1 00:00:00,240 --> 00:00:04,680 Speaker 1: From UFOs to psychic powers and government conspiracies. History is 2 00:00:04,760 --> 00:00:09,080 Speaker 1: riddled with unexplained events. You can turn back now or 3 00:00:09,200 --> 00:00:12,079 Speaker 1: learn the stuff they don't want you to know. A 4 00:00:12,200 --> 00:00:25,640 Speaker 1: production of I Heart Radio. Hello, welcome back to the show. 5 00:00:25,680 --> 00:00:27,760 Speaker 1: My name is Matt, my name is known, and they 6 00:00:27,800 --> 00:00:30,200 Speaker 1: called me Ben. We are joined as always with our 7 00:00:30,280 --> 00:00:35,120 Speaker 1: super producer, all mission controlled decons. Most importantly, you are you. 8 00:00:35,120 --> 00:00:38,080 Speaker 1: You are here, and that makes this the stuff they 9 00:00:38,159 --> 00:00:41,479 Speaker 1: don't want you to know. In today's episode, stuff they 10 00:00:41,520 --> 00:00:44,320 Speaker 1: don't want you to know is going to the dentist. 11 00:00:44,400 --> 00:00:49,400 Speaker 1: And unless be honest, folks, most people hate that kind 12 00:00:49,400 --> 00:00:54,400 Speaker 1: of appointment. It can be a painful, expensive, sometimes humiliating hassle. 13 00:00:54,520 --> 00:00:57,720 Speaker 1: But still, when everything works out, it's better than the 14 00:00:57,760 --> 00:01:01,840 Speaker 1: alternative because if left untree did your cavities, your other 15 00:01:01,920 --> 00:01:06,040 Speaker 1: ailments can make a serious negative impact on your life. 16 00:01:06,120 --> 00:01:08,319 Speaker 1: And I was thinking about this, you know, all the 17 00:01:08,360 --> 00:01:14,360 Speaker 1: way back to uh the stereotypical image of Steve Martin's 18 00:01:14,480 --> 00:01:18,560 Speaker 1: dentist in Little Shop of Horrors. Dentists have this unique 19 00:01:18,560 --> 00:01:23,120 Speaker 1: spot in culture, at least in the US. Like postal workers, 20 00:01:23,200 --> 00:01:27,640 Speaker 1: they've been saddled with all sorts of pretty unkind stereotypes. 21 00:01:27,840 --> 00:01:31,400 Speaker 1: And this doesn't mean dentists have done anything wrong. It's 22 00:01:31,480 --> 00:01:34,440 Speaker 1: just that in the vast majority of cases, people who 23 00:01:34,520 --> 00:01:40,200 Speaker 1: don't care for dentists associate them with previous unpleasant experiences. 24 00:01:40,240 --> 00:01:44,840 Speaker 1: There's some behavioralism going on. Definitely, just think about horrible bosses. 25 00:01:45,520 --> 00:01:50,320 Speaker 1: I mean just yeah, the dentist can be bad at 26 00:01:50,400 --> 00:01:53,240 Speaker 1: least in movies and TV. Well, the biggest one that 27 00:01:53,280 --> 00:01:55,040 Speaker 1: I think always has followed me around you Before I 28 00:01:55,040 --> 00:01:56,880 Speaker 1: had seen the movie, I was aware of the character 29 00:01:56,920 --> 00:02:00,840 Speaker 1: and the scene as the Laurence Olivi a character and 30 00:02:00,880 --> 00:02:05,400 Speaker 1: the Marathon Man with Dustin Hoffman or he's literally torturing 31 00:02:06,080 --> 00:02:08,840 Speaker 1: the protagonists of the film with dental tools, and he's like, 32 00:02:08,880 --> 00:02:11,160 Speaker 1: I think he's like a former Nazi, if I'm not 33 00:02:11,200 --> 00:02:14,680 Speaker 1: mistaken from Yeah, and he keeps saying is it safe? 34 00:02:14,720 --> 00:02:16,840 Speaker 1: And I've never quite fully understood what that other than 35 00:02:16,880 --> 00:02:19,560 Speaker 1: just like an odd idiosyncrasy. But yeah, he's like, you know, 36 00:02:19,639 --> 00:02:22,120 Speaker 1: drilling the guy's teeth out like for frenzies just to 37 00:02:22,160 --> 00:02:24,880 Speaker 1: make him talk um. And it's a it's a it's 38 00:02:24,880 --> 00:02:27,800 Speaker 1: a torture technique. We see, you know in other films too, 39 00:02:27,919 --> 00:02:30,560 Speaker 1: like Old Boy, for example, where the character uses the 40 00:02:30,600 --> 00:02:32,880 Speaker 1: back end of a hammer to twist the guy's teeth 41 00:02:32,919 --> 00:02:35,880 Speaker 1: out of his mouth. Teeth are very triggering for people. 42 00:02:36,080 --> 00:02:39,120 Speaker 1: Oh yeah, it's one of the most common nightmare tropes. 43 00:02:39,480 --> 00:02:42,200 Speaker 1: Uh that I think, Matt, you were probably gonna mention 44 00:02:42,240 --> 00:02:45,160 Speaker 1: this fight and stand. It's if you look at like 45 00:02:45,360 --> 00:02:49,960 Speaker 1: for anybody who has strange dreams, you'll notice that you 46 00:02:49,960 --> 00:02:52,880 Speaker 1: you probably do have a couple of dreams that are 47 00:02:53,080 --> 00:02:55,520 Speaker 1: common in the human species, and one of the most 48 00:02:55,560 --> 00:02:59,880 Speaker 1: common is the idea of one's teeth cracking or one's 49 00:03:00,080 --> 00:03:04,320 Speaker 1: teeth falling out. But this is not a dream interpretation 50 00:03:04,480 --> 00:03:08,320 Speaker 1: episode quite yet. We We do know though that we're 51 00:03:08,400 --> 00:03:11,919 Speaker 1: when we're talking about the world of dentistry, we are 52 00:03:11,960 --> 00:03:16,120 Speaker 1: talking about some tropes. And at the very top, I 53 00:03:16,120 --> 00:03:18,640 Speaker 1: want to give a shout out to an excellent article 54 00:03:19,400 --> 00:03:23,440 Speaker 1: published in The Atlantic in twenty nineteen by Faris Jabber 55 00:03:23,800 --> 00:03:28,040 Speaker 1: j A. B R. It's called The Truth about Dentistry. Uh. 56 00:03:28,160 --> 00:03:31,080 Speaker 1: Farris has done some excellent work here, and I think 57 00:03:31,080 --> 00:03:36,360 Speaker 1: he nailed one of our collective interpretations of what visiting 58 00:03:36,400 --> 00:03:39,800 Speaker 1: a dentist is like. Yes, definitely, you've likely had some 59 00:03:39,880 --> 00:03:43,400 Speaker 1: kind of toothache before in the past, I know I have, 60 00:03:43,920 --> 00:03:48,480 Speaker 1: and it is. It's an inescapable terrible feeling, and in 61 00:03:48,560 --> 00:03:50,839 Speaker 1: order to fix it you have to go and see 62 00:03:50,880 --> 00:03:53,200 Speaker 1: a dentist. And when you go to see a dentist, 63 00:03:53,520 --> 00:03:58,200 Speaker 1: you are putting yourself through an experience. And as you said, Ben, 64 00:03:58,520 --> 00:04:01,480 Speaker 1: there this writer in the Atlanta describes it as such. 65 00:04:01,720 --> 00:04:07,240 Speaker 1: He gets it a masked figure looms over your recumbent body, 66 00:04:07,840 --> 00:04:12,560 Speaker 1: wielding power tools and sharp metal instruments, doing things to 67 00:04:12,600 --> 00:04:19,280 Speaker 1: your mouth you cannot see, and only asking you questions 68 00:04:19,760 --> 00:04:22,200 Speaker 1: after you Okay, this is gonna be an explicit episode, 69 00:04:22,400 --> 00:04:24,440 Speaker 1: only asking you questions after you have a bunch of 70 00:04:24,560 --> 00:04:26,800 Speaker 1: it in your mouth, you know what I mean? Like 71 00:04:26,960 --> 00:04:30,880 Speaker 1: is it safe and well? And and even sometimes asking 72 00:04:30,920 --> 00:04:33,279 Speaker 1: you questions that you don't fully understand. I think he 73 00:04:33,320 --> 00:04:36,120 Speaker 1: also notes that or that you don't have the answers 74 00:04:36,160 --> 00:04:39,560 Speaker 1: to while you're in that position. Yeah, what do you 75 00:04:39,560 --> 00:04:43,520 Speaker 1: think purple smells like? I gotta say, though I pride 76 00:04:43,560 --> 00:04:46,719 Speaker 1: myself and being a really good patient, I know exactly 77 00:04:46,760 --> 00:04:48,920 Speaker 1: when they want me to turn my head. I try 78 00:04:48,960 --> 00:04:51,080 Speaker 1: to predict it so that I'm just like so that 79 00:04:51,120 --> 00:04:54,440 Speaker 1: they won't literally, you know, jab me in the gums 80 00:04:54,520 --> 00:04:58,359 Speaker 1: on purpose. Right. We try to be uh. You know, 81 00:04:58,480 --> 00:05:00,480 Speaker 1: those of us on this show, we're talking thing about 82 00:05:00,520 --> 00:05:03,320 Speaker 1: this little bit off air with Paul. Uh, those of 83 00:05:03,400 --> 00:05:05,880 Speaker 1: us on on the show today, and perhaps you're listening 84 00:05:05,920 --> 00:05:09,600 Speaker 1: with us at home or wherever your adventurous find you. Uh, 85 00:05:09,839 --> 00:05:13,919 Speaker 1: we're all suffering from what could be called information as 86 00:05:14,000 --> 00:05:16,320 Speaker 1: symmetry when we were in that chair. We are not 87 00:05:16,520 --> 00:05:20,040 Speaker 1: the experts, right, and sometimes to pay on your dentist's 88 00:05:20,040 --> 00:05:23,159 Speaker 1: bedside manner, you may in fact feel like you are 89 00:05:23,440 --> 00:05:28,279 Speaker 1: required to be penitent. I'm sorry, doctor, I'm sorry. I 90 00:05:28,279 --> 00:05:31,640 Speaker 1: I assure you I will do a better job flossing. 91 00:05:32,120 --> 00:05:34,640 Speaker 1: But that is that is the question every time, then 92 00:05:35,520 --> 00:05:37,960 Speaker 1: every time for me personally, and I bet for a 93 00:05:38,000 --> 00:05:40,479 Speaker 1: lot of other people. So how you been doing on 94 00:05:40,680 --> 00:05:45,240 Speaker 1: the flossing? And they know, they know because they're looking 95 00:05:45,279 --> 00:05:48,400 Speaker 1: into your mouth. So you can't really, I can't really 96 00:05:48,440 --> 00:05:50,800 Speaker 1: pull a deception. You'd have to roll pretty high in 97 00:05:50,839 --> 00:05:53,880 Speaker 1: that D and D game. But there's something else too 98 00:05:53,880 --> 00:05:57,000 Speaker 1: with this information as symmetry. We have to ask ourselves. 99 00:05:58,120 --> 00:06:02,040 Speaker 1: Is dentistry a necessary, very evil or is there more 100 00:06:02,200 --> 00:06:05,640 Speaker 1: to the story. The answers may disturb you, and if 101 00:06:05,680 --> 00:06:08,839 Speaker 1: you are one of the small portion of the world's 102 00:06:08,880 --> 00:06:12,919 Speaker 1: population who does have a legitimate phobia of dentistry and 103 00:06:13,040 --> 00:06:17,560 Speaker 1: of talking about teeth and knives and drills in your mouth, 104 00:06:18,080 --> 00:06:21,720 Speaker 1: then honestly be warned, this may not be the episode 105 00:06:21,760 --> 00:06:25,000 Speaker 1: for you. But let's start at the very beginning, because 106 00:06:25,080 --> 00:06:29,520 Speaker 1: dentistry has a surprising history. Here are the facts. Yet 107 00:06:29,560 --> 00:06:32,200 Speaker 1: it turns out it's uh I think it and like 108 00:06:32,320 --> 00:06:35,120 Speaker 1: sex worker, two of the oldest professions. I just sort 109 00:06:35,120 --> 00:06:37,200 Speaker 1: of made that up. But they're probably not too too 110 00:06:37,279 --> 00:06:40,000 Speaker 1: far off because the dentistry dates back to seven thousand 111 00:06:40,040 --> 00:06:43,160 Speaker 1: b c e UM, where evidence of its practice was 112 00:06:43,200 --> 00:06:46,920 Speaker 1: discovered in the Indus Valley civilization. But it wasn't until 113 00:06:46,920 --> 00:06:52,919 Speaker 1: five thousand BC that descriptions actually relating to dentistry um 114 00:06:52,960 --> 00:06:56,320 Speaker 1: as a profession and tooth decay became kind of part 115 00:06:56,320 --> 00:06:59,159 Speaker 1: of the record, right. Uh So at the time, a 116 00:06:59,320 --> 00:07:04,080 Speaker 1: Sumarian text described the idea of tooth decay as being 117 00:07:04,160 --> 00:07:08,880 Speaker 1: caused by toothworms, um, you know, and this was kind 118 00:07:08,920 --> 00:07:12,520 Speaker 1: of the prevailing theory for quite some time, all the 119 00:07:12,520 --> 00:07:15,960 Speaker 1: way into the seventeen hundreds. So it does lead experts 120 00:07:16,040 --> 00:07:20,920 Speaker 1: to describe dentistry as the oldest specialization in medicine at 121 00:07:20,920 --> 00:07:24,760 Speaker 1: the very least, maybe not the oldest profession, but the 122 00:07:24,840 --> 00:07:29,440 Speaker 1: first book focusing entirely on the practice of dentistry was 123 00:07:29,520 --> 00:07:33,960 Speaker 1: published as far back as fifteen thirty UM and dentistry, 124 00:07:34,520 --> 00:07:36,560 Speaker 1: as we've already indicated at the top of the show, 125 00:07:36,880 --> 00:07:39,560 Speaker 1: mega important. Today. You always hear about people saying how 126 00:07:39,600 --> 00:07:42,239 Speaker 1: like your teeth and your your nerves and your teeth 127 00:07:42,280 --> 00:07:44,560 Speaker 1: and your roots of your teeth are like a direct 128 00:07:44,680 --> 00:07:47,360 Speaker 1: line to your heart. So if you have, you know, 129 00:07:47,520 --> 00:07:51,120 Speaker 1: tooth decay and tooth problems and infections, it can literally 130 00:07:51,200 --> 00:07:54,240 Speaker 1: kill you, can affect your jaw, can affect your hearing. 131 00:07:54,600 --> 00:07:57,960 Speaker 1: There is a lot at stake here because don't forget 132 00:07:58,200 --> 00:08:03,240 Speaker 1: you know, your head is the most important of your limbs, right, 133 00:08:03,320 --> 00:08:06,080 Speaker 1: so your mouth is a neighbor to the most mysterious 134 00:08:06,160 --> 00:08:09,240 Speaker 1: important organ in your body, the brain, as well as 135 00:08:10,120 --> 00:08:14,280 Speaker 1: a lot of your specialized sensory organs. Uh. If you 136 00:08:14,320 --> 00:08:18,240 Speaker 1: are you know, a human being or a mammal in general, Hey, 137 00:08:18,240 --> 00:08:19,840 Speaker 1: I just want to I just want to speak for 138 00:08:19,960 --> 00:08:24,840 Speaker 1: tooth worms just for a moment on their behalf. Because 139 00:08:25,960 --> 00:08:29,800 Speaker 1: the concept that there was something foreign in the mouth 140 00:08:30,200 --> 00:08:34,319 Speaker 1: that was causing the teeth to decay is a it's 141 00:08:34,320 --> 00:08:36,160 Speaker 1: a good thought. They're like, Okay, it must be something 142 00:08:36,200 --> 00:08:39,680 Speaker 1: else affecting. This isn't just a natural thing. They just 143 00:08:39,760 --> 00:08:43,640 Speaker 1: got the size wrong, right, because a tooth worm it 144 00:08:43,640 --> 00:08:47,439 Speaker 1: would have to be you know, at the smallest microscopic. 145 00:08:47,520 --> 00:08:51,320 Speaker 1: But really, what you're you're thinking about bacteria and other uh, 146 00:08:51,640 --> 00:08:54,240 Speaker 1: microorganisms that are in your teeth kind of eating away 147 00:08:54,280 --> 00:08:57,240 Speaker 1: at the enamel, and different chemicals and substances that eat 148 00:08:57,280 --> 00:09:00,160 Speaker 1: away at the enamel on your in your teeth. It's 149 00:09:00,200 --> 00:09:03,000 Speaker 1: not worms. But they were close, that's all I want 150 00:09:03,000 --> 00:09:06,720 Speaker 1: to say. Yeah, yeah, And you have to applaud it 151 00:09:06,720 --> 00:09:09,040 Speaker 1: because they were able to they were able to say 152 00:09:09,120 --> 00:09:11,760 Speaker 1: something is a miss here, and they were you know, 153 00:09:11,800 --> 00:09:13,800 Speaker 1: it's a really good point, Matt. They were kind of 154 00:09:13,920 --> 00:09:18,440 Speaker 1: on the money. But dentistry, like other fields of medicine 155 00:09:18,440 --> 00:09:25,720 Speaker 1: and scientific research, evolved past its earlier roots roots. Sorry uh, 156 00:09:25,760 --> 00:09:28,040 Speaker 1: and you know we can we can skip some of 157 00:09:28,080 --> 00:09:32,920 Speaker 1: the very fascinating historical aspects of dentistry, like the the 158 00:09:33,040 --> 00:09:36,800 Speaker 1: reign of dentist barbers, where the idea was that if 159 00:09:36,800 --> 00:09:39,720 Speaker 1: you are qualified to cut hair, hey, you're qualified to 160 00:09:39,760 --> 00:09:43,520 Speaker 1: cut off fingers, arms, extract teeth, why not you got 161 00:09:43,520 --> 00:09:47,960 Speaker 1: the stuff already. But but uh, now your dentists will 162 00:09:48,000 --> 00:09:51,000 Speaker 1: probably bulk if you ask them to perform an amputation 163 00:09:51,320 --> 00:09:52,920 Speaker 1: or if you ask them to cut your hair, as 164 00:09:52,960 --> 00:09:56,319 Speaker 1: long as they're legit, you know, been that that, I'm 165 00:09:56,320 --> 00:09:58,800 Speaker 1: sorry to cut you off. I keep doing that. The 166 00:09:58,840 --> 00:10:02,640 Speaker 1: Atlantic article makes an the great point that likens the 167 00:10:02,760 --> 00:10:06,400 Speaker 1: art of dentistry, the science of dentistry, closer to surgery 168 00:10:06,480 --> 00:10:10,640 Speaker 1: than to um a medical doctor. At least that's the 169 00:10:10,679 --> 00:10:13,720 Speaker 1: way they consider it. And it's very much is in 170 00:10:13,760 --> 00:10:16,040 Speaker 1: line with what you were just saying there. Yeah, yeah, 171 00:10:16,160 --> 00:10:21,400 Speaker 1: it's true. And today, the what would loosely be called 172 00:10:21,440 --> 00:10:28,480 Speaker 1: the global dental services market, meaning everything related to dentistry, 173 00:10:28,520 --> 00:10:32,079 Speaker 1: reached the value of almost three hundred and sixty five 174 00:10:32,200 --> 00:10:36,320 Speaker 1: point six billion dollars. That's that's well over the g 175 00:10:36,440 --> 00:10:40,760 Speaker 1: d P of several countries. And that's just in this year. 176 00:10:40,760 --> 00:10:43,959 Speaker 1: In one the dental industry in the US alone is 177 00:10:44,120 --> 00:10:47,240 Speaker 1: predicted to reach a value of one hundred and thirty 178 00:10:47,320 --> 00:10:51,199 Speaker 1: eight point eight billion dollars. People in the US go 179 00:10:51,480 --> 00:10:56,760 Speaker 1: to dentists, um well, regardless of how frequently or infrequently 180 00:10:56,840 --> 00:10:59,959 Speaker 1: you go, Uh, it tends to be an expensive endeavor 181 00:11:00,360 --> 00:11:04,760 Speaker 1: in short, business is good right now. As of last year, 182 00:11:05,040 --> 00:11:09,400 Speaker 1: there were over two hundred thousand dentists estimated to be 183 00:11:09,520 --> 00:11:12,640 Speaker 1: working in the US, and this funny story. This led 184 00:11:12,960 --> 00:11:17,360 Speaker 1: some industry experts, including dentists themselves, to argue, there are 185 00:11:17,400 --> 00:11:21,000 Speaker 1: just too many dentists around because you know from well 186 00:11:21,080 --> 00:11:24,959 Speaker 1: from their perspective, you know, the cost of education is rising, right, 187 00:11:25,440 --> 00:11:29,400 Speaker 1: and it's healthy for you if you own a dental 188 00:11:29,480 --> 00:11:32,959 Speaker 1: practice to have other dentists in the area, right, so 189 00:11:33,040 --> 00:11:37,120 Speaker 1: you're not overloaded, but you don't want too many because 190 00:11:37,200 --> 00:11:40,679 Speaker 1: then you're you're short changing yourself. It's kind of the 191 00:11:40,760 --> 00:11:44,160 Speaker 1: same way that no, it's not there's a Starbucks everywhere. 192 00:11:44,400 --> 00:11:48,400 Speaker 1: Keep that part in so this so this is all 193 00:11:48,440 --> 00:11:52,600 Speaker 1: well and good, right. And the techniques have, as we've said, 194 00:11:52,760 --> 00:11:55,680 Speaker 1: evolved over time, but still not to the point where 195 00:11:55,720 --> 00:12:00,560 Speaker 1: they could ease everyone's fears. If you conduct did uh, 196 00:12:00,720 --> 00:12:02,679 Speaker 1: If you conducted a survey like some of the ones 197 00:12:02,760 --> 00:12:05,439 Speaker 1: have been done over recent years, you will find that 198 00:12:05,640 --> 00:12:08,920 Speaker 1: as many as sixty one percent of people more than 199 00:12:09,040 --> 00:12:13,199 Speaker 1: half or at least apprehensive about seeing the dentist, and 200 00:12:14,240 --> 00:12:18,199 Speaker 1: fifteen percent or so are so anxious about this that 201 00:12:18,440 --> 00:12:23,880 Speaker 1: they avoid the dentist almost entirely in a smaller percentage, 202 00:12:23,920 --> 00:12:26,599 Speaker 1: like we mentioned before, have a real phobia. They have 203 00:12:26,679 --> 00:12:29,760 Speaker 1: to go to a psychiatrist or a therapist to get 204 00:12:29,840 --> 00:12:32,559 Speaker 1: themselves back in the dentisty. I think anybody has like 205 00:12:32,720 --> 00:12:36,559 Speaker 1: dental fetishes out there. Yes, I don't. I m'd be 206 00:12:36,640 --> 00:12:40,240 Speaker 1: fascinated to hear about that so specific. Uh No, it's true, 207 00:12:40,280 --> 00:12:44,280 Speaker 1: and I understand exactly why. It's the noises. It's the vulnerability, 208 00:12:44,760 --> 00:12:47,559 Speaker 1: you know, especially if you're getting put under for a procedure. 209 00:12:47,920 --> 00:12:49,920 Speaker 1: You know that it's like an outpatient procedure, but you 210 00:12:50,000 --> 00:12:52,880 Speaker 1: still have that whole like counting backwards from ten as 211 00:12:52,920 --> 00:12:55,439 Speaker 1: you start to kind of enter the black land that is, 212 00:12:55,679 --> 00:13:00,800 Speaker 1: uh you know, um nitrius um sedation. Suppose there's something 213 00:13:00,880 --> 00:13:04,079 Speaker 1: even heavier right that if you feel very out of control. 214 00:13:04,200 --> 00:13:06,440 Speaker 1: So there's a lot of factors in here that can 215 00:13:06,520 --> 00:13:09,880 Speaker 1: contribute to this anxiety. I totally get. I'm not scared 216 00:13:09,880 --> 00:13:12,439 Speaker 1: of the dentist. I don't like needles, and I certainly 217 00:13:12,480 --> 00:13:15,880 Speaker 1: don't like getting shots in my mouth, but I'm not 218 00:13:16,080 --> 00:13:18,600 Speaker 1: too bad about my My daughter is similarly not too 219 00:13:18,640 --> 00:13:20,360 Speaker 1: freaked out. But I have known plenty of people in 220 00:13:20,440 --> 00:13:23,600 Speaker 1: my life that absolutely just can't hang with the dentist. 221 00:13:24,160 --> 00:13:26,559 Speaker 1: I just want to make I I agree with you. Um, 222 00:13:26,720 --> 00:13:28,800 Speaker 1: I love my dental higgenist. By way, by the way, 223 00:13:28,800 --> 00:13:30,600 Speaker 1: shout out to Dr Kim she and all the folks 224 00:13:30,640 --> 00:13:33,920 Speaker 1: over there. But hey, we've got the same one. Hey, 225 00:13:34,040 --> 00:13:38,640 Speaker 1: but I still don't like doing it. But they're great people. Uh. 226 00:13:39,080 --> 00:13:40,720 Speaker 1: But what I wanted to point out is what another 227 00:13:40,800 --> 00:13:44,440 Speaker 1: reason why many people don't go to a dentist very 228 00:13:44,480 --> 00:13:48,240 Speaker 1: frequently is because they don't have dental insurance. Um. And 229 00:13:49,280 --> 00:13:52,640 Speaker 1: you know, if you're just doing a yearly checkup or 230 00:13:52,840 --> 00:13:56,480 Speaker 1: a like most not most Like many people, it's twice 231 00:13:56,520 --> 00:13:58,839 Speaker 1: a year you go, especially if you have insurance, you 232 00:13:58,920 --> 00:14:00,800 Speaker 1: go and see the dentist for to look at that. 233 00:14:01,360 --> 00:14:03,839 Speaker 1: I know, and that's what you do. But like the 234 00:14:04,360 --> 00:14:08,080 Speaker 1: if you don't have insurance and you have any other issue, 235 00:14:08,200 --> 00:14:11,599 Speaker 1: like you need a group canal or any other you 236 00:14:11,679 --> 00:14:13,960 Speaker 1: know thing, get your wisdom teeth out, or all these 237 00:14:14,000 --> 00:14:16,520 Speaker 1: things that we're going to mention later, it would break 238 00:14:16,600 --> 00:14:21,600 Speaker 1: the bank. Absolutely. If so, I would argue, it's just 239 00:14:22,040 --> 00:14:26,359 Speaker 1: me here, folks. But I would argue that this anxiety 240 00:14:26,560 --> 00:14:29,680 Speaker 1: is well founded, especially in the US or any place 241 00:14:29,800 --> 00:14:34,600 Speaker 1: that has heavily privatized profit driven medicine and insurance, you know, 242 00:14:34,800 --> 00:14:38,440 Speaker 1: insurance schemes, and I'm using schemes in the British sense. 243 00:14:38,520 --> 00:14:41,880 Speaker 1: I'm not calling them capers just yet. But what but 244 00:14:42,080 --> 00:14:45,640 Speaker 1: what what happens is there's this self fulfilling prophecy where 245 00:14:45,680 --> 00:14:47,680 Speaker 1: you say, I'm putting off a trip to the dentist 246 00:14:49,080 --> 00:14:51,240 Speaker 1: because I know it'll be expensive and I know it'll 247 00:14:51,280 --> 00:14:54,600 Speaker 1: be painful, and it always is because I always put 248 00:14:54,680 --> 00:14:59,120 Speaker 1: it off. So we're creating the disaster and the pain 249 00:14:59,240 --> 00:15:02,480 Speaker 1: that we predict. And it can be tough, Like you 250 00:15:02,600 --> 00:15:04,800 Speaker 1: just said, Matt, it can be tough to avoid this 251 00:15:05,120 --> 00:15:09,400 Speaker 1: because in the US, for anyone unfamiliar, you don't have 252 00:15:09,840 --> 00:15:15,040 Speaker 1: there there's not there's not really anything like first world healthcare, 253 00:15:15,440 --> 00:15:18,760 Speaker 1: by which I mean there's not any kind of universal 254 00:15:18,880 --> 00:15:22,760 Speaker 1: medicine outside of limited programs like Medicare or Medicaid, which 255 00:15:22,800 --> 00:15:25,120 Speaker 1: could be their own episodes. There is some corruption there 256 00:15:25,120 --> 00:15:30,440 Speaker 1: as well, But when we get to the idea of corruption, 257 00:15:31,160 --> 00:15:34,160 Speaker 1: we have to say it. With all this money and 258 00:15:34,280 --> 00:15:37,480 Speaker 1: all these teeth in play, it shouldn't come as a 259 00:15:37,560 --> 00:15:41,320 Speaker 1: surprise that dentistry has a lot of critics and Most 260 00:15:41,400 --> 00:15:46,000 Speaker 1: of the criticism up to now attacks the expensive nature 261 00:15:46,200 --> 00:15:48,640 Speaker 1: of these procedures, like you have to get a root canal. 262 00:15:48,920 --> 00:15:52,120 Speaker 1: Let's just say you hypothetically have to get a root canal. 263 00:15:53,960 --> 00:15:57,240 Speaker 1: It sucks. It is not a pleasant experience unless you're 264 00:15:58,080 --> 00:16:01,120 Speaker 1: you know, specifically into that kind of pain and that 265 00:16:01,280 --> 00:16:03,840 Speaker 1: kind of environment for one reason or another. But it 266 00:16:04,000 --> 00:16:07,640 Speaker 1: also is financially unpleasant. You won't have much time to 267 00:16:07,760 --> 00:16:10,520 Speaker 1: predict it. By the time you need it it is, 268 00:16:11,080 --> 00:16:14,160 Speaker 1: it's going to feel like almost an emergency situation. It 269 00:16:14,280 --> 00:16:16,680 Speaker 1: takes a huge bite out of your budget. Even if 270 00:16:16,760 --> 00:16:19,680 Speaker 1: you have insurance, it will hit what are called, you know, 271 00:16:19,800 --> 00:16:23,720 Speaker 1: like your limits. So in privatized medicine here in the US, 272 00:16:24,000 --> 00:16:26,760 Speaker 1: you can have medical insurance, but then if you want 273 00:16:26,840 --> 00:16:29,320 Speaker 1: your eyes or your mouth taken care of, you need 274 00:16:29,440 --> 00:16:34,760 Speaker 1: two other separate types of insurance, vision insurance and dental insurance. 275 00:16:35,000 --> 00:16:38,200 Speaker 1: And this might sound really weird to people in Europe 276 00:16:38,360 --> 00:16:41,920 Speaker 1: or in other countries that again have first world medicine, 277 00:16:42,240 --> 00:16:46,000 Speaker 1: which to highlight to emphasize this, to repeat the point 278 00:16:46,360 --> 00:16:49,960 Speaker 1: the US does not. If you have enough money, you 279 00:16:50,040 --> 00:16:54,520 Speaker 1: can get world class care. But these these criticisms about 280 00:16:54,600 --> 00:16:57,920 Speaker 1: expense are valid, like like you said, Matt, there are 281 00:16:57,960 --> 00:17:01,880 Speaker 1: people who put off necessary procedures because they simply cannot 282 00:17:02,040 --> 00:17:06,320 Speaker 1: afford them. And these other criticisms are you know, they're 283 00:17:06,440 --> 00:17:09,920 Speaker 1: intertwined with those larger concerns about the state of healthcare 284 00:17:09,960 --> 00:17:15,000 Speaker 1: in the US. And weirdly enough, like any profession, American 285 00:17:15,119 --> 00:17:18,760 Speaker 1: dentistry has its own lobbying group as its own trade 286 00:17:18,800 --> 00:17:22,520 Speaker 1: representative group, the American Dental Association, and the course of 287 00:17:22,560 --> 00:17:25,159 Speaker 1: this episode will refer to them as the a d A. 288 00:17:25,920 --> 00:17:31,200 Speaker 1: They have historically opposed any kind of significant dental reform, 289 00:17:31,600 --> 00:17:34,280 Speaker 1: and they've been pretty open about this too, Like as 290 00:17:34,359 --> 00:17:38,440 Speaker 1: far back as nineteen, leaders of the a d A 291 00:17:38,600 --> 00:17:41,960 Speaker 1: went to Washington and they went to testify against something 292 00:17:42,080 --> 00:17:45,920 Speaker 1: called the Wagner Murray Dingle Bill, which is very more 293 00:17:46,840 --> 00:17:49,399 Speaker 1: way more fun to say as a name than it 294 00:17:49,600 --> 00:17:53,399 Speaker 1: is to read the bill. Uh, And they said, they 295 00:17:53,520 --> 00:17:56,680 Speaker 1: argued the opposite of critics today. They said, because there's 296 00:17:56,680 --> 00:17:59,680 Speaker 1: such a limited number of dentists, it's impossible to carry 297 00:17:59,720 --> 00:18:03,560 Speaker 1: out any program that promises complete dental care to children, 298 00:18:03,840 --> 00:18:06,600 Speaker 1: to both children and adults. So what they're saying is, 299 00:18:06,680 --> 00:18:09,879 Speaker 1: we can't make a law to give people decent dental 300 00:18:09,960 --> 00:18:12,440 Speaker 1: care or to guarantee it or promise it because we 301 00:18:12,560 --> 00:18:15,600 Speaker 1: cannot back up that promise because they're so highly in 302 00:18:15,720 --> 00:18:18,560 Speaker 1: demand and scarce. Is that the issue that was that 303 00:18:18,720 --> 00:18:22,440 Speaker 1: was their argument? Now? Was that an argument in good faith? Null? Um? 304 00:18:22,680 --> 00:18:25,440 Speaker 1: Maybe at the time, maybe at the time, and yeah, 305 00:18:25,480 --> 00:18:29,159 Speaker 1: int s, maybe it might be time to update the 306 00:18:29,200 --> 00:18:36,560 Speaker 1: old Wagner Murray Dingle or might be Dingel, I don't know, 307 00:18:37,200 --> 00:18:39,600 Speaker 1: I don't know the person Dingle and Dillard's. For anyone 308 00:18:39,640 --> 00:18:42,680 Speaker 1: who listened to our earlier episode, that would be an 309 00:18:42,720 --> 00:18:47,080 Speaker 1: epic like you know, department store kind of mash up. Um. No, 310 00:18:47,480 --> 00:18:49,520 Speaker 1: it's it's a good point. Uh and and and all 311 00:18:49,600 --> 00:18:54,720 Speaker 1: of this is at least on the surface about insurance, right, um, 312 00:18:55,240 --> 00:18:59,080 Speaker 1: But today it turns out that isn't really as much 313 00:18:59,520 --> 00:19:02,960 Speaker 1: the issue anymore, right, Yeah, yeah, you're right. Well, the 314 00:19:03,280 --> 00:19:05,680 Speaker 1: it might surprise some of our fellow conspiracy realists to 315 00:19:05,760 --> 00:19:09,440 Speaker 1: learn that today's episode isn't exactly about insurance. Or you 316 00:19:09,560 --> 00:19:12,720 Speaker 1: could make an episode about insurance, um. And it's not 317 00:19:12,840 --> 00:19:16,680 Speaker 1: really about the proven inequality in the world of dental care, 318 00:19:17,320 --> 00:19:19,879 Speaker 1: which I think we've established both of those pretty clearly. 319 00:19:20,200 --> 00:19:26,080 Speaker 1: Today's episode instead is about corruption, conspiracy, and crime. What 320 00:19:26,200 --> 00:19:28,600 Speaker 1: are we talking about. We'll tell you after a word 321 00:19:28,760 --> 00:19:39,200 Speaker 1: from our sponsors. Here's where it gets crazy. Teeth whitening. 322 00:19:40,080 --> 00:19:44,720 Speaker 1: Do I really need all these surgeries? Yeah, Ben, you 323 00:19:44,920 --> 00:19:47,040 Speaker 1: may be a really great point. And when we were 324 00:19:47,040 --> 00:19:50,840 Speaker 1: talking of fair that, I completely thought of myself as well. Uh, 325 00:19:51,520 --> 00:19:54,600 Speaker 1: you're not an expert going into the dentist. You don't 326 00:19:54,720 --> 00:19:58,480 Speaker 1: know necessarily what you need or don't need. And you 327 00:19:58,560 --> 00:20:02,639 Speaker 1: are leaning on the um in good faith, the true 328 00:20:02,880 --> 00:20:05,800 Speaker 1: and honest advice of an expert, just like you would, 329 00:20:06,000 --> 00:20:08,200 Speaker 1: you know, taking your car into a mechanic. And we 330 00:20:08,320 --> 00:20:11,200 Speaker 1: know how that can often go, uh not in the 331 00:20:11,320 --> 00:20:14,080 Speaker 1: favor of the person with less information. You can very 332 00:20:14,160 --> 00:20:16,320 Speaker 1: easily be sold a bill of goods and told oh, 333 00:20:16,440 --> 00:20:18,640 Speaker 1: you definitely need this thing. So and so is about 334 00:20:18,680 --> 00:20:21,960 Speaker 1: to go. That could be absolutely true. It also could 335 00:20:22,000 --> 00:20:25,520 Speaker 1: be absolutely false. And unless you are gonna chop around 336 00:20:25,760 --> 00:20:28,840 Speaker 1: and uh, you know which most people frankly don't, you're 337 00:20:28,840 --> 00:20:31,400 Speaker 1: probably gonna go with what they say. It's a great point. 338 00:20:31,520 --> 00:20:33,680 Speaker 1: And and and I want to bring this other piece 339 00:20:33,760 --> 00:20:36,600 Speaker 1: into that to think about it kind of simultaneously. As 340 00:20:36,640 --> 00:20:39,760 Speaker 1: we tell you some of these stories of actual corruption, 341 00:20:40,640 --> 00:20:47,960 Speaker 1: the the other almost non dentistry related um procedures. Let's 342 00:20:48,040 --> 00:20:51,160 Speaker 1: call them like teeth whitening. Like there are so many 343 00:20:51,200 --> 00:20:53,560 Speaker 1: different kinds of teeth whitening procedure you can get now, 344 00:20:53,600 --> 00:20:56,640 Speaker 1: and they all cost a ton of money. Different kinds 345 00:20:56,680 --> 00:20:59,600 Speaker 1: of things like getting if you grind your teeth, like 346 00:20:59,680 --> 00:21:02,639 Speaker 1: getting one of those molds made are it can cost 347 00:21:02,800 --> 00:21:08,200 Speaker 1: so much money. Things like even more plastic surgery, like 348 00:21:08,440 --> 00:21:12,639 Speaker 1: things that can be included at many dentistries like botox 349 00:21:12,720 --> 00:21:15,880 Speaker 1: and these other procedures. Sometimes, in some weird way, kind 350 00:21:15,920 --> 00:21:19,959 Speaker 1: of get wrapped up in the possibilities for you when 351 00:21:20,040 --> 00:21:22,840 Speaker 1: you're sitting there in that chair and talking to your 352 00:21:22,920 --> 00:21:26,760 Speaker 1: dentist or you know, your dental hygienist. It's just there 353 00:21:26,800 --> 00:21:28,960 Speaker 1: are a lot of things that seem to be available 354 00:21:29,280 --> 00:21:32,040 Speaker 1: that don't necessarily have to do directly with your teeth, 355 00:21:32,440 --> 00:21:35,200 Speaker 1: as well as the actual surgeries and things that you 356 00:21:35,280 --> 00:21:41,480 Speaker 1: may be offered. Yeah, yeah, so I think the you know, 357 00:21:41,640 --> 00:21:45,040 Speaker 1: we're doing research for this. I I loved that comparison 358 00:21:45,320 --> 00:21:49,600 Speaker 1: of the of the mechanic of the garage. The situations 359 00:21:49,720 --> 00:21:55,480 Speaker 1: can be very similar, but the situation with a dentist 360 00:21:55,600 --> 00:21:59,480 Speaker 1: office is a step more complicated. If we go back 361 00:21:59,560 --> 00:22:02,800 Speaker 1: to the work by Farris Jaber. Oh. Also side note 362 00:22:02,840 --> 00:22:05,480 Speaker 1: for anybody who wants to learn more about how to 363 00:22:05,560 --> 00:22:10,160 Speaker 1: differentiate between a good or unscrupulous auto mechanic, check out 364 00:22:10,200 --> 00:22:12,840 Speaker 1: the Car Stuff episodes on it. There are several years old, 365 00:22:12,960 --> 00:22:15,240 Speaker 1: but they do hold up and they've got some handy 366 00:22:15,359 --> 00:22:22,119 Speaker 1: tips and tricks. Uh. The one takeaway, one key takeaway 367 00:22:22,560 --> 00:22:27,840 Speaker 1: about how to trust a mechanic. Um, I don't know, man, 368 00:22:28,119 --> 00:22:30,959 Speaker 1: It's it's tough in my own system, but it might 369 00:22:31,040 --> 00:22:33,359 Speaker 1: not work for everybody. It's there's a little bit of 370 00:22:33,440 --> 00:22:36,440 Speaker 1: social engineering involved to be completely honest, you know me, 371 00:22:37,000 --> 00:22:40,400 Speaker 1: but yes, check it out. Check it out. And when 372 00:22:40,440 --> 00:22:44,040 Speaker 1: we look at what Jaber is saying about the dentist 373 00:22:44,400 --> 00:22:50,160 Speaker 1: mechanic analogy, we find this there there is a clear 374 00:22:50,320 --> 00:22:53,120 Speaker 1: and serious problem with some of the science. He says, 375 00:22:53,240 --> 00:22:57,399 Speaker 1: quote common dental procedures are not always as safe, effective, 376 00:22:57,640 --> 00:23:00,160 Speaker 1: or as durable as we were meant to believe. As 377 00:23:00,200 --> 00:23:03,960 Speaker 1: a profession. Dentistry has not yet applied the same level 378 00:23:04,040 --> 00:23:08,480 Speaker 1: of self scrutiny as medicine or embraced as sweeping an 379 00:23:08,560 --> 00:23:13,880 Speaker 1: emphasis on scientific evidence. Right now, as we record, there 380 00:23:14,040 --> 00:23:20,840 Speaker 1: are dental procedures that are safe they're cheap and they're effective, 381 00:23:21,359 --> 00:23:25,520 Speaker 1: but they're not gonna they're not commonly deployed because they're 382 00:23:25,560 --> 00:23:29,040 Speaker 1: not as profitable. I'm gonna out myself here really quickly. 383 00:23:29,119 --> 00:23:33,280 Speaker 1: But I have had a procedure done, um, probably because 384 00:23:33,359 --> 00:23:35,720 Speaker 1: I didn't, you know, at least it was suggested, probably 385 00:23:35,720 --> 00:23:37,720 Speaker 1: because I didn't floss enough or something. But it's called 386 00:23:38,920 --> 00:23:43,159 Speaker 1: scaling and root planing, and it is essentially a next 387 00:23:43,320 --> 00:23:47,080 Speaker 1: level deep clean. Instead of just doing the old you know, 388 00:23:47,320 --> 00:23:51,679 Speaker 1: pick metal pick and the toothbrush, they used this like this, uh, 389 00:23:51,880 --> 00:23:55,680 Speaker 1: I guess ultrasonic kind of like very invasive kind of 390 00:23:55,760 --> 00:23:58,360 Speaker 1: pick that literally goes under the gum line to get 391 00:23:58,480 --> 00:24:01,520 Speaker 1: rid of like plaque deposits and um, whatever you call it, 392 00:24:01,960 --> 00:24:04,600 Speaker 1: that's what you call it. But it requires your mouth 393 00:24:04,680 --> 00:24:07,520 Speaker 1: to literally be numbed out because it's very painful. But 394 00:24:08,320 --> 00:24:12,719 Speaker 1: they suggest this and it's very expensive, but in your 395 00:24:12,760 --> 00:24:15,600 Speaker 1: mind it's like, oh that's pretty steep. Do I really 396 00:24:15,680 --> 00:24:18,960 Speaker 1: need this? And I don't. You don't really know like 397 00:24:19,119 --> 00:24:22,560 Speaker 1: they say you you do, but then you also they 398 00:24:22,640 --> 00:24:24,879 Speaker 1: might suggest it again like I I just you know, 399 00:24:24,960 --> 00:24:27,400 Speaker 1: I don't know. It was just I ended up having 400 00:24:27,440 --> 00:24:28,960 Speaker 1: to pay quite a bit out of pocket for it, 401 00:24:29,040 --> 00:24:32,000 Speaker 1: and then I couldn't help. But wonder, you know, can 402 00:24:32,119 --> 00:24:34,119 Speaker 1: I just up my flossing? Can I just like do 403 00:24:34,200 --> 00:24:37,080 Speaker 1: a better job? Who I really need to pay for 404 00:24:37,160 --> 00:24:39,639 Speaker 1: them to jab me under the gums with this like 405 00:24:39,800 --> 00:24:43,440 Speaker 1: you know electronic thing. Yeah, I mean it's a good 406 00:24:43,520 --> 00:24:46,919 Speaker 1: question too, because look, one thing you don't have if 407 00:24:47,000 --> 00:24:51,680 Speaker 1: you're patient in uh in a dentist in a dentist office, 408 00:24:51,760 --> 00:24:55,720 Speaker 1: is you don't have a p O V inside your mouth, 409 00:24:55,800 --> 00:24:58,960 Speaker 1: a point of view inside your mouth. So when you're 410 00:24:59,040 --> 00:25:02,639 Speaker 1: numbed up and they're working on one tooth, I'm not 411 00:25:02,720 --> 00:25:06,080 Speaker 1: saying this happens, but it is completely possible that they 412 00:25:06,160 --> 00:25:10,160 Speaker 1: could purposely do something to another tooth that would bring 413 00:25:10,280 --> 00:25:14,000 Speaker 1: you back in later and maybe not tell you. As 414 00:25:14,040 --> 00:25:16,359 Speaker 1: a matter of fact, I'm certain that may have happened 415 00:25:16,440 --> 00:25:20,960 Speaker 1: at some point in the past, whether through human error 416 00:25:21,440 --> 00:25:25,160 Speaker 1: just maybe through sinister design. But of course, the vast 417 00:25:25,320 --> 00:25:28,080 Speaker 1: majority of dentists are not out to get you. We 418 00:25:28,200 --> 00:25:30,240 Speaker 1: need to be very clear because we're about to talk 419 00:25:30,280 --> 00:25:34,320 Speaker 1: about some gruesome stuff and some disturbing things. There's a 420 00:25:34,600 --> 00:25:40,720 Speaker 1: dentist in Bozeman, Montana named Jane Gillette, and Jane works 421 00:25:40,840 --> 00:25:44,560 Speaker 1: closely with the A. D As Center for Evidence Based Dentistry, 422 00:25:45,040 --> 00:25:48,520 Speaker 1: and she says that because the dental industry is isolated 423 00:25:48,600 --> 00:25:52,560 Speaker 1: from the larger health care system, uh, they're often left 424 00:25:52,600 --> 00:25:57,760 Speaker 1: out of the equation when institutions are making evidence based 425 00:25:57,960 --> 00:26:02,000 Speaker 1: policies are best practice. So it may not be uh, 426 00:26:03,040 --> 00:26:05,640 Speaker 1: you know, if if something seems off with your dentist, 427 00:26:05,840 --> 00:26:09,480 Speaker 1: it may not be because they're you know, nefarious in 428 00:26:09,480 --> 00:26:12,320 Speaker 1: any way. It may be that they just don't get 429 00:26:12,440 --> 00:26:16,600 Speaker 1: the same kind of established best practices as say a 430 00:26:16,840 --> 00:26:21,040 Speaker 1: neurologist or a surgeon would. So at the very beginning 431 00:26:21,119 --> 00:26:24,960 Speaker 1: here we find two big questions. One or those procedures 432 00:26:25,080 --> 00:26:28,600 Speaker 1: that you're paying for based in science. Two or those 433 00:26:28,680 --> 00:26:34,280 Speaker 1: procedures that you're paying for actually necessary. Unfortunately, it turns 434 00:26:34,320 --> 00:26:40,160 Speaker 1: out our perception collectively of dentistry is rife with misinformation. 435 00:26:40,560 --> 00:26:43,720 Speaker 1: Let's go back to what you brought up earlier, Matt. Yes, 436 00:26:44,000 --> 00:26:47,280 Speaker 1: most people in the US, when you grow up, maybe 437 00:26:47,320 --> 00:26:49,639 Speaker 1: you're in grade school and you get that little visit 438 00:26:49,760 --> 00:26:52,720 Speaker 1: from the dentist in your classroom and they're like, here's 439 00:26:52,720 --> 00:26:56,199 Speaker 1: how you brush. It's two minutes, and remember you need 440 00:26:56,280 --> 00:26:59,240 Speaker 1: to visit the dentist for a checkup and cleaning twice 441 00:26:59,440 --> 00:27:02,880 Speaker 1: a year. This is like if there were a Moses 442 00:27:03,119 --> 00:27:07,560 Speaker 1: dentist who came down from the Mount a d a 443 00:27:07,800 --> 00:27:12,280 Speaker 1: and they had these stone uh, these giant stone retainers 444 00:27:12,400 --> 00:27:15,600 Speaker 1: with commandments written upon them. One of those commandments would 445 00:27:15,640 --> 00:27:18,600 Speaker 1: be twice a year, get your check up. Even if 446 00:27:18,640 --> 00:27:21,399 Speaker 1: you feel like you're fine, even if you lost religiously, 447 00:27:21,920 --> 00:27:24,480 Speaker 1: even if you know people are just like strangers on 448 00:27:24,560 --> 00:27:28,440 Speaker 1: the street are stopping you and going you have amazing teeth, 449 00:27:29,000 --> 00:27:33,159 Speaker 1: sir and or madam, Uh, you still have to go this. 450 00:27:33,680 --> 00:27:38,399 Speaker 1: This statement was not arrived at scientifically. This statement is 451 00:27:38,560 --> 00:27:43,080 Speaker 1: from advertisements. We even feels like that, especially now, but 452 00:27:43,200 --> 00:27:45,000 Speaker 1: when you're a kid, and the way they pitch it 453 00:27:45,080 --> 00:27:47,960 Speaker 1: to you, uh, it feels like gospel, right, like you said, 454 00:27:48,000 --> 00:27:50,560 Speaker 1: like printed on those tablets. But it also amounts to 455 00:27:50,720 --> 00:27:53,119 Speaker 1: money on the bank for the industry, right like if 456 00:27:53,160 --> 00:27:56,159 Speaker 1: you do the math on a yearly basis, two trips 457 00:27:56,240 --> 00:28:00,280 Speaker 1: a year for every living soul, that's a lot of money. Well, 458 00:28:00,320 --> 00:28:04,920 Speaker 1: and if it's covered by insurance, then U then the 459 00:28:05,160 --> 00:28:08,920 Speaker 1: average person with insurance is not going to feel a 460 00:28:09,080 --> 00:28:12,600 Speaker 1: huge impact on costs. They're gonna have a co pay, uh. 461 00:28:12,760 --> 00:28:15,359 Speaker 1: And they're going to well, they're gonna be pain because 462 00:28:15,400 --> 00:28:18,080 Speaker 1: it's taken out of their check every month. But this, 463 00:28:18,520 --> 00:28:24,960 Speaker 1: this is a system where theoretically everybody wins, but it's 464 00:28:25,440 --> 00:28:29,840 Speaker 1: built on it is based almost entirely on a toothpaste 465 00:28:29,840 --> 00:28:34,720 Speaker 1: advertisement from the nineteen thirties and another thing, a little 466 00:28:35,040 --> 00:28:40,200 Speaker 1: uh illustrated booklet from eighteen forty nine that just kind 467 00:28:40,240 --> 00:28:44,560 Speaker 1: of follows the misadventures of a guy who's got a 468 00:28:44,640 --> 00:28:47,000 Speaker 1: real pain in the butt or pain in the jaw 469 00:28:47,040 --> 00:28:54,040 Speaker 1: of a toothache. And nowadays, if you ask dentist in general, 470 00:28:55,080 --> 00:28:57,040 Speaker 1: you won't be at a nine out of ten dentist 471 00:28:57,120 --> 00:28:59,720 Speaker 1: agree kind of thing that's a little too burns. But 472 00:28:59,800 --> 00:29:02,640 Speaker 1: if you asked dennis in general, they're gonna say, if 473 00:29:02,720 --> 00:29:06,000 Speaker 1: you have three yeah, they're gonna say three times a day, 474 00:29:06,480 --> 00:29:10,280 Speaker 1: after each meal, uh, come to the desk, right, which 475 00:29:10,520 --> 00:29:13,240 Speaker 1: you know, technically, just like changing the oil in your car, 476 00:29:13,440 --> 00:29:16,760 Speaker 1: that might be beneficial for you physically, but definitely not 477 00:29:16,880 --> 00:29:21,920 Speaker 1: financially in this country. So nowadays, if you ask a 478 00:29:22,040 --> 00:29:24,000 Speaker 1: lot of dentists, they're gonna say, if you have good 479 00:29:24,200 --> 00:29:27,560 Speaker 1: oral hygiene, you only need to see a dentist every 480 00:29:27,840 --> 00:29:32,400 Speaker 1: twelve to sixteen months. And then we also noticed that 481 00:29:32,920 --> 00:29:36,960 Speaker 1: a lot of these dental treatments that are considered standard 482 00:29:38,480 --> 00:29:41,920 Speaker 1: the and that are considered medicinal so they're not cosmetic, 483 00:29:42,080 --> 00:29:46,000 Speaker 1: not like tooth whitening or something like that, those aren't 484 00:29:46,080 --> 00:29:51,040 Speaker 1: really substantiated by a ton of research. And Jaber even 485 00:29:51,200 --> 00:29:56,400 Speaker 1: argues that many have never been tested in vigorous, serious 486 00:29:56,440 --> 00:30:00,360 Speaker 1: clinical trials, and the little data that is a aliable 487 00:30:00,760 --> 00:30:08,560 Speaker 1: isn't often super is it often super reassuring? So dude, yeah, 488 00:30:09,160 --> 00:30:10,640 Speaker 1: just to take it back to the insurance thing one 489 00:30:10,680 --> 00:30:12,960 Speaker 1: more time, know, if you guys have looks at the 490 00:30:13,920 --> 00:30:17,360 Speaker 1: the I don't know the fine print of your dental 491 00:30:18,120 --> 00:30:20,240 Speaker 1: insurance that we get through this company and that we've 492 00:30:20,280 --> 00:30:24,360 Speaker 1: gotten through the years, it always allocates is designed to 493 00:30:24,520 --> 00:30:27,600 Speaker 1: have that twice a year, I'll check up. I mean, 494 00:30:27,840 --> 00:30:30,840 Speaker 1: so it's it really is like everybody's working together to 495 00:30:31,000 --> 00:30:34,000 Speaker 1: make sure they can get that. It's like that's just 496 00:30:34,480 --> 00:30:39,160 Speaker 1: enough times to where the patient isn't gonna balk and say, yeah, 497 00:30:39,560 --> 00:30:41,160 Speaker 1: I'm not going to go to the dentist that often, 498 00:30:41,680 --> 00:30:44,760 Speaker 1: and just enough that the dentist office can make enough 499 00:30:44,840 --> 00:30:49,120 Speaker 1: money through you and your procedures. There's the same thing 500 00:30:49,200 --> 00:30:52,680 Speaker 1: with other procedures to like the insurance will pony up 501 00:30:52,720 --> 00:30:55,800 Speaker 1: every five years. It begs the question, is it only 502 00:30:55,960 --> 00:31:00,840 Speaker 1: conspiracy if you're being misled? Like if it's bad? You 503 00:31:00,920 --> 00:31:02,280 Speaker 1: know what I mean? Like, I mean, you know you 504 00:31:02,360 --> 00:31:05,080 Speaker 1: can't really even let's just say it's excessive to go 505 00:31:05,200 --> 00:31:07,520 Speaker 1: two times a year. It's not bad for you, it's 506 00:31:07,520 --> 00:31:11,560 Speaker 1: not gonna hurt you. Um, but what is that it 507 00:31:12,000 --> 00:31:18,480 Speaker 1: provides an opportunity for further uh things to be done 508 00:31:18,560 --> 00:31:21,600 Speaker 1: to your from the mechanic of your mouth, the mechanic 509 00:31:21,680 --> 00:31:25,680 Speaker 1: of your mouth. I like that. Uh So, yes, you're right. 510 00:31:26,160 --> 00:31:28,200 Speaker 1: You know what, In fact, I would say, as we 511 00:31:28,440 --> 00:31:33,360 Speaker 1: reach the third act of our episode, let's let's take 512 00:31:33,360 --> 00:31:36,440 Speaker 1: an ant break a little sooner than usual, and let's 513 00:31:37,120 --> 00:31:39,680 Speaker 1: we want to give you the whole worst case scenario. 514 00:31:40,360 --> 00:31:44,560 Speaker 1: So I know everybody is probably really conscious of the 515 00:31:44,640 --> 00:31:47,000 Speaker 1: teeth in your mouth right now. I get it. It's 516 00:31:47,120 --> 00:31:50,320 Speaker 1: it's weird not to think about it. So let's let's 517 00:31:50,360 --> 00:31:54,240 Speaker 1: take a break. Everybody, Floss will be back and we'll 518 00:31:54,320 --> 00:31:58,040 Speaker 1: tell you just how badly these conspiracies can go awry. 519 00:32:04,640 --> 00:32:08,080 Speaker 1: We've returned, Paul, give me give me a sound que 520 00:32:08,160 --> 00:32:10,600 Speaker 1: that sounds just law and order enough not to get 521 00:32:10,680 --> 00:32:15,880 Speaker 1: us sued. Perfect law and order mouth crime. So let's 522 00:32:15,960 --> 00:32:19,120 Speaker 1: think of the worst case scenario. Let's say there is 523 00:32:19,200 --> 00:32:24,160 Speaker 1: a dentist somewhere out there who realizes they can make 524 00:32:24,240 --> 00:32:28,960 Speaker 1: a ton of money convincing patients not all the time, 525 00:32:29,080 --> 00:32:33,400 Speaker 1: but every so often that they need an expensive, unnecessary 526 00:32:33,880 --> 00:32:36,719 Speaker 1: surgery like they need a root now, or they need 527 00:32:36,800 --> 00:32:40,160 Speaker 1: a procedure like a crown. As we said before, very 528 00:32:40,240 --> 00:32:43,160 Speaker 1: few patients are going to have the knowledge to dispute 529 00:32:43,320 --> 00:32:46,920 Speaker 1: this advice from an expert. You know, who are you 530 00:32:47,760 --> 00:32:53,280 Speaker 1: to say without a DDS degree, who are you to say, uh, 531 00:32:54,440 --> 00:32:56,480 Speaker 1: that's not on the up and up. I live with 532 00:32:56,560 --> 00:32:59,280 Speaker 1: my teeth, bro, I believe in them, doc, and I 533 00:32:59,400 --> 00:33:03,760 Speaker 1: know what's best from my teeth. That would feel like 534 00:33:04,160 --> 00:33:08,240 Speaker 1: both arrogant and kind of bullheaded. But and it's also 535 00:33:08,360 --> 00:33:10,719 Speaker 1: not like you're gonna go, you know what, I need 536 00:33:10,800 --> 00:33:14,800 Speaker 1: a second opinion. Who's gonna do that? Right? Who has 537 00:33:14,920 --> 00:33:17,520 Speaker 1: the time? And who would who would be willing to 538 00:33:17,600 --> 00:33:20,680 Speaker 1: pay the extra expense to have a second opinion, Because, 539 00:33:20,720 --> 00:33:23,520 Speaker 1: after all, it's not like you're in a discussion about 540 00:33:23,560 --> 00:33:27,280 Speaker 1: your odds of surviving cancer. That would take people to 541 00:33:27,400 --> 00:33:30,120 Speaker 1: the world of second opinions, because your life hangs in 542 00:33:30,200 --> 00:33:33,480 Speaker 1: the balance. But if it's just one tooth, you're probably 543 00:33:33,520 --> 00:33:37,360 Speaker 1: gonna let it slide. And this means that our hypothetical 544 00:33:37,520 --> 00:33:41,040 Speaker 1: dentists would have a pretty low chance of being caught, 545 00:33:41,240 --> 00:33:44,160 Speaker 1: so long as they didn't get too greedy, so long 546 00:33:44,280 --> 00:33:49,320 Speaker 1: as it was as their parasitism and uh, as long 547 00:33:49,360 --> 00:33:52,880 Speaker 1: as their parasitism doesn't go past a certain threshold, and 548 00:33:52,960 --> 00:33:56,880 Speaker 1: as long as they distribute this grift across an adequate 549 00:33:56,960 --> 00:34:00,920 Speaker 1: sample size of patients. But here's the whist. This is 550 00:34:00,960 --> 00:34:05,520 Speaker 1: not a hypothetical example. There are well documented cases, multiple 551 00:34:05,640 --> 00:34:10,120 Speaker 1: well documented cases of dentists who have conspired to subject 552 00:34:10,200 --> 00:34:16,480 Speaker 1: patients to absolutely unnecessary, unneeded procedures with the goal of profit. 553 00:34:16,680 --> 00:34:20,360 Speaker 1: These can quickly become expensive. I haven't found to the 554 00:34:20,400 --> 00:34:23,520 Speaker 1: earlier question about fetish. I was wondering, you know, is 555 00:34:23,640 --> 00:34:28,040 Speaker 1: there like, like there's a certain percentage of shoes sales 556 00:34:28,120 --> 00:34:31,600 Speaker 1: people who are in the shoe game not because they 557 00:34:31,680 --> 00:34:34,720 Speaker 1: like money, and it's very in defeat, like Tarantino style 558 00:34:34,800 --> 00:34:37,080 Speaker 1: and defeat. And I was wondering if there's a dentist 559 00:34:37,320 --> 00:34:41,440 Speaker 1: somewhere who's just really into play him with your teeth. Uh, 560 00:34:41,840 --> 00:34:46,160 Speaker 1: those people may exist, but we didn't find any hard 561 00:34:46,280 --> 00:34:51,040 Speaker 1: evidence of those folks. What we found is largely profit motivation. 562 00:34:51,719 --> 00:34:55,520 Speaker 1: There's a case that Jaber dives into about a guy 563 00:34:55,680 --> 00:34:59,239 Speaker 1: in San Jose, California. Well, two guys, what is the 564 00:34:59,320 --> 00:35:01,719 Speaker 1: dude too need to tooth extracted? His name is Terry 565 00:35:01,760 --> 00:35:06,200 Speaker 1: Mitchell and one is a dentist named John Roger Lund. 566 00:35:06,560 --> 00:35:10,520 Speaker 1: This took place about twenty years ago. So in this case, 567 00:35:10,760 --> 00:35:15,279 Speaker 1: Terry Mitchell is our protagonist in many ways. And he 568 00:35:15,440 --> 00:35:19,759 Speaker 1: started seeing Lund on the recommendation of a friend, at 569 00:35:19,840 --> 00:35:23,640 Speaker 1: least that's according to him, and you know, they met 570 00:35:23,760 --> 00:35:27,399 Speaker 1: each other. It went really well. In the article, even 571 00:35:28,080 --> 00:35:32,400 Speaker 1: the building itself has described the way that Lunda looked. 572 00:35:32,520 --> 00:35:35,800 Speaker 1: He was just, you know, seemed like a trustworthy, you know, 573 00:35:35,960 --> 00:35:39,080 Speaker 1: middle aged man. He said, okay, this, this seems this 574 00:35:39,160 --> 00:35:40,560 Speaker 1: seems like it's going to be good. I think we're 575 00:35:40,560 --> 00:35:45,759 Speaker 1: gonna get along. And uh, he needed a tooth extracted. 576 00:35:46,040 --> 00:35:49,959 Speaker 1: So Lund, the dentist in this case, extracted Mitchell's tooth 577 00:35:50,120 --> 00:35:52,680 Speaker 1: or Terry's tooth. Let's call it. Let's do Terry in Lund. 578 00:35:52,800 --> 00:35:55,160 Speaker 1: I know it's not quite right because it's a first 579 00:35:55,239 --> 00:36:01,920 Speaker 1: name in the last one that sounds like songwriting duo. Yes, yes, um, 580 00:36:03,440 --> 00:36:06,200 Speaker 1: but okay, So but during this first visit, kind of 581 00:36:06,280 --> 00:36:10,880 Speaker 1: like the mechanic example that you gave been, Lund noticed 582 00:36:10,920 --> 00:36:13,440 Speaker 1: that there were two other problems going on under the 583 00:36:13,520 --> 00:36:17,359 Speaker 1: hood there for Terry, and he said, there are two 584 00:36:17,400 --> 00:36:19,440 Speaker 1: more problems that we need to take care of. And 585 00:36:19,719 --> 00:36:24,040 Speaker 1: you know, it makes sense right like you said, like 586 00:36:24,120 --> 00:36:27,200 Speaker 1: we've talked about this whole episode. Lund was in Terry's mouth, 587 00:36:27,440 --> 00:36:30,480 Speaker 1: saw the problems, let him know, and that should have 588 00:36:30,520 --> 00:36:33,800 Speaker 1: been fine and regular and normal and okay, this is 589 00:36:33,840 --> 00:36:35,839 Speaker 1: all on the up and up, but it turns out 590 00:36:35,880 --> 00:36:39,520 Speaker 1: it wasn't. Yeah, that's the things. So if you are 591 00:36:39,680 --> 00:36:42,759 Speaker 1: the typical person, you might get one or two root 592 00:36:42,800 --> 00:36:46,560 Speaker 1: canals in your life. Michael, your whole life without getting one. 593 00:36:47,440 --> 00:36:52,160 Speaker 1: But in the space of just seven years, lundu the 594 00:36:52,520 --> 00:36:55,040 Speaker 1: mouth making the mechanic of the mouth who had said, 595 00:36:55,200 --> 00:36:58,000 Speaker 1: you know, basically, I know you're here for an oil 596 00:36:58,080 --> 00:37:01,640 Speaker 1: change entire rotation, but we need to your transmission. It's 597 00:37:01,680 --> 00:37:04,680 Speaker 1: then the auto version of what he was doing. In 598 00:37:04,840 --> 00:37:10,200 Speaker 1: just seven years, Lund gave this guy Terry Mitchell, nine 599 00:37:10,600 --> 00:37:16,200 Speaker 1: root canals and around nine crowns. Mitchell's insurance, like most 600 00:37:16,280 --> 00:37:19,320 Speaker 1: people's insurance, only covered a little bit of each of 601 00:37:19,400 --> 00:37:22,200 Speaker 1: these procedures because they were beyond your twice a year 602 00:37:22,320 --> 00:37:26,440 Speaker 1: check up or the small portion ally catd for fillings, etcetera. 603 00:37:26,960 --> 00:37:30,560 Speaker 1: So all in all, over seven years get this, Mitchell 604 00:37:30,719 --> 00:37:34,080 Speaker 1: ended up paying about fifty grand of his own money 605 00:37:34,239 --> 00:37:38,719 Speaker 1: out of pocket. And you know, because this happened over time, 606 00:37:38,920 --> 00:37:44,040 Speaker 1: he wasn't particularly troubled by it. He had no reference point. 607 00:37:44,520 --> 00:37:46,319 Speaker 1: He was not an expert, you know what I mean. 608 00:37:46,440 --> 00:37:50,279 Speaker 1: He wasn't digging into statistics or anything. He just thought 609 00:37:50,560 --> 00:37:53,600 Speaker 1: root canals turned out to be as common as fillings. 610 00:37:54,239 --> 00:37:57,440 Speaker 1: Just happens in the course of life. And uh, you know, 611 00:37:57,640 --> 00:38:00,600 Speaker 1: it's a necessary evil the US. Why you say it 612 00:38:00,719 --> 00:38:03,320 Speaker 1: is he trusted Lundon. There was social engineering going on. 613 00:38:03,719 --> 00:38:07,160 Speaker 1: He said, you know, if I need these treatments, well 614 00:38:07,200 --> 00:38:10,719 Speaker 1: I should get them before things get worse, right, And 615 00:38:10,800 --> 00:38:16,440 Speaker 1: he probably had, you know, um horrific spectral visions his 616 00:38:16,640 --> 00:38:20,040 Speaker 1: life as a man with full dentures at a young age, 617 00:38:20,200 --> 00:38:22,760 Speaker 1: and he wanted to avoid it. But there's other things 618 00:38:22,960 --> 00:38:25,279 Speaker 1: he did not know that would have perhaps changed his 619 00:38:25,440 --> 00:38:27,680 Speaker 1: decision if he had learned them. If he had learned 620 00:38:27,680 --> 00:38:30,560 Speaker 1: of even one of these pieces of information over that 621 00:38:30,719 --> 00:38:35,160 Speaker 1: seven years. First, another one of Lund's patients was having 622 00:38:35,239 --> 00:38:41,200 Speaker 1: the same experience. Yeah, businesswoman in her fifties named Joyce Cordy. 623 00:38:41,520 --> 00:38:44,400 Speaker 1: She learned of Lunds not through a word of mouth referral, 624 00:38:44,560 --> 00:38:49,640 Speaker 1: but through a service called Dists. Yeah, and it's again 625 00:38:49,840 --> 00:38:53,280 Speaker 1: kind of things like one hundred dentists or care Credit 626 00:38:53,400 --> 00:38:55,680 Speaker 1: and stuff like that that sort of kind of point 627 00:38:55,760 --> 00:38:59,400 Speaker 1: to how slightly problematic a lot of these things are 628 00:38:59,440 --> 00:39:02,160 Speaker 1: care credit being like a credit card that people apply 629 00:39:02,320 --> 00:39:04,960 Speaker 1: for that specifically is meant to pay for medical expenses 630 00:39:05,040 --> 00:39:09,239 Speaker 1: or dental expenses on credit with a pretty high interest rate. Um. 631 00:39:09,360 --> 00:39:12,640 Speaker 1: But we'll get more into that later. So when Cordy 632 00:39:12,800 --> 00:39:17,160 Speaker 1: visited Lund for the first time back in she was 633 00:39:17,239 --> 00:39:20,080 Speaker 1: perfectly healthy mouth wise U. She had never had so 634 00:39:20,160 --> 00:39:23,000 Speaker 1: much as a cavity, and to her knowledge, she had 635 00:39:23,080 --> 00:39:27,040 Speaker 1: a perfectly healthy and happy mouth U, which is what 636 00:39:27,120 --> 00:39:31,320 Speaker 1: everyone wants. Um. But she had had a small dental 637 00:39:31,440 --> 00:39:35,280 Speaker 1: bridge installed to fix something that was not any fault 638 00:39:35,320 --> 00:39:37,440 Speaker 1: of her own in terms of her you know, hygiene. 639 00:39:37,800 --> 00:39:41,120 Speaker 1: It was a congenital anomaly. She was born with one 640 00:39:41,239 --> 00:39:44,400 Speaker 1: tooth trapped inside of another one and had to have 641 00:39:44,520 --> 00:39:46,520 Speaker 1: one of those extracted. I wonder what the name of 642 00:39:46,560 --> 00:39:51,120 Speaker 1: that condition is. Um. And within a year Lund was 643 00:39:51,719 --> 00:39:55,800 Speaker 1: concerned at least with her the quality of her bridge, 644 00:39:56,160 --> 00:39:59,400 Speaker 1: the resilience anyway, Um and told her that she needed 645 00:39:59,520 --> 00:40:03,800 Speaker 1: root can owls and crowns um to to fix whatever 646 00:40:04,200 --> 00:40:07,479 Speaker 1: was wrong with the s bridge Um. And she didn't 647 00:40:07,520 --> 00:40:11,359 Speaker 1: understand because, you know, she before she'd seen this, this guy, 648 00:40:11,800 --> 00:40:16,120 Speaker 1: she had been fine. She'd never had any dental procedures 649 00:40:16,200 --> 00:40:18,200 Speaker 1: other than this one to fix something that, you know, 650 00:40:18,360 --> 00:40:20,600 Speaker 1: again when she was born with so why all of 651 00:40:20,640 --> 00:40:24,359 Speaker 1: a sudden the need for all of these procedures when 652 00:40:24,480 --> 00:40:28,200 Speaker 1: she had experienced decades of good dental health. So she, 653 00:40:28,960 --> 00:40:33,120 Speaker 1: you know, expressed this openly to lund Um and he, 654 00:40:33,760 --> 00:40:38,240 Speaker 1: you know, has any good huckster does, had a line 655 00:40:39,120 --> 00:40:42,280 Speaker 1: counter to every point that she made. Um the cavity 656 00:40:42,360 --> 00:40:43,719 Speaker 1: on this too, who was in the wrong position to 657 00:40:43,800 --> 00:40:47,000 Speaker 1: treat with a typical filling things like that your gums 658 00:40:47,080 --> 00:40:51,040 Speaker 1: are receding causing tooth decay. And then over the course 659 00:40:51,120 --> 00:40:55,800 Speaker 1: of ten years, Lund gave Cordy ten rude canals and 660 00:40:56,040 --> 00:41:01,080 Speaker 1: ten crowns and Mitchell seriously, and it also leveled up 661 00:41:01,160 --> 00:41:04,080 Speaker 1: you know, Chichen wise, I believe it was around fifty 662 00:41:04,200 --> 00:41:08,640 Speaker 1: K for Terry Mitchell. She was in closer to seventy 663 00:41:09,160 --> 00:41:13,240 Speaker 1: dollars for all of this dental work. Um. He also 664 00:41:13,840 --> 00:41:17,800 Speaker 1: removed her bridge and replaced it with two new ones 665 00:41:18,440 --> 00:41:21,840 Speaker 1: that left a gap in her front teeth. Yeah, she 666 00:41:22,000 --> 00:41:25,560 Speaker 1: did not, for the record request the madonna. Look. Uh, 667 00:41:25,760 --> 00:41:29,920 Speaker 1: this was not This was not her plan. But again 668 00:41:30,040 --> 00:41:31,839 Speaker 1: she was in the hands of an expert in her case, 669 00:41:31,920 --> 00:41:35,440 Speaker 1: in particular her one of her parents was a doctor, 670 00:41:35,800 --> 00:41:40,359 Speaker 1: so she was kind of primed to respect this as 671 00:41:40,680 --> 00:41:44,120 Speaker 1: to respect these professionals as authority figures, which you know, 672 00:41:44,320 --> 00:41:48,520 Speaker 1: I think you should. But again, just like a crooked mechanic, 673 00:41:49,520 --> 00:41:54,600 Speaker 1: Lundon other dentists like him really stood there a very 674 00:41:54,640 --> 00:41:59,040 Speaker 1: small chance of being caught. In fact, Lundon retired without 675 00:41:59,200 --> 00:42:02,880 Speaker 1: controversy at first. We only know the full extent of 676 00:42:02,960 --> 00:42:07,080 Speaker 1: this story because of the dentist who took over his practice. 677 00:42:07,760 --> 00:42:10,360 Speaker 1: Like we said, the vast majority of dentists are on 678 00:42:10,440 --> 00:42:12,920 Speaker 1: the up and up their professionals. They just want to 679 00:42:13,160 --> 00:42:14,839 Speaker 1: help you and they just want to make a living. 680 00:42:15,400 --> 00:42:19,680 Speaker 1: And that's where our protagonists or other protagonists comes in. 681 00:42:19,880 --> 00:42:24,280 Speaker 1: Brendan Zeidler, he did some digging. So Brenln Ziedler buys 682 00:42:24,360 --> 00:42:28,719 Speaker 1: Lund's practice around two thousand twelve, and so he sort 683 00:42:28,760 --> 00:42:34,200 Speaker 1: of he inherits those patients and their treatment plans. Within 684 00:42:34,280 --> 00:42:38,799 Speaker 1: a few months, Zeidler began to suspect that, uh, there 685 00:42:38,920 --> 00:42:43,600 Speaker 1: was a rotten tooth in this dental practice because he 686 00:42:43,719 --> 00:42:46,480 Speaker 1: looked at he looked at these financial records. It started 687 00:42:46,520 --> 00:42:49,920 Speaker 1: out with self interest, to be clear, because he said, Okay, 688 00:42:50,239 --> 00:42:54,239 Speaker 1: Lund was a rock star dentist. When it came to 689 00:42:54,320 --> 00:42:58,400 Speaker 1: the bottom line, this guy was making bands on bands 690 00:42:58,440 --> 00:43:03,719 Speaker 1: on bands. But Zeedler asked himself, how come I'm only 691 00:43:03,800 --> 00:43:07,879 Speaker 1: making like ten to as much cash as this guy 692 00:43:08,040 --> 00:43:11,520 Speaker 1: was making every month in his practice. You know, I'm right, 693 00:43:11,640 --> 00:43:15,920 Speaker 1: like he's making more than me in some months. And 694 00:43:16,000 --> 00:43:22,440 Speaker 1: then what is a band? Stacks? Stack? You know uns 695 00:43:23,040 --> 00:43:25,680 Speaker 1: dollar dollar bills, y'all? Is it? Is it a hundred 696 00:43:25,800 --> 00:43:27,800 Speaker 1: or a thousand? Well, I mean a band would be 697 00:43:27,840 --> 00:43:30,920 Speaker 1: a thousand made of hundreds if I'm not mistaken. So 698 00:43:31,440 --> 00:43:35,480 Speaker 1: one band is usually a thousand. So is that twenties 699 00:43:35,600 --> 00:43:40,439 Speaker 1: like inside with a rubber band around it? Well, blue bill, 700 00:43:40,600 --> 00:43:45,040 Speaker 1: they'll usually be stacked like blue bands would be stacks. 701 00:43:45,160 --> 00:43:47,680 Speaker 1: A stack of ten thousand, and they would they I 702 00:43:47,760 --> 00:43:51,040 Speaker 1: think they're usually a hundred dollar bills. Cool, thank you guys. 703 00:43:51,080 --> 00:43:55,879 Speaker 1: I just I know that comes up a lot Matt 704 00:43:56,000 --> 00:44:01,440 Speaker 1: in your underground dentistry practice. It does payments of bands 705 00:44:03,440 --> 00:44:06,440 Speaker 1: like how much, how much for how much for my 706 00:44:07,080 --> 00:44:10,880 Speaker 1: how much for my crowns? Dr Frederick? Is that a 707 00:44:10,960 --> 00:44:15,160 Speaker 1: stack each and a half bands and a half bands? Sir? 708 00:44:15,800 --> 00:44:20,040 Speaker 1: Uh so? So this is the thing, like we said, 709 00:44:20,080 --> 00:44:23,200 Speaker 1: he inherits these patients, and he is speaking to more 710 00:44:23,239 --> 00:44:27,319 Speaker 1: and more patients, and as he's speaking to them, he's 711 00:44:27,360 --> 00:44:33,160 Speaker 1: starting to realize, hang on, there's a trend here. Because 712 00:44:33,239 --> 00:44:35,600 Speaker 1: he is the person who's looking inside their mouths. It's 713 00:44:35,680 --> 00:44:38,040 Speaker 1: like these people have had a lot of work done, 714 00:44:38,640 --> 00:44:41,600 Speaker 1: much more than I have ever seen before. And so 715 00:44:41,880 --> 00:44:44,400 Speaker 1: he wouldn't. He didn't initially like tell them this, like 716 00:44:44,600 --> 00:44:48,920 Speaker 1: someone is playing crazy games with your mouth. He said, 717 00:44:49,680 --> 00:44:53,560 Speaker 1: after you know, there twice a year, twice a year, 718 00:44:53,600 --> 00:44:55,960 Speaker 1: cleaning or whatever, he would look at me and say like, hey, 719 00:44:56,080 --> 00:44:59,200 Speaker 1: everything looks pretty great. You know. It's the equivalent of 720 00:44:59,320 --> 00:45:01,480 Speaker 1: taking her car in for an oil change and the 721 00:45:01,560 --> 00:45:05,239 Speaker 1: mechanics saying, hey, we change your oil. We refilled the 722 00:45:05,640 --> 00:45:08,160 Speaker 1: you know, the wiper fluid. You r G two G, 723 00:45:08,800 --> 00:45:12,000 Speaker 1: my friend, that means good to go, because I'm really 724 00:45:12,040 --> 00:45:14,879 Speaker 1: corny mechanic. We also put in a new transmission though, 725 00:45:14,960 --> 00:45:17,840 Speaker 1: because we were pretty sure yours was on the fritz. 726 00:45:18,080 --> 00:45:20,080 Speaker 1: I know, I know he didn't have any symptoms of that, 727 00:45:20,239 --> 00:45:22,759 Speaker 1: and he didn't ask for it, but trust us, you're 728 00:45:22,800 --> 00:45:25,120 Speaker 1: gonna be all the better for it. But but really 729 00:45:25,160 --> 00:45:27,279 Speaker 1: it's crazy because in this case, Eiler did not do that, 730 00:45:27,960 --> 00:45:29,880 Speaker 1: like just as you said, but he just said, no, 731 00:45:30,040 --> 00:45:32,800 Speaker 1: you're good, we'll see you, you know, six months. And 732 00:45:33,360 --> 00:45:36,239 Speaker 1: like you said, the patients were not used to that. 733 00:45:37,040 --> 00:45:39,040 Speaker 1: They were the ones. They were the ones raising the 734 00:45:39,400 --> 00:45:42,200 Speaker 1: alarm because they were used to like just all of 735 00:45:42,280 --> 00:45:45,640 Speaker 1: these procedures that were unnecessary, and so they were now 736 00:45:45,760 --> 00:45:50,280 Speaker 1: suspicious of the doctor that was actually acting in good faith. Yes, yeah, 737 00:45:51,040 --> 00:45:53,480 Speaker 1: some of them even kind of asked him for a 738 00:45:53,600 --> 00:45:57,080 Speaker 1: second opinion from himself, like you did you look at 739 00:45:57,120 --> 00:46:00,200 Speaker 1: every tooth, as though he was gonna say, I just 740 00:46:00,280 --> 00:46:03,359 Speaker 1: looked at your canines. I'm a thing guy, you know, um, 741 00:46:05,120 --> 00:46:07,080 Speaker 1: and and and just just I know this is probably 742 00:46:07,120 --> 00:46:09,239 Speaker 1: obvious to most people, but I don't think we are 743 00:46:09,320 --> 00:46:14,000 Speaker 1: not implying that the dental profession as a whole is populated. 744 00:46:14,000 --> 00:46:16,000 Speaker 1: I think this guy is a perfect example, is populated 745 00:46:16,080 --> 00:46:18,880 Speaker 1: by these uh, these crooks. In fact, there's a really 746 00:46:18,960 --> 00:46:21,680 Speaker 1: good article ben that that I believe you cited as well, 747 00:46:22,080 --> 00:46:26,480 Speaker 1: um in Dentistry Today, the you know, the publication of 748 00:46:26,719 --> 00:46:29,920 Speaker 1: Dentists that goes through all of this stuff and holds 749 00:46:29,960 --> 00:46:32,640 Speaker 1: it up as an example of like, yeah, there's gonna 750 00:46:32,680 --> 00:46:36,400 Speaker 1: be some bad actors in every profession, and here are 751 00:46:36,480 --> 00:46:38,920 Speaker 1: some of the worst ones in ours, just so you 752 00:46:39,000 --> 00:46:42,160 Speaker 1: can be armed with this information and know what to 753 00:46:42,239 --> 00:46:46,160 Speaker 1: look for. Right. Well, yes, but here's the thing. At 754 00:46:46,239 --> 00:46:49,960 Speaker 1: this point in the story, Ziedler, dentist number two, who's 755 00:46:50,080 --> 00:46:53,160 Speaker 1: like looking at all these patients. This dentist doesn't know 756 00:46:53,800 --> 00:46:58,160 Speaker 1: if perhaps lund actually did amazing work fixed all these 757 00:46:58,320 --> 00:47:01,760 Speaker 1: teeth and they're just great now because they're all fixed 758 00:47:01,840 --> 00:47:05,560 Speaker 1: because of LUN's amazing work, right right, He can't prove 759 00:47:05,640 --> 00:47:09,320 Speaker 1: if it's that where they actually have been having you know, 760 00:47:09,560 --> 00:47:12,320 Speaker 1: way too many procedures. So what he does is he 761 00:47:12,400 --> 00:47:15,160 Speaker 1: starts digging more into Lundon to see if he can 762 00:47:15,200 --> 00:47:19,480 Speaker 1: find anything else out. Yeah, from like August of two 763 00:47:19,600 --> 00:47:25,160 Speaker 1: thousand twelve or so, he loses his weekends. Ziegler does 764 00:47:25,360 --> 00:47:29,040 Speaker 1: because instead of instead of kicking it and you know, um, 765 00:47:29,800 --> 00:47:32,360 Speaker 1: go into a dentist country club, which is not a 766 00:47:32,400 --> 00:47:35,719 Speaker 1: real thing. H He spends every Saturday and Sunday for 767 00:47:35,800 --> 00:47:40,600 Speaker 1: the next nine months diving into the records of the 768 00:47:40,760 --> 00:47:45,040 Speaker 1: past five years of LUN's former practice. These are charts 769 00:47:45,120 --> 00:47:50,080 Speaker 1: that include work performed on hundreds of patients, and he 770 00:47:50,239 --> 00:47:53,440 Speaker 1: builds out, because he's probably super fun at parties, a 771 00:47:53,640 --> 00:48:00,200 Speaker 1: giant Xcel spreadsheet where he meticulously logs every procedure that 772 00:48:00,400 --> 00:48:03,960 Speaker 1: Lund has made during those five years and then does 773 00:48:04,080 --> 00:48:08,080 Speaker 1: some basic, uh, some basic analyzes. And what he found 774 00:48:08,400 --> 00:48:11,600 Speaker 1: was horrified because it turned out that every single year, 775 00:48:12,080 --> 00:48:18,120 Speaker 1: Lund was performing very particular procedures at cartoonishly high rates. 776 00:48:18,239 --> 00:48:21,640 Speaker 1: So a typical dentist, let's we said, a typical person 777 00:48:21,719 --> 00:48:24,680 Speaker 1: might get one to two root canals in their lifetime. 778 00:48:24,800 --> 00:48:27,120 Speaker 1: That's number with a lot of variants. So don't don't 779 00:48:27,200 --> 00:48:30,200 Speaker 1: feel like you're bad somehow if you had three or four, 780 00:48:30,960 --> 00:48:36,040 Speaker 1: everybody's life is different. This means that a typical dentist 781 00:48:36,400 --> 00:48:38,759 Speaker 1: is not going to choose a root canal as their 782 00:48:38,800 --> 00:48:43,200 Speaker 1: first option. They would maybe perform a root canal on 783 00:48:43,400 --> 00:48:45,920 Speaker 1: a tooth that had a crowd on it from earlier 784 00:48:46,480 --> 00:48:51,120 Speaker 1: in three to seven percent of cases. Our boy lund 785 00:48:51,560 --> 00:48:55,520 Speaker 1: was giving people root canals in nine percent of cases. 786 00:48:56,080 --> 00:48:59,439 Speaker 1: And Ziedler eventually spoiler alert takes this guy to court. 787 00:49:00,160 --> 00:49:05,560 Speaker 1: He says that Lundon has performed invasive, costly, unnecessary procedures 788 00:49:06,040 --> 00:49:09,600 Speaker 1: on tons of people, and some of them had been 789 00:49:09,680 --> 00:49:12,239 Speaker 1: seeing him. They trusted him, They've been going to him 790 00:49:12,480 --> 00:49:17,240 Speaker 1: for decades, Like like Matt's, Dr Kimchi You've established this bond, 791 00:49:17,440 --> 00:49:18,920 Speaker 1: you know, and You're like, if I have to have 792 00:49:19,080 --> 00:49:22,759 Speaker 1: this unpleasant experience, I at least want to trust the 793 00:49:22,880 --> 00:49:26,040 Speaker 1: person who's going through it with me. That's very understandable, 794 00:49:26,520 --> 00:49:29,240 Speaker 1: But dude, I totally trust her. She has pictures with Luda, 795 00:49:29,520 --> 00:49:32,239 Speaker 1: so I mean because she does. She has actually met him, 796 00:49:32,239 --> 00:49:35,160 Speaker 1: she has great stories about him. This is I think 797 00:49:35,239 --> 00:49:38,840 Speaker 1: this is a nice counterbalance we're recommending. We're recommending a 798 00:49:38,960 --> 00:49:42,360 Speaker 1: dentists we like while we're talking about this, just absolute 799 00:49:42,440 --> 00:49:46,680 Speaker 1: con artist. I can't emphasize enough how amazing it is 800 00:49:46,800 --> 00:49:50,520 Speaker 1: that her name is Dr kim Chi. Uh. That's incredible. 801 00:49:50,680 --> 00:49:53,520 Speaker 1: It's one of my favorite Korean snacks. I feel so bad. 802 00:49:53,560 --> 00:49:59,919 Speaker 1: We're totally not mentioning her partner and drus he's also 803 00:50:01,520 --> 00:50:03,320 Speaker 1: my dentist. Just fine, but I think it's time for 804 00:50:03,400 --> 00:50:06,360 Speaker 1: me to switch, you know, two out of three, I 805 00:50:06,440 --> 00:50:08,319 Speaker 1: feel like I need to get on the Kimchy train. 806 00:50:08,440 --> 00:50:10,000 Speaker 1: But no, you're you're right. I like I said, I 807 00:50:10,120 --> 00:50:12,040 Speaker 1: like my dentist too. And it is a trust thing, 808 00:50:12,560 --> 00:50:14,560 Speaker 1: especially since you have that kind of I mean you 809 00:50:14,640 --> 00:50:18,439 Speaker 1: do with your doctor to um, but it's not quite 810 00:50:18,480 --> 00:50:22,200 Speaker 1: the same for some reason. The doctor typically isn't plumbing 811 00:50:22,239 --> 00:50:24,920 Speaker 1: around in your body, you know, like you get some 812 00:50:24,960 --> 00:50:28,120 Speaker 1: blood taken, but that's gonna be a different assistant every time. 813 00:50:28,520 --> 00:50:30,680 Speaker 1: The doctor usually just pops into the room, talks to 814 00:50:30,719 --> 00:50:33,240 Speaker 1: you for a couple of seconds and then's gone, whereas 815 00:50:33,239 --> 00:50:35,719 Speaker 1: the dentist usually comes in and really goes in there 816 00:50:35,760 --> 00:50:37,920 Speaker 1: and like you know, either does the bulk of the 817 00:50:38,040 --> 00:50:41,000 Speaker 1: procedure or at the very least is much more hands on. 818 00:50:41,840 --> 00:50:44,560 Speaker 1: Definitely grabs your tongue with that gauze that is just 819 00:50:44,960 --> 00:50:49,040 Speaker 1: so pleasant. I love it, but I could see the 820 00:50:49,200 --> 00:50:55,080 Speaker 1: feeling absolutely betrayed. Oh yeah yeah, because this is this 821 00:50:55,280 --> 00:51:00,600 Speaker 1: is the thing we thanks to Zeidler, can learn a 822 00:51:00,680 --> 00:51:04,160 Speaker 1: little bit about Lunz m O one of his favorite 823 00:51:04,200 --> 00:51:07,080 Speaker 1: treatments when his favorite things to give people were was 824 00:51:07,360 --> 00:51:10,800 Speaker 1: the crown, a dental crown. That's that's a metal or 825 00:51:10,960 --> 00:51:15,120 Speaker 1: ceramic cap, more and more often ceramic now that completely 826 00:51:15,600 --> 00:51:19,360 Speaker 1: covers envelops an injured or decayed tooth, and that that 827 00:51:19,480 --> 00:51:23,719 Speaker 1: original tooth, his first shaved down to to a tag, 828 00:51:23,840 --> 00:51:25,640 Speaker 1: to a stump. I could tell Matt, you love this 829 00:51:25,760 --> 00:51:28,520 Speaker 1: in particular so that you can slot that new that 830 00:51:28,719 --> 00:51:32,840 Speaker 1: new uh exo skeleton on it. And these crowns have 831 00:51:33,040 --> 00:51:36,040 Speaker 1: a pretty long life. They last tend to fifteen years 832 00:51:36,120 --> 00:51:39,920 Speaker 1: on average. Lundon wasn't only giving his patients crowns they 833 00:51:39,960 --> 00:51:44,880 Speaker 1: didn't need. He was also replacing those crowns every five years. 834 00:51:45,360 --> 00:51:49,560 Speaker 1: Why is that, asked Zeedler. That's because five years is 835 00:51:49,680 --> 00:51:54,319 Speaker 1: the minimal interval of time before insurance companies will cover 836 00:51:54,480 --> 00:51:57,720 Speaker 1: the procedure again. So she knew what he was doing. 837 00:51:58,080 --> 00:52:02,080 Speaker 1: He was waited and it was just a factory. It 838 00:52:02,200 --> 00:52:06,280 Speaker 1: was a factory. And it turns out Terry Mitchell, despite 839 00:52:06,440 --> 00:52:09,520 Speaker 1: you know, probably being swindled out of fifty grand, he 840 00:52:09,640 --> 00:52:14,560 Speaker 1: got off relatively easy. More than fifty of Lund's patients 841 00:52:14,880 --> 00:52:20,799 Speaker 1: also had just bizarrely high numbers of root canals fifteen 842 00:52:21,280 --> 00:52:26,759 Speaker 1: twenty twenty four. For reference, the average human mouth contains 843 00:52:26,920 --> 00:52:31,440 Speaker 1: thirty two teeth, so that like, at this point there's 844 00:52:31,520 --> 00:52:35,959 Speaker 1: somebody walking around who has the majority of their teeth 845 00:52:36,040 --> 00:52:39,759 Speaker 1: are have had root canals. And in addition to this, 846 00:52:41,520 --> 00:52:45,719 Speaker 1: he had also get this build patients for treatmentcy never 847 00:52:45,840 --> 00:52:49,640 Speaker 1: actually administered. So in our auto mechanic example, and this 848 00:52:49,800 --> 00:52:52,520 Speaker 1: has happened I'm sure too many friends of ours into 849 00:52:53,040 --> 00:52:55,560 Speaker 1: some of our non gear heads in the audience. It's 850 00:52:55,600 --> 00:52:59,640 Speaker 1: the equivalent of being like charged for having your transmission 851 00:52:59,640 --> 00:53:02,520 Speaker 1: fluid changed, and they just never did it because they 852 00:53:02,560 --> 00:53:05,359 Speaker 1: were like, how is he going to check or um 853 00:53:05,840 --> 00:53:09,920 Speaker 1: similar to the Just Breaks scandal. If you're familiar with 854 00:53:10,000 --> 00:53:13,239 Speaker 1: that franchise, look it up. They did some serious dirt. 855 00:53:14,239 --> 00:53:17,000 Speaker 1: So this is just one example. This is like true 856 00:53:17,120 --> 00:53:20,200 Speaker 1: dentistry crime or what do we call it, paulis sound 857 00:53:20,239 --> 00:53:25,839 Speaker 1: cute math crime? And and now we have to ask 858 00:53:25,880 --> 00:53:30,360 Speaker 1: ourselves what comes next. Because dentistry is an industry is 859 00:53:30,360 --> 00:53:35,560 Speaker 1: still struggling to embrace the same scientific inquiry, evidence based standards, 860 00:53:35,640 --> 00:53:37,759 Speaker 1: best practices that are common in the rest of the 861 00:53:37,800 --> 00:53:42,279 Speaker 1: medical world. That situation has left dentists with a lot 862 00:53:42,360 --> 00:53:46,960 Speaker 1: of latitude, a lot of agency to advise unnecessary procedures. 863 00:53:47,040 --> 00:53:49,480 Speaker 1: And this doesn't mean that there doesn't mean they're all 864 00:53:49,520 --> 00:53:54,880 Speaker 1: con artists. No, of course, the vast, vast majority of 865 00:53:55,080 --> 00:53:59,600 Speaker 1: dentists are just honest people, honest experts trying to do 866 00:53:59,719 --> 00:54:03,239 Speaker 1: a job because in their mind, doing a good job 867 00:54:03,640 --> 00:54:06,480 Speaker 1: means that their practice will continue. They don't feel like 868 00:54:06,640 --> 00:54:11,000 Speaker 1: they need to or whatever want to resort to swindling people. Right, 869 00:54:11,080 --> 00:54:13,840 Speaker 1: And it's a list of these candidates for over treatment 870 00:54:13,920 --> 00:54:18,680 Speaker 1: that we have here. Um things like root canals, crowns 871 00:54:18,719 --> 00:54:21,680 Speaker 1: and veneers, teeth whitening and filling, and when I mentioned 872 00:54:21,719 --> 00:54:24,000 Speaker 1: at the top of the show, deep cleaning, which is 873 00:54:24,080 --> 00:54:26,680 Speaker 1: again the fancy name for that is scaling and route planning, 874 00:54:27,000 --> 00:54:30,000 Speaker 1: and like, my insurance would pay for one quadrant of 875 00:54:30,120 --> 00:54:33,760 Speaker 1: my mouth four quadrants to the mouth, if you can imagine. 876 00:54:34,000 --> 00:54:35,680 Speaker 1: And then I had to pay for the rest um. 877 00:54:36,120 --> 00:54:37,960 Speaker 1: But they did a thing where they like quoted me 878 00:54:38,280 --> 00:54:41,000 Speaker 1: on it, and then I said, okay for that, if 879 00:54:41,040 --> 00:54:44,200 Speaker 1: that's what insurance will pay. It was decent. I was like, 880 00:54:44,239 --> 00:54:45,600 Speaker 1: I'll pay this out of pocket. And then when I 881 00:54:45,640 --> 00:54:49,239 Speaker 1: actually did the procedure, I walk out to pay and 882 00:54:49,320 --> 00:54:52,520 Speaker 1: it was double what they said, And I was like, dang, 883 00:54:52,920 --> 00:54:56,080 Speaker 1: I would have said no, right, I would have said no. 884 00:54:56,760 --> 00:54:58,160 Speaker 1: I would have said I'm not going to do it. 885 00:54:58,280 --> 00:55:01,040 Speaker 1: Then I did kind of talk them down, but I 886 00:55:01,080 --> 00:55:03,760 Speaker 1: felt like I was like negotiating with a card dealer 887 00:55:03,880 --> 00:55:06,719 Speaker 1: or something like that. That was weird. Right. It all 888 00:55:06,800 --> 00:55:10,600 Speaker 1: goes back to the car mechanic you guys, Um, there's 889 00:55:10,600 --> 00:55:13,719 Speaker 1: another thing in here that really reson resonated with me 890 00:55:13,800 --> 00:55:17,840 Speaker 1: from that Atlantic article then, and it's the the concept 891 00:55:18,040 --> 00:55:22,880 Speaker 1: of kind of doing what Lund did, replacing those crowns 892 00:55:23,120 --> 00:55:27,520 Speaker 1: or fillings for different kinds. Like the new filling. It's 893 00:55:27,600 --> 00:55:30,560 Speaker 1: the new substance that's better than the old metal filling. 894 00:55:30,600 --> 00:55:34,480 Speaker 1: It's this new reson thing. It's this new pseudo metal 895 00:55:35,239 --> 00:55:38,800 Speaker 1: thing that you can get, um that becomes a superfluous 896 00:55:38,880 --> 00:55:41,640 Speaker 1: thing that you don't have to do. And it goes 897 00:55:41,719 --> 00:55:45,080 Speaker 1: back to the science problem that we discussed earlier, where 898 00:55:45,560 --> 00:55:48,720 Speaker 1: it's not fully known if some of these new resin 899 00:55:48,840 --> 00:55:53,279 Speaker 1: substances are actually stronger or better than the old metal ones, 900 00:55:53,400 --> 00:55:55,960 Speaker 1: or if the metal fillings actually are as dangerous as 901 00:55:56,080 --> 00:55:59,400 Speaker 1: they purport to be, because there's not enough research there 902 00:55:59,520 --> 00:56:01,480 Speaker 1: in enough it used to actually get that kind of 903 00:56:01,560 --> 00:56:05,520 Speaker 1: statistical analysis to really say, Okay, this is exactly the 904 00:56:05,600 --> 00:56:09,160 Speaker 1: way it is. Um, this resin is definitely better than 905 00:56:09,280 --> 00:56:12,120 Speaker 1: this other thing. Just something to keep in your mind 906 00:56:12,320 --> 00:56:14,839 Speaker 1: when you're being told by your dentist, no matter where 907 00:56:14,880 --> 00:56:17,200 Speaker 1: you are, who you are, that you need something extra 908 00:56:17,400 --> 00:56:22,600 Speaker 1: like that. Right, yeah, well said, uh this The phrase 909 00:56:22,680 --> 00:56:26,560 Speaker 1: we just used over treatment is a euphemism, right, it can. 910 00:56:26,880 --> 00:56:32,120 Speaker 1: It can mean people acting in good faith but doing 911 00:56:32,200 --> 00:56:35,000 Speaker 1: the most in your mouth, but it can also mean 912 00:56:35,920 --> 00:56:40,319 Speaker 1: intentional criminal activity, such as the conspiracy undertaken for many 913 00:56:40,440 --> 00:56:47,200 Speaker 1: years by Dr Lunz. It seems distressingly, distressingly common because 914 00:56:47,360 --> 00:56:53,120 Speaker 1: there's there's a shockingly high amount of incongruity between one 915 00:56:53,239 --> 00:56:57,080 Speaker 1: dentist and the next. There's a Swiss university called E. 916 00:56:57,200 --> 00:57:01,040 Speaker 1: T H. Zurich, and while back they had a team 917 00:57:01,080 --> 00:57:04,799 Speaker 1: of researchers who got together and they asked they took 918 00:57:04,840 --> 00:57:09,080 Speaker 1: a volunteer patient who had three tiny cavities, the kinds 919 00:57:09,160 --> 00:57:12,200 Speaker 1: of things that could be easily treated. Right, had they 920 00:57:12,320 --> 00:57:16,160 Speaker 1: had this patient go through Zurich and go to one 921 00:57:16,280 --> 00:57:20,080 Speaker 1: hundred and eighty dentists who are randomly selected, they weren't 922 00:57:20,120 --> 00:57:24,600 Speaker 1: suspected of doing anything wrong. They were just normal working dentists. 923 00:57:25,200 --> 00:57:29,680 Speaker 1: What they found is that the dentist advice ran contrary 924 00:57:29,920 --> 00:57:35,640 Speaker 1: often to the guidelines of the like Swiss Dental Association. 925 00:57:35,840 --> 00:57:39,520 Speaker 1: They have the Swiss Dental Guidelines and their position is, 926 00:57:39,800 --> 00:57:42,880 Speaker 1: if you've got minor cavities like this volunteer patient, you 927 00:57:42,960 --> 00:57:46,600 Speaker 1: don't need fillings. Instead, the dentist needs to encourage you 928 00:57:46,840 --> 00:57:51,000 Speaker 1: to do better preventative maintenance because when you have a 929 00:57:51,080 --> 00:57:54,360 Speaker 1: minor cavity, you can actually reverse some of this damage 930 00:57:54,440 --> 00:57:57,280 Speaker 1: if you stay on your p's and queues with brushing 931 00:57:57,760 --> 00:58:02,240 Speaker 1: instead of that. Fifty out of the eighty dentists suggested 932 00:58:02,360 --> 00:58:08,080 Speaker 1: various forms of unnecessary treatment, and they advised UH. Their 933 00:58:08,160 --> 00:58:11,000 Speaker 1: their recommendations were not uniform. They were all over the place, 934 00:58:11,200 --> 00:58:15,640 Speaker 1: like anywhere from one to six fillings and other other procedures. 935 00:58:16,240 --> 00:58:21,400 Speaker 1: But okay, maybe maybe Swiss Swiss Advices is too far away. 936 00:58:21,480 --> 00:58:23,720 Speaker 1: Maybe you're saying, I don't live in Switzerland. How does 937 00:58:23,760 --> 00:58:27,560 Speaker 1: this apply to me. Let's go to the US writer 938 00:58:27,720 --> 00:58:33,600 Speaker 1: named William Eckenbarger, writing for Readers Digest, went through twenty 939 00:58:33,720 --> 00:58:38,680 Speaker 1: eight states, visiting fifty dentists to see how they would UH. 940 00:58:38,800 --> 00:58:41,919 Speaker 1: They would react to the state of his dental health, 941 00:58:42,320 --> 00:58:45,840 Speaker 1: and he got he got recommendations for everything from like 942 00:58:46,320 --> 00:58:50,400 Speaker 1: here's a single crown to there's a wreck, there's a 943 00:58:50,440 --> 00:58:53,800 Speaker 1: tear down. We have to fully reconstruct your mouth. The 944 00:58:53,960 --> 00:58:57,320 Speaker 1: price tag variants there started from five hundred dollars and 945 00:58:57,400 --> 00:59:02,400 Speaker 1: went to nearly thirty grand. Uh. And this gives you 946 00:59:02,480 --> 00:59:05,160 Speaker 1: a sense of just how varied this can be. As 947 00:59:05,240 --> 00:59:08,160 Speaker 1: we said in the top, it is exceedingly rare for 948 00:59:08,280 --> 00:59:11,320 Speaker 1: someone to get a second opinion from a different dentist. 949 00:59:12,040 --> 00:59:15,720 Speaker 1: But it might not be the worst move, because again, 950 00:59:15,800 --> 00:59:18,760 Speaker 1: there need to be some better safeguards in place. Trap 951 00:59:18,800 --> 00:59:23,600 Speaker 1: our story up. Back to Zieedler October. He sues Lundon 952 00:59:23,840 --> 00:59:26,120 Speaker 1: as soon as he thinks he can prove his case. 953 00:59:26,400 --> 00:59:29,520 Speaker 1: He says, you've misrepresented your practice when you gave it 954 00:59:29,600 --> 00:59:34,400 Speaker 1: to me, and therefore you've breached our contract. You're because 955 00:59:34,440 --> 00:59:35,959 Speaker 1: he thought he was gonna make a lot of money. 956 00:59:36,320 --> 00:59:39,920 Speaker 1: He said, you're reported income for your practice of seven 957 00:59:40,040 --> 00:59:45,840 Speaker 1: hundred thousand to nine thousand dollars per year was a 958 00:59:45,960 --> 00:59:50,240 Speaker 1: result of fraudulent billing activity, billing for unnecessary treatment, and 959 00:59:50,360 --> 00:59:53,280 Speaker 1: billing for treatment that was never performed. The suit was 960 00:59:53,360 --> 00:59:56,800 Speaker 1: settled for how much, Well, we don't know confidential amount, 961 00:59:57,560 --> 01:00:01,600 Speaker 1: We'll never know. So there you have. The mechanic analogy 962 01:00:01,680 --> 01:00:04,880 Speaker 1: turns out to be unfortunately and tragically apt. Of course, 963 01:00:05,000 --> 01:00:08,000 Speaker 1: as we said several times in this episode, yes, the 964 01:00:08,120 --> 01:00:11,560 Speaker 1: vast majority of dentists are not out to scam people. 965 01:00:11,880 --> 01:00:13,360 Speaker 1: They want to do a great job. They want to 966 01:00:13,400 --> 01:00:16,160 Speaker 1: grow their practice. If you feel that you have been 967 01:00:16,240 --> 01:00:20,080 Speaker 1: taken in by someone with dishonest tendencies, or even if 968 01:00:20,120 --> 01:00:22,160 Speaker 1: you don't think there's corruption and crime of foot, if 969 01:00:22,200 --> 01:00:25,600 Speaker 1: you feel maybe your dentist is just with the best 970 01:00:25,680 --> 01:00:29,360 Speaker 1: intentions doing too much, you should get a second opinion. 971 01:00:29,480 --> 01:00:31,520 Speaker 1: You should get it as soon as possible. Don't get 972 01:00:31,560 --> 01:00:35,120 Speaker 1: it from your buddies. Either, get it from a different 973 01:00:35,200 --> 01:00:38,560 Speaker 1: dentist that you that you haven't met before. Uh, And 974 01:00:39,760 --> 01:00:41,840 Speaker 1: we want to hear your stories at this point, won't 975 01:00:41,840 --> 01:00:44,920 Speaker 1: ask what you think. We've got dental hygienists in the 976 01:00:45,000 --> 01:00:48,520 Speaker 1: crowd here, we have, we have dentists who listened to 977 01:00:48,600 --> 01:00:52,280 Speaker 1: this show. We'd love to hear from anybody with firsthand experience, 978 01:00:52,320 --> 01:00:54,560 Speaker 1: whether you are in the seat or whether you are 979 01:00:54,680 --> 01:00:58,000 Speaker 1: someone treating a patient. We'd like to hear whether you 980 01:00:58,160 --> 01:01:00,320 Speaker 1: have heard things like this in your act of the 981 01:01:00,360 --> 01:01:03,880 Speaker 1: Global Woods, especially if you're a dentist yourself. Um, I 982 01:01:03,960 --> 01:01:07,320 Speaker 1: think we'd all be curious to learn whether in your 983 01:01:07,400 --> 01:01:12,120 Speaker 1: industry or in you know, your region, there's a practice 984 01:01:12,320 --> 01:01:16,960 Speaker 1: that everybody kind of knows is crooked, kind of like 985 01:01:17,080 --> 01:01:20,680 Speaker 1: how somewhere some someone is the world's worst StAst you're 986 01:01:20,680 --> 01:01:24,840 Speaker 1: not asked. The field of astronautics is relatively small right now. 987 01:01:26,000 --> 01:01:28,760 Speaker 1: Everybody knows who the world's where StAst you're not is. 988 01:01:28,840 --> 01:01:31,120 Speaker 1: So if you're a dentist in your region, you know, 989 01:01:31,240 --> 01:01:34,280 Speaker 1: especially if you're a more rural region and there's a 990 01:01:34,400 --> 01:01:36,960 Speaker 1: bad actor than the odds are the people who would 991 01:01:37,000 --> 01:01:38,840 Speaker 1: be more aware of that would be dentists who have 992 01:01:38,920 --> 01:01:41,760 Speaker 1: seen their work. Just to be clear, I am the 993 01:01:41,800 --> 01:01:45,480 Speaker 1: world's worst astronaut, just if you if you're wondering, I 994 01:01:45,480 --> 01:01:49,680 Speaker 1: would not do well up there. But get it together, Matt. 995 01:01:51,200 --> 01:01:52,840 Speaker 1: But this is the last time we're gonna say in 996 01:01:52,880 --> 01:01:57,840 Speaker 1: this episode we love dentists and dentaligenis especially whens listening, 997 01:01:57,880 --> 01:02:01,200 Speaker 1: as you said, Ben, because really it's a cool it's 998 01:02:01,360 --> 01:02:03,200 Speaker 1: it's a great thing to help people all the time. 999 01:02:03,400 --> 01:02:05,800 Speaker 1: Dentists help people all the time. This is very rare 1000 01:02:06,080 --> 01:02:08,400 Speaker 1: and they get such a hard time for it. So 1001 01:02:08,480 --> 01:02:10,720 Speaker 1: they because of all the things we mentioned, because of 1002 01:02:10,800 --> 01:02:13,120 Speaker 1: the stereotypes, and because of all the phobias and just 1003 01:02:13,240 --> 01:02:15,440 Speaker 1: people's you know, perspectives on dentists. But if you do 1004 01:02:15,600 --> 01:02:19,520 Speaker 1: want to hear it straight from the dentist's mouth collectively, 1005 01:02:20,200 --> 01:02:23,600 Speaker 1: you can check out this article on Dentistry Today dot 1006 01:02:23,680 --> 01:02:26,560 Speaker 1: com that really runs down all of this uh corruption 1007 01:02:26,800 --> 01:02:29,960 Speaker 1: and and and and openly acknowledges it um and the 1008 01:02:30,080 --> 01:02:33,720 Speaker 1: article title is Bad Dentists and the Professional Code of 1009 01:02:33,920 --> 01:02:39,880 Speaker 1: Silence by Michael W. Davis DDS. So, as we said, 1010 01:02:40,240 --> 01:02:44,520 Speaker 1: let us know your stories, tell us your experiences, uh, 1011 01:02:44,760 --> 01:02:46,560 Speaker 1: we would, We would love to hear from you. We 1012 01:02:46,640 --> 01:02:51,040 Speaker 1: try to be easy to find online Facebook, Twitter, Instagram, 1013 01:02:51,240 --> 01:02:53,960 Speaker 1: all the hits, all the good ones. 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