] by the book kind of upbringing, middle class, very fortunate to not have [00:09:15] had too many challenges financially from that perspective growing up. And I’m very grateful for that. But, [00:09:20] um, around the age of 15, um, well, I was 15, [00:09:25] my parents got divorced, and I don’t put blame on them for that because everyone [00:09:30] needs needs to do what they need to need to do to to move on with their lives. But it definitely at [00:09:35] that point in my life that was so formative, I did have a significant impact on me. And through my [00:09:40] late teens around that time and through my early 20s, I definitely went inwards. I definitely [00:09:45] withdrew, I definitely lost elements of myself. Um, there was a [00:09:50] an anxiety really, that took hold and a level [00:09:55] of unease that took hold. I really unknowingly, because I had [00:10:00] friends, I was high functioning. I was achieving at school, I was playing very high level of [00:10:05] sport at that time as well. I was functioning, but under the surface I think I was very uneasy [00:10:10] and very unhappy. And that went on then into my early 20s through university. [00:10:15] Um, and then at around the age of 24, I was in a very [00:10:20] kind of bleak place. I suffered with anxiety throughout that whole sort of ten year period and [00:10:25] depression as a result of that anxiety.

Speaker1: And a lot of that, I think, stemmed from a place of, [00:10:30] um, post my parents divorce, feeling like I needed to [00:10:35] fit in, to be accepted ultimately above that, to be loved [00:10:40] and to be kind of desired in, in a way. Um, and so I went down a [00:10:45] path that I thought would get me that. So it wasn’t necessarily you talked [00:10:50] about authenticity, and I always come back to that now in my life today, how can I show up [00:10:55] as my most authentic self and what environments empower that? But through that period of my late teens, [00:11:00] early 20s, I was studying a subject that I thought would get me the job that I thought would [00:11:05] get me the money that I thought would get me the approval. So I studied economics. I went to a very good university, [00:11:10] got a degree, thought I wanted to work in finance, did internships in investment banking, hated [00:11:15] it, hated it, knew it wasn’t me right from the get go. Um, and so I sort of. At [00:11:20] that point as well. I felt very uneducated, not from a academic perspective, [00:11:25] but from a perspective of knowing what was out there. I didn’t know enough about the world. I had a very narrow view, [00:11:30] and simply because of where I’d grown up, what I’d done up until that point, and what everyone else was doing [00:11:35] around me. And so I was like, I’m going to, you know, take, [00:11:40] take a slightly different path.

Speaker1: That was so. Undramatically [00:11:45] different. I went and worked in fintech. I worked in financial technology instead of finance and thought I was doing [00:11:50] something really out there and outlandish and how how rogue of me to go and [00:11:55] work in tech Start-Ups instead of an investment bank. And I had some jobs that I really [00:12:00] loved genuinely, and I don’t actually look back and think that there was anything wrong with the work itself. [00:12:05] It just wasn’t me. And I was so lost, and I was continuously losing myself, [00:12:10] trying to find myself through fitting in. And then at the age of 24, [00:12:15] hit a particular rock bottom, was suffering and struggling with suicidal ideation, with deep depression [00:12:20] and panic attacks that were debilitating, um, on a near daily [00:12:25] basis. And that led me to get help. Now, breathwork was a part of [00:12:30] that and a very, very big part of that. But that was made up of a number of things therapy, meditation, [00:12:35] yoga, exercise came back into my life in a major way. But breathwork for me was the [00:12:40] the linchpin. It was the key that unlocked a lot of things for me, particularly [00:12:45] with my anxiety. I think that I put a huge amount of weighting on breathwork as a part [00:12:50] of that that process, and continues to be something that supports me to this day.

Speaker3: Who introduced you [00:12:55] to the breathwork?

Speaker1: Um, friend of mine called Christine, who is now actually a business partner [00:13:00] of mine in a different business. Oh, wow.

Speaker3: Um, no. Anglemyer. No. I wish life. [00:13:05]

Speaker1: Would be very different if you were a friend of mine. Um, so Christine is [00:13:10] founder of a business called The Move Method. We’ve got a studio over in Fulham, and he [00:13:15] had a former studio, and I was a member of this studio. And, um, he had a fairly similar background [00:13:20] to me. He was a professional rugby player. Um, and we’ve always had quite a lot in common. And [00:13:25] I was training at the studio, I was practising at the studio, and he, he sort of just nudged me in the direction [00:13:30] of breathwork. And I was resistant, I was reluctant, I was hesitant, it wasn’t. I wasn’t open to it. I wasn’t [00:13:35] open to much beyond a bit of talk therapy and a bit of exercise, maybe a bit of yoga. [00:13:40] Um, it just seemed too out there for me to. I was too sceptical. [00:13:45] Sure. Um, and it was sort of a gentle nudge in that direction. And then eventually I [00:13:50] kind of bit the bullet and decided to to see what it was all about and haven’t really looked back since.

Speaker3: Amazing. [00:13:55] That’s so, so, so amazing. And so tell us then [00:14:00] how you made the leap. So from this kind of very corporate job into then becoming the [00:14:05] CEO, founder of the Breast Space, like, how did you make that leap in that transition?

Speaker1: On [00:14:10] reflection, I can’t remember my life being any different, and I don’t [00:14:15] actually remember at any point feeling like I was making a big leap. It almost felt like [00:14:20] a it was a pull. Like I cannot see my life having played out any other way, to be totally [00:14:25] honest with you. Um, so I was working at a, um, digital transformation [00:14:30] consultancy at the time for, for the financial services, um, ticking along, I was coasting, [00:14:35] um, and. I started training in breathwork. This was about [00:14:40] six years ago, um, sort of five years ago now. And, um, I’d spent [00:14:45] a couple of years exploring breathwork, everything that it had to offer and really finding my way [00:14:50] with it in my personal practice. And I have one particular, uh, transformative experience with [00:14:55] breathwork that I left just going, I want to see how I might be able to share this with other people. [00:15:00] And that was where it began, was just a desire to gift what I’d [00:15:05] received from it as a practice to other people. And, um, so I started [00:15:10] training. I started immersing myself in it. I’ve always had a fascination with human nature and psychology, and [00:15:15] so I started piecing together. I was like, oh, this is actually where [00:15:20] I should have been all along, actually, in terms of learning, in terms of education, in terms of what I was looking to [00:15:25] get from my life, from quite a natural, authentic place, it all started to make a lot more sense [00:15:30] and so started training, started doing certifications, qualifications and started [00:15:35] the business at the beginning of end of 2019, start of 2020. [00:15:40]

Speaker1: And um, obviously we were about to dip into Covid at [00:15:45] that point and I was still working full time, and so I was running the two alongside each other and really, [00:15:50] um, taking quite a lot of what I’d learned from small start up businesses, entrepreneurial [00:15:55] people to actually go, is there a business here? Is there actually something here [00:16:00] that could not even necessarily at that point, I was particularly concerned about making a life for myself [00:16:05] from it. But is there actually does this have legs? Can I actually turn what feels right now [00:16:10] like a passion and a passion project into something a little bit more serious, something a little bit more legitimate? [00:16:15] And that really was the beginning. And then I left my last full time job [00:16:20] in at the beginning of 2021. So I spent about a year and a half, um, [00:16:25] building the business alongside, um, what I was doing full time, um, through Covid and [00:16:30] then left the last full time job in the beginning of 2021 and went out to to kind [00:16:35] of continue building the breath space and make it what it is today.

Speaker3: Amazing.

Speaker4: Also, the business model. [00:16:40]

Speaker1: Yeah, varied. And uh, developing, [00:16:45] I would say. So I think this year has been particularly interesting for me, um, because [00:16:50] I felt a real pull and a real desire to build the brand [00:16:55] as a brand in of itself. Whereas the three, four years [00:17:00] prior that, I’d been very much building Jamie Clements breathwork coach individual. [00:17:05] And actually in the last six months, it’s become very apparent that this is here to be more [00:17:10] than that. And actually, for me, in terms of what I know I want for my life longer time, I have no interest in [00:17:15] always being the face of it by any means. I that’s the goal. I’m an introvert. I [00:17:20] love working with people. I love teaching and educating, but I, [00:17:25] um, need days to recoup and recover afterwards. So for me, [00:17:30] this is actually about, um. Becoming almost [00:17:35] a mouthpiece for breathwork and sharing that that work in whatever form that takes. The business model [00:17:40] at the moment is a pretty much a split down the middle of in person and online. So I work privately 1 to [00:17:45] 1. I work with businesses and corporates. I work with, um, high profile [00:17:50] individuals, particularly from a from a private practice perspective. Um, and then also group [00:17:55] workshops, retreats and that side of things from an in person point of view. I then have online [00:18:00] courses and online membership, a real digital presence. I work with apps. Um, and [00:18:05] then increasingly I’m finding myself working in a consultancy, um, kind [00:18:10] of capacity, working with different businesses to help them integrate wellbeing and breathwork [00:18:15] into what they do. So hotels being a great example, all looking to kind of ride this wave [00:18:20] of hospitality and wellness merging. Um, so spending a lot of time actually [00:18:25] sharing how and what they should be doing when it comes to integrating breathwork as well. [00:18:30] So it’s sort of started very broad and it’s gradually getting a little bit narrower. Um, and [00:18:35] this year is very much about building the brand as a brand and the business scaling ultimately. [00:18:40]

Speaker3: Jamie, for those people that don’t know, can you explain in layman’s terms [00:18:45] what breathwork actually is because people will be like, is it just me huffing and puffing? What’s the science [00:18:50] behind it? And is there a particular method that you have created for yourself?

Speaker1: For sure. [00:18:55] So, um, it’s the question because I think, you know, these conversations, [00:19:00] there’s a pre-existing level of knowledge that lulls me into a false sense of feeling like everybody [00:19:05] knows what I’m going on about. Same with.

Speaker3: Dentistry. People are like talking about stuff and they’re like, yeah, you know, veneers. [00:19:10] They’re like, yeah, I don’t know what that is.

Speaker1: Yeah, exactly. So, um, breathwork to me, for me [00:19:15] is an umbrella tum that encapsulates any way that we can use the breath to shift our state physically, [00:19:20] mentally, emotionally, spiritually within that, um, the way that I’ve developed the breath [00:19:25] space approach over the last few years has very much been informed, both by ancient practices, [00:19:30] ancient wisdom and contemporary science backed, um, evidence based practices, and [00:19:35] has been drawn directly from, um, how [00:19:40] I benefited from breathwork. So I talk about full spectrum breathwork, really [00:19:45] working from at one end the micro, which is about how we breathe day to day, and the 20 plus thousand [00:19:50] breaths that we take every single day, and the impact of those and how we can work at a [00:19:55] very simple level to optimise that all the way through to the macro level, where we’re working with big transformational [00:20:00] breathwork experiences. And there’s three key pillars that we can break it down to. The first [00:20:05] being that functional breathing piece. So how as a listener, as you guys [00:20:10] hear right now, do you breathe unconsciously? What is the natural resting state of your [00:20:15] breath? And is that helping you? Is that harming you? How is that affecting you? [00:20:20] And once we can become aware of that, how can you optimise that? So [00:20:25] that for me is is really the it can be a spectrum or a bit of a pyramid. And that is the first [00:20:30] layer that is the fundamentals.

Speaker1: We then have this middle piece which is around [00:20:35] the nervous system and nervous system regulation, which is looking at the role of the [00:20:40] quite unique role of the breath as a part of our autonomic nervous system. And the [00:20:45] best analogy here is that your breath can act as a remote control into the state of your nervous system, [00:20:50] to create change by conscious breathing. We then have the far end of the spectrum, which [00:20:55] is where we’re working with therapeutic breathwork, conscious, connected, breathing, these big [00:21:00] transcendent mystical experiences that come as a result of using the breath to tap into altered states [00:21:05] of consciousness. That realm sounds sexier, it sounds [00:21:10] more exciting, and ultimately, on the face of it, it is. But all of these are incredibly impactful [00:21:15] and important. This ends this kind of deeper end of the spectrum has typically been, um, [00:21:20] I’d say neglected or not really viewed, um, as worth [00:21:25] researching by by the scientific community. Um, but there are studies emerging now, and [00:21:30] there’s a really exciting one that came out back in September last year and that found [00:21:35] through, um, anecdotal experience. But through the research of this, this [00:21:40] study group that you can create, um, mystical experiences that [00:21:45] are comparable to medium to high doses of psilocybin. Yeah. Have you heard about this work? Um, [00:21:50] so that to me is the most exciting piece of research in breathwork for, for a while. [00:21:55]

Speaker3: So, you know, this is super interesting to me as well, because I’ve heard people say particularly [00:22:00] addicts because addicts feel like they can’t. Even though plant medicine is obviously not considered to necessarily [00:22:05] be a form of addiction, like a lot of people that go into total sobriety definitely don’t even [00:22:10] want to do plant medicines, but they say they can achieve that same high through breathwork, like you literally [00:22:15] can, you know, reach an altered state of consciousness. You see visuals like experience [00:22:20] that in your body. And I find that incredible. To me, though, I’m a bit of a disbeliever. [00:22:25] I’m like, how do you know what I mean? Like, do you have to be there for hours? And I’d probably lose patience. And with my ADHD tendencies, [00:22:30] I just can’t imagine. Reaching that altered state so you know what [00:22:35] would be required? And do you need to be a pro to reach that?

Speaker1: I’d say [00:22:40] not not. It’s not about being a pro. Um, and it’s not even necessarily about time. I think the [00:22:45] big difference, the key differential between plant medicines, psychedelics and [00:22:50] breathwork is the, um, the [00:22:55] substance nature of the medicine work. Because when you take a [00:23:00] plant medicine, a psychedelic, you are on the roller coaster, you’re not getting off. There is a change [00:23:05] coming, there’s an experience coming, and you ultimately just have to surrender to that. And if [00:23:10] you try and control that, it can create discomfort with breathwork. And this is a pro [00:23:15] and a con when it comes to working with altered states of consciousness, you are in control. So you [00:23:20] can stop. You can get distracted, you can get resistant, you can pull back, you [00:23:25] can push forward. That to me is the beauty of it and the pitfall of it, because [00:23:30] it can be so powerful. And I wouldn’t ever want to be one of those people that says it can [00:23:35] work for everyone, but it can work for a large majority of people. If we’re taking into [00:23:40] account the proper medical contraindications, safety precautions, and all of that side of things. Um, [00:23:45] the difference in what I see, you know, over the past sort of four and a half, five [00:23:50] years of experience in retreats and in workshops where we’re working with these deeper modalities [00:23:55] is that someone might step in, you might step in, for example, Rona, and, um, it [00:24:00] might take you 40 minutes in a session to really get into it for someone [00:24:05] else.

Speaker1: It might be their first session ever, and it might take them five minutes and they’re in. Um, [00:24:10] and that is dependent on a number of factors, but very much about the individual, [00:24:15] your capacity to let go your natural brain state as well, because ultimately [00:24:20] we are working with brain states and shifting brain states. Um, and really at a kind [00:24:25] of slightly, um, reductionist level where dropping the activity [00:24:30] in the monkey mind, that kind of ruminative part of the brain, and seeing a spike in activity in the subconscious, [00:24:35] which is where the experience itself comes from, which is completely mirroring [00:24:40] what we see with, with plant medicines. So sometimes it takes people. And I was one of [00:24:45] these people. It took me probably 5 or 6 sessions to get anywhere because I had I view it as [00:24:50] sort of layers of the onion. I had a lot of stuff to to dig through, to even get to a point [00:24:55] where I could open to an experience, whereas other people will drop straight in, [00:25:00] um, and that is just unique to the individual. Um, so I’d say there’s a [00:25:05] capacity for the large majority of people to get genuine experience and benefit [00:25:10] from that particular style of breathwork, but I’m also aware that it’s not for everybody.

Speaker4: So [00:25:15] is there is there a particular habit, I mean, coffee or sleep, [00:25:20] or is there something that gets in the way? Did you tell people not to drink coffee [00:25:25] before they have a session or something?

Speaker1: So I ran a retreat this weekend, just gone, and we [00:25:30] advise in the week leading up to it to minimise coffee, minimise social [00:25:35] media use, minimise stress, clean up your diet. All of this stuff that you might [00:25:40] do for a diet or working with plant medicines as well to, um, I [00:25:45] wouldn’t say it’s a particular habit, but I would say it’s anything that serves as an overstimulating [00:25:50] capacity on both the body and the mind. So anything that could be a distraction, anything [00:25:55] that might stop you going inwards, anything that keeps you trapped in your head. And so there will be certain [00:26:00] personalities who have a trickier time of being trapped in their head anyway. [00:26:05] Um, whereas other people might me who might actually just be able to drop in much [00:26:10] more naturally and more quickly. So, um, in an ideal world, we would strip out kind of [00:26:15] stimulants, we’d strip out tech, we’d strip out everything, um, which is kind of just a bit of a metaphor [00:26:20] for life on a grander scale, ultimately. But, um, to get the most from it, we would look [00:26:25] to minimise other, other aspects.

Speaker3: I’m going to pivot a little bit because obviously we’re dentists [00:26:30] and I’m so interested in this. So recently on social media platforms [00:26:35] like TikTok and everything, everything’s been talking about, everyone’s been talking about breathwork, jaw formation, [00:26:40] and I think we’ve seen a massive change in dentistry because we used to be perceived [00:26:45] as butchers and very much like drill, fill, pay the bills sort of people. Now people are recognising, [00:26:50] I mean, it’s so exciting. I was just saying to you earlier, Huberman’s released a podcast on the oral microbiome. [00:26:55] Amazing. So we’re having these conversations and controversially, there was an orthodontist, [00:27:00] him and his father mu. And it’s mewing. Were you? I learned this on TikTok and [00:27:05] I asked my orthodontist and she was just like, you know, this is super controversial. But [00:27:10] ultimately, environmental and genetic factors can play an effect on the growth of a child [00:27:15] and their jaw, etc. and then obviously breathing as well. So I want you and you’re like, Rona, you [00:27:20] should know more about this. I actually don’t, you know, and I don’t know if Payman does. Do you know, how about how breath and the jaw [00:27:25] effect?

Speaker4: I had a boss who was very close to me, and so, um, he used to [00:27:30] talk a lot about it, but.

Speaker3: Yeah. So tell us, Jamie.

Speaker1: It’s one of the big ones [00:27:35] at the moment because of the rise of social media and the chat about mouth taping. [00:27:40] Yeah. So, um, ultimately, this fits into this first pillar where we’re talking about functional [00:27:45] breathing. And a lot of the conversation about functional breathing, um, is, broadly speaking, split into [00:27:50] a conversation versus nasal versus mouth, um, and belly versus chest. So this is about biomechanics [00:27:55] and biochemistry of breathing and how you really habitually breathe naturally. And [00:28:00] it’s fascinating because let’s if we just speak to what we’re referring to [00:28:05] here in terms of nasal breathing versus mouth breathing, oral breathing, um, the benefits [00:28:10] of nasal breathing over mouth breathing are so well documented. [00:28:15] Now in the research, it’s, you know, there’s not even a discussion anymore around this and this. This [00:28:20] applies to rest during sleep, during low to medium intensity exercise. We want to be breathing [00:28:25] through the nose so the nose will naturally slow the breath. [00:28:30] It’s a smaller passageway. It’s going to regulate the breath in a really nice way. That’s going to help to regulate the nervous system. [00:28:35] Number one, it’s going to filter humidify and really create optimal [00:28:40] air to be received by the lungs. Additionally to that, when we breathe through the nose, we get [00:28:45] deeper and better recruitment of the bottom portion of the lungs. So we’re using more of our respiratory capacity. [00:28:50] All of these are great mouth breathing. On the other hand, um, [00:28:55] not only recruits a higher portion of the lungs, so we’re actually breathing more shallow. We’re [00:29:00] also breathing more in terms of volume. So we’re over breathing what people talk about in terms [00:29:05] of things like hyperventilation syndrome. So we’re offloading a lot of carbon dioxide. We [00:29:10] might then get a decrease in cerebral blood flow, brain fog, dehydration. [00:29:15] There’s one amazing study that shows that mouth breathing we lose 42% more water mouth [00:29:20] breathing compared to nasal breathing, which.

Speaker4: Is how interesting.

Speaker1: Plenty. Um, and the reason [00:29:25] that this comes around to this idea of mouth taping and mouth breathing and looking [00:29:30] to avoid it, particularly during sleep, is a that mouth taping is quite a people [00:29:35] view it as strange, people view it as out there, people view it as shocking. Um, but also [00:29:40] because of the fact that so many people are falling into habitual [00:29:45] mouth breathing while they’re awake and while they’re asleep. So the people I’m talking to are the ones that wake [00:29:50] up dry mouth, brain fog, fatigue, muscle soreness. And [00:29:55] to come back to your round, to your point on on dentistry. But hang on.

Speaker3: So mouth taping [00:30:00] does work. In conclusion.

Speaker4: Maybe let me just go through what it is.

Speaker1: Yeah, yeah. [00:30:05] Simplify it. So mouth taping very simply I’ve seen it.

Speaker4: Yeah I have yeah.

Speaker1: Typically advised [00:30:10] to be a little strip of tape vertically over the centre of your lips. The idea being that it’s gently keeping [00:30:15] the mouth closed while you sleep. Yeah. The reason for this is that, um, I [00:30:20] can say, right, if you’re a habitual mouth breather while you’re awake, I want you to focus while you’re awake [00:30:25] on breathing more through your nose. And you go, okay, great, I’ll do that. You go to sleep and you spend eight hours breathing with [00:30:30] an open mouth, snoring, whatever it might be. Then you’re undoing a lot of that hard work, and you’re [00:30:35] not really resolving the root cause issue. And there can be multiple root causes of mouth breathing. [00:30:40] Um. So the mouth taping just really helps to redirect the breath [00:30:45] back through the nose during sleep. It is, in my opinion, a temporary [00:30:50] fix. It’s a short time solution that can help us create those [00:30:55] conditions where we can move towards a more optimal, more functional breathing pattern. It is also not [00:31:00] safe for people with certain medical contraindications around cardiovascular system with severe sleep [00:31:05] apnoea, particularly obstructive sleep apnoea. It’s not advised, even though those people would probably also be mouth [00:31:10] breathing, um, and anybody who’s pregnant. So there’s like quick caveats and disclaimers [00:31:15] around it.

Speaker1: But I’d say for fit, healthy, um, individuals who mouth breathe, [00:31:20] who are aware either because their partners told them or because they’re waking up with a lot of these symptoms of [00:31:25] dry mouth, brain fog, fatigue, bad breath, then it’s highly likely [00:31:30] that your mouth breathing and that mouth taping could be a short time solution to that. Um, so [00:31:35] I would say it works. I’ve I’ve done it myself. I don’t do it as much [00:31:40] as I did previously because I have developed over the years, kind of an all around more healthy [00:31:45] breathing pattern that has fed into sleep. Um, and I can certainly attest to the fact that in, [00:31:50] especially in the first six months of doing it and getting traction with it. [00:31:55] I noticed such a significant shift because I had been struggling with sinus [00:32:00] issues. I’d been breathing through my mouth for a lot of a lot of my early 20s that actually [00:32:05] I it’s the lowest hanging fruit that I’ve found from a health perspective. [00:32:10] Um, from a very personal experience perspective as well, um, in terms of clarity of thought, [00:32:15] sleep quality, overall cognitive functioning on waking. Um, and [00:32:20] it’s quite a it comes out being quite controversial, but that’s social [00:32:25] media’s fault because, because.

Speaker3: People are like so alarmed to see your like mouth tape shop but so with with [00:32:30] jaw formation because obviously we’ve got a condition called an anterior open bite, which basically means that the [00:32:35] top and bottom teeth don’t meet. You’ve got this gap between your top and bottom teeth. And sometimes [00:32:40] people try to close that space with their tongues. They get something called an endogenous tongue thrust to create like [00:32:45] a seal, for example. Um, and definitely, you know, typically we call them mouth breathers. [00:32:50] And there’s other kind of like issues going on with them. So do you believe that something [00:32:55] into and I know you’re not like the dentist or anything like that, but do you think that there is scope [00:33:00] for a conversation where interceptive treatment can be done to help jaw development? [00:33:05] Let’s talk about jaw development for sure.

Speaker1: So from a mouth breathing perspective, we [00:33:10] see particularly in and this conversation I think across dentistry and the world of [00:33:15] respiratory physiology is is great because we typically see especially in [00:33:20] childhood and development kind of craniofacial development. Um, mouth breathing will lead [00:33:25] to a elongation of the face. So a longer face, um, and a setting [00:33:30] back of the lower mandible. Lower mandible. Yeah. Um, so you see [00:33:35] poor teeth formation. You see a lot of, of factors that come up as a result of that, alongside the other [00:33:40] symptoms that we’ve mentioned in terms of cognitive function and sort of mental and emotional side of it. [00:33:45] Um, there I think it’s multi multifaceted because, you [00:33:50] know, you talked about environmental. It’s definitely a case for things like diet and proper [00:33:55] kind of food and, and real whole food in terms of how often we’re chewing and that formation of [00:34:00] the jaw. But again, it’s all of these things are multifaceted. And because [00:34:05] of that, we can suggest that breath and mouth [00:34:10] breathing is a likely factor. And if you see your child, for example, [00:34:15] or a young adult or even an older adult who is mouth breathing and they are having issues [00:34:20] with kind of jaw formation, face shape, general respiratory health as well, then [00:34:25] as long as they are fit and healthy, then you’ve actually not got much to lose. [00:34:30] In trying to remedy that as a possible solution would be my opinion.

Speaker3: But how can [00:34:35] you remedy it? Do you know what I mean? Like so if a child is mouth breathing, what are you going to do? You’re going to [00:34:40] take their mouth shut. Then from a young age, would you do it? I don’t have kids yet, so I don’t know. No. [00:34:45]

Speaker4: There.

Speaker1: Yeah. There’s I, um, it’s invasive. [00:34:50] It’s invasive. It feels.

Speaker4: Weird.

Speaker1: Yeah, yeah.

Speaker4: There’s kid.

Speaker1: There’s certain tape that, [00:34:55] um, goes around the edge of the mouth that gently keeps the lips closed. And that is what’s typically recommended [00:35:00] and suggested for children. I my partner has a daughter. We’ve had this conversation [00:35:05] about it in terms of like, would you actually could we actually address it if we [00:35:10] felt it was an issue? And I feel quite strongly on it because I [00:35:15] and clearly in this world and I see the the harm that continuous [00:35:20] habitual mouth breathing can do. And as with anything in life, nature or nurture, [00:35:25] the earlier you catch it, the better. And the longer it goes on, for the worse it becomes, but also the harder [00:35:30] it is to undo. And so while it is invasive and probably not easy to any [00:35:35] parents listening or watching, they’ll be going, yeah, fat chance of that happening. I’m not never going to get my kid to do that. [00:35:40] And maybe that’s the case, but what else can we be doing? And I think there’s a conversation here about [00:35:45] wake time breathing and actually looking at what someone isn’t just mouth breathing just [00:35:50] because they’re not just mouth breathing at night because, um, so.

Speaker4: It [00:35:55] seems like a cultural problem rather than an actual problem. Well, I’m sure if [00:36:00] there was some device that a dentist could make that you could put in inside the mouth rather than the, the [00:36:05] fact that it’s over the lips just feels so strange, doesn’t it?

Speaker3: Well, I mean, there’s lots [00:36:10] of like, you know, there’s brands out there now like Myo Brace and stuff like that that are really affecting, like the jaw formation, [00:36:15] etc. and, you know, a bit teetering off from like breathwork, you know, [00:36:20] now they’re showing as well that giving your child like really chewy foods is really good for like, like jaw development [00:36:25] and everything like that. What I’m also interested to know is that is there any correlation between [00:36:30] the types of breathing and mental health disorders. So like ADHD, [00:36:35] like I’ve heard that ADHD now is linked to things [00:36:40] going on in the mouth and breathing etc. like that, which again is a massive thing for the dental sphere. [00:36:45] So has there been shown? Yeah.

Speaker1: So it’s a little bit chicken and egg when it comes [00:36:50] to, um, the mental and emotional experience and the experience of the breath. So. The [00:36:55] nervous system and breath are in this continuous dialogue where it’s, you know, as we all know, if something [00:37:00] frightens you, your breath will speed up, you’ll feel more fear, you’ll feel anxious, and vice versa. If [00:37:05] you’re breathing really quickly, you’ll start to feel more anxious. So we’re in this sort of constant loop. And there was a great [00:37:10] study that came out in 2013 that looked at the, um, natural habitual [00:37:15] breathing pattern of, uh, a study group that had diagnosed anxiety [00:37:20] disorders so significant enough anxiety disorders to, to be given a diagnosis. And they [00:37:25] found, I think the stat was 73, 72% of those with anxiety [00:37:30] disorders also had what were deemed diagnosable dysfunctional breathing patterns. [00:37:35] And that really to me, whether it’s causation, whether it’s correlation, [00:37:40] whatever, whatever the starting point, you develop an anxiety disorder and develop dysfunctional [00:37:45] breathing. They perpetuate each other. So we have this intrinsic link between the state of breath [00:37:50] and the state of mind. And ADHD is a great example because obviously we’re seeing so much [00:37:55] at the moment a conversation around ADHD, adult diagnoses of ADHD, and [00:38:00] I certainly feel from my own perspective, when I catch myself in what I would deem sort of as ADHD [00:38:05] like behaviours, a lack of focus, overstimulation, hyper focus, whatever it might be. [00:38:10]

Speaker1: And when I work with people with ADHD, what we’re ultimately looking [00:38:15] at isn’t saying that breath can cure ADHD, but we can [00:38:20] certainly use breathwork to work with symptoms to to support [00:38:25] ourselves. So a lot of people struggling with ADHD are also going to be feeling some expression [00:38:30] of a dysregulated, overstimulated nervous system. So actually, while we might not be [00:38:35] working with the root cause of the ADHD itself, perhaps we might be with some people. We [00:38:40] can use certain tools, techniques, practices to help them feel more balanced, to focus [00:38:45] more, to feel more regulated, whatever it might be. Um, and so there’s [00:38:50] for me, this is where stuff gets really powerful for breathwork from a [00:38:55] day to day level is actually going. We can work with our state of mind directly [00:39:00] through the breath. And that to me is the the power of it.

Speaker4: That’s super interesting because, you know, the autonomic [00:39:05] nervous system by definition is autonomic. Whereas some [00:39:10] of the stuff I’ve seen with Wim Hof that, you know, you can literally it’s the only [00:39:15] way of tapping into your autonomic nervous system is by changing your breath. Tell [00:39:20] me, what are the what are a couple of useful breathing patterns? Let’s [00:39:25] say I’m super stressed and have to have a panic attack or some feel that coming on. What should I do? [00:39:30] And the opposite. Let’s say I’m low energy and I want to get get going. What should [00:39:35] I do?

Speaker1: Great question. Yeah. So this comes back to the autonomic system right. We’re using that that lever [00:39:40] that remote control. So the language that we use here is up [00:39:45] regulation which is that that lifting or down regulation which is the the calming [00:39:50] which is the sympathetic response, which is fight flight, freeze and the parasympathetic rest and digest, [00:39:55] um, for panic and high anxiety and just general stress. Most [00:40:00] of the techniques and the stuff we lean on is pretty straightforward, but tends [00:40:05] to lean towards an extended exhale. So, like we did right back at the beginning, we did five extended [00:40:10] exhale breaths. This comes back to um heart rate and heart rate variability. [00:40:15] So we often think if um, my resting heart rate for example [00:40:20] might be 60 beats per minute, we think a beat on the second [00:40:25] every second for a minute. But what’s actually happening is when we inhale because of the change in volume of the [00:40:30] thoracic cavity, um, our heart rate slightly speeds up. When we exhale, it slightly slows down [00:40:35] logic, maths, whatever we want to call it. If you make your exhale longer than your inhale, [00:40:40] your heart rate is going to spend more time slowing down.

Speaker1: You’re going to start to feel more calm. We’re really tapping into that parasympathetic [00:40:45] response. So for high anxiety, usually we’ll work with [00:40:50] some kind of 1 to 2 ratio of inhale to exhale. So in for three [00:40:55] out for six in for four out for eight. Really maximising the length of that exhale. Um we [00:41:00] also introduce short holds. So in for four hold for four out for eight [00:41:05] is a great one. And the reason for that and from my past with panic attacks, [00:41:10] one of the most frustrating, intense, well-intended, but frustrating [00:41:15] pieces of advice is slow down your breathing because you’re in a panic attack and you barely have any [00:41:20] control if you’re breathing. And so one of the most powerful things that I found was actually to be able to [00:41:25] take a quick hold because then my breathing isn’t out of control. I hold, [00:41:30] I start breathing a little bit more slowly. I hold, and it’s really just taking back a little bit of [00:41:35] control, a bit of autonomy over my system and over what’s going on.

Speaker4: I found [00:41:40] the hold really useful last night when I did your, uh, your yes thing. It was almost like the you. [00:41:45]

Speaker3: Literally went from movement as medicine to breathwork. I love you, I’m so proud of you.

Speaker4: One after the other. [00:41:50]

Speaker3: So proud of you.

Speaker4: But it was, it was the hold was almost like a like a stillness like. [00:41:55]

Speaker3: But listen, I’m going to be honest with you, and I don’t know if this is me being me, [00:42:00] but I just can’t do breathwork on my own. And that’s why, like, I literally.

Speaker4: I like.

Speaker3: The guiding. Exactly. It’s [00:42:05] it’s Jamie’s guidance. And that’s why I think, like I always say, like, always invest in the professionals [00:42:10] because I think like, yeah, sure, I can download headspace, which I have done, I’ve done this [00:42:15] stuff. But like when you like, I’ve had one on one on one sessions with Jamie gone to his house and it’s just a different [00:42:20] space.

Speaker4: It’s the difference between watching a personal trainer on a video. Yeah.

Speaker3: And being, yeah.

Speaker4: Actually [00:42:25] being there. And I think part of it is the accountability of it. Yeah. Actually turning up.

Speaker3: Turning up.

Speaker4: Yeah, yeah. I’ve [00:42:30] found um float tank the best was that float tank.

Speaker3: Oh [00:42:35] I’ve heard about this and I’ve never been guys where is.

Speaker4: It in Wandsworth. I go so.

Speaker3: Far. [00:42:40] Why.

Speaker4: It’s near me. So Fulham.

Speaker1: There’s there’s one in there all over the place. Oh, really? Yeah. [00:42:45]

Speaker4: So what is it in water. Yeah. Salty water at body temperature and a cover. But basically it’s [00:42:50] there’s no sort of stimulus at all.

Speaker3: Are you, are you just on top of [00:42:55] the water floating in like a bikini or whatever. Yeah.

Speaker4: Well naked because it’s covered. Oh, really? [00:43:00] And then, um, but then the breathing is the only thing and I’ve, I found when [00:43:05] I.

Speaker3: Want to try this for.

Speaker4: An hour, you’re just breathing. And it’s the only time where you can really [00:43:10] super focus in on breathing. You’re never going to do it for an hour like this. And this. Bright lights and all that. Have you tried it?

Speaker1: Yeah, [00:43:15] I love it. I’ve not done it for a while and I’m going to go back. Um, it’s great. It’s sensory deprivation. [00:43:20] And it is, I’d say akin to a lot of breathwork experience as well. [00:43:25] At that deeper end, spend maybe the first ten minutes, 15 minutes going.

Speaker4: Yeah.

Speaker1: I’m [00:43:30] a bit bored. I’m a bit restless. Yeah. That’s right. If you can get into it, if you can stay with your breath, it becomes [00:43:35] this amazing space.

Speaker3: So I want to ask you, I mean, Jamie, I’ve known you for a long time [00:43:40] now, and I know that, you know, nothing sort of phases you in this realm. But Jamie’s done some incredible work [00:43:45] with other men, creating safe spaces for men, which is also one of the big reasons why I wanted to bring him here. [00:43:50] We often talk about I talk a lot about men, actually, on this podcast, only because I feel [00:43:55] like, you know, male suicide is still the single biggest killer in the UK of men under 25. [00:44:00] And I still feel worried for the role models that are out there. And Jamie’s created [00:44:05] a space with men that are, you know, look like, [00:44:10] I want to say normal people because I think people associate safe spaces with like being a bit woo woo and a bit like, [00:44:15] as they would say, naff. I’m just like kind of quoting. But he’s created like these, like men’s circles. [00:44:20] They do like retreats together. And they, they do they do activities which like harnesses [00:44:25] a lot of, um, you know, I say community and like a tribe like spirit. [00:44:30] But was it ever difficult for you to create those spaces and like, in [00:44:35] terms of, like delving into the world of breath space, which be considered quite like a feminine thing to do, [00:44:40] was there anything around that that was difficult for your mental health?

Speaker1: Absolutely. [00:44:45] I’d say it’s still it’s still a piece of work for me in terms of the development of, [00:44:50] um, my comfort in those spaces. I grew up from [00:44:55] 15 with my mum and my sister and didn’t [00:45:00] spend I spent time with my dad. I still have a good relationship with my dad, but I definitely grew up [00:45:05] in the the learnings and the environment of my mum and my sister and I. I put [00:45:10] down a lot of, um, my success and my, my kind of fulfilment [00:45:15] to that and the skills that I actually learnt, um, there and kind of everything that I [00:45:20] absorbed, um, and I’ve typically struggled [00:45:25] not so much in the last few years as I’ve worked with it and through it, but typically struggle with my relationship [00:45:30] towards other men. Um, I think there’s a naturally confrontational, [00:45:35] um, combative element to not all men, but the [00:45:40] male group. Um, and that leads to a lack [00:45:45] of vulnerability, a lack of openness. And in the same way, [00:45:50] it’s either a vicious or a virtuous cycle. Someone being open and vulnerable promotes openness [00:45:55] and vulnerable vulnerability, and someone being closed off and a bit, um, aloof [00:46:00] feeds the same. And it feeds standoffishness. And that is never going to be a healthy place for [00:46:05] connection, because the connection comes through the openness, through the authenticity, through the vulnerability. [00:46:10] And so I’ve been really fortunate to have worked with more and more men.

Speaker1: I’d say it’s still [00:46:15] heavily weighted towards women. Absolutely. I think the nature of the work that I do, [00:46:20] um, I, I don’t shy away from leading with emotion [00:46:25] in my work, and it takes time for people en masse [00:46:30] to to come into that with comfort, but particularly men. So many of us, myself included, were [00:46:35] raised of an era and to this day of a conditioning that [00:46:40] told us that that, you know, expression, healthy expression of emotion, any expression, expression [00:46:45] of emotion was feminine, it was weak, it was [00:46:50] something not to be engaged with. And so we pushed it down. We push it down, we push it down, and then we suffer and. [00:46:55] So I’ve been incredibly grateful that it’s developed over the last few years. I’ve sat in and held [00:47:00] men’s circles, men’s spaces, and I’m a big advocate now [00:47:05] in my work of mixed spaces and the capacity for for co healing [00:47:10] of women to witness men in their vulnerability and their openness and to, um, you [00:47:15] know, for the women who have maybe had terrible traumatic experiences at the hands of men [00:47:20] to witness men who are not threatening in that way, who are open, who [00:47:25] are healing, who are trying. Yeah. Um, and vice versa. I know so many men who have suffered at [00:47:30] the hands of women emotionally, physically and [00:47:35] for people to, to see a part of.

Speaker1: Maybe it’s your mum, maybe it’s your dad, maybe it’s [00:47:40] an ex-partner. To see a glimpse of that person who has hurt you in someone [00:47:45] else in one of those spaces is incredibly healing. Because there’s forgiveness, there is compassion, [00:47:50] there is conversation. And all of this healing for me in that capacity comes down to, [00:47:55] can you allow yourself to understand another perspective, [00:48:00] someone else’s perspective? Can you put yourself in the shoes of the person that hurt you? You [00:48:05] know, I think about my parents divorce and my dad, um, you know, clearly, [00:48:10] and this is something, you know, that I’ve worked with and worked through clearly, everything [00:48:15] that had happened before in his life and his childhood had led to a point where he found himself [00:48:20] unable to communicate in a way that that made that process perhaps easier than it could have been. [00:48:25] But as a late teens, early 20s man, I held a lot of resentment [00:48:30] towards him and very little understanding. And it’s only been through the understanding that you can even start [00:48:35] to tap into forgiveness and compassion. Um, and I think a lot of men, um, [00:48:40] struggle with that. I think just the openness piece, the emotional vulnerability piece, a [00:48:45] lot of good has happened. There’s so much more conversation happening than there’s ever been before, but there’s still [00:48:50] work to be done. I think.

Speaker3: 100%. I want to ask you something. Have you ever cried in front of your friends? Sure [00:48:55] you have. Yeah. Proud of you. I didn’t know I didn’t expect that of you, actually. [00:49:00] Why? So? No, I just felt like it’s like old school generation as well of, like, you know, [00:49:05] men have to always be, like, stoic and strong and etc.. The thing is, [00:49:10] is that I think that it is important. I mean, it was interesting because when we were talking on another [00:49:15] podcast, I was talking about, um, my immigrant family and the [00:49:20] different complexities that came with that. And Payman was like resonating and how what we achieved [00:49:25] academically or our achievements made us feel a sense of self-worth. And then someone [00:49:30] commented on the podcast and they were like, yeah, but what’s the opposite to that? Like, I think [00:49:35] that there has to be a balance, because if we tell people to just cry it out and like dwell [00:49:40] on their like sadness, they don’t grow and become resilient. I thought that was quite an interesting [00:49:45] point because I’m like, is there a balance? Do you think that we have become too soft as a nation, and [00:49:50] we’re allowing people to use their struggles to kind [00:49:55] of get on with it? Or do you think it is important that we actually create safer spaces? You know. [00:50:00]

Speaker1: I think it’s a great question. Um, I think my view [00:50:05] is that we have too much comfort, not that we have too much openness and softness. [00:50:10] I think we’re soft from a place of complacency and comfort rather than [00:50:15] soft from a place of vulnerability. I actually think, and there’s an interesting piece in the self-development [00:50:20] conversation that I think sometimes gets missed, which is actually the goal here. Isn’t [00:50:25] trauma dumping constant openness constant just shedding [00:50:30] everything with everyone and crying without any. You know, [00:50:35] we take crying as an obvious example, but expressing without any thought. It’s emotional regulation [00:50:40] that we’re seeking and we often confuse, you know, stoicism is a great example of [00:50:45] something that’s been massively misunderstood in modern society because stoicism people are like, [00:50:50] that’s just emotional repression in a different language, but actually stoicism, the Stoics were the best [00:50:55] sort of regulating their emotions. They were able to experience deep suffering, deep struggle, [00:51:00] feel it all and move forward. And actually, that to me is where [00:51:05] the growth and the resilience comes from isn’t from blocking an expression of an emotion, blocking the feeling of a feeling. [00:51:10] It’s actually feeling it fully, allowing it to pass through you and then regulating [00:51:15] yourself in the face of it. And I think that’s something that, especially in the conversation around men’s mental [00:51:20] health, has has to come into this, because I think that’s why a lot of men are resistant [00:51:25] and reluctant towards it, because they just think, I’m just going to become soft. I’m going to become too [00:51:30] open, too vulnerable. It’s going to be used against me. When actually this is about learn [00:51:35] how to feel your feelings so that you can become the best version of yourself, [00:51:40] so that you can be strong so that you can support other people because you cannot support [00:51:45] anybody else in their emotions effectively. If you’re completely disconnected from your own.

Speaker3: And it will manifest [00:51:50] in other physical ways. And that’s why when you see people that are really angry and again, angry is also healthy. Healthy [00:51:55] emotion. I remember my coach said to me, you know, go scream into a pillow like and I found that [00:52:00] one of the most useful tools in the world, because if I suppressed like anger, emotions, it would come out in [00:52:05] a really damaging way to the person that I was with. Not physically, but, you know, I would say something or [00:52:10] I would erupt and that would make me appear to that person in a certain way. But as you [00:52:15] said earlier, try to put yourself in other people’s shoes as well. Like, I just wanted to comment on that. [00:52:20]

Speaker4: I think, you know, part of the previous conversation we were having about women having to be more like [00:52:25] men in the workplace talking about men.

Speaker3: Yeah. See, look, Jamie is nodding. There is that. He says he’s learned a [00:52:30] whole new vocabulary.

Speaker4: It’s real. It’s real. But but also, I think these days [00:52:35] men are learning to be more like women. You know that that you know, this this conversation ten years [00:52:40] ago, even ten years ago would have been seen as like, just just [00:52:45] bullshit, you know, just crap. Yeah. You know, whereas now, you know, you can ask me if I cry, I [00:52:50] can, I can say, yes, I did in front of my friend without worrying about that. This is going out.

Speaker3: You know, [00:52:55] the reason why I asked you that as well is because, like, you know, we’ve had conversations because when I came on here [00:53:00] the first time and stuff, I was using words like trauma and everything and like, because Payman had never [00:53:05] been exposed to this whole realm of stuff. And over time he recognised [00:53:10] that actually, it’s an understanding and doing work that I can use these words [00:53:15] to understand who I am.

Speaker4: Like another. Yeah.

Speaker3: You know, um, but the other thing is, [00:53:20] is that thinking about it, even though we’re talking about like the archetypal figures [00:53:25] within society, someone like Wim Hof comes across as like a really like, masculine, like caveman [00:53:30] to me. And he’s like made a whole movement out of breathwork, do you know what I mean? So in a way, [00:53:35] he’s broke that because you suddenly have these like, you know, typical like six pack, [00:53:40] six foot men, you know, like whatever people want to define as being physically masculine doing [00:53:45] like ice baths and breathwork, which I think is remarkable. It’s like a huge movement, you know? [00:53:50]

Speaker1: Yeah, I really see it happening. I think there’s a, um, an [00:53:55] asterix there as well from, From My side, which is, um, any of these practices [00:54:00] ice baths, ultramarathons, Wim Hof, breathwork, whatever it might be, are also [00:54:05] very good ways to escape what you’re feeling and more to numb from it and to [00:54:10] avoid from it. That to me, is is going. Intentionality is at the core here. [00:54:15] If you engage in any of these practices as simply a means to escape what’s going on inside your own head, and to [00:54:20] avoid the apparent discomfort or, um, apparent boredom of sitting still and [00:54:25] actually feeling what you’re feeling, then that, to me, is actually not what we’re aiming [00:54:30] for.

Speaker3: No, it’s I talk a lot about self-soothing, and it’s another method of self-soothing. I find it interesting [00:54:35] that as addicts as well replace their addiction with intense exercise. It’s just another [00:54:40] addiction. It’s another.

Speaker4: Escape. You can slow down your breathing by smoking. Mm.

Speaker3: Let’s talk about.

Speaker4: You can [00:54:45] slow down your breathing by breathing. You know, like by doing that exercise. Yeah.

Speaker3: Smoking in the breath. [00:54:50] Does it affect your breath? Work practice is the question. All right. We know what it does like in terms of like the body [00:54:55] you know but it will affect your breath work practice for sure.

Speaker1: I remember I created for an app a few years ago, a, [00:55:00] um, a breathwork session to help with quitting smoking. Amazing. And it was essentially [00:55:05] to try and replicate the breathing pattern that is done via smoking, because obviously there are [00:55:10] substances within a cigarette that are creating this feeling and this addiction. But [00:55:15] actually, um, there will also be the the slowness of the breath that will definitely be [00:55:20] playing a role within that. If we take out, you know, let’s say smoking was completely non harmful, [00:55:25] it would probably still create a level of relaxation through the time that you’re taking [00:55:30] for yourself and the speed at which you’re breathing. Um, that’s not an [00:55:35] advert for smoking. Um, but it’s, I guess, understanding [00:55:40] the motion, the motion understanding what’s going on, but also understanding. And this is where we get deeper into, [00:55:45] you know, trauma and addiction, but also understanding why what’s led somebody there and [00:55:50] a holding compassion for that, but be supporting them through that and going actually, what is [00:55:55] a what is a different and healthier outlet for this thing that is creating the habit? [00:56:00]

Speaker3: Let’s talk about about ice baths. Right. Because I started doing this, you know, Prav is obsessed. He like [00:56:05] spends like 10 to 15 minutes in that zero degrees. I’m literally two minutes and I cannot [00:56:10] put my hands in. Yeah, I’m sitting there like that on the side. But anyway, what’s the correlation [00:56:15] with breathwork and being in the ice bath? You know, like does it enhance your breathwork? [00:56:20] Because I naturally feel I go into a different breathwork as soon as I hit the water, just naturally [00:56:25] without. But that’s like an unconscious thing, if that makes sense. So, um, so [00:56:30] yeah, talk to us a little bit about ice baths and breathwork.

Speaker1: I have some strong opinions on ice baths. Um, I [00:56:35] use them, I advocate for them. I advocate for responsible use of ice baths. [00:56:40] Um, and I think there’s a fuck ton of irresponsible use of ice baths. And [00:56:45] to the point where people are going to start seeing a negative impact, in my [00:56:50] opinion. I think we’re going to I think we never hear about the stuff that’s already going wrong. But I think. Panic [00:56:55] attacks. Uh, if there’s not proper medical contraindications, exposed [00:57:00] people, you know, heart attacks in a very extreme case. Yeah, can.

Speaker3: Affect your fertility. Just question [00:57:05] like for men and women, because I think Huberman said, not Huberman. Someone said that for men it can actually affect [00:57:10] fertility.

Speaker1: So Spum cold is cold is good for spum count. Um, I would [00:57:15] say up to a point. Yeah. Um, and heat sauna, for example, is not is [00:57:20] not good for spum count. Um, that’s why the testicles are on the outside of the body rather than the inside [00:57:25] is because the cold is good. Um, I don’t know the direct kind of impact on on sperms fertility, [00:57:30] but cold. Good. Heat bad. Okay.

Speaker4: Um, do you find yourself. You must find yourself [00:57:35] having to talk about all sorts of realms outside of breathwork itself. [00:57:40]

Speaker1: Yeah, I think.

Speaker4: Having to educate yourself on these.

Speaker1: Absolutely. I think I, I [00:57:45] very much view breathwork as sort of the, the thing I, I teach and [00:57:50] the thing I talk about, but actually let’s, you know, I work with a 1 to 1 client. I’m talking to [00:57:55] them about their mindset, uh, their past, their childhood. I’m talking to them [00:58:00] about mainly we’re talking through the lens of the nervous system. So that’s I would view [00:58:05] the work as really working with the nervous system, which is where ice baths start to come in, where other practices start to come [00:58:10] in, and the concept of rest, the concept of resilience, all of this stuff, it’s sort of breath [00:58:15] as a gateway into a much broader conversation around the nervous system and those practices. But wait, I’m. [00:58:20]

Speaker3: Not done with the ice baths. Yeah, okay.

Speaker1: Come back to the ice baths. So getting into the [00:58:25] ice or let’s go use of ice baths first and then talk about the breath in relation to it. So [00:58:30] ice baths are an acute stressor. Anyone who’s gotten one will obviously know that [00:58:35] it’s stressful. Um, the view is that they can be used as a hormetic stressor, a positive [00:58:40] stressor, to create positive adaptations in the nervous system, in the body. And there are very well documented [00:58:45] benefits of ice baths in terms of the release of cold shock proteins, in [00:58:50] terms of nervous system resilience, in terms of energy, release of dopamine, all of the stuff that gets people [00:58:55] hooked and bought into it. Um, for me, I think the biggest benefits of [00:59:00] of ice baths come in the realm of, um. Psychological [00:59:05] resilience.

Speaker4: So I agree with you.

Speaker1: They always I don’t trust [00:59:10] anyone who says I love ice baths. What they really mean is I love how ice baths make me feel, [00:59:15] and I love that I feel mentally stronger as a result of getting into ice baths. The experience itself sucks [00:59:20] and.

Speaker3: I hated every minute of it.

Speaker1: But it’s about how you [00:59:25] relate to the conversation that goes on in your head around it. Because human talks about this [00:59:30] Hormozi talks about this. Chris Williamson talks about this. You are building a stack [00:59:35] of evidence that you can win the conversation with the voice in your head, that you’re building a stack of evidence that you can do [00:59:40] something, that ultimately your mind is telling you that you don’t want to do. And that is powerful. That, to [00:59:45] me, is is pretty much my main motivator for using ice baths and doing anything.

Speaker4: Is [00:59:50] there a way you should breathe before getting in?

Speaker1: So this is where it gets interesting because the Wim Hof [00:59:55] method. Let’s talk more about Wim. Um, the Wim Hof method is mainly based [01:00:00] around hyperventilation breathwork, and you’ll see people doing it before they get into the ice. I [01:00:05] get that as an experience and I’m trying to be balanced here. That will [01:00:10] psych you up for something like an ice bath. It’ll get you going, it’ll get you charged up, fired up and [01:00:15] go, I can do this just.

Speaker4: Quick and out and out and out. Is that what you mean by hyperventilation? Yes.

Speaker1: So [01:00:20] the Wim Hof breath would be. You’re really stimulating yourself. [01:00:25] I think that is the worst possible way you could breathe before an ice bath. Before? Yeah.

Speaker3: What about when you’re. [01:00:30]

Speaker1: In it during? Because actually, let’s take us through a process of getting into an ice bath for a normal person. [01:00:35] You step up towards the ice bath. Anticipation nerves. Your [01:00:40] breathing rate increases, your heart rate increases. You start to go into this fight flight response. [01:00:45] If you then hyperventilate, you’re going to put gas on a fire. And so [01:00:50] we want to breathe slowly. We want to regulate that nervous anxious response so that you’re more [01:00:55] calm getting into it. So slow your breathing down. Extend the exhale. Then when it comes to getting in, as you [01:01:00] perfectly described Rona, we get this natural innate gasp reflex that happens [01:01:05] for everybody. When you get into the cold, it will try and steal your breath, shoot it up right [01:01:10] into the upper chest and make you pant and gasp. So all we do. And this is how my [01:01:15] protocol for ice baths slow your breath down before, as you get ready to get in, take three [01:01:20] big clearing breaths like. On your fourth breath, [01:01:25] take a full inhale, hold at the top and as you step in and lower down, exhale [01:01:30] as slowly as gently as you can. And then your goal is to stay [01:01:35] with this slower breath as you can in through the nose, out of the mouth for the first 30 to 60s [01:01:40] the the test for me of how well someone can regulate themselves in the [01:01:45] face of stress is how well they can regulate their breath in an ice bath. So if you [01:01:50] can regulate your breathing, you’re able to regulate that shock response, that stress response. You’re able to stay [01:01:55] in for a little bit longer. Um, and the more you can slow your breath down, the better an [01:02:00] experience it’s going to be. You see people getting in, they’ve hyperventilated before they get in, and they’re hyperventilating [01:02:05] while they’re in there, and they come out and they might feel buzzed. They might feel alive and energised. [01:02:10] Talk to me in two hours and they’ll be knackered. They’ll [01:02:15] be drained, they’ll be withered.

Speaker3: And what’s the what about, what’s your thoughts on like the different protocols [01:02:20] of like then go from like that to a sauna or the other way around. Do you think there is, is there [01:02:25] evidence that there’s benefits to doing it with a sauna? And which way round is better for sure.

Speaker1: So sauna is [01:02:30] another, um, hormetic stressor, um, less acute, less direct than the [01:02:35] ice, but a really, I love the sauna. Me too. Arguably more than I.

Speaker3: I’m happy in the heat. I’m very happy [01:02:40] in the heat. So the heat is great.

Speaker1: It’s a great heart health number one for me, from a sauna perspective, [01:02:45] I mental clarity is just I get all of my best ideas in the sauna. [01:02:50] Um, but heart health, increasing circulation through the heat. Um, and it’s just really, [01:02:55] really well documented for cardiovascular health, um, in terms of use of ice and heat together. [01:03:00] Um, always the disclaimer around just safety and blood pressure is changing [01:03:05] a lot when you’re in the ice and when you’re in a sauna going in opposite, opposite directions. And people can have [01:03:10] quite negative experiences of significant drops in blood pressure if they’re moving too quickly between [01:03:15] the two and sort of recklessly between the two. That being said, if [01:03:20] I have an hour in our studio in Fulham downstairs, um, I will regularly do [01:03:25] 15 minutes in the sauna once two minute break outside of the sauna, [01:03:30] 90s to two minutes in the ice, 2 or 3 times through that kind of [01:03:35] protocol, which is a really great just stress resilience and recovery protocol. [01:03:40] It just I just I love it, it makes me feel great. But the key to this [01:03:45] conversation of any use of sauna, but particularly ice baths, is helping [01:03:50] people understand their own nervous system. So if you are someone you’re walking into a room [01:03:55] with an ice bath and you’ve had a really anxious, really stressful day, and I think [01:04:00] very carefully before you get into an ice bath, because you’re going to put a huge amount of stress on your already stressed.

Speaker1: System for [01:04:05] some people, and this is where we need to learn to to think for ourselves ultimately and take personal [01:04:10] responsibility for some people that will take the edge off their anxiety, because that’s just how [01:04:15] their system works. But for the majority of us, I would say you need to be able to listen to your own [01:04:20] nervous system and know how you’re going to dose the thing that you’re about to do accordingly. [01:04:25] So I’ll have days. I love an ice bath. I love the sauna. If I’m super wired, [01:04:30] super stressed, even if I want to get into the ice, I won’t get into the ice because [01:04:35] I don’t need that additional stress. And when I first discovered breathwork, one of the first [01:04:40] things I came to was the Wim Hof method. I was still struggling a lot with anxiety and [01:04:45] it made my anxiety worse. Now it sounds a little bit like I’m just slating the Wim Hof method. [01:04:50] It’s helped so many people. It’s a great pro, it’s.

Speaker3: Stressful for me.

Speaker1: It’s [01:04:55] highly stressful and it’s always presented as a cure all. If you’ve got [01:05:00] anxiety, do this and it will work.

Speaker3: But like you said, when you’re in a state of anxiety, my physiological state [01:05:05] is so stumped and so paralysed, the last thing I can do is like start doing things [01:05:10] like that. I need something to create calm. The breathwork space is obviously been [01:05:15] incredible and I really want to know what do you think the future of breathwork is? Because obviously, [01:05:20] you know, you’ve also done some incredible things on like TikTok, Instagram, everything like that. You see more in people emerging [01:05:25] in this space. But what do you see the future as a future?

Speaker1: Um, I [01:05:30] see a bright future, but I, I can [01:05:35] come through with sort of the, not the bearer of bad news, but just with a slightly more, [01:05:40] I hope, realistic lens for this work, which is, um, you could say [01:05:45] this about a lot of fields and how they’re presented on social media, but, um, as [01:05:50] people flood to breathwork, I think that’s happening because it’s very accessible and it is very powerful. And [01:05:55] we’re seeing that in the research. And the anecdotal evidence is that it has for myself, for [01:06:00] thousands of people I’ve worked with, had a very positive impact. That being said, [01:06:05] I will never, ever operate in the realm of absolute, so I will never say it works for everybody. I will never say it will always, [01:06:10] you know, it will cure your anxiety, it will do this. It will do that because that would be dishonest. [01:06:15] Ultimately, I think it can play a very pivotal, key role in the overall [01:06:20] support of the of society in how we regulate our nervous systems, [01:06:25] how we tap into rest, how we find more balance. The space itself is [01:06:30] growing so quickly that we are due a reset. I think there’s a bubble that will burst at some point. [01:06:35] Um, you’re getting people misrepresenting things, running poor, [01:06:40] poor certifications, poor trainings, um, that are, [01:06:45] you know, I trained for, for from a conscious connected breathwork therapeutic breathwork perspective for [01:06:50] six months, part time. Um, and there are now trainings that you can do purely online that you get [01:06:55] a certification after a day.

Speaker1: It’s a very unregulated space, a little bit like life coaching. [01:07:00] There’s a lot of people doing a lot of good, but there’s also people looking to make a huge amount of money, as [01:07:05] with anything in capitalism. So I think this for me, for anybody listening, [01:07:10] is not a case of don’t buy the hype about breathwork because I think it is amazing and [01:07:15] I think there’s so much good to be done, so much good that can be gained. But it’s [01:07:20] a buyer beware thing. It’s, you know, look into the facilitator, the practitioner [01:07:25] who you’re going to be working with, look at their credentials, their certifications and [01:07:30] look to them as a person. I think the difference that I’ve seen, you know, [01:07:35] five years ago, getting into this space, there was such a small group of practitioners, [01:07:40] I could have counted them on one hand, and everybody knew everybody, and it was all people who had [01:07:45] either been in this space for a very long time or who similar to me. It had such a profound [01:07:50] impact on personally that we felt compelled to share it. You’re now getting people, and I see this across wellness [01:07:55] as a whole, coming into this space, because they think they’re going to make money and actually in [01:08:00] a service led, purpose led, um, practice where you’re supporting people, where it’s therapeutic. [01:08:05] Ultimately, that won’t fly.

Speaker3: You know what, you say that, right? But I was [01:08:10] really shocked because about ten years ago, I had a couple of yoga instructors as clients. And [01:08:15] I always thought anybody that goes into yoga is surely a very like conscious human [01:08:20] being with really great, like morals and values. And actually, I was totally shocked to find [01:08:25] that wasn’t the case. And I think I was naive to believe that when someone dedicates their life to [01:08:30] practices that have been built out of healing, they’re all like that. But as you said, like capitalism, now [01:08:35] I have a really sour my taste. I really don’t like yoga, like I.

Speaker4: Know what it is. There’s a lot of fuckery. [01:08:40]

Speaker3: Yeah, there is.

Speaker4: There is around wellness. But when you.

Speaker3: Say it won’t fly, it will fly [01:08:45] because there’s loads of.

Speaker4: Alienation, right? I mean, there’s a lot of bullshit out there. There’s. [01:08:50]

Speaker1: And this is what makes me sad is that, um, we say buyer beware, but I think [01:08:55] people are can be easily led when they’re looking.

Speaker3: For something vulnerable.

Speaker1: When they’re vulnerable and looking for support, [01:09:00] they will turn to someone who is saying the right things. And that is where that. That is why I think the bubble [01:09:05] will at some point burst, because I think and there are things that are known in the breathwork world and [01:09:10] that haven’t quite gone because it’s not quite big enough yet of, you know, long standing [01:09:15] practitioners who have had cases brought against them for misconduct, you know. Yeah, there’s there’s [01:09:20] some there’s not a huge amount, but I think there will be more because people are vulnerable. People [01:09:25] are being put into vulnerable states, all the states of consciousness. And I do think there [01:09:30] will be, as with everything, because humanity has a shadow collectively and individually, [01:09:35] there will be more that comes to the surface. Absolutely.

Speaker4: Yeah. But you know, the nature of [01:09:40] social and algorithms. I mean, in our space, we’ve got a company [01:09:45] who makes a teeth whitening product that doesn’t whiten teeth. Um, but they [01:09:50] turn over half $1 billion a year. Oh, I know what you’re talking about.

Speaker3: The TikTok brand.

Speaker4: Yeah, [01:09:55] and the purple.

Speaker1: The purple one.

Speaker4: Yeah, but you know, now, by the way, we shouldn’t [01:10:00] as dentists, we sort of we measure the colour of teeth and we’re and we have to remember when someone’s [01:10:05] buying that and using that. It’s not necessarily looking for what me and you are looking [01:10:10] for. Yeah. Because it’s the execution is actually very good on those products. Right. They taste good. [01:10:15] They feel good. They click. Well, you know, a lot of times when you use makeup or whatever, you know, it’s [01:10:20] it’s all of that you’re buying into, you’re buying into all of that.

Speaker3: You’re buying into the experience.

Speaker4: But what my point is the [01:10:25] truth doesn’t always out.

Speaker1: Mhm. Yeah I would, I would agree with you on that as well I [01:10:30] think um yeah I think it’s going to be a very interesting time for the space. There’s, I [01:10:35] tell you the biggest thing that I see at the moment and it’s each to their own, but um, [01:10:40] particularly with these transformative kind of deeper modalities of breathwork, the experience can be very [01:10:45] emotional, very cathartic, can be quite physical. I’ve had people in sessions before where if you’re from [01:10:50] the outside looking in, you’d be like, that person is having an exorcism. You know, they’re vibrating, they’re shaking, they’re [01:10:55] releasing. I’ve seen it in Jamie’s classes. That is part of it. But [01:11:00] what we see on social media, from accounts that have blown up as a result of this kind of content, because [01:11:05] it’s how social works, um, real up close and personal videos [01:11:10] of experiences like that. And I call it catharsis porn because it’s just promoting this, [01:11:15] like arguably quite unrealistic expectation of what a breathwork experience will be. [01:11:20] And it can be off putting for people because they’re like, I’m scared of that. It can set people’s expectations [01:11:25] too high because they’re like, I need that, and I this is where [01:11:30] I know I sometimes shoot myself in the foot from a, particularly [01:11:35] from a social perspective, but from a marketing perspective more broadly, because I think I [01:11:40] personally believe and other people are entitled to their opinion that we as practitioners have a duty of responsibility [01:11:45] in how we talk about these things, how we promote these things, the language we use, the [01:11:50] expectations we set, and really just holding yourself accountable for to. And [01:11:55] I think a lot of these people believe their own hype. Right. And so they don’t think they’re lying. They [01:12:00] don’t think they get into a state.

Speaker3: You know, it’s like cognitive dissonance. They start really like [01:12:05] believing the things that they say. And I genuinely think and we talked already about [01:12:10] I was telling Payman about on another podcast about how I went to go see The Picture of Dorian Grey, and [01:12:15] it was the best production I’ve ever seen. It was incredible. She got a standing ovation by the entire theatre [01:12:20] was Sarah Snook that played 26 roles. But the point is, nothing’s actually changed. And they were really clever because [01:12:25] when she looked in the mirror, she turned into all the filters on Instagram and was like loving her [01:12:30] own appearance as Dorian. And I was like, but that’s it. Like people love. There’s this, like, self-congratulatory [01:12:35] thing. And especially if a video goes viral on Instagram, you’re like, I have to keep [01:12:40] living this lie. There was a documentary.

Speaker4: Sometimes the genius is in the storytelling. [01:12:45]

Speaker3: Yeah, 100%.

Speaker4: But some people have that genius. Doesn’t mean they necessarily [01:12:50] know about breath. Yeah, but they know how to tell a story about breath.

Speaker3: Yeah, but I think it’s that transparency, [01:12:55] because even some of the most notorious podcasts that are out there at the moment are getting a lot of backlash. I’m not [01:13:00] going to name any names, but they’re getting backlash because also, um, they are bringing [01:13:05] on experts that don’t are not actually good enough to like, comment. [01:13:10] So, for example, recently a big podcaster got hate because he’s getting scientists to comment [01:13:15] on diet. And the nutritionists out there are like, no, but that’s wrong because the scientist would be like, I’m happy you’re [01:13:20] better off drinking like a glass of full fat Coke instead of some orange juice from a sugar perspective. [01:13:25] But the point is, the nutritionist like, but we’re not just looking at sugar content calorie. We’re looking at like [01:13:30] other things as well. So again, I’ve always said this to you like nuanced thinking is becoming [01:13:35] less and less and polarising content is becoming more and more, and that’s creating more and [01:13:40] more division. And we’re not seeing it just on social media opinions we’re seeing even in politics. How does someone like [01:13:45] Trump rise to the top polarising, you know, Brexit, polarising? Do you see what I [01:13:50] mean? And that’s the problem because it’s the nuanced thinking that is going to divide us.

Speaker1: It’s my least [01:13:55] favourite thing about social media and arguably the world, because it is [01:14:00] robbing people. They’re allowed, people are allowing. Themselves to be robbed of personal [01:14:05] responsibility. They want to be told what to think. So [01:14:10] someone comes to me. Will breathwork cure my anxiety? I’ll go. [01:14:15] I’ll give you a full, balanced, nuanced answer that says it depends on the root cause. [01:14:20] It depends on x, y, z. They don’t want to know. And they’re like, oh, I just wanted to [01:14:25] hear yes, yes. And it’s the same like I the big podcast that [01:14:30] I do name, not normally in these conversations, but.

Speaker3: You know what I’m talking about. Yeah. Oh [01:14:35] absolutely.

Speaker1: Diary of a CEO. So, um, there is, [01:14:40] there is a breathwork episode by with a guy called James Nester, who has [01:14:45] written arguably the pivotal book in the breathwork space. A fantastic book has done so [01:14:50] much for this space, and he’s a fantastic writer and a fantastic advocate for this work. [01:14:55] However, that podcast creates circumstances for people [01:15:00] where they say things that if you really again dig into the weeds, you go, I can see [01:15:05] how he’s got there, but there’s so much more to it. And again, I think there’s a duty of responsibility [01:15:10] to say to present a fuller picture. So his big one is, you know, 99% [01:15:15] of the population have dysfunctional breathing. I get what he means. But if [01:15:20] we’re talking about diagnosed dysfunctional breathing, it’s closer to 35%. What he actually means is that the remaining [01:15:25] 64% of those could be breathing better. We as a population could be breathing [01:15:30] better. But to sit there outright and say 99% of the population have dysfunctional breathing [01:15:35] is it creates fear in people. The thing is, when.

Speaker4: You’re an expert in anything, you [01:15:40] can critique in a different way.

Speaker3: I mean, I got hate recently. He knows.

Speaker4: This. Yeah, [01:15:45] but but but it’s just the nature, I think when you’re an expert in something, then whatever, when [01:15:50] when you see someone else talking about that, you can, you can pick holes in it because you’re the expert in that [01:15:55] thing I’m quite interested in. It’s obvious just looking at you. It’s obvious you’re in a place of [01:16:00] sort of authenticity, and you seem very comfortable in this space. What do [01:16:05] your previous peers think of you now? Some of them, not understandably. Someone going from a tech [01:16:10] Start-Up business to to this.

Speaker1: It brings up interesting [01:16:15] things for me because I have learned a lesson in myself, arguably [01:16:20] the hard way, over the last couple of years, which is that I social [01:16:25] media played a role in this. My work played a role in this. I, I lived as my [01:16:30] what I used to call breathwork Jamie, which was the persona that I was presenting on [01:16:35] social, the version of me that showed up in my work, which is a real version of me, but it’s not all of me. [01:16:40] And actually, um, I still have friends from my last company that I worked at, my friends [01:16:45] from university. We talk about it, um, [01:16:50] but I would say, actually, there’s a, a version of me, a part of me, um, [01:16:55] that really values not being this, this version of me all the time. [01:17:00] Yeah. I’m able to a bit like what you were saying in terms of the people we meet in London, the network [01:17:05] we have, we’ve got to.

Speaker3: You’ve got.

Speaker1: You. It’s not inauthentic. And I had this a really long conversation [01:17:10] with an amazing musician, very famous musician, about this the other day is not [01:17:15] inauthentic to show up differently in different circumstances. You think [01:17:20] you go home for Christmas, you see your family. That’s a different version of you to the one that goes out on a night out [01:17:25] with your friends that’s not inauthentic. That is different parts of you showing up at different times and parts.

Speaker3: Work is [01:17:30] so pivotal to that. Parts work. Yeah, parts work helps you accept. So I did a lot [01:17:35] with Ella. Ella is my therapist has come on here as well. So it’s like we all have different parts of ourself. And then you basically [01:17:40] when you work with a therapist for example, you see those different parts of yourself, you observe those parts of yourself [01:17:45] and you actually don’t judge parts of yourself. But in some sessions I was also the judge. And that makes [01:17:50] you kind of more accepting to things, and it doesn’t make you try to change so fundamentally who [01:17:55] you are, because we’re always. When I first met Jamie, for example, I was literally like, I have to put in the [01:18:00] work because I have to be this thing. You know, I met Jamie and Louis and all these people, and I [01:18:05] was like, I need to be them. They’re like the beacon of knowledge, and they’re like living and breathing [01:18:10] this, like, wellness thing. And I was like, but then I’m like this established dentist with this. [01:18:15] And I was like, where am I? And then, like, parts work made me realise, like, there are different [01:18:20] parts to myself. And look, don’t get me wrong, I have often thought to myself is the only way to find that [01:18:25] true happiness. To quit it all, sell my practice, move to Costa Rica, live with those jungle [01:18:30] people in this beautiful retreat. Do you know what I mean? And the hummingbird. And then I realised that, you [01:18:35] know, you don’t have to.

Speaker1: It’s awareness and acceptance. Like there’s a big piece of this with this part [01:18:40] stuff. Because I remember I went for dinner with some friends of mine that I used to work with, um, and [01:18:45] I was this was a couple of years ago, and I can have a very dark sense of humour, [01:18:50] and I made this very dark joke a bit close to the line. And one of the guys who I’ve known for a really [01:18:55] long time, he’s a great guy, turned to me and goes, that’s not very on brand. And my heart sank [01:19:00] because that was my that was of my own making, because. I, in [01:19:05] every aspect of my life, was trying to show up as breathwork. Jamie. I was trying to be, you know, present [01:19:10] and calm, balanced and namaste and a bit woo woo. And I [01:19:15] have that side to me. You know, I can draw a tarot card and really get into it. I can have a conversation at [01:19:20] a plant medicine experience and really go into that with someone. And I can also go and watch a rugby match with [01:19:25] my mate, drink a couple of beers, swear a bit. You know, all of these aspects, you know, it’s not a great example. [01:19:30] But yeah, that to me is that to me is authenticity.

Speaker1: Isn’t [01:19:35] it acknowledgement that I’m so, so multifaceted and there’s so many [01:19:40] different parts to me that can show up in different ways when they’re brought out of me by different people. You know, [01:19:45] I’ve always viewed myself as adaptable, but I don’t even think it’s that. It’s just I there’s [01:19:50] a self behind the identity. There is a pure awareness, present awareness [01:19:55] of self that has values, that has, um, an [01:20:00] understanding of the world and how I operate and an energy. And then [01:20:05] there are the layers and the masks that get stacked up on top of that. You know, I was the rugby player, [01:20:10] I was the tech guy, I was the business founder, I was the breathwork guy. I was [01:20:15] the the healer, the therapist. All of these things and all of those have been true at different points. And [01:20:20] it’s actually in trying to reject those. And I was writing the other day about this notion of [01:20:25] if your personal development journey is contingent upon an old self that you are [01:20:30] trying to run away from, then you will continue to suffer just in a different form because that is rejection [01:20:35] of parts. I tried for a very long time to run away from [01:20:40] any kind of entrepreneurial nature, any kind of businessman, any kind of drive, [01:20:45] any kind of ambition, because I thought that hurt me previously, but [01:20:50] that wasn’t what was hurting me previously.

Speaker1: And actually in the last year, and part of what I was saying at the top around my [01:20:55] ambition for this business has come as a result of reintegrating and re [01:21:00] accepting those parts of myself that are driven, that are ambitious, that love big [01:21:05] picture business, creative thinking and being entrepreneurial. And how can I [01:21:10] quite powerfully integrate that with the spiritual, with the emotional, [01:21:15] with the vulnerable and those two together? To me, that lights me up when those two parts of me are aligned, [01:21:20] when I’m in my vulnerability and my authenticity. And I’m also coming up with this huge [01:21:25] idea of where I want to take this business, I feel my best, rather than thinking [01:21:30] it has to be either or, rather than if I’m spiritual. I can’t be ambitious, I can’t want this. I [01:21:35] can’t like material things, all of that stuff. And that’s different for everybody. And [01:21:40] often the judgement that shows up in us is actually a judgement. It’s our shadow. You know, if there’s [01:21:45] a part of me that triggers you, you’re that’s a part of yourself that you are pushing [01:21:50] away and rejecting. Yeah.

Speaker3: And I get that a lot in dentistry. It’s like you can’t be glamorous, fashionable [01:21:55] and creative and then be the science person that’s going to be, like, taken seriously.

Speaker4: Exactly. [01:22:00] That was a beautiful monologue, man.

Speaker3: Thank you. Yeah, I love it. Look, he’s so touched. So, [01:22:05] Jamie, I could literally sit and talk to you for, like, hours and hours. And I want [01:22:10] to end on a note of for those people. And we’ve talked about this before, for those people, especially [01:22:15] dentistry, with being such a, um, stressful career, how can they integrate [01:22:20] very simple breathwork that’s realistic into their daily routine or even [01:22:25] during their time in the dental practice? You know, there’s.

Speaker4: Times Mark was talking about every time we’ve got [01:22:30] this light that makes the cures the filling material. It’s like 20s. [01:22:35] And she was saying she breathe through it. She was saying, every time you push that button, breathe, breathe for that 20s. [01:22:40] And it’s such a brilliant idea because dentists are doing that.

Speaker3: 20 [01:22:45] times a day, 20 times a day.

Speaker4: 20 times a day regulating your breath.

Speaker3: Yeah, but let’s give us a tip.

Speaker1: I’d be really curious [01:22:50] to see if you remember this, because I use you as an example all the time. Um, because [01:22:55] it was a conversation I had with you when we were doing the 1 to 1 work, and you asked me a very similar [01:23:00] question, like, how do I actually make this stick? Like, how does this come into my life? And I said [01:23:05] in the, in the clinic between every client, yeah, you did two, three minutes. Slow [01:23:10] your breath down, don’t scroll, don’t have a chat. Stop, pause and breathe. [01:23:15] And that has now become I always talk about my old client and friend, this dentist [01:23:20] that I worked with. I presented her this example of of basically breathing breaks and actually [01:23:25] making use of the dead time. I was in a cab on the way here, stuck in traffic. I’d [01:23:30] been busy, I was doing a few emails, and I was like, actually, no. I want to feel quite calm and present coming into this. [01:23:35] I’m going to do five minutes of slow, steady breathing. So for me, that applies in every [01:23:40] aspect of life. You know, in between meetings, in between calls [01:23:45] on the tube. This is so beautifully accessible and as a [01:23:50] result, pivotal because you’ve got no excuse. You don’t have to. It’s great if you can. [01:23:55] And if you do, sit down, carve out ten 15 minutes in the morning throughout the day, sit in [01:24:00] your lotus pose and do your breath work.

Speaker1: Fantastic. Really? For practice, because you’re cultivating that [01:24:05] additional stillness and creating time for yourself, that it becomes infinitely easier [01:24:10] if your nervous system is regulated. If your nervous system is dysregulating, you’re in overdrive. Carving [01:24:15] out that time is going to feel impossible. So start small. Build it up. Compound. As you said, [01:24:20] pushing that button so many times a day. If you breathe through every single one of those for 20s, [01:24:25] you’re going to build up some some compound interest. And that to me is the power because you’re redirecting. [01:24:30] You’re taking yourself off autopilot. And that to me is is at the core of my business [01:24:35] at the moment is creating tools and techniques and experiences [01:24:40] to take people off autopilot, because that is where things get tricky. That’s where we burn out, that’s where [01:24:45] we face challenges, and that’s where we can come back to actually this vicious versus virtuous cycle [01:24:50] of autonomy. Self-actualisation creating your own reality [01:24:55] or living on autopilot, burning out, realising too late that you’ve burnt out. Resetting [01:25:00] the dial, going again. Yeah. Um, so yeah, that would be the biggest one, I think, for, for people [01:25:05] listening to this is where in your day, as it currently stands, can you integrate this [01:25:10] rather than trying to change how your day is playing out? And funnily enough, if you can do that, [01:25:15] you will change the way that your day plays out.

Speaker3: Yeah, I love that so much. You can find Jamie. As I said, [01:25:20] um, the breath space on Instagram and TikTok. Is that your TikTok handle or is it?

Speaker1: No, I’m so [01:25:25] lazy with TikTok. I have to be honest, I.

Speaker3: Love his TikToks, actually. Um, but thank you so [01:25:30] much. It’s been so incredible and as always, so inspiring. I’ve never seen Payman get emotional, [01:25:35] so we know that we’ve done well here. Fantastic. Yeah. Thank you so much. Thank you, thank you. [01:25:40]

Pete Niesiolowski provides a glimpse into a dental journey that has taken him from the UK to Australia, and back.

Pete discusses life down under, the challenges of transitioning from NHS to private care, and thoughts on the overlap between implant provision and cosmetic dentistry.

Enjoy! 

 

01.20 – Backstory

15.20 –  NHS to private practice

21.15 – Australia

27.00 –  Discovering cosmetic dentistry

29.30 – Practice ownership

31.30 – Implant journey, training and experience

51.15 – Blackbox thinking

01.13.20 – Fantasy dinner party

01.07.30 – Thoughts on the future

 

About Pete Niesiolowski

Dr Pete Niesiolowski graduated from King’s College London in 1997 with his bachelor of dental surgery degree. He has worked in general dental practice for over two decades, including eight years running a practice in Australia.

Speaker1: But Hackney, that’s what Hackney used to be like. It was not mental health, not essential. But [00:00:05] we had the Homerton, the um, hospital. There was a lot of them there. And so we used to see a lot of patients like [00:00:10] that. Yeah, just strange ones. I had a patient propose to me once. Didn’t [00:00:15] that happen all the time? No, no. Again, that was in Hackney.

Speaker2: This [00:00:20] is Dental. Leaders. The [00:00:25] podcast where you get to go one on one with emerging leaders in dentistry. [00:00:30] Your hosts [00:00:35] Payman Langroudi and Prav Solanki.

Speaker1: It gives me great pleasure to welcome [00:00:40] Doctor Pete Nikolovski to the podcast. Pete, you’re, um, kind of under the radar [00:00:45] kind of guy. That’s actually why I wanted you on this. This pod. Because [00:00:50] your work is wonderful. I look at your your work all the time. It [00:00:55] gets sort of. You get a feeling sometimes when something’s so natural and [00:01:00] yet you’re not out there. Um. Very much. And, um, I wanted to. To meet you, [00:01:05] to tell you the truth is to go through all of that. And I’m sure there’s loads of people who’ll be interested in you. [00:01:10] Um, Pete works at Dental now, but we’ve come across each other at [00:01:15] Sardinia House as well. Um, we generally tend to start with, um, backstory, [00:01:20] where we born. What kind of kid were you? That sort of stuff. Right. Yeah. I was actually [00:01:25] born up the road from here. Um, probably 500m away. Belsize Park? Yes, literally. [00:01:30] Um, there was a maternity hospital. No longer there. Now it’s a block of flats, but, [00:01:35] yeah, 1973. That’s where I popped into the world. Yeah. What kind of kid were you? There’ll [00:01:40] be two stories about that. There’s my version and my parents version. I think I [00:01:45] was a good kid. My parents disagree. Yeah, they think, um, they think it was quite naughty. [00:01:50] But, uh, I think I worked hard, I think I was generally pretty good myself. So [00:01:55] brothers and sisters, one younger brother, three and a half years younger.

Speaker1: Mhm. Um, [00:02:00] we get on all right. He’s okay. And your parents are Polish. [00:02:05] You tell me. Yeah. Dad. Um, dad was born here. Um, he [00:02:10] came over. Well, he he was born here. His parents came over during the war. Um, after [00:02:15] the war, um, and then my mum was born over in Poland. She came over here in 71 [00:02:20] when she married my father. And were there any dentists in the family or anything? Why? Dentistry. No [00:02:25] dentists in the family. But my dad, um, basically, my [00:02:30] dad got terrible career advice when he was younger, and he didn’t [00:02:35] want me to have the same problems as he had when he was in his 20s. He went into chemistry because [00:02:40] he liked chemistry, and there was no one in his family or at school or anywhere, [00:02:45] it seemed, that could tell him that chemistry is a really shit career. And as soon as you [00:02:50] have a family, chemistry is not going to pay the bills. So he wanted me to get into something that a [00:02:55] I liked, b I was good at, and c ultimately would be a career for life where I could support my family. [00:03:00] So what did your dad end up doing? He ended up doing having his own company. [00:03:05] Um, so he did chemistry for a bit. But then when my brother and myself were born, that that [00:03:10] went. So he then worked in sales for a bit and about 30 [00:03:15] odd years ago set up his own company doing drug trials.

Speaker1: Um, so, you know, medical testing [00:03:20] if something works or if something doesn’t, you should put me in touch with him. Is he still working? No. He retired a few [00:03:25] years ago. Having to do a bunch of those right now. Oh, really? Yeah. [00:03:30] Um, so what were you thinking of? Any other career choice [00:03:35] other than dentistry? Yeah, a stunt man. No, [00:03:40] no. I’m joking. Um, no no, no international DJ yeah, yeah. Um, [00:03:45] no. From the age of 14. Dentistry. It was why, though? I [00:03:50] liked. I’ve always liked science. I’ve always liked medical things. I’ve always liked artistic stuff. Working with my [00:03:55] hands. They’re the cliche answers that you give at dental school for the interview, aren’t they? Yeah, but they’re [00:04:00] true. And I wanted what my dad wanted for me, which was a career for. For life. [00:04:05] Something I could travel with, something, you know, security. And were you the top [00:04:10] of your class kind of kid? That that at school? Yeah. Not far off it at [00:04:15] dental school. Closer to the at the bottom end. I [00:04:20] failed my second year. Um, um, because I discovered, [00:04:25] um, university life was quite a lot of fun in most cases, certainly in the first few years. [00:04:30] And did you grow up around Belsize Park as well? No, no. Um, north London. Barnet. [00:04:35] Um, did you did you not think of leaving London for university? No, I [00:04:40] quite like London. Yeah, I know there’s there’s a lot more apart from London in this country, [00:04:45] but I’ve always really liked it and I wanted to study there.

Speaker1: And at the time King’s was, [00:04:50] I think, number one rated dental school in the country. And I quite liked the idea of [00:04:55] going there. So. But then did you live away or what did you do? No, I actually lived at home. [00:05:00] So would you give your son or daughter that same advice to do that? Because I wouldn’t. [00:05:05] The same advice to stay at home and study. Yeah, yeah. I mean, I know that it limits them [00:05:10] in some respects, but financially it turned out to be a good thing because I didn’t leave dental school with huge bills. [00:05:15] Um, and ultimately, knowing the way I was behaving myself, it probably, [00:05:20] probably helped me to pass my exams. So I’ve got my son. My son’s in A-levels [00:05:25] now. Yeah. And he wants to be do engineering, right. And we live well. [00:05:30] He goes to school in South Kensington and Imperial College is it’s like [00:05:35] a ten second walk from his school, and loads of his friends are going to [00:05:40] go there. They’re going to try and get in there. And I’m telling him, look, come on, you’re going to live another [00:05:45] dimension of your life. Now, that said, when I, when I, when I was at your stage, [00:05:50] uh, looking well when, when we’re doing A-levels, I also wanted to stay in London. [00:05:55] Didn’t get the grades.

Speaker1: Ended up in Cardiff. Um, so I understand the sentiment. [00:06:00] Like every 17, 18 year old thinks they know it. All right, so I thought I knew it all. [00:06:05] I had my friends in London, I knew what London was about. But leaving was wonderful. Like the whole [00:06:10] dimension of Cardiff and all the people I met there and everything. Um, so [00:06:15] now I’m giving my son the advice. I’m saying don’t even put Imperial down as one of the choices. I mean, it’s one of the best [00:06:20] universities in the world, though, isn’t it? Yeah, yeah, yeah. But you know, the experience of university and more than [00:06:25] the education, right? I mean, I think I got that anyway because I went to [00:06:30] an all boys school. Um, which one, which one? Um, Finchley. Okay. In uh in Finchley. Yeah. [00:06:35] Um, and so I hung out with all boys, went [00:06:40] to the pub with all boys. There was a girls school up the road. Occasionally we had a little fling with one of them, but it was all, [00:06:45] you know, boys, boys, boys, boys, boys. Yeah, all from that area, all from the same backgrounds. [00:06:50] And then I went to university and suddenly there was people from everywhere. There was, there was girls [00:06:55] and lots of them, and there was, there was guys from all over the country, different backgrounds [00:07:00] everywhere, different countries, all studying different things. So it was really, really an eye opener. [00:07:05] That’s kind of where I found myself.

Speaker1: And that’s even though I was in London, I still feel that [00:07:10] I got a really good experience there for certainly for, for that aspect of [00:07:15] things. So, so I went to a boys school and, um, I’d class [00:07:20] girls as Martians. Back then they were a bit. Yeah. I used to think. I [00:07:25] used to think that if you were got managed to get a girl to kiss you, you’d have [00:07:30] to fool her into it. You know what I mean? Like that. That that’s how little we understood. [00:07:35] I still do, I still do now. I have [00:07:40] to get my wife drunk. That’s happening. But. But again, my advice [00:07:45] to my kids, or what I wanted for my kids, wasn’t that I wanted them in a mixed school. Yeah. How do you feel [00:07:50] about that? My kids are in mixed school. Are probably an active decision. Probably. [00:07:55] Probably. Yeah, yeah, yeah. Tell me about it. They’re both very comfortable now with boys [00:08:00] and girls. Exactly. They can talk to them and they don’t get all embarrassed about it. Exactly. Whereas we were like, shit, [00:08:05] it’s a girl. Yeah. What are we gonna do? Yeah, yeah, yeah. So I think it’s a good decision. [00:08:10] Do they go to the same school? Yeah. Nice. Nice. Um, tell me about your Dental school experience. [00:08:15] Um. It was good at first. A [00:08:20] lot of fun. Um, but I left King’s pretty [00:08:25] bitter about the whole experience. Actually, I really didn’t like it very much.

Speaker1: I found it very cliquey. I [00:08:30] found it really. I mean, they tried to hold me back in my finals for no other [00:08:35] reason than politics. They said I wasn’t a strong enough candidate to pass my [00:08:40] exams, my finals, and they didn’t want me entering in case I didn’t pass. Yeah. Um, [00:08:45] because ultimately there’s a competition between Dental schools to have like the highest [00:08:50] pass rate in particularly with the London ones back in the day. Um, so they, [00:08:55] they fabricated some stuff. Um, they said that I hadn’t passed all my coursework, that I hadn’t [00:09:00] attended enough lectures, all this sort of thing to try and lower my grades. And I had [00:09:05] to argue with them for, for weeks and weeks and weeks just to let you sit, to show [00:09:10] them that I had attended everything that I had passed my coursework. I said, if I haven’t passed my coursework, what’s what [00:09:15] is this? You know, this has been marked, this has passed. I went round to all the heads of department and gradually [00:09:20] sort of managed to win them all over. Found out it was actually the Dean and, [00:09:25] um, one of the other heads of department that had sort of they just didn’t like me for whatever [00:09:30] reason, I don’t know. But I got in. Did the finals passed? No problem at all. But [00:09:35] yeah, I left King’s having um, I’d say not not brilliant thoughts about it, saying I’d [00:09:40] never return.

Speaker1: You know, I didn’t I didn’t ever want to go back there that day [00:09:45] when you leave school and you sort of turn round and emotionally look at the gates, you know, it’s like the end of an [00:09:50] era. King’s last day got my finals, walked out, ran and [00:09:55] what I mean, okay, you were never going to go back to King’s, but did you decide you’re never going to do an exam again? [00:10:00] Did you decide you’re not going to specialise? Nothing like that. No, no I did, it was King’s based. It was King’s. Yeah. [00:10:05] And it was only because of the, the Clickiness. And it was the kind of place, you know, we used to sign [00:10:10] if one of your mates wasn’t going to be in, would sign their name in the register. King’s was the sort of place if [00:10:15] you sign someone’s name and someone saw you, they’d rub it out. You know, the other students, there was just no camaraderie [00:10:20] there at all. No camaraderie. It was it wasn’t a nice place for me. Yeah. I think, you know, [00:10:25] we need to have this conversation more about Dental school, the hierarchy of [00:10:30] that. Um, I’m not sure. I mean, we’re sort of very similar [00:10:35] era, um, but I’m not sure exactly what happens now, [00:10:40] but just based on, you know, the evolution of the course. I mean, I’m quite [00:10:45] interested in the Dental course has not changed much since my day. In your day. Yeah. [00:10:50] And so what that tells me is that maybe the hierarchy thing hasn’t changed much either.

Speaker1: I’m sure [00:10:55] it hasn’t. And, you know, your whole life is in the hands of 1 or 2 people. For personally, [00:11:00] I had A11 altercation with one member of staff in the third year. The [00:11:05] guy made it his mission to make my life hell after that. This is, I think, what probably happened to me as well. [00:11:10] And it was a funny thing. It was, it was it was, uh, on clinic. I took an impression. [00:11:15] I thought it was a fine impression. Showed him he threw it across the clinic, said, this [00:11:20] is rubbish. I took the same impression, took it to another, um, demonstrator, [00:11:25] and he said, yeah, fine. So I carried on, but he saw me do [00:11:30] that and he was not happy about that. Yeah. Um, now my point [00:11:35] is this that one teacher can solidly [00:11:40] affect what happens to you in Dental school and under the guise [00:11:45] of dentists are under pressure. So we’ll put some pressure on the students [00:11:50] to see if they can manage, which probably is real, that there is some of that. I’ve got no problem with that. [00:11:55] Yeah, yeah. But under that guise, some people get an awful experience through dental school [00:12:00] that there’s a degree of abuse in it, you know. Yeah. And I mean some and some of the, the lecturers will [00:12:05] get a little power trip from it as well. Yeah. It’s human nature.

Speaker1: Right. When you put a lot of power [00:12:10] in someone’s hands. Yeah. Um, did you party or did you study? Were you which which [00:12:15] one of those students were you both? Oh, first. First few years party [00:12:20] too much? Yeah. Um, failed my second year. Yeah. Had to reset. Um, [00:12:25] came up with the most fabulous story to get myself back in, which [00:12:30] we won’t go into now. Um, but it involved a lot of lies and deceit. [00:12:35] Um. Um, and then after [00:12:40] that, after after the failure, I sort of my, my career flashed before my eyes or lack of potential [00:12:45] career. And then I, then I buckled down. Then I did actually work quite hard in the clinical years. Mhm. [00:12:50] And did you feel like you took more to the hands on than to the, you know the learning. [00:12:55] Yeah. Completely completely. I mean that’s one thing they don’t emphasise in dental school enough is it. Yeah. [00:13:00] You know it’s actually a hands on career. Does it really matter if you know [00:13:05] what something looks like under a microscope. Does it matter if you can differentiate between different types of [00:13:10] cancer or something that you’re never going to need to use that? But yet we spend months and months learning it. What [00:13:15] they should be teaching is. Be good with your hands. Yeah. You know, I’m [00:13:20] quite interested. I left having not done a bridge prep. I left having not done a surgical extraction. I [00:13:25] left having done, I think, one veneer, this sort of thing.

Speaker1: And then it’s like, well, here you are, Pete. There you are. [00:13:30] Yeah. You’re now a dentist. You’re not. So I’m quite interested in this question of which bits [00:13:35] of the course would you remove and what would you add. Because [00:13:40] someone, someone in your year went on to become an oral pathologist or something. Yeah. And [00:13:45] the basics that he got taught about looking under a microscope for dysplasia [00:13:50] or whatever were important to that. Now, should the whole course have to go [00:13:55] through that, I see, I think not, no, I think it’s not. You’re not getting, [00:14:00] um, a bachelors in pathology. It’s a bachelors in dentistry. Yeah. So [00:14:05] it should be geared towards dentistry. It should be geared towards doing all the [00:14:10] things you do in daily practice. That’s what I think. I mean, I was at a meeting last night and we were talking about [00:14:15] bleaching, teaching of bleaching. Yeah. In dental school. And it literally [00:14:20] has not changed since our day when it was illegal. And if you remember. [00:14:25] Yeah. Um, illegal and, um, or I don’t know about you, I got maybe [00:14:30] one hour on internal bleaching. I don’t think I even got that, to be honest. Yeah. No. And [00:14:35] and yet we get taught. I mean, I think we spent a couple of terms on full dentures [00:14:40] or something, you know? Yeah. Um, and you know what, what the [00:14:45] what what do dentists see or what are the growth areas in, in dentistry right [00:14:50] now? It’s aesthetics, it’s orthodontics, it’s implants.

Speaker1: Yeah. Those sort of three things. [00:14:55] Dental school doesn’t prepare you for any of those. You know, it’s it’s it’s [00:15:00] quite interesting that I think it still prepares you for a, for a life in the NHS, doesn’t it. Yeah. That’s [00:15:05] true. You know, amalgam fillings and dentures. Not for long. Not [00:15:10] for long. Yeah. But yeah that’s right. And they’re not for long. That will be gone soon won’t it. Um, [00:15:15] the dental aspect of the NHS anyway. Yeah. What did you do next. Vte, VTE and [00:15:20] then um, general practice straight away after that. Um NHS for. [00:15:25] Seven, eight years, maybe even longer. [00:15:30] Actually eight years. Yeah. I started I started sort of weaving the, the private into the NHS, [00:15:35] but I was probably pure NHS for five years in Hackney. [00:15:40] Well, which, um, Pre-Olympic regeneration [00:15:45] was one hell of a place to work I bet. Um, we used to see some incredible [00:15:50] things. But really good thing about Hackney. You could actually make mistakes. No [00:15:55] one complained because they wanted to take the tooth out in the first place. That was the thing. We took out so [00:16:00] many teeth in Hackney and they’d come in, they’d, doc, can you take the tooth out? And I’d look at it and go, do you know what? I reckon [00:16:05] I can probably save that one. And if you saved it, you’re the hero. If you couldn’t save [00:16:10] it, it took it out.

Speaker1: That’s what the patient wanted in the first place. So it was a great place to actually learn dentistry. [00:16:15] So interested in this question. I get asked a lot by new young [00:16:20] graduates what they should do next. Yeah. And I think a lot of us give [00:16:25] the advice based on what we did. So if [00:16:30] if if a young dentist asks you now what’s the best thing to do? Would you, would you say, [00:16:35] go and do a few years in the NHS, make your mistakes? Yeah. Learn how to be a dentist because [00:16:40] dental school, as we’ve just discussed, doesn’t really prepare you to be a dentist. Yeah, but why does the why is the [00:16:45] NHS the best place to get further? Uh, because you can make mistakes. Because, well, [00:16:50] you can make fewer mistakes. You can get sorry. You can make more mistakes. You can make in [00:16:55] private. You can’t make mistakes because patients are different in private. But a [00:17:00] strange thing to say really, right. If you really break it down because patients [00:17:05] are patients, patients are humans. I know again, I’m going back to my own experience. No, [00:17:10] I get it. I completely get it. By the way, maybe things are different. I understand exactly what you’re saying. Yeah, [00:17:15] but that the notion that we can make mistakes on NHS patients, but not [00:17:20] on private patients. Let me rephrase that. Let me rephrase it. The expectation is [00:17:25] different. That’s true.

Speaker1: So the standards are different. That’s true. So you can get away [00:17:30] with more. Yeah. Yeah. You may not be as gifted with your hands. The [00:17:35] NHS system will allow you to still practice as a dentist that you may not be able to do private [00:17:40] work so well. So that’s really what I mean. Not mistakes as such, but okay. Exactly. You mean [00:17:45] I might take that one out later? No. I think we all understand what you’re what you’re saying. And it’s [00:17:50] a very common thing. People say, yeah, but I break it down so they. Yeah. Look, I know, I know a [00:17:55] dentist, he hasn’t yet qualified, right? But he’s already got himself [00:18:00] onto a specialist programme in the US. Um, which starts one day after [00:18:05] he qualifies. Yeah. Which is interesting because he’s going to find that very, very, very hard. [00:18:10] Yeah. But in the US their advice is go run towards a speciality [00:18:15] as soon as possible. Okay. Um, and this is why I’m asking because here it’s very sort of [00:18:20] taken wisdom as, yeah, spend 4 or 5 years in the NHS, make [00:18:25] some mistakes, learn what you like and then but it’s not necessarily the the right move for everyone. [00:18:30] No. It’s like taking a gap year isn’t it. Yeah. If you take a gap year quite often people then don’t go to university [00:18:35] afterwards because they’re too much having too much fun in the gap year. Um, whereas the Americans, as you, as you say, [00:18:40] they’re quite geared towards the future straight away work.

Speaker1: Once you’ve got there, [00:18:45] you’re there. What what did you learn from your first couple of bosses? [00:18:50] Because I think who your first couple of bosses are is a real makes a real difference to your [00:18:55] sort of launchpad into the world of work. My first boss, [00:19:00] I probably in Hackney. I probably can’t even remember. I don’t really yeah, I [00:19:05] wasn’t a great experience, just not particularly memorable. I mean, [00:19:10] I stayed there for five years. Yeah. Um, so there must have been. Did you learn what not to do? Because there’s [00:19:15] a lot of that, right? There is a lot of that. How to how not to treat your your team, how not to [00:19:20] whatever the team. Yeah. I mean, I think with the team, it’s always best to try and be friends. Yeah. Um. [00:19:25] Yeah. There’s no point taking your stresses out on your team. [00:19:30] Yeah. At the end of the day, they’re your right hand aren’t they. You can’t you can’t be horrible to them. So I’ve [00:19:35] always tried to be nice to the team. I think if you ask any anyone I’ve ever worked with they’ll probably probably [00:19:40] back that up. Really? Always. Yeah. We go out for drinks. I try to be their friends as well. You know, work [00:19:45] is work, but outside of work we can be mates. That’s. That’s kind of the way I’ve [00:19:50] always tried to do it. When I had my own place.

Speaker1: Um, we kept the same staff for eight years because I [00:19:55] tried to look after them. I think that’s a very important thing. So. Okay, those [00:20:00] first five years of making your errors on the NHS, let’s move on then. What happened next? [00:20:05] Um, then I went into, well, change practice, but it was still predominantly [00:20:10] NHS. But I started putting a little bit of private in, you know, the odd white filling and this sort of thing, [00:20:15] getting very excited about doing posterior composites. Um, and then gradually [00:20:20] as time went on, just more and more private. By the time I got to about [00:20:25] 2007 eight, I was all private at that stage. And that’s I’ve stayed [00:20:30] so coming on for, what, 18, 19 years? Private now that’s still in London, [00:20:35] London. And then I went to Australia for eight years, did private work [00:20:40] in Australia, and then came back here in 2015 and back into private here. [00:20:45] Ah, so tell me the story about Australia. It was, [00:20:50] um, my wife. Yeah. Her idea. She’s Australian. Um, [00:20:55] she. When we got married, she said to me, you. In fact, on my wedding day, I think she said, you’ve [00:21:00] got five years left in London. So would it be good if she said it the day before? Yeah, [00:21:05] that would be nice. But to me it was just a challenge. I thought, all right, well, I’ve got five years to change her mind, [00:21:10] which didn’t work. Um, we went over there in 2007, um, [00:21:15] looking for the better life.

Speaker1: Um, she wanted to have children in Australia. [00:21:20] Where in Queensland. Okay. Yeah, I that were her family or they are, um, [00:21:25] little place called the Gold Coast. Um, south of Brisbane. Um, [00:21:30] yeah, I was, I was resistant, I was reluctant to go because I’d been there on holiday and I really [00:21:35] didn’t like it particularly, but, um, we tried to go to Sydney first but found it very, very difficult [00:21:40] to get a job in Sydney at the time. So, um, ended up on the Gold Coast. You [00:21:45] didn’t like Australia or you didn’t like Brisbane or you didn’t like Gold Coast? I didn’t like the Gold Coast. I probably would [00:21:50] have been quite happy in Sydney because I like cities and Sydney’s. Sydney’s very nice. [00:21:55] But the Gold Coast is, um, it’s it’s a retirement village, basically. Okay. It’s, um, [00:22:00] they call it in Australia. God’s waiting room. Um, God. So, yeah, [00:22:05] it wasn’t for me. Not. Not my kind of place. And you opened your own practice there. Bought one. Bought an existing [00:22:10] one? Yeah. So what’s culturally the difference, like in the Dental [00:22:15] world? Not much. It’s all private, though, right? Yeah. I mean, teeth are [00:22:20] more or less teeth any way you go. And dentistry, I think if you’re if you’re living in and working in a [00:22:25] fairly sort of affluent first world place, I think dentistry is more or less the same, but [00:22:30] so so I speak to distributors.

Speaker1: Yeah. And they say, yeah. When, when, when you, when you [00:22:35] do a course in Australia, all the dentists come and buy everything and they’re into education [00:22:40] more than the dentists here. Really. Okay. Yeah. You didn’t find that. Didn’t find that. No. No. [00:22:45] Not more go getting sort of in the dental way. I don’t think so. I mean, they’re more muscular [00:22:50] than British dentists. They actually they’re actually muscular. You [00:22:55] know, they all go to the gym before work and this sort of thing, which most British dentists don’t do. Uh huh. Um, [00:23:00] but other than that, there’s basically the same. Okay. Yeah. So okay. Then your reflections [00:23:05] on Australia, what was it like? Did you not like it. Yeah. [00:23:10] No, no I didn’t it wasn’t for me. Um, a whole series of things went wrong. There probably [00:23:15] shouldn’t have gone there in the first place. But it was, you know, I did it for my wife. And, [00:23:20] um. Do you not want to expand on that? I’d rather not. You [00:23:25] don’t have to, because she’s going to watch this. She. Yeah. Um. [00:23:30] So what not to do with work? What? The other things. The [00:23:35] things that went wrong. Yeah. I mean, the economy took a massive downturn there when we were there. Oh. [00:23:40] Um, so business went really bad. Um, it happened to be at the same time as interest rates [00:23:45] were very high, etc. more or less. What’s happening here right now? Um, and I was heavily invested [00:23:50] there.

Speaker1: I bought a house, bought a business and ended up almost overgeared. Yeah, [00:23:55] almost ended up going bankrupt, basically. Um, so that will always leave a sour taste [00:24:00] in your mouth. So on reflection, do you feel like you did something you would have done something [00:24:05] differently, like if you, if you had to do it all over again, would you not not buy the [00:24:10] house apart from not going in the first place? Yeah. Um, no, I’d probably go to [00:24:15] Sydney. I would, I would insist on the security of a big city. Yeah. [00:24:20] Um, I just found that the smaller places it was, it was just too tough. Too tough. And do you feel like you [00:24:25] made any errors as far as. First time principal. First time business owner. We all do, right? We [00:24:30] make it. I’m still making massive mistakes. I made massive mistakes today. I [00:24:35] really did. Having you on there. I’m joking. No, I already made my mistakes when I was doing [00:24:40] the NHS. No, no, no, but the business errors, um. I’m sure, of course, of course. [00:24:45] No, but I know. But on reflection, do you think that they were the things that caused this, this business not to be? No, [00:24:50] no. Absolutely not. Um, it was just a massive down. Everyone in the area had the same problems. It’s [00:24:55] macroeconomic. Yeah. I to be honest, I think, I mean, I wasn’t experienced, [00:25:00] but I don’t think I made too many mistakes as a principal because I had the old principal [00:25:05] on hand as an associate.

Speaker1: So he was there also to guide things and stuff. So I don’t think that, no, [00:25:10] I think it was outside of my control. See anyone on paper you’d [00:25:15] imagine, you know, Australia, the coast, on paper, on paper it sounds amazing. [00:25:20] It does, it does. And yet you prefer London I do. Okay. [00:25:25] It’s you go to Australia and everyone thinks the way Australia is sold to you [00:25:30] is sunshine beaches, chilled out and beer. Right. Yeah. Things like that. Yeah. You [00:25:35] go there and as soon as you get there they’re like, don’t go in the sun. Wear [00:25:40] wear factor 50. Whenever you leave the house, wear a hat, wear sunglasses, wear a shirt [00:25:45] and don’t and sit and sit in the shade. So but I came here for the sun. [00:25:50] I was like, are you going to get cancer? So. So don’t go in the sun. So that’s the first myth, you know, it [00:25:55] dispels. You can’t go there and enjoy what you want to go there to, to enjoy [00:26:00] it. Um, then there’s the beer thing, right? Oh, God. It’s [00:26:05] very, very it’s terrible in Australia, the beer itself, the beer is terrible, but it’s [00:26:10] it’s so regulated as well. Like if someone if you’re in a pub and [00:26:15] you decide to go to another pub. They look at you and say, you’ve had a few, haven’t [00:26:20] you? Oh, and they won’t let you in.

Speaker1: You could be good as gold. You’re not. You’re not misbehaving. But [00:26:25] they’ll simply look at you and go, no, we’re not letting you in. Mhm. So you think to yourself well I’ll go somewhere [00:26:30] else but no no no no they’re on the walkie talkies to all the other places saying if [00:26:35] a guy in a white shirt and red trousers turns up with a British accent, don’t let him in, really, this sort [00:26:40] of thing. And that’s particularly bad in Sydney, actually. Oh, really? Yeah. So this sort of chilled out [00:26:45] lifestyle that’s, that’s sold to you as being very Australian. I didn’t find that at all. I found that they’re [00:26:50] they’re about, you know, they’re as anal as everybody else and in some ways more so. So [00:26:55] had you started to do the cosmetic work, the composite work by [00:27:00] this time or not? I started doing that in, um, probably about [00:27:05] 2004, 2005, um, with limited success. But I thought at the time [00:27:10] it was pretty good. I looked at some of my photos from 20 years ago and no, [00:27:15] it’s not good, but I started. I started dabbling with it, experimenting with it as an alternative [00:27:20] to porcelain. Yeah, because it wasn’t very fashionable back then. No, it wasn’t fashionable [00:27:25] at all. I mean, I think back to we started with Cosmo in 2007, and [00:27:30] I was I was thinking about this. I was looking at some of our old, uh, marketing pieces.

Speaker1: The [00:27:35] whole word composite veneer or composite bonding didn’t [00:27:40] really exist. Didn’t even exist. No. Didn’t we? The way we used to describe what [00:27:45] this course was, was like success with composite or something like this. Um, but [00:27:50] you were you started dabbling. Started dabbling. Yeah. Yeah. Got into it slowly. [00:27:55] Um, but like I say, it didn’t really take off because I think also there’s been a change [00:28:00] in, in British patience, for sure. Back in, you know, 20 years ago, people [00:28:05] didn’t care so much. Yeah. There wasn’t Instagram, there wasn’t Facebook, there wasn’t [00:28:10] all the horrible reality TV shows with, you know, dazzling White. There was nothing like that for people [00:28:15] to look at and go, well, that’s what I want. So it was something that we didn’t do very often anyway. It was very [00:28:20] niche, wasn’t it? I think there were cosmetic dentists in the West End. Um, [00:28:25] there were, you know, rich people or, or celebrities who used to get their [00:28:30] teeth done. But there wasn’t this situation where, you know, your waitress is wearing Invisalign. [00:28:35] No. Or whatever, you know, absolutely not. Um, so, okay, moving [00:28:40] moving forward. You came back to the UK. Was your wife [00:28:45] annoyed? Must have been still. Is he still there? Still [00:28:50] talking, still there? Yeah. If we have an argument ever. It’s about that. It’s always about [00:28:55] that. Yeah. And that’s I mean that’s one of the things you hadn’t had your kids yet or you had.

Speaker1: We had them in [00:29:00] Australia. Oh okay. Okay. Yeah. So big change for them as well right. Yeah. [00:29:05] I mean their kids are they adapted to it very well. They came back aged seven and four and [00:29:10] um within two weeks they’d lost their Australian accent. So it was quite, quite remarkable. And [00:29:15] then did you decide you’re going to be an associate going forward? And maybe you had [00:29:20] no choice at the beginning? Certainly. But what are your views on that now, though? Are you thinking maybe you’ll you’ll do [00:29:25] your own practice, or did it leave a bad taste in your mouth? Or how how are you thinking about practice ownership? [00:29:30] Yeah, I probably wouldn’t do practice ownership again. I found it hard. [00:29:35] It was when business was good, business was good when business was bad, which was the final [00:29:40] three years about being there. It was horrible. It was the worst pain, the sleepless nights. It was having [00:29:45] to pay everyone before you pay yourself. It was horrible, you know. So I was yeah, I [00:29:50] don’t think I’d do business ownership that way again. Yeah, certainly not as a principle. I think if, you know, [00:29:55] it’s I think it’s one of the most painful things in the world to work your ass off and lose [00:30:00] money. Yeah. And with, with this first six years. Yeah. [00:30:05] Working the hardest I’ve ever. Much harder than I’m working now and [00:30:10] losing money and, yeah. About to lose our houses and all those sort of things.

Speaker1: Especially [00:30:15] if you’re good at what you do as well. Sure. So, okay, you’ve got a wing if you’re winging [00:30:20] it. Yeah yeah yeah yeah yeah quite quite. But if you know what you’re doing, if you’re, you know, it’s it’s it’s painful, [00:30:25] it’s painful. It is. It really is. But the, you know Elon Musk said something about entrepreneurship. [00:30:30] He said you have to have a massive appetite for pain. Yeah. It refused that way. [00:30:35] So you got an associate job. [00:30:40] Yes. Where was that? The first one was um, down in near Battersea. [00:30:45] Wandsworth. That sort of way. Fully private, fully private, lasted about I think it was about [00:30:50] four weeks because I was doing nothing. Okay. Sitting on my bum, not enough patience, [00:30:55] no patience, and just sitting on my bum watching TV the whole time. So it didn’t last very [00:31:00] long. Um, then I got another one very similar, I think that was in the West End, [00:31:05] somewhere in Harley Street and Wimpole Street. Um, was sold the dream. Come [00:31:10] and join us. You know, we’ve got loads of patients. The implant guys leaving. You’ll be taking over his [00:31:15] list day one. No patients, no implant list. Day [00:31:20] two. Same. Day three. Same. That was the end of that one. Um, [00:31:25] had you done implant training by this point? Yeah, I did, I’d done I’ve done [00:31:30] quite a few hundred implants. I’ve actually got a diploma in implants. So I was doing that’s what I was trying [00:31:35] to get into at that stage in 2015, I was trying to be an implant dentist more than anything. [00:31:40]

Speaker1: Um, so I was looking for places that could offer me an implant list or at least a lot of [00:31:45] patients that, you know, for consults and stuff that, um, but yeah, I found [00:31:50] that quite difficult to, to get into, but then, um, 20, I think [00:31:55] it was 16. I had an interview at Sardinia House, um, got the job there, [00:32:00] general dentistry, but a bit of implant on the side that was great. Stayed there for quite a few years. [00:32:05] That was a nice place to work. Amit. Amit. Great guy. Good guy. [00:32:10] Yeah. Nice, honest, honest guy. Yeah, yeah. No bullshit. Good. Solid. Solid practitioner. [00:32:15] Good. Good pair of hands. Knows what he’s talking about. And just a yeah, good person [00:32:20] to work with and work for. Where did you do the implant training in Australia. Oh did you. [00:32:25] Yeah. What what kind of amount of education was it. Was it like 18, 18 months [00:32:30] diploma course. Oh wow. So we were going for implants. So it [00:32:35] was university based. It was it was a proper, proper course. Yeah. So the [00:32:40] transition from guy trying to become an implant dentist to [00:32:45] what we see now, um, but. Oh, I should have I should have said [00:32:50] that your your account doctor Pete. Right. Doctor Pete, 1973 oh 1973. [00:32:55] Yep. Yeah. For anyone who doesn’t know, check that one.

Speaker1: Doctor Pete, 1973. When did [00:33:00] the transition come? 20 1718, [00:33:05] probably to talk me through it because it’s very different being an implant dentist [00:33:10] than the dentist you are now. It was when I started working at Ru um, [00:33:15] 20, I think I started at 20th April 2017. Um, it was just general [00:33:20] dentistry at that point. It was new. It was called the the neem tree at that stage I remember. [00:33:25] Um, and it was there was no in Wandsworth that one, uh, Fleet Street or that one here. [00:33:30] Yeah. Um, so that, that was, that was then and they were just a general dental practice at that [00:33:35] stage. So I went there because it was going to be a bit of this bit of that, a few implants here and there, [00:33:40] a bit of everything. Um, and then what gradually started happening there. Once it became [00:33:45] Ru, they started focusing on cosmetic more and more. So um, and [00:33:50] then that’s what started coming through the door. Um, and everyone was coming in and asking for [00:33:55] composite bonding. Invisalign, bleaching. And so that’s where the transition happened. I mean, it really happened [00:34:00] when one of the girls said, um, Pete, you should get Invisalign. Invisalign, [00:34:05] um, Instagram. Um, I was, what, 44, 45? And I said, I’m not getting Instagram. [00:34:10] You know, I’ve got Facebook. And they were like, no, no, no, it’s completely different. You don’t you don’t understand. [00:34:15] You could advertise your work on, on Instagram.

Speaker1: So I did reluctantly, [00:34:20] I just I said to him, look, it’s going to be another thing I look at on my phone every day, isn’t it? I’ve got enough things I look at. Um, [00:34:25] but they persuaded me to do the Instagram thing. Who was that? Um, actually, [00:34:30] you might know Kerry Sharp. Yeah. Um, so [00:34:35] she. Yeah, she was the one that said you should you should do this. The number of Instagram accounts she’s kicked off. Yeah. No, [00:34:40] she’s very good at it as well. Yeah, yeah. Um, so, [00:34:45] yeah, she, she convinced me to do that. And, um, I’ve never really looked back as soon [00:34:50] as I started advertising, putting my own stuff out there, people started coming in and asking for [00:34:55] it. So that’s really when the transition happened. So let’s, let’s, let’s get into, [00:35:00] you know, we we we do this composite course. You’re about to do a composite [00:35:05] course. We’ll talk about that in a moment. But let’s get into, you know, for, for someone. We [00:35:10] were talking about it before, I’d say in the whole country there’s maybe ten [00:35:15] maximum ten dentists doing the amount of composite bonding [00:35:20] that you’re doing. So I’m up there on volume. Yeah, it’s [00:35:25] a really unfair question, but I do want to get like a your aha [00:35:30] moment with composite. Like what can you, you know you’re about to [00:35:35] teach the stuff anyway, right. Yeah. What are the few ahas you had along the way that [00:35:40] make, you know, for instance, let me give you an example.

Speaker1: Um, I asked [00:35:45] Sam Jethwa this. He does a lot of, um, veneers, porcelain veneers, and he said with occlusion, [00:35:50] the fact that it’s outside in as well as inside out [00:35:55] for him was an aha! For the sake of the argument for [00:36:00] you with bonding question, an [00:36:05] aha moment with Bonnie. I mean it was offering I think. Well, I don’t know if it was an aha [00:36:10] moment as such, but it was offering young people on a slightly lower budget [00:36:15] the chance to get really lovely cosmetic work done in a very non-invasive way. [00:36:20] That’s, I think, what probably attracted me to it. You know, we’ve got a huge young market. The young market now [00:36:25] is massive. The middle age market is still growing slowly, but the young [00:36:30] market is the big one. I think. Um, and it was being able to to treat those people. [00:36:35] They were coming in and asking for something that I know wasn’t going to be damaging their teeth too much. Okay. [00:36:40] And I think that’s probably well, that’s certainly one of the reasons I got into it. Okay. [00:36:45] But clinically. What [00:36:50] do you mean? Well, you would look at your work, right? And it’s so beautiful. It’s beautiful [00:36:55] work. Oh, right. So clinical. You mean sort of what turns me on about my. What [00:37:00] was it? What was it that turned you from the dentist that everyone else is to this [00:37:05] this clinician? Right.

Speaker1: Sorry. It delivers this quality. Didn’t understand your question. Numbers [00:37:10] playing the numbers game practising. Yeah, totally. Um, [00:37:15] when I started off doing it five, six years ago in bigger volumes. [00:37:20] Yeah, the work wasn’t what it is now. It was. It was good. It was acceptable. It didn’t cause any [00:37:25] problems for the patients. But I look back at those photos and it it wasn’t what I’m doing now because [00:37:30] I wasn’t doing as much of it. Yeah. And through doing, you know, thousands and thousands and thousands [00:37:35] of them, God knows how many I’ve done now, but it’s got to be 10,000 plus. You just [00:37:40] get better. It’s playing a numbers game. Yeah, but what are you looking out for? Like what? You know, specifically. [00:37:45] What are you doing? Um, shapes and polish. Really. They’re the things [00:37:50] with composite bonding, getting your shapes right and getting the polish right. The [00:37:55] line angles. Yeah. If your shapes aren’t right, then nothing looks right. You can, you can, you know, [00:38:00] you can’t polish it. If the tooth shape isn’t good, you can polish the hell out of it and it’ll [00:38:05] still look shit. Yeah. You’ve got to get the line angles in. You’ve got to get the embrasures right. You’ve got to do all that. [00:38:10] So and then you can polish it and then it will look fabulous. But if you don’t get all those basic things right, then [00:38:15] no, it’s never going to look good. You look on Instagram, there’s people that put fabulous polish, but on a [00:38:20] terribly shaped tooth you can see it.

Speaker1: Yeah. You see people that, um, that shape [00:38:25] things well. But then don’t put secondary anatomy properly in. They don’t polish properly after that [00:38:30] and it doesn’t look great. You’ve got to combine all those things and get the result right at the end. And what about [00:38:35] from the patient perspective? I mean, how how much do you look into what [00:38:40] this patient is after. Because not all patients are after the same thing. I think nearly all of them are actually. [00:38:45] Oh, really? Yeah, about 95% of them, I’d say. Um, most people, if you ask [00:38:50] them, what do you want? They want they want white, they want straight. Most of them want quite [00:38:55] square, this sort of thing. I try and steer them away from the square thing. But most people want similar [00:39:00] things. They don’t want slightly darker canines. They don’t want shade progression [00:39:05] from the top of the tooth to the bottom of the tooth. They want it all one shade, this sort of thing. So I think most people do want [00:39:10] similar things. Most people don’t want too much tertiary anatomy, or in fact, most people don’t want any tertiary anatomy. Yeah, um, [00:39:15] people don’t want tints and opaques. If you ask [00:39:20] people, do you want me to put a translucent edge in your tooth, 95% of them will say no. So [00:39:25] I think most of them do want the same thing.

Speaker1: But do you not get patients who [00:39:30] want fake looking teeth? Yeah, less so now than a few years ago. But [00:39:35] yeah, we still get some coming in and say, I want it really white, really straight, really [00:39:40] square. Yeah. I mean some some people want people to know that they’ve had something done, which is going to be opposite [00:39:45] of of the way we think about it. Right, is to the best dentistry is the one you can’t tell has been [00:39:50] done. Yep, yep. I think it’s more an up north thing. It used [00:39:55] to be an up north thing, and it’s also, um, just east of London place as well. Sure. Beginning [00:40:00] with E sure. They’re still quite keen on it there, but, um, less [00:40:05] so than it used to be. But I mean, I’ll do it. If a patient wants that, then you do what the patient wants. [00:40:10] Yeah, but I just don’t put it on Instagram. Oh, I see, so you don’t want to track more of that? It’s [00:40:15] not work I particularly enjoy doing. And it’s not work I’m proud of because I don’t think it looks any good. Yeah. [00:40:20] You know. Yeah. I’ll only really put my name, put something out there with my name on it if I’m proud [00:40:25] of it myself. Yeah. And the your, your sort of split of the [00:40:30] work that you’re doing. What percentage is composite bonding? A lot 80% [00:40:35] plus I’d say. Well yeah. And the rest is Invisalign. [00:40:40]

Speaker1: Invisalign bleaching a little bit of general and a few implants still here and there. Are [00:40:45] you still doing back teeth or not at all? Yeah, yeah, but not normally as a lead [00:40:50] up to doing all the other stuff. So I’ll put fillings in back teeth if, if I have to do them. Um, pre [00:40:55] Invisalign or pre whitening or something like that. Yeah. Um, but I, you know, I prefer [00:41:00] not to be doing general dentistry now, but I still do a little bit as a, as part of the whole, the whole case. [00:41:05] And then do the patients tell each other and find you online. [00:41:10] And is that just the profile of the patient that you’ve got that’s going to it. Always [00:41:15] want to go down that road? I’d like to think because of your kind of reputation, I’d like to think there’s a lot of word of [00:41:20] mouth referral. Yeah. Yeah. But you know The Hindu. Right. [00:41:25] I do endo as well, you know, to do everything. I still [00:41:30] do everything. Okay. But, um, I do less of it than I used to, but I’ll still still do everything. I mean, [00:41:35] the only thing I don’t do anymore is dentures. Mhm. Unless it’s part of an implant treatment, of course. But, um. Yeah. [00:41:40] Very rarely. But I still do everything. I mean, I like doing everything. I like dentistry. Yeah. [00:41:45] Any tactics around how to get patients to post, [00:41:50] for instance, post and tag me and.

Speaker1: Yeah. Yeah. [00:41:55] It’s tricky. Do you not bother with that? Very rarely. I found that most of the time they’ll say no. [00:42:00] Even the ones that they, they, uh, have collaborations with at work at Ru, [00:42:05] they’ll quite often renege on what they, what they’re supposed to do as well. So I prefer the influencers. [00:42:10] Yeah. Yeah. So I prefer to keep it. I don’t ever post a face. Yeah. Because [00:42:15] I think if you post faces you’re going to open up the door for, you know, complaints [00:42:20] and identifying patients and so on. So I only post teeth and non-identifiable photos. [00:42:25] Um, and I don’t really tag people and I don’t ask them to [00:42:30] tag me. One of the guys that I work with got in trouble for tagging a patient without asking. [00:42:35] Just a tag, nothing more. But you know, so I prefer just to keep it as [00:42:40] I’ve got it. There are tactics though. There are? Yeah. Go [00:42:45] on then. So. So I come across some dentists who they [00:42:50] set it up so that patients want to be tagged. Go [00:42:55] on. I’m intrigued. Yeah, well it might be in smaller communities [00:43:00] than central London, right? Yeah. Where, you know, people know each other more. I mean, I studied [00:43:05] in Cardiff, so I understand that feeling like in a town like Cardiff, however many population [00:43:10] it’s got, if you bump into someone one day at the bank, you [00:43:15] know you’re going to bump into them at some point soon, right? You know, even though it’s a city, [00:43:20] it’s not it’s not the Gold Coast.

Speaker1: It’s a city you’re going to bump into. And so the movers and shakers, [00:43:25] whether let’s call it the medical community, the dental community, the, the, the pretty [00:43:30] girl community, kind of know each other. Yeah. And so what [00:43:35] these practices do is they make it a thing to, to, to, you know, it’s almost like if [00:43:40] why didn’t you tag me, right. Yeah. Was it, was it, was it that you weren’t happy with the work. [00:43:45] You know, it’s one of those. Got it. Um, and then. Yeah, there’s other subtleties [00:43:50] right around language. Um, for instance, what do you say to [00:43:55] patients about how long it’s going to last? Bonding 5 to 7 years. [00:44:00] Normally. Yeah. Come back for a polish once a year. Oh really? Do [00:44:05] you do it yourself? Yeah. Yeah. Um, but that’s that’s [00:44:10] what I tell them. As long as you don’t do anything silly with them, you know, bite your nails, [00:44:15] chew pens, open crisp packets or tear sellotape, that sort of thing. Um, 5 to [00:44:20] 7 years. You should get of them. Looking good. Doesn’t mean they’ll fall off the next day or anything like [00:44:25] that, but they should look good as long as you repolish them every now and then, refine the margins, that sort of thing should [00:44:30] be fine. So talking to Matty Parsons about this. Yeah. Who does as many as you do I guess [00:44:35] he says the subtleties of he says to the patient, if you [00:44:40] go ahead and break one of them rather than if one of them breaks.

Speaker1: Right. Yeah. And he says [00:44:45] that little subtlety means that patients come in with a broken, you know, chipped [00:44:50] restoration. Apologising. Yeah. Nice. [00:44:55] Yeah. It’s a subtlety right. Yeah. And he’s like, look, [00:45:00] I’m absolutely fine. I’ll fix it for you if you go ahead and, you know, if you, if you do go [00:45:05] and bite on the wrong thing or. Yeah, you know. Well okay. So the subtleties of [00:45:10] it, I have to try that one. And because, you know, we’re as a profession, we’re guilty of owning the restoration [00:45:15] for the rest of that patient’s life. Right? I mean, why should it be that way if the guy’s only paid you three grand for something? [00:45:20] Yeah. Um, so let’s talk about [00:45:25] darker days. My favourite part of the pod. [00:45:30] Go on. On this pod, we like to talk about mistakes. Sort [00:45:35] of from the black box thinking idea of. It’s better for all of us [00:45:40] to learn from each other’s mistakes and in in medical and dental. Often we hide [00:45:45] our mistakes or don’t own up to them or because there’s a massive blame [00:45:50] culture, whereas other if you’ve read black boxing, it’s about it’s about plane [00:45:55] crashes, okay? And you know, when a plane crashes, um, the first [00:46:00] thing they do is to find out what went wrong and immediately tell the whole community, [00:46:05] yeah, what went wrong so that everyone else learns, okay? [00:46:10] And there’s no issue of blame.

Speaker1: They’re just saying, you know, this is what happened. Even [00:46:15] if someone did the wrong thing, they blame the system, um, for [00:46:20] it. Because, you know, bad systems cause errors. But [00:46:25] in medical it’s quite the opposite. And so we never end up learning. So [00:46:30] what comes to mind if I talk about ask you, you know, clinical errors most difficult [00:46:35] patients. What comes to mind. Well one I’ve just hopefully [00:46:40] finished off with recently. Okay. Yeah. Um, came to see me [00:46:45] probably summer last year. Um, had some bonding [00:46:50] done about a year or so before that, which she wasn’t very happy with. And [00:46:55] so she said, I want, I want to take it off and redo it. It’s only on four teeth. So [00:47:00] that’s what we did. I said, right, here’s the treatment plan. [00:47:05] We’ll make one appointment. She had slightly overhanging margins on the composite. So I said, what we’ll do. We’ll take off the [00:47:10] composite on visit number one. Let your soft tissues recover for a week or so and then get you back in on [00:47:15] visit number two to redo the bonding. Had you done the original? No, no. [00:47:20] Not sure who did it, but it was, you know, it was starting to fail. She said it was only a year [00:47:25] old, which I suspect maybe was not true. It looked a bit older than that, but it could have been done badly. [00:47:30]

Speaker1: So it started to fail. Um, she came in. I took the composite off [00:47:35] with, um, soft discs. And found that she had [00:47:40] pig teeth underneath the pig pig lateral, and quite a slim canine as well. And [00:47:45] I said to her, oh, you’ve got quite small teeth under there. And she. That’s [00:47:50] fine. No problem at all. She didn’t react to it too much. She came back, um, the following week for the new [00:47:55] bonding which we put on. She came back two weeks later [00:48:00] for a small adjustment. Um, and she said her teeth had moved. [00:48:05] And I said, have you been wearing your retainer? And she said, yes, I have. This is where I made the mistake. [00:48:10] I should have said to her, can you bring your retainer in and let me try it in? [00:48:15] Because her teeth had moved, there was visible gaps between them. And I said, look, I’ll close them up for you. [00:48:20] But when you get home, put your retainer in. If it feels too tight, let me know. Come back in. [00:48:25] We’ll make an adjustment. I shouldn’t have done the composite in the first place. This is. This is where I’ve learned a big lesson. I [00:48:30] should have said, bring the retainer in. Then we’ll have a look. Then I’ll redo the composite if necessary. So [00:48:35] she went home, called up, um, a few days later, saying her composites broken again because [00:48:40] she’s put the retainer in.

Speaker1: Clearly the teeth have moved and the retainer is not fitting. [00:48:45] And at that point, she launches the worst complaint I’ve had in years, [00:48:50] basically threatening straight away. I’m going to sue you. You’ve ruined [00:48:55] my teeth and you destroyed the teeth underneath. When you took the old composite off, I [00:49:00] said, well, no, I didn’t. That’s the shape of your teeth. And there was [00:49:05] a lot of backwards and forwards, a lot of a lot of arguing, a lot, a lot of threats on her part. Written [00:49:10] right, written straight away. Um, there was then suddenly, after about the third [00:49:15] email, I started thinking, actually, no, she’s she’s, um. I [00:49:20] don’t think she’s serious. I think she’s she just wants money. I don’t think she wants anything else. She’s [00:49:25] not going to go down the GDC road. She’s not going to go down any other. She’s having a go. She’s having a go. [00:49:30] Because every letter she wrote, if I don’t get compensation by the this date, [00:49:35] I’m going to sue you. Second letter. My brother’s a lawyer and so is [00:49:40] my dad. And if I don’t get compensation, they’re going to sue you. Third [00:49:45] letter. If I don’t get compensation by this date, I’m going to sue you. And I thought she’s not going to sue because she [00:49:50] would have done it because we were delaying things. We were trying to get the records organised. And she keeps threatening. [00:49:55] Every week a letter comes through saying if she doesn’t have financial compensation, she’s going to sue. [00:50:00]

Speaker1: So it ended well. I hope it’s ended recently when I wrote [00:50:05] to her and I basically called her bluff on a lot of things, I said, look, if [00:50:10] I destroyed your teeth as much as you think I destroyed them, how was I able [00:50:15] to do it without anaesthetic? Right? How come my photos show enamel all the way round your [00:50:20] teeth? But what you’re saying is that the teeth are painful because they’ve been prepped and prepped. [00:50:25] Um. I said, why didn’t you raise the alarm when I first took the composite off? [00:50:30] Why didn’t you raise the alarm when you came back to put new composite on? Why didn’t you raise the alarm when [00:50:35] you came for the adjustment? At no point have you ever mentioned that your teeth have been damaged. [00:50:40] Apart from now, when you’ve raised this complaint. And I think it sort of scared her off, that she’s realised [00:50:45] that she’s just, you know, I’m on to her and she’s now seems to have backed down. But from what [00:50:50] we’ve gathered, she’s gone somewhere else and tried the same thing with another practice. Oh yeah. So [00:50:55] she’s she’s a serial complainer kind of woman that goes to a restaurant, eats three quarters of [00:51:00] a meal, pulls out a little piece of glass from her handbag and says, I’m not, you know, I’m not. It should be one of those. [00:51:05] But yeah, I mean, there’s there’s a few of them out there at the moment, but she’s the one that springs to mind most recently. [00:51:10]

Speaker1: How long was it beginning to end? Like how four months. Painful. [00:51:15] Four painful. Four months. There’s another one that we’ve got going at the moment. Who? Um, [00:51:20] actually, the it started here, um, because you made me a bleach tray, [00:51:25] which didn’t include her wisdom teeth. So she had about a 5 [00:51:30] to 5, then a two tooth gap and then wisdom teeth. And the bleach tray only was [00:51:35] made for 5 to 5. Yeah. And she came in and said the bleach tray doesn’t include my wisdom [00:51:40] teeth. And I was like, well, you know, nobody is ever going to see your wisdom teeth. And she said, well, I see my wisdom [00:51:45] teeth. And I said, fine, we’ll make you a new bleach tray. So I took a new impression. New bleach trays made, [00:51:50] including the eights. She went off happy. Um, [00:51:55] we did some other work on her, some fillings, etc. one of them ended up being sensitive. [00:52:00] She then launched a massive complaint, saying everything I’d done in the three years [00:52:05] leading up to that point was negligent. Done without consent, including implants, bridges, everything. [00:52:10] So she’s now trying to get compensation for everything I’ve ever done because the tooth was slightly [00:52:15] sensitive and her bleach tray didn’t quite fit. And she got a lawyer. No, [00:52:20] she’s again another someone trying their luck, hoping that dental protection will simply [00:52:25] just write.

Speaker1: Write the check, I wonder, I wonder if in the this [00:52:30] sort of current economic climate, we’re going to get more of this stuff just from desperate people, right? I fear [00:52:35] that may be the case. You never know who’s going to walk. So I guess it definitely increasing recently. [00:52:40] Yeah. And all the guys I work with have said the same thing. Everyone’s got things going through Dental protection [00:52:45] at the moment and massive complaints just going through, you know, local through through work, through [00:52:50] the actual we’ve got lawyers at work as well that are dealing with things for us. There’s so much of it at the moment, so much [00:52:55] and most of it, I have to say, completely unjustified, completely unjustified. You [00:53:00] know, if we’re all screwing up, fine. But we’re not. Yeah. Nothing’s changed that massively in [00:53:05] your treatment, right? No, no obviously not. I mean, I’ve said this a few times to people, my work [00:53:10] now is better than it’s ever been, but I’m getting more complaints than I’ve ever had. Yeah, [00:53:15] that doesn’t make sense. Does it make you more defensive? Yeah, [00:53:20] completely. So what, you’re writing longer essays for consent and all that? Yeah, [00:53:25] yeah. Have you had the situation? This this must have happened to you where you [00:53:30] finished the work? Patient says they’re happy. They go home and then someone says [00:53:35] something, whatever. And then. Yeah, I mean, in all of cosmetics, the one when a patient says [00:53:40] I don’t like them.

Speaker1: Mm. Okay. If you can shorten them or remove the [00:53:45] fine. Of course composites a bit different, you can change it repair. But [00:53:50] that situation, do you prepare the patient sort of say something to them to. [00:53:55] Because I used to do that when I was a dentist, I used to say, um, you’re going to go home and someone, [00:54:00] somewhere is not going to like them. I have a spiel that I say at the end of [00:54:05] every appointment setting, setting them up for the fact that they may not like something [00:54:10] hit us with it. It’s basically like, look, they’re new. New doesn’t always feel right. [00:54:15] However, after a few days it probably will. If it doesn’t, if there’s some aspect [00:54:20] you’re not getting on with after a few days, let me know. We can adjust it. And I sort of go think about a new pair [00:54:25] of shoes. Shoes don’t always feel great when you first put them on, but after you’ve broken them in, they feel fine. [00:54:30] I said, look, a millimetre of tooth is nothing but a sorry, a mil [00:54:35] a millimetre is nothing, but a millimetre of tooth is massive. You know, it’s 10% of a tooth. [00:54:40] So I said, even though we’ve added a tiny bit, for instance, that’s going to feel big to you. Don’t [00:54:45] panic though, I sort of I manage them into this kind of feeling that it’s okay if there’s something you’re not quite comfortable with [00:54:50] right now, you know, gaps.

Speaker1: For instance, if you close a gap, that’s the number one. [00:54:55] Yeah. You know, especially in midline, if it’s a big midline, people don’t like it necessarily straight away. [00:55:00] The first thing they do is they hold the mirror up and they know, oh I’m not sure I’m not sure. And you [00:55:05] can see them also. Don’t let them go to the loo halfway through an appointment if you can. So they can’t see. [00:55:10] Yeah. Because they always check. Yeah, yeah. And quite often they’ll come back in. They’ll say is that meant to be like [00:55:15] that. Is that going to stay that way? And you’re like, no, I’ve only done three out of the eight teeth, you know, calm, calm down. But [00:55:20] so you’ve got you do have to manage expectations. Tell me, tell me about the [00:55:25] actual treatment process itself. How long do you take on a sort of 3 to [00:55:30] 3? Um, three. Between 3 and 4 hours, or maybe about 3.5 [00:55:35] hour mark. And you go completely free hand, or do you use a stent or always freehand? Yeah, [00:55:40] I’ve tried it with stents and there is a place in the market for stents, [00:55:45] um, for where cases, that sort of thing. But most of the time I can do it freehand [00:55:50] unless it’s a real bad, you know, bruxing case or something like that, that I will use a stent, but [00:55:55] 99 times out of 100 it will be freehand. And how [00:56:00] confident are you regarding the occlusion and the occlusion sort of analysis of [00:56:05] what’s going to work and what isn’t? Is it is it is it any more complicated than getting them to [00:56:10] move their teeth around and seeing what’s hitting what? Not really.

Speaker1: Really. Yeah. If you if you look [00:56:15] at them at the consultation visit. Yeah. Then, um, you should be able to work [00:56:20] out what’s going on. You know, if you see flat canines, you know, what you’re up against, um, [00:56:25] still gets, you know, a few surprises every now and then, but most of the time you can work [00:56:30] out what’s going on. If there’s edge to edge bites, cross bites, this sort of thing, then, you know, Invisalign [00:56:35] first. Yeah. But yeah, if there’s if there’s enough space and there’s no signs of wear, [00:56:40] then more often than not you’re okay. You’re good to go. And do you get them all to wear a [00:56:45] thing a white razor. I know some people that do a [00:56:50] bite razor. Well, not a retainer tray. Um, a lot of [00:56:55] people will put that into into every plan. Yeah, I don’t necessarily put it in every plan, you know. No. [00:57:00] If I mean, there’s some that, you know aren’t going to chip if there’s, you know, huge [00:57:05] overjet this sort of thing, you know, they’re never going to be able to put their front teeth together properly. So I [00:57:10] don’t do it for everyone, but I do it a lot. Do it a lot. I feel like it’s a defensive move too though. Yeah, [00:57:15] of course it is.

Speaker3: You know, you can kind of blame that. Yeah.

Speaker1: You haven’t been wearing it. Yeah. [00:57:20] Yeah yeah of course.

Speaker3: Do you get them to bleach their composites.

Speaker1: Um, increasingly [00:57:25] I do advise that. Yeah, it’s a good idea. Yeah. Um, because they, you know, they’re going [00:57:30] to get staining, particularly around the margins, particularly in between where you haven’t quite got the polish right, this sort of thing. Um, [00:57:35] so yeah, I say get a bleach tray. Pop your gel into it and then do [00:57:40] a bit of whitening once every few months, and that should lift the stain off. So I do, I do or.

Speaker3: Prevent the stain from ever [00:57:45] coming on right in the first place. Yeah, yeah. So I [00:57:50] kind of want to hear another difficult story.

Speaker1: Oh. [00:57:55] Let’s say. I mean, [00:58:00] there was I’ve had people threaten to beat the shit out of me once when [00:58:05] I was in Australia. Well, tell me what that was. Um, [00:58:10] a surgical extraction that went wrong. Okay. And the tooth [00:58:15] kept breaking and breaking and breaking. And I’m removing more and more of the bone around the tooth. And there’s PTSD right now. Yeah. [00:58:20] Um, and at the end, I mean, we didn’t actually get the tooth out. We ended [00:58:25] up with a little bit of root left in. He jumped out of the chair and he said, look, I’ve been here for two fucking hours. And he just fronted [00:58:30] up to me this ready? Wow. And that, you know, that’s not great. [00:58:35]

Speaker3: Yeah.

Speaker1: Um, that happened that actually happened twice when I was in Australia. [00:58:40] There was there was another guy who said, I get the injection I gave was far too painful. Would I like to step [00:58:45] into the car park? Well, sort it out. I said no. Yeah. [00:58:50] So that that’s, uh, that [00:58:55] happened. Had had had, uh, what else happened in [00:59:00] Hackney? I had a woman that’s, um, thinks or thought rather that, um, the [00:59:05] crown I was putting in had some kind of GPS tracker in it. Before [00:59:10] before GPS had been invented, I think because that was in the late 90s. [00:59:15] There was another one that said that, um, spiders had come out from under one of her bridges [00:59:20] or something like that, something odd like that. But Hackney, that’s what Hackney used to be like. It was not [00:59:25] mental health, not a central. Well, we had the Homerton, the um, hospital. Yeah. There was [00:59:30] a lot of them there. And so we used to see a lot of patients like that. Yeah, just strange ones. I had a [00:59:35] patient propose to me once.

Speaker3: Didn’t that happen all the time?

Speaker1: No, no, again, [00:59:40] that was in Hackney. Um, yeah. So I’ve, I’ve had a few. [00:59:45]

Speaker3: Tell me this. Did you kind of. To me, I feel like you’re the you’re the kind [00:59:50] of person who doesn’t mind jumping in and trying things. No. Whether we’re [00:59:55] talking composite bonding 20 years ago when no one was doing it, whether we’re talking about you were quite, [01:00:00] you know, Instagram just, just just doing an Instagram page in itself. Um, [01:00:05] what is it? What is it about you? I mean, is that is that would you would you characterise [01:00:10] yourself like that as someone who just jump in and have a go at stuff, certain things.

Speaker1: I mean, with, with dentistry? [01:00:15] Yeah, I’m happy to have a go as long as I’m comfortable doing it I think. Yeah. Give it a try again. [01:00:20]

Speaker3: We talk about the younger generation, the very, very scared of doing anything that’s not, um, you [01:00:25] know, fully taught and researched and and so forth. And I feel like, yeah, [01:00:30] of course, that’s the total risk free way of going. Yeah. But also it stifles [01:00:35] innovation. Like you’ve got this course, which we’ll come on to now. But in [01:00:40] this course you’re going to teach certain sort of tricks and tips. Yeah. [01:00:45] And you wouldn’t have learned those tips and tricks without trying them yourself. Right. True. [01:00:50]

Speaker1: Absolutely. Right. Yeah. So yeah I do I again [01:00:55] I’ve made mistakes with composite. It wasn’t as good as it used to be. It used to be worse than it is [01:01:00] now. Yeah. And that’s trial and error. Yeah. Found out what works. Found out what doesn’t work. [01:01:05] Do more of what works. Do less of what doesn’t work. I’ve tried virtually every [01:01:10] polishing system on the market. Found out which one works for me. So I’ve done all that. Yeah, [01:01:15] but I had to. I had to try it first, though.

Speaker3: Let’s talk about the course that you’re about to start. [01:01:20] Why now?

Speaker1: I’ve been thinking about it for about two and a half years, actually. [01:01:25] Um. I’ve always wanted to do it. Um. [01:01:30] My body isn’t what it used to be. Not [01:01:35] what? What you think? Um. You know, I [01:01:40] spend eight hours a day with my neck at 45 degrees like that. Yeah, it’s, you know, it’s hurting. [01:01:45] I haven’t had a day without neck pain for probably 15 years. I know I’m not going to be able to do it [01:01:50] forever. The course allows me to do what I love. Still, [01:01:55] um, indulge my passion for composites, but without the physical strain on the body. [01:02:00] You know, every day I wake up with stiff hands, I work out with stiff elbows. It’s all Dental [01:02:05] related.

Speaker3: How many days a week do you work?

Speaker1: Five. Occasionally six. That’s your [01:02:10] era? Probably. Honestly? Yeah.

Speaker3: Honestly. Uh, you know, [01:02:15] I’m a massive advocate of four days. Or three days.

Speaker1: Yeah, well, I’d like to be able to do that [01:02:20] because it’s a hard.

Speaker3: Job, I don’t think. I don’t think your earnings will suffer as much as you think. Yeah. Um, [01:02:25] because, you know, you’ve heard this story before, right? You’re fresher. Yeah. [01:02:30] Number one. So you end up talking and you sell more, for [01:02:35] want of a better word, you end up finishing things off that sometimes you temporise or [01:02:40] because. Because you’re fresher. But really, for me, the main thing is that [01:02:45] extra day dentistry is such a hard job that without it, you’re so burnt [01:02:50] out that you don’t end up doing other things like teaching or whatever [01:02:55] it is. Like I can 100% tell you there would be no enlighten if I was a five [01:03:00] day a week guy. Yeah, it’s because I was a four day a week guy. Then on that fifth day, I had time [01:03:05] to even think, oh, let’s do a teeth whitening company, you know, because, [01:03:10] you know, she’s hard, then she’s hard.

Speaker1: It is hard. Yeah.

Speaker3: So that that’s something you should think [01:03:15] about, right? I really would.

Speaker1: If the course takes off, that’s probably where I’ll be ending. [01:03:20] You know, I’d say take a day off immediately. Do it straight away.

Speaker3: I can see zebras out spitting [01:03:25] in her coffee. I’ll text them.

Speaker1: I’ll text her now. Payment always take a day [01:03:30] off.

Speaker3: Honestly though, you will find your earnings. It will not go down by one [01:03:35] fifth. No way. Yeah, yeah. Um, some people even earn more, right? [01:03:40] In four days. Um, but the teaching thing. Have you ever taught it before?

Speaker1: No, [01:03:45] I’ve supervised on other courses. Oh, yeah. Um, but I’ve never actually taught solo. No, [01:03:50] I mean, I’ve taught some of the guys at work. Yeah. Hints and tips. You know, occasionally one of the younger guys will come in and [01:03:55] and sit with me through a case or this sort of thing. But I’ve never done group teaching. Just just one [01:04:00] on one, really.

Speaker3: And have you got the content already or are you working on it still?

Speaker1: Yeah, most of it’s done. [01:04:05] I’ve got to do a few bits of video, which I’m going to hopefully do in the next few weeks, [01:04:10] but most of the contents there. Yeah.

Speaker3: And the sort of the back end, the [01:04:15] how are you going to get people to come onto the course.

Speaker1: And at [01:04:20] the moment it’s Instagram advertising, um, which is going all right, but [01:04:25] have you.

Speaker3: Got a, I don’t know, a landing page or.

Speaker1: Yeah, can.

Speaker3: You buy tickets online, that sort of.

Speaker1: Thing. [01:04:30] I haven’t done all that yet. Yeah. I send out a brochure with bank details on if they’re interested. [01:04:35] They’ll transfer some money.

Speaker3: And what is it, a two day course.

Speaker1: Two days. Um, if it goes well, I’m [01:04:40] thinking maybe of doing a third day in the future if I, if I, if it goes if it goes. Well, [01:04:45] because the first two days are going to be very much a sort of foundation. And on the third day, if I decide [01:04:50] to do that, it’ll be more, slightly more complicated stuff.

Speaker3: Yeah. And what would [01:04:55] you say is the USP of your composite course?

Speaker1: Um, I’m [01:05:00] going to say simplicity. I know a lot of people say simplicity is going to be their thing, but [01:05:05] I reckon it’s doing great work with fewer shades of composite and [01:05:10] with fewer materials in a really reproducible way. That’s one of the things. The other [01:05:15] one is really gearing it towards what patients want. So not doing we’re [01:05:20] not in the first course. We’re not worrying about translucency. We’re not worrying about Incisal Edge. [01:05:25] Um, not yeah. We’re not watching. You know, patients don’t want that. [01:05:30] Yeah. We’re not we’re not going to be doing tints opaque as translucency, notching anything like that. Very [01:05:35] little tertiary anatomy. Just doing really, really solid. Um, 3 to [01:05:40] 3. Primary anatomy, secondary anatomy, good polish, that sort of thing. Also, [01:05:45] I think I think I’m right when I say I’m going to be the only guys doing a full [01:05:50] 3 to 3. So we’re going to do um, because most, most courses I’ve been [01:05:55] on will focus on a single tooth, and then they’ll do another single tooth and another single tooth. I’m going to focus on doing things in [01:06:00] pairs and doing so. Hopefully they end up leaving having done a full 3 to 3, [01:06:05] which, uh.

Speaker3: When you’re treating a patient, is that how you do it? You start with the two centrals, [01:06:10] right?

Speaker1: Yeah. Upper right, one upper left, one upper right, two upper left, two upper right three upper left three. Like [01:06:15] that. Then I’ll normally if I’m doing premolars I’ll do the right side first both of them and then the left side. [01:06:20] But I’ve got, I’ve got that system. That’s how I do it.

Speaker3: But do you find it’s that it [01:06:25] is the centre line and those mesial line angles on the centrals. [01:06:30] Yeah. That set off the whole thing. Yep.

Speaker1: Totally.

Speaker3: And the symmetry between them. [01:06:35] Right. Yeah.

Speaker1: If the midline is not there you’re fucked straight away. I mean it’s [01:06:40] so hard to go back and correct a midline. So you’ve got to make sure that’s right. Mesial line angles much more important [01:06:45] than distal line angles. Yeah. You know and then you’ve got to get the the symmetry between the centrals [01:06:50] straight away. Mirror image of each other. With the laterals you’ve got a bit of play. [01:06:55] You can make your lateral you know, it.

Speaker3: Adds character if it’s out away from the centre line. Exactly. [01:07:00]

Speaker1: The midline laterals are where the smile gets character. So you can play with the shapes a little bit there. [01:07:05] You can create a little bit of asymmetry if you want. But again patients don’t want asymmetry. They want symmetry. [01:07:10] Um, but it’s um yeah. So that laterals you’ve got a little bit more room and canines [01:07:15] again canines are quite important. You’ve got to understand how the canine works in the smile. [01:07:20] So shaping the canines properly is a really good thing as well for for getting a good overall result. [01:07:25] And the key.

Speaker3: To that the fact that it’s not one surface, it’s two.

Speaker1: Yeah. I mean a canine [01:07:30] is that when you look at it from above, it’s got a ridge in the middle. And I like to just scallop slightly [01:07:35] as well. So you create just when you, when you take a picture, it just you get [01:07:40] a little bit of reflection, a little bit of a scoop in the distal part of the canine. It looks more [01:07:45] organic. Yeah. Little things like that. These are things I’m going to be teaching.

Speaker3: And [01:07:50] photography tips.

Speaker1: There will be some. And again, I’m not a photographer. Um, [01:07:55] you’re pretty good though. It’s again, I set my camera. Yeah. And I take a picture exactly the same [01:08:00] way every time. I don’t tinker with the settings. That’s all it’s about for me.

Speaker3: But [01:08:05] I don’t know. I mean, the befores and afters are very, very like well positioned. [01:08:10] Yeah.

Speaker1: I mean, you can edit that later, can’t you? Yeah. Yeah, yeah. Um, but yeah, for me, I [01:08:15] haven’t changed the settings on my camera now for years. The only time I change settings is if I get a new camera. [01:08:20]

Speaker3: Who taught you photography?

Speaker1: No one. No one? No.

Speaker3: Putting a [01:08:25] theme here? Yeah, yeah.

Speaker1: Um. No one. Again, I made mistakes with camera [01:08:30] settings. You just Google Dental settings for canon cameras. They’re there. [01:08:35] They’re all there. Just do that and, um, get a good flash. Get some. I’ve tried different diffusers, [01:08:40] and now I’ve settled on some, um. What are they called? I’ve forgotten [01:08:45] the name, but they’re very nice. Um, they give a lovely sort of softness. Once you’ve got the kit that [01:08:50] you get on with, just stick with it and always try and take the pictures from the same angle, same distance, [01:08:55] that sort of thing, so that everything is consistent. That’s what it’s all about.

Speaker3: You’re going to be teaching [01:09:00] that to photography. There’ll be a.

Speaker1: Half hour slot in there about that.

Speaker3: And you’re doing it at Lon DEG. [01:09:05]

Speaker1: Yeah, yeah. First of all.

Speaker3: Phantom heads.

Speaker1: Phantom heads. Um, [01:09:10] I’ve, I’ve, I’ve been there a few times to London and I think it’s a good setup. Yeah, definitely. [01:09:15] And they’ve got great backup and support and all this sort of thing. So I thought for my first course that would be a great [01:09:20] place to do it. They can take 32 people. I’m not going to be teaching 32 people. I want [01:09:25] to try and cap it at somewhere between 16 and 18 because I want to keep it quite small, quite intimate, [01:09:30] because one of the things I’ve noticed on a lot, of course, I’ve been on, is too many people. You don’t get [01:09:35] to go round everyone, give everyone a fair share of time. Yeah. You [01:09:40] know, some of the courses I’ve been on, they don’t finish the the itinerary they set for the course because there’s too many people and there’s [01:09:45] always one that’s going to ask the questions and hog your time. Yeah. So I’m going to try and keep it as a small [01:09:50] group, keep it more intimate.

Speaker3: So what do you think the future holds.

Speaker1: For [01:09:55] for you? I’m hoping at one point in the future [01:10:00] it holds a villa in Spain somewhere. That’s what I’d love. Yeah. [01:10:05] I mean somewhere like Mallorca or something like that. I can see myself there in my 60s, [01:10:10] maybe earlier, but definitely in my 60s. A bit of sunshine.

Speaker3: I’ve [01:10:15] always thought, I’ve always thought, I mean, who knows if this will ever happen to me, right? But the notion [01:10:20] of going from summer to summer to summer to summer, the.

Speaker1: End of summer like a surfer.

Speaker3: Yeah, just. Just [01:10:25] amazing. Just go. Northern hemisphere, southern hemisphere, northern hemisphere. And then at one point, you’ll want something. So go [01:10:30] skiing quickly. Yeah. And then some of that would be the amazing thing. That would be [01:10:35] lovely. But the my parents have a villa in Spain and in, um, [01:10:40] uh, you know, Portofino around there.

Speaker1: My parents used to have a place near there as well. Yeah. Near Estepona. [01:10:45]

Speaker3: Yeah. Yeah. Nearby. Yeah. I’m not sure I’d recommend it to anyone. Um, [01:10:50] ownership, of course. Of course. If you’re going to live there, it doesn’t make sense not [01:10:55] to own it because it’s expensive. Right? But ownership of a holiday home, I don’t I [01:11:00] don’t think I’d do it because it.

Speaker1: Limits you going to the same place.

Speaker3: Limits you. But also also it’s, you [01:11:05] know, every year my parents were spending five, six grand on something. [01:11:10] Something was going wrong. You know, the swimming pool cracked. Yeah. So and so, you know, the gardener, [01:11:15] whatever. It wasn’t like it was hands free at all. It was. It was. I mean, there is a notion that you [01:11:20] don’t have to sort of take clothes anymore because they have clothes there and they have clothes. They don’t have to carry [01:11:25] loads of suitcases. Um, but I don’t know, man. I’d do it a different way. I’d go to, you [01:11:30] know, maybe the same. I found one villa in Thailand I love, and we went back there twice. [01:11:35] Um, but I’m not.

Speaker1: Thinking of it as a holiday home. I’m thinking more of a permanent move.

Speaker3: Life. [01:11:40]

Speaker1: Yeah, yeah. Giving up? Retire. Retirement. Yeah. Giving up London. Um, say [01:11:45] ten, 15 years, whatever it ends up being. And then just living over there, just having a nice, [01:11:50] relaxing time. I like.

Speaker3: Spain, um.

Speaker1: I love Spain. Yeah. Where? [01:11:55]

Speaker3: I mean, you know, you said you didn’t particularly dig Australia. Where else have [01:12:00] you been that you really love?

Speaker1: My, um. Well, Spain is my favourite country to travel [01:12:05] around. Yeah, absolutely. Love it. Um, France is very enjoyable. Italy, I mean, most most of the Mediterranean [01:12:10] is a great place. I’ve been to. I’ve been. Yeah, I’ve been to America. I’ve been to the Caribbean. I’ve been to Asia. I’ve been [01:12:15] all over the place. But of the places I could live. Um, not that many. I mean, there’s, [01:12:20] like I say, Spain. I could live probably southern France, I could, I could hack, but, um, not many [01:12:25] other places.

Speaker3: I’ve always thought Canada never been.

Speaker1: You know, [01:12:30] I’ve been to the airport in Canada, changing planes, but that’s it. Gander, Newfoundland. [01:12:35] Change planes there once. But I’ve never, never been to Canada. Yeah, no.

Speaker3: I like it. [01:12:40] Reminds me of America without the Americans somehow.

Speaker1: Yeah.

Speaker3: But it’s not about the crime. [01:12:45] It’s when I say aggressive. I don’t mean physically aggressive. I mean mentally Americans are quite [01:12:50] aggressive. Yeah, yeah, they want to know how much money you make. What’s going on? The Canadians [01:12:55] are much more chilled. Yeah. Um, and yet I haven’t been to Australia to know whether [01:13:00] what that what that’s like. But they’re much more chill. And yet you get everything you get in America. You [01:13:05] know, the service and the whatever, whatever you were after, like the burgers or, you know, these days we [01:13:10] have burgers here. We don’t have to worry about that.

Speaker1: Yep. We’re moving on. Get [01:13:15] moving with the times here.

Speaker3: Let’s let’s get on to the final [01:13:20] questions. Okay. Um, it’s starts off with a fantasy [01:13:25] dinner party.

Speaker1: Yes.

Speaker3: Three guests.

Speaker1: Yeah. I thought I’ve thought long and [01:13:30] hard about this. Dead or alive. And I could go with, you know, the usual, [01:13:35] like.

Speaker3: The Elon Musk.

Speaker1: And Dalai Lama. And. But that would be boring. [01:13:40]

Speaker3: Elon Musk, Einstein and Nelson Mandela making a lot of appearances on this list.

Speaker1: Yeah. [01:13:45] I mean, and then I thought, um, about people like, sort of Freddie [01:13:50] Mercury and Michael Schumacher, people that I’ve admired in my, you know, in my youth. [01:13:55] David Attenborough was one that I thought of as well. I think he’d be a very interesting [01:14:00] guy. But then I’ve also thought a lot of people say, if you meet your idols, you’re very disappointed by them.

Speaker3: Have [01:14:05] you met any of your idols? No, I’ve met 1 or 2 here, for instance. And [01:14:10] not always disappointed, man. Not always. Sometimes. Sometimes it’s great. [01:14:15] Yeah, but I hear what you say.

Speaker1: You know what I mean? I yeah, I’ve, like, I always thought, you [01:14:20] know, until Michael Schumacher had his terrible accident. I always thought he’s a guy I’d really like to meet because [01:14:25] I thought he’s brilliant at what he did. And he’s always come across to me as a very nice man. I thought he’s [01:14:30] someone I’d love to have a beer with in the future. Um, but then people said, oh no, no, [01:14:35] some people, when you meet like Michael, he’s very, very aloof. He’s very quiet. This sort of thing. He’s [01:14:40] not. He’s not who you think he’s going to be. And therefore, do you want to meet someone like that and be disappointed [01:14:45] by them because you’ve put them up here, you hold them, you put them on a pedestal, you hold them high in your esteem. Yeah. [01:14:50] When you meet someone and they disappoint you, you go, oh, yeah. So [01:14:55] again, like Freddy, I’d love to have met Freddy back in the day. I think he would have been a legend. Yeah, but, [01:15:00] you know, you read some stories about Freddy. Apparently a bit of an arsehole sometimes as well, you know? So [01:15:05] do I want to have a dinner party with people that might disappoint me, so I’d probably pick.

Speaker3: What have you come up with? [01:15:10]

Speaker1: Best mates and my wife. That’s it. No, no, of course [01:15:15] no, I would say, do you know what I mean? I don’t know if this is corny, but one of my [01:15:20] grandparents, who I never asked enough questions of when I was able to [01:15:25] because I was too busy wanting to go out with my friends and get pissed. Yeah. And I had [01:15:30] my grandparents. I had my grandmother around till I was in my mid-twenties, which is, you know, quite unusual. And [01:15:35] I never sat her down and asked her all the fabulous stories about the war. You know, she [01:15:40] was in concentration camps in Siberia and this sort of thing. And I never listened to her. She always wanted to talk to me. I [01:15:45] never listened. So she’s she’s someone I’d invite back, you know, if I could. Yeah.

Speaker3: That’s [01:15:50] two.

Speaker1: Okay.

Speaker3: Um, grandparents. [01:15:55]

Speaker1: Grandparents.

Speaker3: Yeah, there’s four of them. So three. We [01:16:00] could we can we can make it four if you want. All the grandparents, I thought.

Speaker1: Yeah. Okay. [01:16:05] So look, I, I don’t know is the answer. I mean, there’s lots of people I could think of, [01:16:10] but to finalise it down to three, I don’t know.

Speaker3: It’s so interesting when you say grandparents because we had [01:16:15] our kids, grandparents had my wife’s parents over with us in Christmas. Yeah. [01:16:20] And we were talking about this notion of, um, hardly anyone knows the name of their grandparents. [01:16:25] Grandparents. Yeah. And and why is that like, is it, I mean, and [01:16:30] I was saying to my kids that your grandparents are right here, ask them about their grandparents. And [01:16:35] they did. They did. But we were sort of reflecting on that question of almost even though the [01:16:40] person’s there and they were in touch with that other person. And, you know, it goes to this question [01:16:45] of regretting not asking the questions. Right. It’s interesting.

Speaker1: And it’s something [01:16:50] I’ve actually said to my, my children as well that, um, they need to spend more time with. They’ve got four [01:16:55] grandparents at the moment. My kids. Yeah. No one’s passed away yet. They’ve got four people. They could be sitting down [01:17:00] and asking questions. Right? Yeah. And they don’t. They just it’s.

Speaker3: The kind of thing you only figure [01:17:05] out once you’ve lost it sort of thing, isn’t it?

Speaker1: And I try I like my dad’s been on well this year, the last year and this [01:17:10] year he’s on the mend now. But it’s one of the things I when he became unwell, I said to [01:17:15] my daughter, you need to talk to granddad a bit more, you know, just ask him stuff. He knows [01:17:20] stuff that you can’t even comprehend, you know? And once he’s gone, all that information [01:17:25] is gone with him. So it’s one of the things I do, I do believe strongly in. Yeah.

Speaker3: The [01:17:30] final question. Yeah, it’s a deathbed question on [01:17:35] your deathbed surrounded by your loved ones. Yeah. And [01:17:40] you had to give him three pieces of advice. What would they be?

Speaker1: Oh. Hold [01:17:45] your head high in failure and be humble [01:17:50] in success. Um, one of my dad’s favourites. [01:17:55] Don’t tell people what you’re going to do. Just do it. [01:18:00] Don’t. Don’t tell people what you’re going to get. Just get it. Because if you don’t get what you’re telling me, you’re going [01:18:05] to get, you come across the bullshit. So just, you know, just do things [01:18:10] rather than tell people about what you’re going to do. And then I think the other one is, again, one of my dad’s [01:18:15] don’t buy crap. Always, always buy [01:18:20] the best thing you can possibly afford. Don’t buy rubbish, because if you buy rubbish, you buy it twice, three times, etc. [01:18:25] etc. something I’m trying to get through to my kids. They live in this very sort of, you know, Chinese throwaway, sort [01:18:30] of, you know, Chinese plastic throwaway stuff. If it breaks, just chuck it out, chuck it out. I say to them, when we were younger, we used [01:18:35] to fix things. No one fixes anything anymore. Yeah. You know, buy quality.

Speaker3: I’m guilty of shopping [01:18:40] on Tick Tock Shop. Unfortunately, I know I’ve suffered with it. I don’t know why I don’t [01:18:45] learn my lesson, but what’s amazing about it is how frictionless it is to buy one [01:18:50] button when it comes to your house. Um, we didn’t really touch on. I [01:18:55] mean, you kind of alluded to it right there. Why are you so low profile, [01:19:00] Pete? Is it on purpose or by mistake?

Speaker1: I’m just not a very [01:19:05] showy person. I, I’m quite sort of humble. I like to keep things. I’m deliberately [01:19:10] low profile. Yeah. I don’t like putting myself out there too much. [01:19:15] Like doing this. I feel I’m, I felt quite nervous about doing it. I don’t like.

Speaker3: I caught that [01:19:20] vibe from you when I asked you.

Speaker1: Yeah, yeah. I don’t like cameras in my face I don’t like. So I’m, I’m [01:19:25] quite, I’m quite sort of, um, quite shy by nature. Really. Are you. Yeah. So [01:19:30] putting myself out there was probably through choice.

Speaker3: But. [01:19:35] And now I’ve got to.

Speaker1: Try and get myself out there more for the course. [01:19:40]

Speaker3: Are you happy about it or are you sad about it? Because you look. I’m shy, I [01:19:45] wish I wasn’t.

Speaker1: Yeah, of course, I mean, I wish I was more naturally extrovert. Yeah, absolutely.

Speaker3: I [01:19:50] mean, and definitely you need to get out there more if you want to do a course. [01:19:55]

Speaker1: Yeah I know, yeah.

Speaker3: It’s, it’s of course it’s a very difficult thing, you know, to [01:20:00] keep it going for a long time. I take my hat off to people like, uh, Spear and Chris [01:20:05] and Chris Horn, you know, people who have been doing a tipped and people doing courses [01:20:10] for a long time. Yeah. And stayed relevant over a long period. [01:20:15] Um, because it’s very it’s great fun teaching. Let’s not get [01:20:20] this wrong. It’s wonderful, fun teaching those little light bulb moments what you said was [01:20:25] particularly pertinent. Right. We’re still in the area that you’re interested in and passionate about, but a different [01:20:30] angle on it and a bit of a change, you know, a bit of variety. Absolutely.

Speaker1: I don’t know [01:20:35] anything else. You know, like we talked about earlier, I started I made a decision to be a dentist at the age of 14. [01:20:40] I don’t know anything else. I, I literally if I had to have a career [01:20:45] change, I don’t know what it would be because I don’t know anything else.

Speaker3: Indulge us. What would it be? Not [01:20:50] not not what you’re good at. But what would I.

Speaker1: Like if.

Speaker3: Let’s just say alternate [01:20:55] universe, what other job would you do?

Speaker1: I like food [01:21:00] and wine. I think maybe something to do with food and wine. I don’t think [01:21:05] I’d like to be a chef because that’s. That’s hard. Food critic. Food critic. [01:21:10] Very good. Yeah. Wine taster, something like that. Um, I so I like things [01:21:15] like I say to my wife, there’s only two things I’m actually good at, and that’s fixing teeth and cooking. Um, [01:21:20] she agrees with me so she doesn’t try and, you know, say, no, no, you’re good at other things too. [01:21:25] But, you know, so if you had.

Speaker3: Half a day to yourself without any sort of expectation. Cooking, cooking, always [01:21:30] cooking.

Speaker1: Yeah.

Speaker3: Would you cook.

Speaker1: Everything and anything I like? I particularly like slow cooking stuff. So [01:21:35] get, get me, um, like a pork shoulder or something like that. Beef ribs. Yeah. Love [01:21:40] it. Absolutely love it. I got myself on those, um, barbecue eggs. The green ones. [01:21:45] Not the green ones. I got a black one, a black, a black egg and, um. Yeah. Charcoal [01:21:50] cooking. I love it. So this. I can’t wait for the sun to come out so I can start doing it again. [01:21:55] But that that sort of thing is just a huge, huge, huge hobby of mine. Amazing.

Speaker3: Thank [01:22:00] you so much for doing this, buddy. You’re welcome. Thanks for coming. Coming in as well to do having me. Let’s [01:22:05] go get a steak. Thanks a lot man.

Speaker2: This [01:22:10] is Dental Leaders the podcast where you get [01:22:15] to go one on one with emerging leaders in dentistry. Your [01:22:20] hosts Payman Langroudi and Prav Solanki. [01:22:25]

Speaker4: Thanks for listening guys. Hope you enjoyed today’s episode. Make sure you tune in [01:22:30] for future episodes. Hit subscribe in iTunes or Google Play or whatever [01:22:35] platform it is. And you know, we really, really appreciate it. If you would, um, give [01:22:40] us a.

Speaker1: Six star rating.

Speaker4: Six star rating. That’s what I always leave my Uber [01:22:45] driver.

Speaker3: Thanks a lot, guys. Bye.