are you looking for a podcast where you can hear from real people regarding their real Dental drama if so then
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you've come to the right place join hosts Bethany Penny and Dr Reena Kuba as
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we dive into the solutions we've created and the mistakes we've made while
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managing Dental drama let's get started hey lady you
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ready I'm ready well you need to ask am I ready for what AM ready for what I'm
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about to hand you my shoe oh jeice what oh gosh okay I told you when I saw you
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I'd be ready for my beating so I'll give you my own shoe you can smack in the head yeah yeah
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you can start whacking I'm ready I won't beat you I promise I've uh
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declared a no no beating polic no beating of my client's policy so that's good to know yeah yeah so you're safe
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put your shoe back on you're like please and this Booth put your shoe back on um okay so I thought this would be a
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good topic to uh discuss today because it's recent it is and uh it was drama in
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my office that neither one of us expected true true at all at all and I
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think that's where that whatever saying you have that um I don't create drama it
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just follows me like tell me that's not true for me me this not just follow me
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it is true it it definitely follows you in a crazy kind of way although I would
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argue by the end of this you're going to get out that maybe it was me that was
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instrumental in either the Inception of it and the whatever so I'll quit being
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cryptic here but uh just for our listeners um so this cloud of drama out
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of nowhere something seemingly benign to us and then it like mushroom clouded I'm like what the hell just
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happened but you and IH um did not come to the same
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conclusion resolu we did but then we somebody veered off
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course damn it don't know who that one perspective I suppose
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um I just thought we were still evolving in the resolution of okay well perhaps
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any who we have not talked about it because you went on vacay so I was like what better way to just unhash all of
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this right here unfiltered live and unfiltered because I figured see I I
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know you're not going to beat me in front of the audience there I don't know maybe you should leave your shoes sitting right here just in case we want
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to end the podcast that way okay that's fair um or you you'll use your tongue to lash me here over the next podcast
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time so um how do you want to start this you to say like like what happened and how well so I can start by saying that
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this is recent because I was in your office um for my for my monthly visit and we were I was pulling reports I
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hadn't been able to pull reports in really since January due to our uh
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compensation reviews in February and so I was eager to get into numbers we've
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made a lot of changes um over this last year in your practice and I'm always really eager to see the outcome of those
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results I've been particularly watching Trends related to the number the amount
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of our production that comes from uh treatment the amount of our production that comes from hygiene um because to me those are very
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strategic numbers to look at and I knew at the end of last year that I was leaning towards needing to make some
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suggestions but I wanted to confirm that we were on the same path this year which is seeing more
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hygiene um producing more out of hygiene than out of treatment and those numbers
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were overwhelmingly confirmed when I pulled them uh when I was at your office
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so I shared that information with you said hey you know I want to show you these Trends so you'd popped up we
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looked at the numbers together and I said hey based on this I think we need
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to make ourselves very available for Hygiene time uh you and I have talked about this even on the podcast I tend to
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function in a feast or famine mode and that has not always been the case it was just after the pandemic that I really
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switched gears to that I was always like there should never be a feast or famine it should just all be perfect production
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throughout the year and then Co totally obliterated that so can you elaborate more on what you mean by that so Feast
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to me is like when we have the opportunity to produce and make money we
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should take every full advantage of that because we don't know when there's going
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to be a famine around the corner and we don't have patience we don't have the ability to produce so uh some people
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will say make make hey while the sun shines is another way of saying it so it's it's just take advantage of the
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opportunities that are given to you and uh for pedo in particular to me those
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are going to be you know some school breaks school holidays
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afternoons things like that and so um when to to kind of make this clear when
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you've got a heavy treatment produ in a practice it covers a multitude of
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sins meaning you can you don't have to feas your famine
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if you've got a strong part of your income coming from treatment you have a lot of control in that oh you need you
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know four crowns we can do that on Tuesday at 1:00 and that's it take it or
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leave it you know because those four crowns are essentially going to cover the production for the entire day
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sometimes for some practices for the entire week and so treatment neutralizes this feas
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or famine type mentality but when we're lower on treatment or a smaller
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percentage of our production is coming from treatment which is very common right now I will say
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um it's been interesting to watch Trends but a lot of the practices that I work with are experiencing over these last
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few months actually lower uh treatment acceptance so it's like we started January with a bang and a lot of people
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had a really good January but then it started to taper off towards the end of January and they're functioning kind of in a low treatment mode right now which
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is fine for your practice it was more of a consistent Trend that I've been
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watching really for the past year and didn't want to make any suggestions until it was confirmed that yes more of
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your production is coming from hygiene and when I looked at numbers that was very much confirmed so um so can I can I
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interrupt you maybe we don't need to get these weeds but I'm I'm just being very uh dumb here with I still don't get it
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like why is it not still if you have four crowns we still need to maybe be
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open on times that you are that P that those patients want to come in to get
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that treatment done because they don't want to miss work and they they going to come after work or they want to come on a Saturday or something so I think
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why or maybe I'm just thinking that in Dallas there's like five dentists at every corner so so like if I don't have
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the availability at the bougie time you want somebody one of those four others
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will y so which is a feast or F and mindset right so and there's nothing
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wrong with that mindset um but I do think when the numbers of a practice are
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showing we've got consistency in production we've got consistency in
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treatment production there is a different category there that I think is important because treatment is always
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higher producing if we can show that we've got consistency in that category
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we have a lot more playing groom we have less pressure to get this volume of
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lower producing items in on the schedule cuz Hy and preventative and if you are
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having higher production from treatment then whatever you're doing is working so then why do you need to correct flip
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your hours or flip your days and correct yeah um so in your particular practice
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I've been watching this for a while was overwhelmingly convinced when I was there
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um uh whatever it was a couple weeks ago that ultimately we need to move into
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feast or famine mindset now your practice has always had a great schedule it's one of the highlights of working
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with your practice um when I'm talking to people about your you know coming to be a part of your team I'm always like
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man the the schedule's fantastic it's pretty much four days a week um and um
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two of those are short days and two of those are quote unquote long days when I say long days it's basically 7 to 4 um
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and so one of my um first suggestions to you when we talked was hey these school
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holidays that we add those are always short days I think we need to lengthen those I've been listening as I've been
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pulling reports this morning I've been listening to the ladies have to turn people away for school holidays and to
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me that's one of the first changes that we can make but also I think we need to
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extend one of our short days um so historically several years ago or a couple years ago the Tuesdays were not
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short days they were regular days and we um decided as a team yeah we'll scale it
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up we were ending that day at 1 I believe um and skipping lunch and kind
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of just working through and so I said to you I said I really feel like need to add um a couple hours back in on that
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day uh I think we need to have plenty of availability for Hygiene appointments so
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shifting to that feast or famine mindset like we need to open up we need to make
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ourselves available um so I'll stop there and let you kind of chime in well I'm going to
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say from my view point what happened was um so to me uh I I agree with all of
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that but when I came to you that day uh I'm I'm going to get us in the weeds here a little bit but that day I was
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about to actually leave yeah I had my bag I had I had changed already out of Scrubs into my street clothes and I was
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about to leave well as I'm about to leave a comment was made in the back
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that really frustrated me and I uh from a team member and anyway so I came up to
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you to go hey heads up she's going to um she's going to at you about this
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situation and I think she's being ridiculous and I don't want to deal with her right now so just heads up this is
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coming so we started dialoguing that and somehow that segwayed into this we need
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to do this longer day and so to me I was like yeah yeah yeah that's fine that's fine like that should be fine like but
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that honestly wasn't even on my radar as anything really it was more can you get
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this team member under control because she had already made similar comments
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the last time you had been there and um and I took her comments very personally
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because I know they were directed at me and anyway so that's a whole another topic but in my mind this whole schedule
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thing I was like yeah yeah whatever and but can you can you get her like rained in on this and so to me it made sense
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and obviously you've been tracking the numbers and you're telling us like this is what we should be doing um and in my
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mind in that quick moment like the feast or famine made absolute sense I think um
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I knew the reason that we had shrunk up the Tuesdays was 1,000% me there had
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been no strategy behind it it's like when the old associate left Tuesday was his full day well now I had to take over
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Tuesdays and I didn't want to be there full day so we just did a short day and I was happy there's no strategy involved
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in that whatsoever and in my mind I'm like well that still leaves us Wednesday Thursday Friday with two doctors there every day and we can just jam-pack and
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have availability then which was again not strategic because most of our
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patients prefer to come in the afternoon but we have played with come in later
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stay later it didn't really work out um because a lot of the parents are like no
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no no I have to have this after school appointment but then they're the ones cancelling because they forgot they had karate or whatever so our patient base
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is very fickle like that and so I think in my mind at least it's very much like
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this is when we're open take it or leave it and I've gotten away with that
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because you know there hasn't been new competition that's coming in a while I've got a reputation of where I am so
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I've been kind of spoiled and so they do they come when we tell them to because they want to continue coming to our
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practice and they make it work and figure it out um but to me when you suggested that I was like that makes
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total sense we're about to onboard another associate who's probably going to want a full day so that makes sense for him
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and I guess in my mind and I think for you too we just did these comp reviews and people were like oh we would love to
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work more we had several people that were like oh can I pick up more hours yes and so to me this was like yeah yeah
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yeah that's fine so I think I didn't think anything much of it and then I took off and then I guess you um told
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the team the news and all of that and then was it did you call me and tell me that the one that we thought would have
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issu with it I think that's what you were giving me the heads up you're like this one there was only one person that
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we knew would have kind of an issue but even that I was like I don't think it's going to be an issue because she already
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has been saying for the past month hey I'm about to move further away my comm's going to be harder I may not come to
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work every day I may need to adjust my hours so in my mind this was like okay well you're adjusting your hours anyway
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while we're adjusting let's keep adjusting and yeah so to me I didn't
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really think anything of it and then you told me this one was you know going to be upset and and I was like okay yeah I
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mean I kind of anticipated that but I kind of was like well she was already squawking about this anyway so it's
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neither here nor there but could she squawk loud enough to get the others
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going so I kind of was like hm but then in my mind I really thought was like no not really because people want hours
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people want hours yeah and more to the point I guess to me where I was like when have we ever recommended something
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that we didn't think through yeah and so we have that culture of if Bethany says this and this is what we're doing and
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there's a reason for it we're going to try this out the other part of me went
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what other office is stupid enough Medical Dental coffee shop who is stupid
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enough to only be open two full days out of the week oh that would be me right
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but we've made at work and so I'm like adding a third day yeah of being you
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know a three out of five like it's still such a bougie cushy schedule yeah so I
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just didn't anticipate anybody blinking it on yeah cuz we were talking about a difference of ending at one on that
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Tuesday versus ending at 4 yeah and I was like such a minimal change it's such
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a minimal change it's like whatever oh Nelly like so I I kind of was like what
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just happened here because I think somehow who who was it one of the team members
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um messaged me and said something like oh but you know what was what what was
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the reason for this and she's not one that usually questions she's usually on board and um so then as we kept
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dialoguing I was just shocked because she's always been the one who's like I'll work Saturday I'll yes I'll do the
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Halloween booth at 7:00 on Halloween like she's always been just gung-ho and I'm like and and she's the one in comp
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reviews too and said she wouldn't mind picking up more hours so I just was really baffled I'm like what is is going on like did squawker already affect you
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like it was that fast um and so I just kind of thought huh and that's what I
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assumed was that squawker was just kind of squawking and ruining the pool well then come to find that there's the other
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one that's super chill and always asking for more hours and she's upset and then
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the other one who's like well can I and I'm just like what is happening here like how could this have gone so fast I
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don't I mean squawker a squawker but I don't think that's the only thing behind this like what is going on so I just was
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like okay I'm I'm not getting involved in y'all's temper tantrum it's just a change and honestly globally everybody
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having to go back into the office like that's a thing now and all of that so it's a big change from what you were
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used to and people will get used to it yeah it's it's just different and it's inconvenient to rescheduled and
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restructure but honestly we're not the only business doing it like the federal government's doing it Taco Bells doing
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it right like so it's it's so I was just like they just need a minute yeah so I was like okay I'm not going to say
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anything just kind of keep going well then two days go by and then I've got
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one team member that's out on maternity and I needed her to know something I had a question for her whatever so I text
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her like oh by the way like this is happening in the summer when you get back and then we change our hours here
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and then I asked her the question and she came back at me with may I ask why
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and time away from our families and all of this and I was just like what the
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hell like I'm not asking you to stay till 8:00 p.m. I'm not asking you to come in on a Sunday yeah our last
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patient appointment slot is still 3:00 which is still stupid for any dental office that's your last patient
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appointments three so that we're walking out by 4 like do you realize most Medical andal Offices have appointments
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till like 4:45 yeah what is y'all's damn problem so I was just like y'all are
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having a little fit and let y'all have your tantrum like I don't know what to tell you put your big girl panties on and move on so I was still in Camp
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Bethany at that point you're like when did you turn and switch on me well so again I was like okay I'm going to let
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this so then the weekend goes by I want to say it was like a Tuesday a Monday Tuesday whatever it was and we get a
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text from the person on maternity out of nowhere cuz this time I didn't reach out
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to her she just messaged me she's like hey you know good morning um I'm sure you and Bethany have thought through all
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of this but just I thought I had some other suggestions that maybe y'all could consider and so her other suggestions
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were you know maybe open five days a week but shorter days which I thought was quite funny because she only works
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two days or three days a week so you want me to put everybody else in the position of having to come five days a
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week and pray tell how did that help anything and by the way in all of these messages I'm like we we need to our
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patients come they want School holiday so we need to I was trying to explain
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the feast you know concept concept and I guess they were kind of arguing back and
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going well you know they they still it's not like you know summertime they'll
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come whenever cuz the kids are out of school so we don't need to be open later in the summer and whatever so honestly I think
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that's kind of what made me start switching cuz I was like you know they kind of have a point and then the other thing I guess was me going going when it
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looks like if we're open from 7 to 4: that we're adding in all of these
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appointment slots as opposed to being closed at 1 so fair 3 hours worth of appointments is
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significant however when we stop at 1 we don't take lunch so it's actually not
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three hours we're gaining it's really only two cuz we're going to have to stop and take lunch and then I thought really so for that extra hour is isn't really
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worth it in the summer um because we do pack in we are a very
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efficient office so what we can get done but because it is all hands on
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deck but I prefer to run that way right I think the average person coming in
20:43
would be like this is why we don't like pedo this is a complete show going on here but to me we love that show
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right and and not all pedo functions that way but a lot of us do um and so I
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kind of just was like they they kind of I have a point like if the point is to get our patients in when they want to be
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seen true in the summer they'll come whatever hours we have we just need to make sure we have enough hours we're
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onboarding an associate that we're going to make be there more we've added some Mondays um and really like even if we
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did like on a school holiday stay open till 4: there's still going to be a lot of people that aren't going to get in
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because they waited till the nth hour so I was like is this really the hill that I want to die on because I guess in my
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mind I was like I'm getting so much backlash from people that I wasn't expecting to get backlash from and when
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I thought about it I was like okay of my team of eight that come into the office
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two live within 20 to 30 minutes six
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live far and it's going to impact six people on my team who they're still going to come because it's still a good
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culture and all of that but I do start thinking well might they pick up days
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that are closer to them that's kind of across my mind and I'm
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like at this point I could see where you're coming from like maybe I just let
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them settle in but the other part of me went okay why maybe this is an opportunity for me to go okay I'm
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listening to you I'm going to compromise on the hours and kind of buy myself a
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card if you will to play later um because to me I'm like I I kind
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of see it from both sides yeah and so I think I just cuz to me it's going to be
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more important in the fall to be open full day right because nobody come
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people come in from 7 to like 9:30 and then we have a huge lull and then it starts back again 1 to 4 so at this
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point if I've planted a seed to kind of warm them up like this is where we're headed um and now I've compromised and
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said okay for the summer I see your point but maybe in the fall we probably are going to have to change it so given
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them I think that's what occurred to me then I was like oh Bethany this is maybe where we may have missed a moment which
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I've done it to myself but because I because of our Leadership Model you and I usually touch base with a few people
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yeah and say what how are people going to receive this I think both because one you had been thinking about making a
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change for a while yeah um and in my mind I didn't think it through because
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the whole moment that you and I talked about like normally we wouldn't have had that conversation I just to literally walk down the a
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comment itritated me I came to to you and we ended up engaging right then that
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in a way it could have been a rash decision but you going no it's not a rash decision I've been pondering this
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for the last 6 months for me going okay I could see both sides of this yeah I'm going to do whatever you suggest and not
23:51
thinking that it was that big a deal to add 3 hours on to a day thinking that the majority of the people would be
23:57
happy to have extra hours so I just think in all of that I was like shoot we probably if we had done it
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the normal way where you would have come back with your meeting notes and you would have said here are some of my suggestions and then everybody could
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read it and see it in real time and they could all like prepare their thoughts and we could dialogue about it and come
24:17
to a consensus maybe it would have been better received yeah so maybe we missed them mark because we have a culture of
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talking about things before we make a decision in this case again for all of the reasons I just said I think the
24:30
decision was just made but maybe that they were like what the hell just happened here yeah um and you and I
24:35
going this wasn't a major decision but to them it was yeah I think you and I would have had more uh heads up and
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maybe would have tweaked our approach a little bit if we had anticipated the backlash um and so for me in that moment
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I was like okay six of my people and I I guess what they're saying is they don't
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it's not that they have a problem with working it's just getting done at 4:00 is a huge difference than getting
25:03
done at 3:00 from a traffic perspective and with six of them coming from somewhere further away if if they left
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at 3: and they sit in 45 minutes of traffic that's what they're used to but if they leave at 4: 4:15 now they're
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going to sit in an hour and a half of traffic which in the summer when they want to spend time with their kids and
25:21
do whatever which again I go back to I'm sure your your comment's going to be like please I was just thinking you know
25:27
how you always play the card of like okay well let me like shoot it to you straight I can guarantee you every
25:33
listener right now is like are you flipping kidding me like this team has a problem leaving at 4 that is 400 p.m.
25:41
just for listeners to know so yes there's a part of this that that's like what in the heck you're like your team's
25:47
upset about this but I think to your point it was a change for them that they
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prefer to leave earlier in the day to completely Miss Metroplex traffic which
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does start around 4:00 so they're that's making a potentially 45 minute difference starts like around 245 if to
26:07
be real but neither here nor there like I think for me at that point the the end result is and I will agree with every
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listener like you just said have I do I have a spoiled team yes whose
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fault is that mine I have Des spoiled brat children I have done it I have
26:25
created this monster and now I'm the parent who's not F you know uh
26:30
fulfilling the you know if you if you don't behave I'm going to take your tablet and they didn't behave and I give
26:36
them their tablet like I am that parent I I am I am perpetuating this and I see
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that but I also see some of the things I've just said and in my mind I'm like
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okay honestly I'm spoiled do I want to be the one who wants to be there till 4:00 on Tuesdays no I don't either so
26:55
let us compromise this a little bit so instead of finishing at 1 on Tuesdays we're going to finish at 2ish and it
27:02
still was we were still able to add on at least 10 more um appointment slots yeah and not take lunch and I've always
27:09
hated taking a lunch to me I lose steam over lunch I'd rather just go and be done and so I was like okay so that
27:15
suits my style more too um but I bought some Grace and time to go okay I'm going
27:21
to compromise with you people but this is where the ship is headed and they're
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still not going to be happy in the but at least I'm thinking I've I've bought
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some I've I've bought some like whatever good Goodwill yeah and so one of the
27:37
people who was who messaged me and said well why can't we try these things and um so when I put that out there I
27:46
was like hey guys you know um your lead your team leads have conveyed and
27:52
advocated for you guys so I I'm not going to say um you know we're not making any changes the these are the
27:58
changes we're going to make uh so I'm compromising with you we're going to be open a little bit later but we won't
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stay till 4: and break for lunch like we'll um we'll go we'll you know adjust
28:08
it that way so I'm compromising um but I am not promising anything in the fall and so she texted me separate and was
28:16
like this is why I love working for you because I feel like my voice is heard MH and in my mind I'm like you got your way
28:24
you had your tantrum and Mama gave in Mama gave you your tablet but you know what mama's going to remember this cuz
28:31
Mama kind of wanted you to have the tablet anyway so Mama could go take a nap but um Mama understands that that's
28:38
not good parenting and she will pay more attention and prepare herself better um
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because in my mind yeah once associate comes on board in the fall and Mama doesn't have to stay till four but the
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rest of y'all will right like but I think at this point then it gives you and I some time to go okay we're
28:56
compromising with you spoiled rotten children but this is and then I think it it's
29:01
bought us some leverage that's the word well and to me it's like it just shows
29:06
it is a perfect little nutshell of this microcosm of what happens in so many
29:14
practices across the world honestly it's this perfect little snapshot of the
29:22
tension that practice owners are always in where you you've got this data that
29:30
you feel like you need to be able to make decisions on for the for the betterment of your practice um you want
29:36
to be available to your patients so you've got your patience on your mind
29:41
but then you've got your team that you're like oh I'm limited on what I can do because of my team it really is just
29:50
this constant tension of being pulled in so many different
29:55
directions and this one really in the grand scheme of things
30:01
it's one small decision that when you think about it was heavily waited on
30:07
what's best for the practice and what's best for the patience and we thought and again this
30:14
goes back to how to go back and do things differently we thought based on the recent comp reviews that it was
30:20
going to benefit most people on the team because it would have given them more working hours based on what they said we
30:26
were like okay there might be a couple that don't like this but most are going to appreciate the extra hours so in our
30:32
thought process it was a win-win win but really what ended up happening
30:38
is it became evident that it was not a win for the team and so you're back in
30:44
that tight rope of okay do I push forward knowing that this is better for the practice in the long H Hall better
30:50
for the patience in the long hul or do I go oh wait a second I'm going to have my
30:56
team pulling against this I need to pause and re reconvene and figure out
31:02
what I need to do so to me it's just a perfect representation of that tension I
31:08
hate it for practice owners because it's the tension that they're always in like it is this I it to me it was just the
31:16
perfect example that came up and I hate that it came up because it would have been so nice if it would have just
31:22
turned out to be a win-win win but so many times practice owners are having to make these decisions and all of a sudden
31:28
they're hit with the fact that oh wait this did this didn't go as I wanted it to go and often times it really is um
31:38
surprising how often it is the team that is the the hold back or the true barrier
31:44
in making some decisions I think if practice owners could just be freed up which they can't they cannot but if they
31:51
could just be freed up to only make decisions that are in the best interest of the practice and the patience I will tell you decision would
31:58
be easy like it's just at that point it's just mathematical like you just
32:03
look at it you look at the feedback from your patients you look at availability you look at practice Trends and numbers
32:09
and you're like the path is clear this is what we have to do but there is always the team that comes into the
32:15
equation and this is a perfect example of where the team the team had a strong voice they
32:22
made their voice known and as a practice owner you have to take that into the into the equation which you know and
32:29
that's where I went back and forth going I and I and I said it to to you know several of the team leads who were
32:34
advocating and I said I do not understand I am not asking you guys to
32:40
stay later like in the evening I'm not I didn't do it on a Friday like it's I'm
32:47
not say because we our short days are Tuesday and Friday and and the Mondays that we do work those are short days too
32:54
I'm like so it's not like I've taken away like I could see Friday people losing their minds I I could see that
33:01
although that probably would be the best thing for the patients it is Friday health of the practice that would be
33:06
best but I wouldn't dare touch that so I'm like I don't get it it's a Tuesday we're already there late Wednesday
33:13
Thursday it's not 5 days like you people are spoiled and I need you to stop having your tantrum pull it together and
33:20
do what's best for the practice and no matter how much I said that to which of
33:27
you know all of the these like really smart people who do have my back and who are not opposed to change for them to
33:32
still be all pushing back I was like okay well once again you did it you
33:38
spoiled them and so now what do I do so I made the compromise and then I've been
33:44
scared of you since well friends I hate to do it to
33:50
you but I'm going to have to leave you on a cliffhanger Dr Kuba and I talk for another 35 minutes on this subject
33:57
matter and we get into some very practical advice for practice owners wanting to
34:03
make decisions for their practice and how to go about doing that in a way that
34:08
really is win-win-win so if you want to hear the last 35 minutes of this conversation you're going to have to
34:15
subscribe let this be the kick in the pants that you need to finally take the
34:21
step go and subscribe today and get access to this content this bonus
34:26
episode as well as the digest I have no doubt that it's going to make a huge
34:32
impact in your professional life