Let's Talk Teeth

Stepping Into Private Practice from Residency w/ Dr/ Brendan Gallagher

• Saadman Alamgir

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In this episode of "Let's Talk Teeth", we dive deep with Dr. Brendan Gallagher, who shares his experiences and insights as he transitions from residency to private practice. Dr. Gallagher details his journey through dental school and oral surgery residency, including his experiences of clinical rotations, challenges he's faced in the dental field, and his upcoming plans to start his private practice life near his family. Listen in as we discuss the latest in dental technology, the impact of AI on the field, and the intricacies of managing a modern dental practice, including the economic pressures of the healthcare industry. Brendan also shares personal anecdotes about his experiences with patient care, the importance of a supportive community, and his future plans. Tune in for an engaging conversation packed with practical advice, future-forward thinking, and personal reflections.


00:00 Introduction and Welcome

00:29 Dental School Memories

01:18 Transitioning into Private Practice

02:00 Living Arrangements and Practice Location

03:10 Specialization and Referrals

07:43 Residency Reflections

27:29 Travel Plans and Europe

30:42 Watch Talk and Personal Interests

37:47 Travel Stories

39:19 Summer Plans & Start of Clinic

40:26 Dental School Experiences

41:43 Career Paths and Fellowship Decisions

46:55 Staying Active and Hobbies

51:05 Challenges in Dentistry

56:30 Reflections and Future Plans

01:05:35 Final Thoughts and Farewell

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Victor Razi:

Sweet.

Saad Alamgir:

guys. What's up? Welcome back to our podcast. Lets Talk Teeth and Brendan's. I'm sure everyone's aware of Dr. Gallagher. Brendan, how you doing, man?

Brendan Gallagher:

Good. Great. I was just telling you guys about the day we got the cow, the computer

Saad Alamgir:

Yeah.

Brendan Gallagher:

and

Victor Razi:

Yeah.

Brendan Gallagher:

thing was a quick implant procedure that had very little bone, but it all went well. Nothing broke off.

Victor Razi:

Nice.

Brendan Gallagher:

luckily got

Saad Alamgir:

I

Brendan Gallagher:

in there and called it a day. But how are you guys

Victor Razi:

Yeah.

Brendan Gallagher:

how was today

Victor Razi:

Today was, oh yeah. Let's be honest here. Today was good until about one o'clock, and then we had, and then we had RPD lab, so we had to put wax on a base plate. You remember those days?

Saad Alamgir:

dude.

Victor Razi:

Imagine that. Yeah.

Saad Alamgir:

Yeah, I'm scared for the day I get a patient who needs any type of denture.'cause oh my gosh, it is so archaic. The stuff we do, out these base plates, trying to put wax on, making it a clue, all the little things that can be just automated with a computer. It makes you think about that every single time you're in lab.

Victor Razi:

Crazy work. Crazy work.

Saad Alamgir:

yeah it was a long day.

Brendan Gallagher:

yeah,

Saad Alamgir:

Burned my finger, got super glue on my fingers, but maybe one day it'll all be worth it.

Victor Razi:

Yeah. Yeah.

Brendan Gallagher:

maybe.

Victor Razi:

Brenda, you have two months left. And I'm sure a good bit of your listeners know, but you're going into private practice right after, right?

Brendan Gallagher:

Yeah. I'm gonna be, I'm gonna try

Victor Razi:

I'm

Brendan Gallagher:

Private. Yeah.

Victor Razi:

right. I know you're super stoked for that. It's probably been a long four years, so

Brendan Gallagher:

It's been a long, it's been a long, four years. They say you like when you get there, it goes by quick and,

Victor Razi:

I.

Brendan Gallagher:

it didn't go by quick. Not at all.

Victor Razi:

I, yeah I can imagine. So is, this is a big transition. You're going from making a resident salary to now hopefully like having a better income, a better lifestyle really just kind of getting back to the real world to an extent. So have you have you like decided on where you're living and stuff like that, or how's that going?

Brendan Gallagher:

I, that's a great question. I actually took a, like a much more simple approach. The plan is I'm gonna buy my dad's house, the house I grew up in,

Victor Razi:

Nice.

Saad Alamgir:

I was sweet, man.

Brendan Gallagher:

or I'm

Victor Razi:

Yeah.

Brendan Gallagher:

the house I grew up in and try and

Victor Razi:

That's awesome.

Brendan Gallagher:

do the kitchen here one year, just like my parents did when I grew up,

Victor Razi:

Yeah.

Brendan Gallagher:

nothing

Saad Alamgir:

Yeah.

Victor Razi:

Yeah.

Brendan Gallagher:

and I, I'm gonna be, the reason I could do that is I found a practice that happens to be 25 minutes away from that house.

Victor Razi:

That's awesome. I.

Brendan Gallagher:

which is to, to full swing, I, I could go out to Wisconsin and get a contract that's two to three times as much, right? But

Victor Razi:

Yeah,

Brendan Gallagher:

but it's. I don't know. We, as you get older things like, life just gets more complicated, especially in the hospital, especially during residency. And

Victor Razi:

sure.

Brendan Gallagher:

looking for simplicity. And I

Saad Alamgir:

Right?

Brendan Gallagher:

gonna be a great way, get back to the roots. I'm going back to my home neighborhood.

Victor Razi:

Right.

Brendan Gallagher:

know people there and recognize them.

Saad Alamgir:

Yeah.

Brendan Gallagher:

and it's

Victor Razi:

That's awesome.

Brendan Gallagher:

kind of pack it in a little, not pack it in, but Get back to the roots a little bit over some appreciation, some gratitude. And then I kinda wanna see how that chapter pans out and,

Victor Razi:

Yeah.

Brendan Gallagher:

with that comfort the private practice, I think Being in that area I'll, it's like I'm from this area.

Victor Razi:

Sure.

Brendan Gallagher:

You

Saad Alamgir:

Yeah.

Brendan Gallagher:

implants. Let's do this.

Victor Razi:

Yeah.

Brendan Gallagher:

I don't

Victor Razi:

That's awesome. Yeah. So do you do you have a lot of buddies there, friends that are gps in that town or how's that? Or at least a couple.

Brendan Gallagher:

Yeah. I do have

Victor Razi:

Yeah.

Brendan Gallagher:

older gentlemen older dentists and then, and there's some friends on Long Island, but

Victor Razi:

Right.

Brendan Gallagher:

it was actually my dental school was. 20 minutes from my house. So like

Saad Alamgir:

Stony bear. Yeah.

Victor Razi:

Oh, okay.

Brendan Gallagher:

but not, Out there in the

Victor Razi:

yeah.

Brendan Gallagher:

but not as You, you'd think,

Victor Razi:

Yeah. I'm just thinking like you're doing specialty practice and a lot of your patients are coming based on referrals. Is that something that you're, I know you're, I don't know your situation and your contract, but do you have to go out and find these referrals or is the practice already set up? How are you anticipating that?

Brendan Gallagher:

It's gonna be, it's gonna be I'm gonna have to go out and get them. There is a good referral network. I also, That I looked at I could tell you the number. Like I'm gonna be, I really look for percentage not sign on salary or sign on

Saad Alamgir:

Right.

Victor Razi:

I.

Brendan Gallagher:

that's that's a fixed number. It's important for the first two years, but the most important thing is the percentage. So A place that's 40%, which is

Victor Razi:

Nice.

Saad Alamgir:

Nice. Yeah. That's great.

Brendan Gallagher:

Yeah, the the practice is situated right in the middle of Long Island, so It's also right about halfway in the bottom and it's on highways going both ways, so anyone

Saad Alamgir:

Oh yeah.

Brendan Gallagher:

access it?

Victor Razi:

That's awesome.

Brendan Gallagher:

Yeah.

Victor Razi:

So pretty well established practice already,

Brendan Gallagher:

yeah. And they, he just renovated like a few, several years ago, I think. So it's like up and running, man. It's a good spot,

Victor Razi:

And this is a side quiz, but the guy remind me of his name. Is it Dr. Cha? It's with a C, right? That your chakin. He, did he like buy a practice while in residency or something? I remember listening to a podcast one time,

Brendan Gallagher:

He did he was, he did a GPR residency or non-Cat GPR and then a at Kings County.

Victor Razi:

right.

Brendan Gallagher:

he did, he bought a practice either his intern year or the year just before that, which is incredible. And then ended up like partnering up with another attending. I, dude, the guy's a

Saad Alamgir:

That's,

Victor Razi:

he sounds like crazy work, honestly. Like he is, he sounds like he did it all,

Saad Alamgir:

Yeah. That's crazy. At your new practice, what are you kind of looking to specialize into? Are you gonna just kind of do whatever comes in your chair? Are you gonna look to do more wisdom teeth implants? Kind of what do you expect your day to look like as you transition out?

Brendan Gallagher:

mostly dental Vela. I love the clinic setting. Working. We, I work weekends for myself and side companies and stuff. I

Victor Razi:

right?

Brendan Gallagher:

at the office in the clinic on weekends. I

Victor Razi:

Yeah.

Brendan Gallagher:

clinic. During

Saad Alamgir:

Right?

Brendan Gallagher:

do not I found, I don't really like the, or I don't enjoy it. It takes 30 to 45 minutes to turn over a room. that You could see a maximum, what, five surgeries in a day. Maybe you were in two rooms and, but it's like

Victor Razi:

Yeah.

Brendan Gallagher:

you can't even get that many orthognatic.

Victor Razi:

You like that quick pace, just let's get things done. Yeah. I'm the same way. I'm similar.

Brendan Gallagher:

Yeah. You're gonna find yourself twi your thumbs for 35 minutes in between or cases and it's, and then you finally start, they're finally ready to go. You get the patient in the room and then it takes 20 minutes just to. 30 minutes just to get'em asleep and then all prepped and draped and everyth. I don't know, man.

Victor Razi:

Yeah.

Brendan Gallagher:

it's for some people and you need to do that for a bunch bigger surgeries, but there, there's just Wasted time. It's, we, it's wasted time. And guess what, like surgeons aren't, they're getting like 50% of what they should be getting for this procedures. If you based the trajectory over time, with inflation Cost of materials. The treatment itself, the time, the OR staff. Yeah. I,

Saad Alamgir:

Yeah.

Victor Razi:

Are you anticipating, you're like, what are you anticipating like your first big purchase to be when you get out? I know you've been thinking about something like maybe a really nice watch or like a, I think he men

Saad Alamgir:

the house

Victor Razi:

he mentioned traveling I think too, at some point.

Brendan Gallagher:

yeah, I'm gonna go to, gonna go to Europe in over the summer

Victor Razi:

Okay.

Brendan Gallagher:

that's just me and my girlfriend. I

Victor Razi:

Yeah. It's due.

Brendan Gallagher:

literally

Victor Razi:

due

Brendan Gallagher:

travel. We gotta, Jesus. Oh

Victor Razi:

travel. Travel. Yeah.

Brendan Gallagher:

yeah.

Saad Alamgir:

yeah.

Brendan Gallagher:

Travel. Yeah, the house is gonna be important. I wanna get the cyber truck. I don't want it to be like the big purchase kind of thing though.

Saad Alamgir:

Oh man.

Victor Razi:

Yeah.

Brendan Gallagher:

like good, like mileage kind of thing,

Victor Razi:

Yeah.

Brendan Gallagher:

safe.

Victor Razi:

a controversial vehicle. You know that, right?

Saad Alamgir:

for

Victor Razi:

Some people don't like it.

Saad Alamgir:

be turning heads one way or another.

Brendan Gallagher:

likes the, I know no one likes Tesla right now. No one likes the cyber truck.

Victor Razi:

Yeah. I like the cyber truck. I'm on team cyber truck.

Brendan Gallagher:

I'm not gonna get it. I'm not gonna get the aluminum looking thing. I'm gonna get an all black, I'm gonna get a glossy black like Shaquille O'Neal did.

Saad Alamgir:

Yeah. Keep it classy. There we go.

Victor Razi:

Yeah.

Brendan Gallagher:

glassy,

Victor Razi:

Yeah. No,

Saad Alamgir:

sweet.

Brendan Gallagher:

guys saw it's

Victor Razi:

that. I saw the video with what was it, the bone arrow? What? What'd they do? They shot it or something?

Brendan Gallagher:

it's actually bulletproof. Yeah. It's an exoskeleton. Thing's crazy.

Victor Razi:

Yeah.

Saad Alamgir:

gosh, that's nuts. Brendan, as you as you look back on your four years of re of residency at NYU,

Brendan Gallagher:

Yeah.

Saad Alamgir:

I guess it's easy to say like it was the right decision. Look, looking at it from four years backwards, but just how would you describe your four years of residency? I know that's a loaded question and it's tough to give just one answer for it, but how'd you enjoy it? I guess not enjoy it, but how much did you learn?

Brendan Gallagher:

I enjoyed certain fragments of it,

Saad Alamgir:

Yeah,

Victor Razi:

Yeah. Presents and cons.

Brendan Gallagher:

I really liked working at the VA clinic'cause at the va one, if they're full service connected to the veterans, they get everything paid for. And that really helps

Saad Alamgir:

Nice.

Brendan Gallagher:

implant cases. So I got the greatest

Saad Alamgir:

Yeah.

Brendan Gallagher:

cause when I started there. We luckily the VA clinic, they recruited big oral surgeon, literature guy, big on all INX cases. Originally came out but he essentially opened the first clear choice on Long, long Island and worked there for a couple of years. So he's big on all implant, all on x implant cases, zygomatic implants,

Saad Alamgir:

Wow.

Brendan Gallagher:

And I got best implant experience that I could imagine.'cause it was just one-on-one time. Me with him

Victor Razi:

Yeah.

Brendan Gallagher:

two days. It was only two days a week, but it was like six months, five, it was five

Saad Alamgir:

Yeah,

Victor Razi:

Awesome.

Saad Alamgir:

that's priceless.

Brendan Gallagher:

that was excellent. I've done over 20 arches in my la basically the last two years.

Saad Alamgir:

Nice.

Brendan Gallagher:

so I got very

Victor Razi:

Yeah.

Brendan Gallagher:

regard.

Victor Razi:

That's awesome.

Brendan Gallagher:

call how short staffed we are. Couple other things. It's,

Saad Alamgir:

Yeah, just all the

Victor Razi:

Understandable.

Saad Alamgir:

that come with it.

Brendan Gallagher:

yeah.

Victor Razi:

understandable. That is a big thing that I've noticed Brendan is like, with all these, uh, procedures that a lot of guys are into, like all NX and all that, it really does suck that, uh, it's a big financial burden and these hospitals aren't, uh, there, it's really hard to get that case to be accepted and treated.

Brendan Gallagher:

It is, it

Victor Razi:

so that is fortunate that you had the VA opportunity, um, with Bellevue or through, through your school, so

Brendan Gallagher:

Through the other

Victor Razi:

that's awesome.

Brendan Gallagher:

one. That

Victor Razi:

one.

Brendan Gallagher:

hospital is, I just gotta be, I wanna be careful with the names, but the city hospital, they actually just increased the rates this year.

Victor Razi:

Okay.

Brendan Gallagher:

implants used to be 400. My first three years implants were$400. They're now six 50 and now it's oh, it's still

Saad Alamgir:

That's a,

Brendan Gallagher:

in implant. No, but the

Saad Alamgir:

yeah.

Brendan Gallagher:

just increased more about like 60%.

Saad Alamgir:

Yeah. That's a steep increase.

Brendan Gallagher:

This is the cheapest place you can get an implant like

Victor Razi:

I see,

Brendan Gallagher:

State kind of deal, Yeah. Yeah. There. And also it's a city hospital and they're really cracking down on like insurances and treatment, getting paid for it and stuff. And I get it, but there's just no talk in the fact that insurance is denying everything. They're not reimbursing anything. I don't know that I could go on for days with

Victor Razi:

Yeah.

Saad Alamgir:

Yeah.

Victor Razi:

that's, yeah, I can see that being just like a headache, even trying to put it all together,

Brendan Gallagher:

Patients It's it's actually crazy. One guy couldn't get cancer taken out of his tongue at the other hospital, so we had to move it over to a different hospital.'cause the insurance wouldn't pay for cancer anyway.

Saad Alamgir:

Yeah, I.

Victor Razi:

yeah, that's a rabbit hole, but it is unfortunate that, that's the case, man. But, um, so with, uh, your practice you're doing, um, do y'all do, are y'all doing y'all's anesthesia, y'all self, or do y'all work with a group that, that comes in and does it?

Brendan Gallagher:

Yeah. We'll be doing, uh, the on, on sedations. Yeah.

Victor Razi:

Oh, y'all will. Okay. What are the pros and cons at least that you figured out of doing that? Obviously, uh, there's a financial benefit. Some people might like to manage it and just, have that part of the day, but there's also OMSs out, out there that don't do that. So what do you, what's your take on that?

Brendan Gallagher:

I really think it adds a dimension, another angle to dentistry that allows people to get care. That just, dude, I, I don't even know. I've, luckily, I've never had any cavities or feeling I needed any feelings. I got my wisdom teeth out. That was the only time my mouth was ever numb for anything, and I was it. I can't, Ima, I got I don't know, I, it's like tough flying airplanes now.

Victor Razi:

Yeah.

Brendan Gallagher:

I don't know. You're gonna need your comfort zone and someone going in your mouth for many people is, it is a very sensitive thing. It allows people to get treatment that, that couldn't, you know, and I think it's great that we, anesthesia and oral surgery, it's a shame that people unqualified doing weekend courses or, you, you intubate 20 mannequins and you get a IV sedation license. There's

Victor Razi:

yeah.

Brendan Gallagher:

some scary stuff going on. That's a lot of these issues are occurring

Victor Razi:

it is. I saw one other day with, uh, someone, I don't even know how it occurred or who did it, but it was like a 9-year-old,

Saad Alamgir:

yeah. Pediatric dentist. I think it was out in California maybe,

Victor Razi:

Yeah. Crazy stuff.

Saad Alamgir:

It's crazy,

Victor Razi:

the thing about that is too, Brendan, if we're being honest, it's the reason it comes to media is because it's so unlikely that it would even occur in the first place. So the chances of that happening, at least with someone that's pretty, uh, skilled at doing that and has done it for years, or at least an anesthesiologist that does it, it's pretty low relatively for how many people are getting sedated per year,

Brendan Gallagher:

That's

Saad Alamgir:

Yeah.

Brendan Gallagher:

the scariest part of oral surgery because it's, you could kill someone with sedation. You need to have an, a very adequate experience, and you need to have, anesthesia is indentures. She's oh, god forbid, you hit the pulp, then you gotta do a, pulp cap or like the canal, root

Saad Alamgir:

Yeah.

Brendan Gallagher:

You have

Victor Razi:

right.

Brendan Gallagher:

back pocket, in, in, in anesthesia. You need to have done top to bottom, on your own to actually understand, like, God forbid he's got a little Ringo spasm, now what am I gonna do next? What am I gonna push? Am I gonna do a jaw thrust? Am I, do I gotta give oxygen? Am I gonna intubate right away? You need to have things in a millisecond to make sure that, their life isn't compromised.

Victor Razi:

Yeah.

Saad Alamgir:

Yeah.

Brendan Gallagher:

getting that in a weekend course. You're not getting that in a month.

Victor Razi:

That's.

Saad Alamgir:

and I'm, I feel like the only place that you really learn that is a residency. I got a question for you. For weekend courses, you, you mentioned that, you can't learn any of that. Funny story, long story short, Vic and I went to a weekend, like full arch conference. And they basically just went over a bunch of full large cases and you know how to place these certain types of implants. But you know, a lot of people, a lot of oral surgeons kind of they kind of disagree with GPS placing, full all on X implants and then, doing IV sedation. I just kinda want to hear your take on it as a almost fully trained oral surgeon.

Brendan Gallagher:

Yeah. It's a very invasive procedure and one of the things that, that you maybe you saw is the bone leveling. There's a lot of believing involved. There's a lot of stuff that goes on. You there, there's a lot of different complications that can happen. thing with anesthesia. don't have the the complications, you don't. All the all and xs that I've done, that we've done, uh, there's like very few of them get like that kind of level of a complication. It's like that one time that it happens, like that one time with the anesthesia that it happens,

Victor Razi:

be prepared, huh?

Brendan Gallagher:

what are you gonna do? implants, you could say, yeah, I think every dentist can place implants. But this goes into any sector of dentistry itself. How do you define scope? what I mean? At what level does to go to a specialist? And do we have some lawyers that could come in and say, because cases are either gonna win or lose.

Victor Razi:

Yeah,

Brendan Gallagher:

it comes down to. I don't know.

Saad Alamgir:

Yeah.

Victor Razi:

I agree. I really, uh, agree with, uh, Dr. Alba's statement that whatever it is you want to do, go for it. If you're able to manage the complication, so I think that's, I think that's law. Honestly. If you can manage the complication, that's all but.

Saad Alamgir:

Yeah.

Brendan Gallagher:

Exactly. But then how do you know if you can manage that complication? A lot of people think they can and that it happens in the patient

Victor Razi:

Yeah, that's the risk versus reward there is not worth it, honestly.

Brendan Gallagher:

my biggest thing with this, oh, and by the way, it's the same thing with Invisalign, with aligners, with clear aligners. concept. You're starting to bridge into a specialist territory that someone spent years and years only focusing on that one thing kind of deal. So the other thing I brought this up with Dr. Avi is like it, or, or another, it might have been another doctor. Everyone's trying to branch out into these specialty areas because there's an insurance squeeze on the financial incentives. If we had more financial incentives on preventative care, you guys would be whipping out the wildest fillings, it you imagine? You know

Saad Alamgir:

Yeah.

Brendan Gallagher:

if you actually incentivized, actually give, giving like care now,

Victor Razi:

right.

Brendan Gallagher:

small fillings, crowns, sealants, go all in on that. The dental, I, I have this, if you look at the

Victor Razi:

I know it's, it sucks. I hope it could get fixed somehow, but it just,

Brendan Gallagher:

The

Victor Razi:

I hate to call it even a lost cause, but it just, it really does suck that,

Brendan Gallagher:

cause, but another 50 years of this, there won't be a dentistry to fix because, uh, it, it's a serious squeeze. It's a squeeze on healthcare industry. And you could be like, yeah, well, dentists are greedy, but dentists take an oath. The insurance company doesn't. Right? to

Saad Alamgir:

Yeah.

Brendan Gallagher:

as much, much as possible. And so will​cause they went to business school and they know it a lot better than us. We need to, and this, this branches into so many topics. The way you fix it is by creating a new insurance company, using AI down to the zip code and dispersing care and treatment phase to make it self-sustaining per area,

Victor Razi:

right.

Brendan Gallagher:

taking government subsidies that's essentially how we do it. But it,

Victor Razi:

A lot of work.

Saad Alamgir:

Yeah.

Victor Razi:

A lot of work involved. So Brendan,

Saad Alamgir:

Brenda, how much, uh, how much AI did you end up using, especially in the latter half of your residency years? And do you plan on. Kind of using that. I know you kind of brushed on it with the, uh, insurance, but you know I even went to my dentist six months ago and they got this new AI thing. They took radiographs and it showed all my bone levels and stuff.

Brendan Gallagher:

That's

Saad Alamgir:

So it's pretty cool it's very, very new and I think it'll be within the next five years, it's gonna be very, very mainstream. So do y'all have any plans in y'all's office to kind of incorporate anything like that?,

Brendan Gallagher:

AI probably, and I, I'm gonna be able to do this a little bit more in the office I do a lot of AI actually all day, every day, but it's mostly for marketing and stuff outside of the

Saad Alamgir:

Yeah.

Brendan Gallagher:

the caption from the transcript kind of stuff for work. I don't use it much during the day at work.

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

maybe a little review here and there like you plug in the PDF of this, like extract something for me.

Victor Razi:

right.

Brendan Gallagher:

But otherwise not much in the clinic, not much in the hospital, not much at where it's

Victor Razi:

Yeah,

Brendan Gallagher:

Yeah. Yeah.

Saad Alamgir:

Yeah.

Victor Razi:

I listened to this podcast the other day, and you may have already known about it, but there's one called Plot, P-L-A-U-D. Are you aware of it at all?

Brendan Gallagher:

no.,

Victor Razi:

so it's, uh, they have a wearable one and then a notepad one, but the wearable one transcribes through, uh, Chad, GBT four Oh, and it will do your like notes, like your sub notes and all that. You just wear it and then it organizes it all for you. It's really cool, uh, how it's proposed. P-L-A-U-D, um, I listened to a podcast and they were talking about it, and it seems if you could go through that and just at least read over and edit it, I feel like it'd be save a lot of time, you know.

Saad Alamgir:

yeah. Especially that's, that's kind of what I was kind of leading to because I think for soap notes or just notes in general, like post-op, I know whenever I shadowed an oral surgeon, he would out right after, he would call like a safe number and just read out, like talk out loud, everything that he did.

Brendan Gallagher:

Hmm.

Saad Alamgir:

But you know, if he had something like that, it just does everything for him and it's automated. He could do that, do surgery, walk out, do his consult, come right back, next patient is ready.

Brendan Gallagher:

Yeah.

Saad Alamgir:

I think in terms of note taking and like stuff to do after the actual surgery, it could expedite the process quite a lot.

Brendan Gallagher:

totally agree.

Saad Alamgir:

And I think, yeah, and I think that's gonna be something that's potentially gonna be mainstream

Brendan Gallagher:

Yeah.

Saad Alamgir:

within the next

Victor Razi:

Yeah,

Brendan Gallagher:

Oh yeah. many things it is gonna be

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

so many ways, just like that I'm sure you could find seven more things in the office right now.

Victor Razi:

I.

Saad Alamgir:

And I mean, if we're talking about in the or implant placement I think could be very automated in the sense that even we are even looking at a vendor, they have a, it was like you put something on your drill and it's like a UV light basically above it, and it'll show you the exact angulation that you need to go. It's like a video game. It's like Halo. You find the angulation, you click it, it's like green, it just starts shooting down.

Brendan Gallagher:

Yeah.

Saad Alamgir:

it's very, very AI driven. So

Brendan Gallagher:

getting

Saad Alamgir:

think stuff like that, it could definitely aid. It's never gonna replace a surgeon, let's be honest, but

Brendan Gallagher:

no.

Saad Alamgir:

I think surgeons who are using ai, they're gonna get ahead of the game versus people who are kind of just stuck in their ways and think they know it all.

Brendan Gallagher:

Oh, yeah, dude. It's going get even more great than that because that, that's like gonna be the first step. But where I think we're going is it's gonna get more personalized onto like a, maybe like a DNA level where I think ceramic implants are starting to kind of get towards. They work and they're pretty good. But what if you can like coat the ceramic with like, like PRP level ai,

Victor Razi:

Yeah.

Brendan Gallagher:

grafting that

Victor Razi:

And then,

Brendan Gallagher:

of the, the ceramic implant and the implants actually shaped to the tooth socket where the root just came out, the alveoli, it's

Victor Razi:

right,

Brendan Gallagher:

to

Saad Alamgir:

Yeah. Yeah.

Brendan Gallagher:

because we could just plug in the CBCT, right? We could just plug

Victor Razi:

right.

Brendan Gallagher:

put it into ai, this

Victor Razi:

It'll be pretty, pretty damn close,?

Brendan Gallagher:

And then just

Victor Razi:

right?

Brendan Gallagher:

out a ceramic implant in 15 minutes.

Victor Razi:

Yeah.

Brendan Gallagher:

run, runs it through like some coating that gives it like

Victor Razi:

Right.,

Brendan Gallagher:

the osteo

Saad Alamgir:

magic that,

Brendan Gallagher:

and then you just drop it in the, you know what I mean? Maybe you screw it

Victor Razi:

Yeah.

Brendan Gallagher:

bit, but it's, it's already the shape of the, the bone, I think. Yeah. What you could personalize things to that level using ai I agree with you. I think that's where we're going.

Victor Razi:

Yeah. Really cool. Brenda, did y'all in your residency, uh, fool around with the like patient specific implants, much like the, uh, I guess the like subperiosteal ones or,

Brendan Gallagher:

Yeah. Yeah IPS, uh, individualized

Victor Razi:

yeah,

Brendan Gallagher:

or

Saad Alamgir:

yeah.

Brendan Gallagher:

that, it's big on the Maxwell. We,

Victor Razi:

yeah,

Brendan Gallagher:

on the mandible, but yeah, it's great. You do, like in a fort incision, reflect

Victor Razi:

yeah.

Brendan Gallagher:

mucosa up, slap this plate on dr.

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

in with like 16, 20

Victor Razi:

Sure.

Brendan Gallagher:

or whatever it is the

Victor Razi:

Is that

Brendan Gallagher:

thing is mucositis. You

Victor Razi:

really?

Brendan Gallagher:

sure that

Saad Alamgir:

Oh, I'm sure.

Brendan Gallagher:

are right over the crest. That's generally the best way to do it, at least what we've seen at the va. And if they, they originally made it where it stuck out, but it's like towards the vestibule and then the

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

don't close well behind it. So you need to get it right over the vellus a little bit.

Victor Razi:

I see the hardware and the, the gums are just right at it, huh?

Brendan Gallagher:

Yeah.

Victor Razi:

Yeah,

Saad Alamgir:

Brenda, I'm curious about the, uh, ceramic implant thing I guess we haven't gone over it in our D two courses yet, but I thought ceramic doesn't also you integrate. That's what we've been taught at least

Victor Razi:

seen ceramic.

Saad Alamgir:

kind of a standard for implants.

Brendan Gallagher:

Yeah. Titanium is the, the long term gold standard, but adds what I'm saying, ceramics, getting there. It's

Victor Razi:

Ceramic,

Brendan Gallagher:

better every day. I even placed a ceramic implant, don't get me wrong, but what I'm saying in the literature, there's only more and more being

Victor Razi:

yeah.

Brendan Gallagher:

by it. So my point is a, like a bio, just, um, an osteo integrated, like a ceramic using ai, make the ceramic out of material. That's basically all the proteins that the, you know what I mean?

Saad Alamgir:

yeah. All the biology that teach me.

Brendan Gallagher:

you can mill it and then make it the milling material of like, whatever, you know what I'm saying that's

Victor Razi:

Yeah.

Saad Alamgir:

Yeah.

Brendan Gallagher:

it. We're not there

Saad Alamgir:

Okay.

Brendan Gallagher:

we're gonna be able to

Saad Alamgir:

Okay yeah,

Brendan Gallagher:

That's what I mean.

Victor Razi:

Yeah.

Saad Alamgir:

yeah,

Victor Razi:

That's gonna be pretty cool though. I've seen, uh, I've seen it online. I just, it, it's not, uh, prevalent where we're at, but it's pretty cool, cool stuff.,

Brendan Gallagher:

we're getting there we're a ways off. And when I say a ways off, it's not like a couple years we're pro, but like

Victor Razi:

Right,

Brendan Gallagher:

career time, but.

Victor Razi:

Yeah looking back in residency, Brendan, what's, do you remember like one case where you like, finished and you were like, I. That was probably the, the coolest thing I did in residency or something. You walked away and you were very proud of, like this was a successful case even though it wasn't gonna be successful.,

Brendan Gallagher:

oh yeah. Yeah. Actually this is, this is about six months ago on this rotation. I did. Oh, it was with an attending Who, who like, I just kind of keep my mouth shut And, um, but I, like, I spoke up, I was like, so, so this, it was a patient with a mandible fracture on the right side in the body and badly displaced. Right?

Victor Razi:

Right.

Brendan Gallagher:

it took three different tries to get this, this patient into the, or just due to A-M-A-A-M-A. But like, like

Victor Razi:

Right.

Brendan Gallagher:

that's just flapping in the wind, kind of bad.

Saad Alamgir:

Oh my gosh. Yeah.

Brendan Gallagher:

And right in the bottom, usually you put a recon plate on people with, without any teeth because you can't match their teeth. There's no teeth to match together, and

Saad Alamgir:

Yeah.

Brendan Gallagher:

no bone. So you put a recon plate on everyth, everything in line. The bone was so small and thin that you, you would have to, it, it was hard to put a recon plate on it. And

Saad Alamgir:

Wow.

Brendan Gallagher:

the CT scan showed us that it like, kind of did a wiggle and then went up to the canal and then out. And

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

what are we gonna do? So I, I came up with this idea where we're going to. Like span it towards the top of the middle and then we're gonna bend it and then go transverse the canal. And the last screw or two would be on the bottom of the mandible in front of the mental frame.

Victor Razi:

Ah,

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

it would span over it. We would put a, a mono cortical screw so it wouldn't go all the way through the nerve. It would just span the top.'cause there was no way to fit it where it wasn't gonna hit the nerve. There

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

I was like, look, I can we try this? And she stopped. She was like, uh, may, yeah, maybe, maybe we try that and I was like, all right, let's go, let's,

Victor Razi:

yeah,

Saad Alamgir:

Yeah.

Brendan Gallagher:

right with, with this.

Victor Razi:

yeah. That's that moment where you said something really important, but they don't want to admit what you said is important. So it's like maybe. Maybe that sounds pretty good.

Saad Alamgir:

But

Brendan Gallagher:

Yeah. And then the

Saad Alamgir:

um,,

Brendan Gallagher:

it was like waiting for me to trip up. I was, alright, you bend the plate. Oh, you think that's gonna, but, but no, it, it all went well. And that was like one thing where I was like, finally, finally,

Saad Alamgir:

yeah.

Brendan Gallagher:

I.

Saad Alamgir:

That is awesome, man. So they didn't have any like nerve pain or anything like that after,

Brendan Gallagher:

I, I wish I knew because they,,

Saad Alamgir:

if they haven't been back,

Brendan Gallagher:

it's the

Saad Alamgir:

that's your answer.

Brendan Gallagher:

It's the saddest thing. Some of these patients, you never see them again. They're, they don't

Saad Alamgir:

Yeah.

Brendan Gallagher:

yeah, no, they want the surgery, but they're, they're not willing to stay'cause they need their, their smoke break kind of thing, you know?

Victor Razi:

Yeah. Yeah. So Brendan, where are you going in Europe what's the plan?

Brendan Gallagher:

Oh, trying to go to My, my girlfriend, she, um, she did a master's for two years in London. She loved London, so I, I was

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

let's go there.

Victor Razi:

Sure.

Saad Alamgir:

sweet,

Brendan Gallagher:

I've been Dynasty Ireland. And then, we'll, we'll go over to Ireland from there. So we're

Victor Razi:

Yeah,

Brendan Gallagher:

week thing.

Victor Razi:

those could, those are your boys in our in Arland. Man. Those are your boys. You watch out for'em. That'll be awesome though, dude, I haven't been to Europe, so I really want to go at some point.

Saad Alamgir:

I've been to, I went to Europe, went back when I was in high school. We went to like France, Germany, Switzerland. If you'll be in those areas, man, it is

Brendan Gallagher:

to

Saad Alamgir:

gorgeous.

Brendan Gallagher:

one trip?

Saad Alamgir:

Yeah I was pretty fortunate. My dad, long story short, my dad ended up like he did a fellowship over there back when he was still in school, and they like, I. Take, they could take you back every year if you want to. And so my dad was like, you know what, let's just do it. It was before my senior year. My brother was about to graduate college too,

Brendan Gallagher:

Wow.

Saad Alamgir:

so we just took us all up there and we just explored, man it was once in a lifetime. I will say I'm, I'm very lucky to have done that.

Brendan Gallagher:

Wait, that's awesome. Which was your favorite?

Saad Alamgir:

Yeah.

Brendan Gallagher:

Germany, and

Saad Alamgir:

Germany, Switzerland, and then we visited Luxembourg. But I mean, Luxembourg's so small that we don't even count it, but man, the most beautiful I, one thing I will say, we went to Paris, right? And you see the Eiffel Tower all the time, but you never realize how big it is. We walked out and it is massive,

Victor Razi:

Really.

Saad Alamgir:

you could see it in any part of Paris, like underestimated how big it was, but we were staying in the biggest hotel, I think in Paris, and even then it was still like at least half a building, taller than us. It was unbelievable. Yeah,

Victor Razi:

Geez.

Saad Alamgir:

favorite place has gotta be Switzerland. It was gorgeous. Like you're into nature, which I'm, I'm really into nature and like just the outdoors, it was gorgeous. We went during the summer, so the weather was really nice. The water was like blue,

Victor Razi:

That's awesome.

Saad Alamgir:

look real.

Brendan Gallagher:

Wow.

Saad Alamgir:

that's the place I'd recommend the mountains I could go on and on it was gorgeous.

Victor Razi:

Yeah,

Brendan Gallagher:

Yeah. I've always wanted to go there I

Saad Alamgir:

Yeah.

Brendan Gallagher:

there, but I was like three years old, so I don't remember it, but I. I've

Saad Alamgir:

Yeah.

Brendan Gallagher:

Yeah. Yeah okay.

Saad Alamgir:

y'all can make a trip out, I know Ireland's a bit of a ways away, but if could visit Switzerland, I think that's, that's a place that I've made in my mind I have to go back to.

Victor Razi:

Yeah. That's awesome.

Saad Alamgir:

amazing.

Victor Razi:

Yeah.

Brendan Gallagher:

chances coming up? Like when would you, maybe in between.,

Saad Alamgir:

maybe when I'm working right now that was a, that was a paid for vacation.

Brendan Gallagher:

Yeah.

Saad Alamgir:

gotta start making money before maybe maybe D four, like whenever, usually the D fours when they graduate, they kind of just go off for like two months or like a week.

Victor Razi:

Right.

Saad Alamgir:

months off before they start working.,

Brendan Gallagher:

is he

Saad Alamgir:

Do what?

Brendan Gallagher:

Is he working?

Saad Alamgir:

Yeah my dad's a professor at a university New year he's a chemistry professor, so

Brendan Gallagher:

a little time in the summer. Hey dad remember

Saad Alamgir:

Yeah,

Brendan Gallagher:

for that trip and you run that back,

Saad Alamgir:

man.

Victor Razi:

go. Come on.,

Saad Alamgir:

he might have to sponsor it, but

Brendan Gallagher:

Be like, boy, trip. Come on dad. Come on.

Victor Razi:

That's awesome.

Brendan Gallagher:

That would

Saad Alamgir:

no, it's, it's awesome.

Victor Razi:

Brendan, have you, uh, have you thought about any watches or even holding off on that idea?,

Brendan Gallagher:

I've been thinking, I've been thinking a

Victor Razi:

I know it's been

Brendan Gallagher:

I was talking with an orthodontist and one of the residents, uh, like a month ago, and he, him and his attending, they were telling me the, the attendings got, he's always wearing a Rolex, an Au DeMar, a Patek he

Victor Razi:

something,

Saad Alamgir:

man.

Brendan Gallagher:

watches and I'm like, who, who is this man? He's like this

Saad Alamgir:

Yeah.

Victor Razi:

right?

Brendan Gallagher:

guy? Apparently he's like this shorter Asian dude. He's hilarious. And he owns a bank like him and his buddy like just started a,

Saad Alamgir:

my God,

Brendan Gallagher:

walks out into the world and owns, like, he

Victor Razi:

Yeah,

Saad Alamgir:

starts,,

Victor Razi:

that's definitely.

Brendan Gallagher:

he owns Auto

Saad Alamgir:

yeah.

Brendan Gallagher:

Andex. But he, so they were telling me that you can't just walk into an auto mar store, a tech store roll like these places you go, you get an appointment and then you kind of explain to'em what, what you're thinking like.

Victor Razi:

I see.

Brendan Gallagher:

say, alright, alright they'll give you some water, maybe some peanuts or whatever. And then he was saying like that, that's like it. You don't just buy a watch

Victor Razi:

Right,

Brendan Gallagher:

He was like, present two watches for to you. That's like half the price or something.

Victor Razi:

right.

Brendan Gallagher:

And they'll be like, you interested in any of these? And I'll see what I could do. And it's like, maybe then in a year they'll find that watch for you, call you up and it's like, then you need to buy it right then and there. So

Victor Razi:

Wow.

Brendan Gallagher:

spend thousands of dollars just to kind of get into a club where then they look for that watch for you. The

Saad Alamgir:

The, uh,

Brendan Gallagher:

this up, I wanted to get the Au Mars Pettet, Royal Oak, the

Victor Razi:

Okay.

Brendan Gallagher:

I really like that diver and, he was like, no, they'll never get that. So I was like, all right, I gotta find something else.

Saad Alamgir:

yeah, man, you might have to start a bank after all. This

Brendan Gallagher:

Yeah.

Victor Razi:

It's time to open a bank, man. It's

Brendan Gallagher:

Oh

Saad Alamgir:

man,

Victor Razi:

dang. That's

Brendan Gallagher:

You guys have your eyes on any watches?

Victor Razi:

dude, uh,

Saad Alamgir:

I, I've had my Apple watch for like five years. This is a

Victor Razi:

I like for my tax bracket right now, or within the near, near future, I, I like tags for like an entry level. I think they,

Brendan Gallagher:

yeah.

Victor Razi:

yeah, I think that they, you know,

Brendan Gallagher:

my tag.

Victor Razi:

uh,

Saad Alamgir:

Dang. He is about to flex on

Victor Razi:

he's busting it out.

Brendan Gallagher:

No, it's not, I'm noting I'm not flexing no it's definitely not a,

Victor Razi:

I like tags. I think they,

Brendan Gallagher:

I

Victor Razi:

keep it cordial. See, that's awesome. I like that. Watch.

Saad Alamgir:

looks good.

Victor Razi:

Yeah.

Brendan Gallagher:

it. Yeah, dude, they, uh it's in my, I don't know it, I love the diver watches are you looking for kind of like the, the chronograph? Are you looking for a diver? Are you looking for like the, um,

Victor Razi:

Um,

Brendan Gallagher:

what's,

Victor Razi:

I like the divers. The divers are nice. I like your colorway.'cause it, uh, I mean you could wear it with whatever, but that's the thing. I'm a big blue guy, so I really want a blue face watch, but then I always think like, man, if I get a blue face watch, maybe it won't match as well with some stuff. So it's a, it's a lot of analysis that I go through, but, you know.

Brendan Gallagher:

face watch. That's a great point. But it matches with a lot more than you when you realize. And

Victor Razi:

Yeah, that's fair.

Brendan Gallagher:

the watch to match with clothes or like for occasions,

Victor Razi:

That's, see that's a good point because my buddy, my buddy had a tag, actually it's a di or it was a diver just like yours, tag with the white face. And, uh he's a nurse and he wore it, but it got uncomfortable for him to wear the metal. So he got a rubber what do you get? Luminox? He got a rubber luminox and I don't know, I haven't experienced. Right now I'm with Apple Watch and, uh, I have a, a moon swatch, uh, omega, but yeah.

Saad Alamgir:

yeah.

Victor Razi:

But, uh, yeah, so I I wanna see like how comfortable it is first before, I've never been a a metal band guy, so I wanna see, they look nice. They're classy to me,

Saad Alamgir:

Yeah.

Victor Razi:

so,,

Brendan Gallagher:

they are. Especially, yeah. Ta I don't know about their new bands, but this band I really like, it's kind of like the, what is it? The oyster What Rolex.

Victor Razi:

right,

Brendan Gallagher:

Rolex Oyster. I really like that. The taper. Nice. You want a nice

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

a classy watch. But what I was gonna say is the blue watch, you're kind of, that you got the right mindset, I think, with the blue, but you're

Victor Razi:

Sure.

Brendan Gallagher:

wear the metal watch on every single occasion. So I think it's gonna,

Victor Razi:

That's fair.

Brendan Gallagher:

you're gonna wear it plenty I I

Victor Razi:

Yeah. Some guys bust out the metal though every day. That's crazy work. But

Saad Alamgir:

Yeah.,

Victor Razi:

what's your go-to, like, what do you usually wear? Like a, uh.

Brendan Gallagher:

I just

Victor Razi:

When you go to work.

Brendan Gallagher:

a couple weeks ago. It's,

Victor Razi:

okay.

Brendan Gallagher:

it's a$300 citizen, but I, I looked for this thing it's a

Victor Razi:

Yeah. Nice. Yeah.

Brendan Gallagher:

it's a

Saad Alamgir:

Simple man.

Victor Razi:

Okay.

Brendan Gallagher:

date too I don't know about you I really like to wear watches for the function. I'm probably

Victor Razi:

Yeah,

Brendan Gallagher:

75% function, 25% like aesthetic. You need

Victor Razi:

yeah.

Saad Alamgir:

right.

Victor Razi:

Sure.

Brendan Gallagher:

what you need to do? And it's got the time, it's got the diver bezel, so I I I time things all day long and then it's got the

Saad Alamgir:

Oh, that's sweet.

Brendan Gallagher:

the day of the week. So it's got the four main

Victor Razi:

That's awesome. So it's practical. It's practical.

Brendan Gallagher:

bucks. That's powered by movement. The loom is outta this world. then$20 band on Amazon. So it, it's like, it's

Saad Alamgir:

There we go.

Victor Razi:

Yeah. So how does that, is that band already like to your size or how, how'd you get that? Is it one size fits all?

Brendan Gallagher:

it it gives, it sends you a kit. So you could just cut here, cut here, and then

Victor Razi:

Ah.

Brendan Gallagher:

So then it just molds your wrist. Yeah, dude, I, Amazon's got stuff

Saad Alamgir:

it's underrated, man.

Victor Razi:

Yeah,,

Saad Alamgir:

there is one watch I've kept an eye on Victor and I are both left-handed and Rolex makes one specific type of watch for left-handed people only. It's,

Brendan Gallagher:

one

Saad Alamgir:

it's,

Victor Razi:

that's the Sprite.

Saad Alamgir:

but it's like the Rolex Sprite. Yeah, that's what people

Victor Razi:

The blue face.

Saad Alamgir:

face. It's green face, I think.

Victor Razi:

Yeah.

Saad Alamgir:

Yeah. Green face, silver band. And like, ever since I found out about that, found about that, I've always wanted it.'cause you know, I'm left-handed. I wear my watch on my left, so the buttons are on my wrist.

Brendan Gallagher:

Hmm.

Saad Alamgir:

that one, that's on this side and it's the only left-handed Rolex watch that I've seen. Yeah. That thing. But

Brendan Gallagher:

that's,

Saad Alamgir:

it looks nice. It's been like being left-handed, I think you just gotta get that, you know?

Brendan Gallagher:

That's such a good point. That's a great reason to get it. It really is. I,

Saad Alamgir:

Yeah.

Victor Razi:

Dude, I never thought about it until recently. The dials hit.

Saad Alamgir:

reason I, yeah, the only reason I thought about it's'cause one of our mutual friends got married and he's also left-handed,

Brendan Gallagher:

hmm.

Saad Alamgir:

and I think his dad was gonna get him one or something like that, but. That's when I first heard about him, and I've been, that's been in my mind ever

Victor Razi:

Yeah,

Brendan Gallagher:

that yeah, the Sprite is

Saad Alamgir:

yeah.

Victor Razi:

sick. They're like 20 k, but, but they're nice.

Saad Alamgir:

Yeah. Eventually one day, dude, I, I, uh, I'm always, I'm chronically on Facebook marketplace I saw one. You actually know him, Vic. He is, uh, I know, I think he was, he went to college with us, but he was selling the Sprite for like 13 K and I was, I was trying to scheme up away, but think it's gonna

Victor Razi:

If you got on a payment plan,

Saad Alamgir:

Yeah.

Brendan Gallagher:

question. For 1300 months, I'll pay you a hundred bucks. How about that?

Saad Alamgir:

I said, deal. He's saying no to the,

Victor Razi:

it's a deal. That's awesome.

Saad Alamgir:

day.

Victor Razi:

Yeah. One day.

Brendan Gallagher:

Yeah.

Victor Razi:

Yeah. That's awesome man, that was, yeah. I want to get it. That'd be pretty sick to have a left-handed watch,

Brendan Gallagher:

Victor, what about you with the traveling?

Victor Razi:

man. My traveling. Let's see. So my girlfriend's brother, he, uh, he's, he does music and we, we went to a Lollapalooza. So my last travel was to Chicago last. It was last year but it was super cool. Music festival was awesome. Have you been to Chicago?,

Brendan Gallagher:

I have, it was a while ago, but, yeah. Yeah,

Victor Razi:

Okay. I went in the summer and I actually was, I wasn't anticipating much. I was like, eh, I'm not a big city guy. It's all right. But I'm, I'm more like, like the weather, things like that. And Lollapalooza was awesome. A music festival worth going to every day of the week. I would

Brendan Gallagher:

did you like it for the city but it, or is it was

Victor Razi:

both,

Brendan Gallagher:

music

Victor Razi:

the music festival was awesome and the city was awesome, but it was like

Brendan Gallagher:

huh?

Victor Razi:

really good weather in the win, uh, summer just very clean I like clean areas. So when the city is like not well managed, I would just get frustrated because I'm like, dude, like come on.

Brendan Gallagher:

Clean? Yeah. Or,

Victor Razi:

the area I was in, so I could have been biased, but, uh, near the like Trump tower area, all that stuff, the parks, it was all really nice and clean. But, uh,

Brendan Gallagher:

huh?

Victor Razi:

Chicago's the last place, man. But I'm kind of like you. I haven't been to Europe since a kid, or actually I've never been at all. You went when you were a kid. And, uh, I really wanna go like at some point, uh, that would just be you kind of have to do it at some point in your life. That's how I feel

Brendan Gallagher:

it.

Victor Razi:

like you gotta go. You, it's just one of those things where it's like, man, you gotta see other culture. Just see how it is

Saad Alamgir:

Yeah.

Victor Razi:

and just,,

Brendan Gallagher:

you said finals are coming up when does everything come to a close?

Victor Razi:

it comes midnight. So we have three weeks in May, so I might, I might try to swing something we're here near the coast, so we have Florida that's really close by. We, uh.

Saad Alamgir:

Yeah.

Victor Razi:

The beach is our like go-to. We're gonna get out school and go on a trip type of deal.

Brendan Gallagher:

Gotcha.

Saad Alamgir:

Yeah. We're trying to convince one of our classmates right now, he's got a beach house down in Orange Beach trying to convince him to let us go there.

Victor Razi:

Yeah.

Saad Alamgir:

Yeah. No, it's gotta happen. It'll happen. We'll convince him, but

Brendan Gallagher:

And then what about,

Saad Alamgir:

yeah, just gotta

Victor Razi:

Summer we start clinic. Yeah, man.

Saad Alamgir:

Yeah.

Brendan Gallagher:

Oh dude. So you hop right back into it. You

Victor Razi:

yeah.

Brendan Gallagher:

in May. That's it. In June, you start

Saad Alamgir:

We get,

Victor Razi:

Yeah. Three weeks and then,

Saad Alamgir:

after Memorial Day, so I think it's May 28th. be flying in that Wednesday that we start, so I'm gonna be late to class that day, technically.

Brendan Gallagher:

Oh man.

Saad Alamgir:

But yeah, it's a pretty short turnaround.

Brendan Gallagher:

That's orientation day. You'll be fine. You'll be fine.

Saad Alamgir:

Yeah, exactly. That's what I'm

Victor Razi:

Yeah.

Brendan Gallagher:

I you

Saad Alamgir:

But,

Brendan Gallagher:

I guess, I guess three weeks is better than none though. No,

Victor Razi:

Yeah.

Saad Alamgir:

Did y'all have a, did y'all have a summer break

Brendan Gallagher:

uh,

Saad Alamgir:

during dental school?

Brendan Gallagher:

During dental school? We, first year, we did second year. Second year I think was similar. It was like a two. It was like a,

Saad Alamgir:

Yeah.

Brendan Gallagher:

maybe it was a month. Maybe it was a month. I don't know, but yeah yeah. The last year, I think it was like two weeks.

Victor Razi:

Yeah, it happens. Brendan,

Saad Alamgir:

you're about to have your last summer ever, man.

Brendan Gallagher:

Oh.

Saad Alamgir:

So

Brendan Gallagher:

That's why I'm like, maybe we do two

Saad Alamgir:

yeah. That's why you.

Victor Razi:

Brendan, how's your, uh, weekly work schedule do you know that yet, or?

Brendan Gallagher:

Yeah it's gonna I, I did, that was another thing. I wanted it to just, just be one office. It'll be Monday through

Victor Razi:

I

Brendan Gallagher:

nine to five. I kind of want to try. I do. I really wanna try and get it where it's like eight to five, eight to 4 30, 8 to five,

Victor Razi:

sure.

Brendan Gallagher:

I

Saad Alamgir:

Wow.

Brendan Gallagher:

on that. Let's start the day a little bit earlier. If we could end earlier, we could get it in that way if all the other

Saad Alamgir:

Yeah.

Brendan Gallagher:

nine to five,

Victor Razi:

Right.

Brendan Gallagher:

it at eight. We do a full, we do, we add on another hour, or end early. I think that'll be good for. For

Victor Razi:

Yeah.

Brendan Gallagher:

and dude, I wanna start a family. I wanna like get the house,

Victor Razi:

Yeah.

Brendan Gallagher:

you gotta get

Saad Alamgir:

Yeah, man. Living in your parents' home it's just nostalgic I'm sure for you.

Victor Razi:

Yeah,

Brendan Gallagher:

gonna move out he's,

Victor Razi:

yeah,,

Saad Alamgir:

yeah you're doing better than me. I'm still living with my parents right now, so

Brendan Gallagher:

that's the

Victor Razi:

yeah.

Brendan Gallagher:

No,

Saad Alamgir:

me.

Brendan Gallagher:

way to

Saad Alamgir:

Yeah.

Brendan Gallagher:

really is.

Victor Razi:

So Brendan, I think we know, but I know you're not, um, you're not doing a fellowship after your residency. Has that, did that thought ever at any point during gear not single, not once.

Brendan Gallagher:

a fact I was not gonna do a fellowship I I was mentored by an oral surgeon when I was younger he was like, I'm not, he's like, I didn't want to go and get the md You're, you're not gonna use it in practice. This is the guy who

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

oral surgery in the early nineties and,

Victor Razi:

That's when it was a, a lot more popular, the.

Brendan Gallagher:

And he was right. He's like, I'm not gonna do, you could, if you wanna go and do butts and boobs, butts, you want to go do bds, you wanna go do tummy tucks, you wanna do that? Or head and neck, you wanna do cancer, you go and do that. But

Saad Alamgir:

Mm.

Victor Razi:

I guess different, different strokes for different folks, you know?

Brendan Gallagher:

yeah.

Saad Alamgir:

Yeah.

Victor Razi:

I think you

Saad Alamgir:

I know,

Victor Razi:

Go ahead.,

Saad Alamgir:

Brendan you'll be pretty by Stony Brook. Do you think you'll ever start teaching part-time there or just kind of helping out in the OS clinic or anything like that?

Brendan Gallagher:

I think, I don't even know if they have an oral surgery resident rotate there anymore. Or at least they're talking that they

Saad Alamgir:

Um,

Brendan Gallagher:

cut out that rotation entirely, which should be not good for the school because the

Saad Alamgir:

yeah. That's crazy.

Brendan Gallagher:

yeah, it's really not good. I think, I don't know, the surgery is really getting knocked around I think they gotta, scope thing, they gotta kind of put their, their feet down and, and like.

Victor Razi:

Yeah, that's the tough part with the MD though, Brendan is'cause I.

Brendan Gallagher:

get pulled from the dental schools, all of them into the

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

there's just the, you need more hands on deck there. And then the, the

Saad Alamgir:

Right.

Brendan Gallagher:

miss out. Everything goes to per and now per are doing exposing bonds. All the implants. It's, it's not good I've, the last three years I've found dental students every year that don't realize oral surgeons place implants. I, how is that?

Saad Alamgir:

That's crazy.

Victor Razi:

Yeah.

Brendan Gallagher:

you didn't know. You didn't know what

Victor Razi:

Yeah,

Brendan Gallagher:

oral

Victor Razi:

school,

Brendan Gallagher:

the

Victor Razi:

school, uh, doesn't even, we don't have a perio residency. We just have a, a perio like department. So I guess it is like slightly foreign to us. But for you you're in New York, so it's, y'all are ahead of the curve essentially in comparison. So

Saad Alamgir:

Yeah,

Victor Razi:

you probably do get that, uh, political warfare if you will, of what, what ha what goes where, what does, what's, like, how is it at your school does, do they like flip a coin? Who gets the case how is that like.

Brendan Gallagher:

Nope. Pretty much, I don't know what it is, but Perio has, they get all the implants, they get 99% of the implants for the for the dental school. They made like

Saad Alamgir:

yeah,

Brendan Gallagher:

I don't know how it happened. We get all the

Saad Alamgir:

some.

Brendan Gallagher:

and

Saad Alamgir:

Yeah.

Brendan Gallagher:

implant I'm like, what? What do you,

Victor Razi:

Ah,

Brendan Gallagher:

that's

Saad Alamgir:

Yeah. Brendan.

Brendan Gallagher:

va. Yeah.

Victor Razi:

whoa.

Saad Alamgir:

Yeah. Brendan, I'm, I'm curious about, um, how y'all's curriculum, this, this might be uh, too long, too far back, but how was y'all's curriculum in dental school? Like you were talking about the rotations, and I know a lot of schools do that, but I've never really understood it the way our curriculum is. It's just from my assumption of what we do in clinic, it's just whatever your patient needs, you just go to that department to do that. So like niece perio, you'll go to the per department, they need tooth pulled. You go down to the OMS department, they need just restorative. You go to the general dentistry clinic, so like how does it work with these rotations at dental schools

Brendan Gallagher:

Yes some of the rotations I was, I was referring to at one point in when we were talking was like rotations we do in residency in the hospital. But yeah,

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

school we had like, pediatrics clinic was a separate rotation geriatrics clinic we had, that was a separate rotation where you do it like every Thursday for three months or something stuff like that oral surgery, there were two things. You'd have like two weeks, that was your oral surgery rotation, but then also if you had a patient that needed oral surgery book for.

Saad Alamgir:

Okay.

Brendan Gallagher:

I think that's how it should have been for all the, the specialties. But like endo, there was just certain day or morning that you could book it and, and you could book your, your patient there. perio, I. No, you would just send your patient to perio and like they disappear.

Victor Razi:

Hmm.

Brendan Gallagher:

six months.

Saad Alamgir:

Yeah,

Brendan Gallagher:

What?

Victor Razi:

Yeah, that disappear.

Saad Alamgir:

man.

Victor Razi:

That's awesome.

Brendan Gallagher:

It,

Victor Razi:

where'd he go?

Brendan Gallagher:

you okay, John? I don't know.

Victor Razi:

Wow. I don't know if you had time for this, Brendan, but it's wild thought, but it just occurred to me. Did you ever like, think about taking like some C or anything while you were in residency or just Tom was just not allowed

Brendan Gallagher:

time's. Not the, the first thing residents generally think of would be probably moonlighting and not, you're not allowed to. In my residency, although I do know residents in the past that have done it for me, I'm like, if I moonlight, I'm, I'm gonna probably get caught in a couple hours.

Victor Razi:

Yeah. Fair enough.

Brendan Gallagher:

I mean? And I

Victor Razi:

Yeah.

Brendan Gallagher:

have side LLCs I'm working on.

Victor Razi:

Stretched too wide.

Saad Alamgir:

You're a busy guy in your own respect. Uh,

Brendan Gallagher:

gotta stay diversified You gotta stick

Victor Razi:

All right.

Brendan Gallagher:

you gotta do

Victor Razi:

Yeah.

Brendan Gallagher:

Do on the side, say a long week. You just want kind of get into your zone on the weekend.

Victor Razi:

Dude,

Brendan Gallagher:

guys doing?

Victor Razi:

we saw it actually had this in the past, so I'll give credit where it's due. But we both recently just got into the Strava thing, so

Brendan Gallagher:

Yeah.

Saad Alamgir:

Yeah.,

Victor Razi:

we've been getting active a little bit.

Saad Alamgir:

Yeah, we, we got a little, we got a little goal that we want to hit, but

Brendan Gallagher:

What's.

Saad Alamgir:

we've just been trying to get into shape. We, uh, I don't know if v's committed yet, but 50 K in January is one down in the state, so it's been trying to train up for it. And then ideally for me, I'd want to, I've set the goal, like I've wanted to do at least a half Ironman while in dental school. There's a really good one in Panama City Beach in May, next May. So gives me a year to train and get in shape get my heart healthy again.'cause God knows dental school will ruin it. But, Doing what we can to stay healthy. We, I think we both just enjoy working out usual, just get at, get away from dentistry, get away from anything academic and just lift iron or

Victor Razi:

Donating money to golf courses too.

Saad Alamgir:

Oh yeah. That's been huge these past couple weeks when been dying out a little bit.

Brendan Gallagher:

golf is great.

Victor Razi:

Yeah.

Brendan Gallagher:

Uh,

Saad Alamgir:

Yeah.

Brendan Gallagher:

working out running golf. Oh, it's, it's, there's something about a cold beer on a hot golf course.

Victor Razi:

man, it's, it's different.

Brendan Gallagher:

boys.

Victor Razi:

Different, Brendan, what, uh, I know you're just like still kind of tied down right now, but what hobby are you anticipating you might try to reach into when you get more of a work life balance? Or have you had that thought much yet?

Brendan Gallagher:

Oh. I've been thinking about it for years. I haven't produced music since just before D one year I want to get back into music producing. I

Victor Razi:

Dude,

Brendan Gallagher:

DJ deck a year

Saad Alamgir:

Oh, nice.

Brendan Gallagher:

and I haven't been able to try it out. You can

Victor Razi:

yeah.

Brendan Gallagher:

go. Oh, like I like a, we have a stipend thing. I got a laptop for it. Is it like a cheap, refurbished one from 2017,

Victor Razi:

Right.

Saad Alamgir:

Nice. Yeah.

Brendan Gallagher:

dude, I'm, I'm ready to go. I wanna make

Victor Razi:

That's sick.

Brendan Gallagher:

sets and,

Saad Alamgir:

DJ coming, man.

Brendan Gallagher:

no, just, just for fun just, you know,

Saad Alamgir:

Yeah.

Victor Razi:

That'd be sick though. Imagine if you did some events or stuff.

Brendan Gallagher:

like in the background on the sideline a little bit? Or

Saad Alamgir:

What do what?

Brendan Gallagher:

did you guys have to like, put anything in on like the sideline for a little bit for

Victor Razi:

Uh,

Brendan Gallagher:

for,

Saad Alamgir:

I mean,

Victor Razi:

yeah. Honestly, hanging out with friends, dude. Like I mainly just hang out with my dental school buddies'cause they're on the same pace as me. But like anyone outside of like, our pace, and it's probably the same with you, with your co co-residents, like,

Brendan Gallagher:

Yeah.

Victor Razi:

it's, it sucks. And when you hang out with'em and then you're abrupt and you're like, dude, I gotta go.

Brendan Gallagher:

Hmm.,

Victor Razi:

it feels different, you know?

Brendan Gallagher:

It's weird. And then it it's like, and it's tough'cause they don't. They don't understand if they're not in dentistry

Victor Razi:

Sure.

Brendan Gallagher:

or, you know.

Victor Razi:

Right.

Saad Alamgir:

Mm-hmm.

Victor Razi:

Yeah. I, it, it sucks'cause I don't want to rub people the wrong way when I'm like, dude, it's not like I want to, it's like I. This is like a part of what I aspire to do, you know,

Saad Alamgir:

sacrifice you have to make, you know?

Victor Razi:

but you know, that you've been through the actual thick of it, so

Brendan Gallagher:

Yeah the sacrifices on this, this pathway and in this career that we're all embarking on, it's, uh, there's a lot of sacrifices and they, they continue. really continue. And I just, I hope that it, it affords all of us the quality of life we're, we're looking for.'cause the career, the career's changed in the last 10 years. I mean,

Victor Razi:

I know the numbers say some crazy things.

Brendan Gallagher:

it's really changing, man. And I'm just concerned. I'm not, I don't, I'm not, no one is really positive if, if it's changing for the better.

Victor Razi:

Things, yeah. It's, I don't know. I don't know how it gets managed I don't think every, every dentist could go and strike theoretically, yeah, but it's not gonna happen. So it's like, how do you it's hard to lobby that type of things. Those type of things.

Brendan Gallagher:

I was talking to someone just the other day and they were like, yeah I did a, a filling and I looked at the Medicaid reimbursement and it was$10. Who? I was just talking about someone, it's like two days ago,

Saad Alamgir:

No way.

Victor Razi:

I would just do it for free at that point. Like, why are you even charging?

Saad Alamgir:

for real. Just it on Saturdays or something. That's,

Brendan Gallagher:

$10? Whatcha are you gonna what?

Victor Razi:

wild.

Brendan Gallagher:

more to

Saad Alamgir:

yeah.,

Brendan Gallagher:

the letter in the mail than that like,

Saad Alamgir:

Yeah,

Brendan Gallagher:

all right.

Saad Alamgir:

man.

Victor Razi:

crazy,

Brendan Gallagher:

man,

Saad Alamgir:

Yeah, I'm, I'm sure we're gonna into those problems next year, Brendan, and when we're in clinic going off that, I have a question. So we're about to get into the clinic,

Brendan Gallagher:

about, like, did have you guys been, has this all been what you guys thought it was?,

Victor Razi:

I mean,

Saad Alamgir:

I knew. Mm.

Victor Razi:

yes and no.

Saad Alamgir:

Yeah, the best advice I ever got was you have to embrace the suck. So like right now, just sucks And just, you just gotta deal with it. But you gotta trust that one day it'll, it'll get better and you'll know what you're doing. Like the drinking out of a fire hydrant is so accurate even today's class RPDs setting wax rims, like, I don't even know what a wax rim is I, the day I have a patient who needs a denture is the day I'm gonna learn how to do dentures.'cause right now I did it last summer. Do not know how to do it, you know?

Brendan Gallagher:

It's tough it's tough.

Victor Razi:

Yeah,

Saad Alamgir:

Yeah.

Victor Razi:

it is indeed.

Brendan Gallagher:

and stuff. And yet I just, and on that point, just to round it out, the drinking through the fire hose, jumping in the deep end, getting thrown in the, whatever it is, it it is true. And that's what it was traditionally for like the intern year. But dude, like just, it was like a three or four weeks ago, Amos sent out an email saying, talking about how Medicare b reimbursement since 2001 has decreased 33% when adjusted for inflation. This is in, in the, the email they showed the statistic right there in the math how they got to that. It's dropped 33% and that's kind of like a broader, not like concept of all of.

Victor Razi:

Yeah.

Brendan Gallagher:

and therefore dentistry. for our career, by the half, we're halfway through it, that's gonna be down

Victor Razi:

Yeah,

Brendan Gallagher:

years. It could potentially be down 66%. So

Victor Razi:

that,

Brendan Gallagher:

mentors and teachers will be making three, have made three times as much as us for the same work. And

Victor Razi:

that's wild.

Brendan Gallagher:

about making money, it's about that quality of life. And that's where, where I'm getting to like just, you have to get thrown in the deep section to learn how to, how to swim. But then you get outta the pool and everything's fine again. Right.

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

like people with certain debt that will always be underwater. That's where I'm concerned I know like, I'm gonna be fine. We're all probably gonna be fine, but

Victor Razi:

Right,

Brendan Gallagher:

average dentist And that could be anyone.

Victor Razi:

right.

Brendan Gallagher:

be okay for them too I don't

Victor Razi:

Yeah.

Brendan Gallagher:

just

Victor Razi:

makes you really feel bad for the people that some schools like 800 K to attend. Like that sucks.

Brendan Gallagher:

chief resident graduated last year,$750,000 of that

Victor Razi:

It's wild. And I mean, it makes you think like if that person doesn't have really good ethics and morals, like they're pushed to do things like it's,

Saad Alamgir:

Yeah, misdiagnose it's just the, the sad reality of healthcare, it's just you get an egregious amounts of student debt, you're trying to pay it off,

Victor Razi:

I.

Saad Alamgir:

you're seeing patients and it's just sad that can happen to someone who otherwise is a really good person. Very ethical. But yeah, when you're backs against a corner financially and drowning and nothing in your life seems to be working out, you've worked so hard for this one thing, you get it and then you realize, this isn't what I thought it would be.

Brendan Gallagher:

Yeah.

Saad Alamgir:

it's a scary reality to face. And hopefully it'll be a reality that not too many people will have to face. But it's

Victor Razi:

It's.

Brendan Gallagher:

Yeah it's scary it's, know. Yeah. The, these insurance. Yeah. We started an insurance company. Let's use ai. I think if you could get the reimbursement rates to something I. Hundred,$200 a filling. It's like a lot less people are gonna be worried about doing implants and all in Xs and, and

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

It's like they're, they're

Saad Alamgir:

It will just improve exactly. It'll just you know those people, those gps who want to you know, dabble into that stuff, they're thinking about trying to pay off some loans or something like that. And in turn do things that they're not totally comfortable with, like handing the complications of that thing, of that set procedure. when that happens and procedure goes wrong, and if they're under general anesthesia and they die or something, like, that's just on them it's, it's terrible that the insurance is kind of pushing us towards that.

Brendan Gallagher:

yeah. So we'll start a new insurance company and, uh, it, it's the only way to fix it, but we can do it. I think it'll be good. I really do. It's gonna be hard to start. It'll take 10 years to get off the ground. But the cool part is, uh, well there's a couple cohorts. I was talking about it with a dental student today. If you can use AI to like, kind of make certain areas self-sustainable, um, you could eventually solve the problem of like less populated areas, not getting providers. If that one provider in that area of nobody gets all the money for that area, not all the money, but every time they do work there, they're getting a hundred percent reimbursement versus a populated area. High net worth. It would be equated where Yeah, but you're dividing up between hundreds of dentists. So.

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

there's a lot of potential with AI that we could, we could look into these things,

Victor Razi:

Yeah.

Saad Alamgir:

it's on top and I think it's gonna be very, very prevalent in the next

Brendan Gallagher:

yeah.

Saad Alamgir:

tw during our careers in general.

Victor Razi:

Yeah,

Brendan Gallagher:

Yeah.

Victor Razi:

I think so too. For sure.

Brendan Gallagher:

That'll be good. It'll be good. Gentlemen, we're about an hour. How we, how are we looking? I would say

Victor Razi:

We're good. We're good. Let's, uh, what's your time? You want to, you good right now?

Brendan Gallagher:

Oh good. Oh good.

Victor Razi:

Good.

Brendan Gallagher:

I

Victor Razi:

So let's, uh, one good question I wanted to ask you is, uh what's your advice for clinic what'd you experience as hardship? What'd you, what do you recommend what's your thoughts there?

Brendan Gallagher:

dental school clinic or oral

Victor Razi:

Dental school clinic.

Brendan Gallagher:

some in

Saad Alamgir:

Dental school.

Brendan Gallagher:

Dude, I would,

Saad Alamgir:

Yeah.,

Brendan Gallagher:

I, and, and I'm, I'm not a bragging point, like I wasn't the academic guy, but hand skills, I

Saad Alamgir:

That's your thing.

Brendan Gallagher:

three in my class.

Saad Alamgir:

I

Brendan Gallagher:

the crown preps get that, you know how you, they wanna get the margin just under like a centimeter. Dude,

Victor Razi:

Sure.

Saad Alamgir:

right?

Brendan Gallagher:

burr is a centimeter. So

Victor Razi:

Right,

Brendan Gallagher:

just mark the margin with that. And then you use the the fine um, the fine diamond

Victor Razi:

right,.

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

hard 90 degree angle. Use that one. Go from like 0.8 millimeters to 0.9 millimeters, but it'll round it out and it'll

Victor Razi:

Sure.,

Brendan Gallagher:

fine. Polish it too. You could get this thing

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

Yeah, man.

Victor Razi:

That's awesome.

Brendan Gallagher:

the birds. Practice the birds, man.

Victor Razi:

That's awesome. What was your biggest,

Saad Alamgir:

I'll say, no, you go ahead.

Victor Razi:

what was your biggest challenge in clinically? What was like, this was for our school. It's like we have a software at our school and I mean, I think a lot of people would, would agree that like a beginning gets like working, the computers like tough to type the note to do that.

Brendan Gallagher:

Yeah.

Victor Razi:

What

Brendan Gallagher:

system?

Victor Razi:

we do, uh, epic. We have Epic at, uh,

Brendan Gallagher:

That's,

Victor Razi:

yeah,

Brendan Gallagher:

Epic in the hospital. We had accident dentist. We

Victor Razi:

apparently it's pretty good relatively, like I was talking to other students at different schools. Epic apparently is better than some other programs, small sample size, but I heard it's pretty decent.

Brendan Gallagher:

it takes a long time to learn though I would definitely say it takes, it

Victor Razi:

Really. Yeah sod's been tinkering with it. Some, I, I haven't dapp yet.

Saad Alamgir:

Yeah I got, I get in it every day to see, um, who I could assist. I don't know if y'all have it in y'all's dental school curriculum, but our first two years you have to assist the upperclassmen for a certain number of appointments. And I've been really behind this year, so I've been logging onto Epic every day to see who's got the appointments and where they're gonna be at. And then I'll text'em and be like, are you gonna be in Orange side one four for your denture, uh, adjustment? And they'll be like, yeah. I'll be like, yeah, I'm gonna come. yeah, I've been raking him up. But

Victor Razi:

work.

Saad Alamgir:

far as how to actually use Epic gonna, I'm gonna be humbled.

Brendan Gallagher:

really good. The problem is that like, yeah, like I have, I have some notifications right now on from Epic.

Victor Razi:

Sure.

Brendan Gallagher:

is.

Saad Alamgir:

Yeah.

Brendan Gallagher:

So it, it's great because then you could access things remotely, but then it

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

too remote where it's 10 30 at night and, and someone from another service or at your dental school will be sending you a message through there about a patient. And um, it, that's, that's probably

Saad Alamgir:

I,

Brendan Gallagher:

more so in the hospital setting than in dental clinic. But it, like, now it's like too good. It's like annoying, you know?

Victor Razi:

Yeah.

Saad Alamgir:

Yeah, I could definitely see a couple of our faculty members doing that, though. I'll say that.

Brendan Gallagher:

yeah. They'll be, they're gonna be annoying. Some of these people. They have no life it's, go

Saad Alamgir:

Yeah.

Brendan Gallagher:

a glass, like a wine bottle or something.

Saad Alamgir:

Yeah, man.

Victor Razi:

Was that whiskey you were sipping on earlier or was that apple juice? What you got in there?

Brendan Gallagher:

That's just apple juice.

Victor Razi:

Ah, okay. Okay.

Brendan Gallagher:

to chug my dinner.

Victor Razi:

Yeah. Alright. I didn't know what you were getting up to on Thursday night.

Brendan Gallagher:

I, I don't drink whiskey I like beer and wine. That's.

Victor Razi:

Yeah. Stay away from the, the hard liquors.

Brendan Gallagher:

I can't do it I think there was probably one or two parties when I was younger that, you know,

Victor Razi:

Yeah.

Saad Alamgir:

set you straight.

Brendan Gallagher:

semi me straight, couldn't, couldn't do it since then.

Victor Razi:

IPAs or just good old, uh, light beer? What? IPAs?

Brendan Gallagher:

IPA, I like IPAs. It's gotta be the right occasion. But yeah, I, I like IPAs. Damnit.

Victor Razi:

Yeah.

Brendan Gallagher:

what do you guys,

Victor Razi:

IPAs are cool cider and stuff. They're, I

Brendan Gallagher:

Just

Victor Razi:

those. Yeah. Depends on how many I'm drinking If it's one or two cider or something. Something like an IPA. But if it's more the IPAs will get you after a couple is when I'm getting mad.

Brendan Gallagher:

yeah. Some of those. The Tribbles. Yeah.

Victor Razi:

Yeah. You gotta watch out for'em. They're sneaky like ghosted machine, you're, it's, it's over with.

Brendan Gallagher:

So you drink or you're, you.

Saad Alamgir:

Nah, I, uh, I actually haven't really like endorsed it, but new year, I quit drinking I'm a Muslim. And just getting a bit more into with my faith.

Brendan Gallagher:

Congrats, man.,

Saad Alamgir:

I can still go out and have a good time, don't get me wrong.

Brendan Gallagher:

Yeah. Yeah,

Saad Alamgir:

But yeah, just usually be sip on water nowadays.

Brendan Gallagher:

that's fine. That's right. There's always a

Saad Alamgir:

Yeah,

Brendan Gallagher:

to match your watch.

Saad Alamgir:

yeah, exactly.

Victor Razi:

Your liver is like clapping right now.

Saad Alamgir:

But

Brendan Gallagher:

No,

Victor Razi:

Hi. Yeah.

Brendan Gallagher:

been? You quit this year.

Saad Alamgir:

Yeah I went to Ole Miss College and this is, this just kind of the norm and I just, I just kind of went with college culture, but

Brendan Gallagher:

brought you

Saad Alamgir:

I don't know, I just, well I live with my parents. I'm in school and you know, you think about your future, like you said,

Brendan Gallagher:

Hmm.,

Saad Alamgir:

you're thinking about what kind of family you wanna raise, what morals and values you wanna have. And mean, I kind of just realized like an important aspect of who I am as me being Muslim. And so I've been, I've been a lot more in tune with my faith. Just I praying and, uh, fasting this past month or during Ramadan and,

Brendan Gallagher:

Hmm.,

Saad Alamgir:

I was trying to be better man, better Muslim, so I could eventually be a better man, better husband, father friend, anything like

Victor Razi:

Brendan you don't get the privilege to, uh, see sod every single day during his fast and hear him talk about how we eat our lunch. He'll, like crack it open and then he'll look at you like, you really doing that in front of me right now?

Saad Alamgir:

I, I try my best not to, but we usually, like, whenever we're studying, we'll just stay in the same study room and like, just study through lunch. And so I, I don't, I try not to make a big deal about it, but I'll just look and then I'll just go back to my stuff and then they'll just feel bad. But I, I really don't care. I'm not

Victor Razi:

We're like, sod, this lunch is just so good right now. And it's like, uh,

Saad Alamgir:

Yeah I'll say there was a lot of times when like, they'd be drinking coffee, like, and they'd be like, dang, like I got this new flavor. It's really good. And they'd be like, you want some? And I'll just, I'll just look at it and be like,

Victor Razi:

yeah, he'll start mu after that.

Saad Alamgir:

Yeah, that is true.

Victor Razi:

But yeah.

Saad Alamgir:

But

Brendan Gallagher:

could be tough. Oh, man. What? What's your fasting time?

Saad Alamgir:

it was, uh, well it went through daylight savings, so it got a bit later. But you, before daylight savings, it was like five to six and then after it was like six to seven. So it's basically sunrise to sunset is the, is the times.,

Brendan Gallagher:

got it. So you,

Saad Alamgir:

So,

Brendan Gallagher:

you eat then?,

Saad Alamgir:

like you could eat before sunrise and that's when, uh, you're like encouraged to eat. So I'd wake up like at five and just have two yogurts of protein shakes and water, then have my pre-workout. No, I didn't do that. I didn't drink pre-workout during this time. I, uh, then would just go up to school early.

Brendan Gallagher:

beer or, or alcohol, whatever, but you're having pre-workout.

Saad Alamgir:

Yeah it evens out with the, uh I didn't for a long, for most of my fast, so there was really no caffeine, which was

Victor Razi:

Is this the non stem pre-workout you got, or is it still caffeinated you? Weren't you on one that wasn't caffeinated?

Saad Alamgir:

yeah no, I talked

Victor Razi:

You talked about it and then you didn't get it.

Saad Alamgir:

still have the caffeinate to pre-workout right here, and so I got about like half left. So I gotta

Victor Razi:

It's like having a bottle of whiskey on your shelf, man. You gotta watch out for that guy

Saad Alamgir:

Yeah.

Victor Razi:

next to your bed, man. Watch out for that.

Saad Alamgir:

yeah. But then just go through the day and then come home and some dinner and then I'll usually go work out and then go to bed and repeat. It's not too bad you really do get used to it.

Brendan Gallagher:

to it, right? Yeah. Yeah.

Saad Alamgir:

Yeah.

Brendan Gallagher:

dude. You're having pre-workout. I could never, I had pre-workout once in high school at like a basketball thing in the afternoon. I couldn't sleep that night. I haven't

Saad Alamgir:

Really,

Brendan Gallagher:

Yeah. Yeah. I,

Victor Razi:

you.,

Saad Alamgir:

my caffeine tolerance is like shot I, I'll say like a cup of coffee. I could drink a cup of coffee before bed and I'll, I'll sleep like a baby.

Brendan Gallagher:

oh,

Victor Razi:

Dopamine receptors.

Saad Alamgir:

Do you drink? Do you drink caffeine?

Brendan Gallagher:

I've, I have coffee. I keep it to the morning though. I

Saad Alamgir:

Okay.

Brendan Gallagher:

coffee after 3:00 PM and I try

Saad Alamgir:

Yeah.

Brendan Gallagher:

coffee for the days where I'm like, actively studying or learning or I need to absorb material or like get a

Saad Alamgir:

Yeah.

Brendan Gallagher:

work, administrative work done. Otherwise, like I try to keep it to.

Saad Alamgir:

Keep it natural.

Brendan Gallagher:

Maybe like two to four. Two to four cups I've been keeping Right, but you like three to four cups? I would say

Victor Razi:

Yeah, that's that's a good amount, I'd say.

Saad Alamgir:

that's a pretty, yeah. Healthy balance, I'd say.

Brendan Gallagher:

two. Two, three. Two probably I got it down to three cups. That's what I've been having the last two weeks. But on bigger days, I could probably push like 6, 7, 8 cups if I'm like studying for the

Victor Razi:

Yeah. Animal.

Saad Alamgir:

you're talking to me about pre-workouts, seven cups of coffee,

Victor Razi:

Saw it,

Saad Alamgir:

man.

Victor Razi:

the lethal dose, there's a lethal dose.

Saad Alamgir:

Oh yeah, there is.

Victor Razi:

Awesome Brendan, dude, we appreciated you, uh, coming on and talking this, everything.

Brendan Gallagher:

for

Saad Alamgir:

Yeah, man, Brenda I was thinking about this the first time we ever had you on. You still had long hair.

Brendan Gallagher:

Oh

Saad Alamgir:

So we we have

Brendan Gallagher:

ago.

Saad Alamgir:

been, I think the first time we had you was I think two years ago around this time, or maybe been two years ago this summer. But I mean it's been a pleasure having you on I feel like we've both, we've all just grown so much in these past two years. You're about to. real life. We better start clinics it's kind of a, don't wanna say full circle'cause I'm sure we'll circle back eventually, but this is like a three fourth circle right here, man.

Brendan Gallagher:

guys, we'll make this.'cause now it's, if if we started two years, so it's like once a year. Well,

Victor Razi:

Yeah,

Brendan Gallagher:

a year,

Saad Alamgir:

Yeah, dude.

Victor Razi:

yeah,

Brendan Gallagher:

on

Saad Alamgir:

for sure we want to hear about how private practice

Victor Razi:

yeah,

Saad Alamgir:

been and we'll tell you about

Brendan Gallagher:

up with, with you guys too, here. You're

Victor Razi:

for sure. Brendan, I listened to your, uh, Dr I guess is his name, his, his podcast. Yeah. That was a good podcast. I enjoyed it. It was,

Brendan Gallagher:

of people

Saad Alamgir:

yeah,

Brendan Gallagher:

had a lot of good insight on there I gotta see he's doing a lot of full arch cases every month. I don't know

Saad Alamgir:

he

Victor Razi:

uh,

Saad Alamgir:

at, uh, the conference we went to,

Victor Razi:

yeah,

Brendan Gallagher:

he really?

Saad Alamgir:

so mm-hmm.

Brendan Gallagher:

cases did he show?

Victor Razi:

he did, uh, what'd he do? He did, uh, maybe a, a fibula. Did he do fibula?

Saad Alamgir:

Was he, oh, I think he was a fibula.

Victor Razi:

Maybe he did he did. One of he is a head and neck fellow, so he did, he did, uh, some extensive procedure. It wasn't just like.

Saad Alamgir:

Let's see. Yeah, he did free flap is what the,

Brendan Gallagher:

Hmm.

Saad Alamgir:

his

Victor Razi:

Yeah, he, uh, he's a, he is a good guy though, you could tell just by listening to him. He has really good morals and stuff. Good dude.

Saad Alamgir:

mm-hmm.

Brendan Gallagher:

agree. I've, I I like him. He's good. He's a good one. And

Victor Razi:

Yeah,

Brendan Gallagher:

a lot of, um, a lot of people recommended him. A lot of people have said good things about him, which I like.

Victor Razi:

yeah,

Brendan Gallagher:

knows Chavkin too, actually, which is pretty cool. So he's my future boss. It's gonna be, I just, gotta, I gotta, I got big shoes to fill with my boss, but No, exciting. It's

Victor Razi:

yeah. I'm happy for you.

Saad Alamgir:

you, uh, Brendan, are you buying out this guy or what's his name? You I,

Brendan Gallagher:

Dr.,

Saad Alamgir:

I don't even wanna, Chavez Shaft.,

Brendan Gallagher:

he's,

Saad Alamgir:

Are you buying him out or are you gonna work as an associate in his office? What's the uh,

Brendan Gallagher:

I

Saad Alamgir:

okay.

Brendan Gallagher:

year associate contract. He's got six offices. I think he just bought a seventh. He's

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

sole owner. So I, I

Saad Alamgir:

Wow.

Brendan Gallagher:

that's what I mean by big shoes to fill it's probably gonna take a lot for him to I, and I'm gonna have to convince him that I could pay him what it's worth to like, get into the mix somehow.

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

but I'm

Victor Razi:

Right?

Brendan Gallagher:

I wanna do it and I wanna show him that I am, and I

Victor Razi:

Yeah,

Brendan Gallagher:

to the table in addition to just,

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

being a surgeon. I wanna bring marketing to the table too he's a business whiz. He's like, he's

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

practices under his belt,

Victor Razi:

Yeah,

Brendan Gallagher:

and,

Victor Razi:

a lot.

Saad Alamgir:

Is he still

Brendan Gallagher:

He's 50 years

Saad Alamgir:

Yeah.

Brendan Gallagher:

not like, he's,

Saad Alamgir:

Yeah.

Brendan Gallagher:

got many years with him. And

Victor Razi:

Oh, wow.

Brendan Gallagher:

wanna partner with that to do the marketing. And we,

Victor Razi:

Yeah.

Brendan Gallagher:

so.

Victor Razi:

Was his, uh,

Saad Alamgir:

he still practicing too?

Brendan Gallagher:

What was that?

Saad Alamgir:

Like while, is he still practicing too with while having seven practices?

Brendan Gallagher:

Yeah,

Saad Alamgir:

is he

Brendan Gallagher:

the,

Saad Alamgir:

full-time and,

Brendan Gallagher:

full-time, two offices five

Saad Alamgir:

wow,

Brendan Gallagher:

Yeah the

Victor Razi:

animal?

Saad Alamgir:

that's

Victor Razi:

Animal, y'all New York guys? Man, y'all just, they have something in the water over there or something.

Saad Alamgir:

a lot more fluoride or

Victor Razi:

Oh.

Saad Alamgir:

up there than down here

Brendan Gallagher:

is the reimbursement is like, like,

Victor Razi:

I see. Y'all gotta work.

Brendan Gallagher:

You gotta work over here, man.,

Victor Razi:

fair enough.

Saad Alamgir:

and then,

Victor Razi:

Awesome, bro.

Brendan Gallagher:

pissed off in New York. Yeah. The

Saad Alamgir:

yeah.

Victor Razi:

Yeah.

Brendan Gallagher:

everywhere

Victor Razi:

So are his practices similar to Auerbach setup? Like I know Auerbach says he does full scope in all of his practices,

Brendan Gallagher:

he, no,

Victor Razi:

similar or,,

Brendan Gallagher:

the full scope is'cause they, became a DSO and in that transition over the last like seven. Six to eight years I would say. They bought up a lot of, and partnered with a lot of other groups. And of those partners, his, his, one of his main partners is a head and neck fellow. So

Victor Razi:

I see.

Brendan Gallagher:

he's a head and neck guy. So they, they have that, um, options in

Victor Razi:

sure.

Brendan Gallagher:

that's what

Victor Razi:

I see. That makes sense. Okay. And then yours is more, essentially more dto, alveolar based, uh,

Brendan Gallagher:

Yeah,

Victor Razi:

foundationally. Okay. Cool that'll be awesome for you to get into

Saad Alamgir:

man.

Victor Razi:

that. Yeah.

Brendan Gallagher:

yeah. I got,

Saad Alamgir:

Yeah.

Brendan Gallagher:

figure out the call thing.'cause it's like to be a true ified surgeon, oral surgeon, they make you submit that you have hospital privileges somewhere. The hospitals, to get hospital you have to take call for them.

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

you take call, you might have, you're gonna have to manage emergency, maybe you have to take someone to the OR and stuff, but they're not gonna pay you to do that. Many hospitals now, they're not gonna pay you to take call. They're gonna say, well, we're giving you hospital privileges to work here. Take your patients here. You gotta take call first and do that. And they're like, you could bill on your own insurance separately, but we're not gonna pay you to,

Victor Razi:

Yeah. Does that work out or no?

Brendan Gallagher:

it's complete, that's complete manipulation of, of doctors and everything. It's I

Saad Alamgir:

Oh yeah.,

Brendan Gallagher:

I just can't stand that. I if they're doing work for you, you gotta pay them. Um,

Saad Alamgir:

Mm-hmm.

Brendan Gallagher:

but so, I don't know I gotta figure that out. I'm not gonna take call to a hospital if they're not gonna pay me to take call I'm not doing,

Saad Alamgir:

that's, I mean,

Victor Razi:

Yeah.

Saad Alamgir:

like at its finest. You wanna be board certified. Oh, do some unpaid labor for us for a weekend.

Brendan Gallagher:

which you just did, like all through residency. So

Saad Alamgir:

Yeah,

Brendan Gallagher:

did the

Saad Alamgir:

it's never,

Brendan Gallagher:

um,

Saad Alamgir:

you can never get away from it, man. That's crazy.

Brendan Gallagher:

dude, I, I did the math. I made my salary in two weeks. But with taking call. You make your salary in two weeks? This year I'm like 85,000 my fourth year residency and yeah, two weeks doing LAC repairs. Maybe you do a fracture to work in clinic the every day of the week. yeah that's over$85,000 in two weeks,

Saad Alamgir:

That is unreal.

Victor Razi:

yeah, hopefully things go well for you man. We we enjoyed having you on and we'll keep our, keep touch, keep base

Saad Alamgir:

in touch, man. We can make this we'll be reaching back out, man. Don't worry.

Brendan Gallagher:

Yeah.

Victor Razi:

sure.

Brendan Gallagher:

We'll talk

Saad Alamgir:

But

Brendan Gallagher:

soon.

Victor Razi:

Yeah.

Brendan Gallagher:

fellas.

Saad Alamgir:

yeah.

Victor Razi:

Alright man.

Brendan Gallagher:

on.

Saad Alamgir:

Sounds good.

Brendan Gallagher:

yeah we'll touch base in a bit

Victor Razi:

Hi bro.

Saad Alamgir:

good.

Victor Razi:

See ya.

Saad Alamgir:

it, Brendan. Best of luck.