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Hi, Dental Head start listeners,

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Christina here.

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I bring to you in this episode a

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great chat I had with Stephanie Bots.

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For those unlucky ones who have yet to

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come across her online.

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Stephanie is a registered dental hygiene and specialist

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in office ergonomic,

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sharing some really important advice around our posture

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and well being as dental professionals.

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Based in Denver Colorado, Stephanie has gained over

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40000

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followers on social media and continues to spread

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her message via our conferences,

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virtual assessments,

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and her new podcast

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straight up with staff.

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We spoke about how dental school is such

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an effective time to start establishing good posture

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habits

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in preventing pain and avoiding long term issues.

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She shed so many good bite sized tips

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that are really easily digestible to start implementing

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today.

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And she emphasizes it's never too late.

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Stephanie says this is the only body we've

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got. So I hope this episode helps you

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on your way to protect in your career

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for your posture.

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Hi, Stephanie. Thank you so much for being

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on the podcast with is an amazing

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opportunity we have here.

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Have you speak on the podcast for all

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last students.

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Yes. Thank you, Christina. I was really excited

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when you reached out, you know, ergonomic is

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important for everyone, but the earlier, we can

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learn it the better. So students, like, I'm

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always excited to talk to students. So thanks.

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Yeah.

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And, you know,

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students as well, just as... And it just

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as important for people who are just about

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to graduate.

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The journey is not over like, this is

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when it actually starts. So

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I'm glad to have someone of your expertise

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talking to us about ergonomic and our posture

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just so that we can try and get

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started. But for those who haven't had the

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privilege of following you yet on your podcast

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and your socials,

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let's get to know you a little bit.

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So what was your journey into dentistry like?

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Yeah. So I... I'm a Dental hi jenna.

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I've been practicing

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about 16 years now. I do still see

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patience. It's just on a pretty part basis,

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just with started my business a few years

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ago, but I had a lot of dental

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work when I was younger.

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I was actually missing 7 and 10, so

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I went through the whole ortho

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expansion and then got implants. And so I

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was in the dental office a lot.

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So I was always interested in teeth. And

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when it came time for me to decide

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what to do, I

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It was either nursing or

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dental hygiene.

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And the reason I didn't want to be,

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like, a doctor or a dentist was honestly

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1 of my older sisters went through medical

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school, and I saw all and she's specialized,

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and I just saw all of the schooling

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she had to go through and I was,

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like, no.

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But I... I've always loved teeth, and I

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was like, well, let's let's try this dental

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hygiene thing, and I'm just... I'm so glad

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that I did, and it's it's funny because

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I

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don't think I even knew what a dental

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h did

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until I went into school. I'm like, oh,

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we go under the gun, Like, I didn't

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realize that. But... Yeah. So... And I've been

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practicing...

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I was practicing full time for...

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I'll say about 13 years. And then I

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started my ergonomic company a few years ago,

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and that's I had to kinda drop days

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and it and go down to part time.

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Okay. And so ergonomic, how did that

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become an interest of yours. Did you

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did you see a lot of injuries? Did

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you see a lot in your own

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workplaces?

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Well, it's funny because I was talking to

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1 of my hygiene classmates, and she was

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like, don't you remember you were, like a

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psycho in clinic with posture. You were worried

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about everyone's posture. And I'm like, I actually

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don't remember a lot of that,

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but posture something I've always been interested in.

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But I'll say when I really started to

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pay attention to it was probably about 10

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years in to my practice, I started getting

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some pretty severe back pain.

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And I didn't know, like, what to do

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about it, and I was really nervous that

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I wasn't even gonna be able to work

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in the operator anymore. Like, it was it

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was pretty bad.

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So I started

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trying to focus more on my positioning and

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my patient positioning of my ergonomic, and I

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was just like, man. I wish there was

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someone out there that could just watch me

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work and tell me what I'm doing wrong,

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because I do... I knew I was doing

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something wrong. I just didn't know what. And

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that's kinda when the light bulb just went

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off in my head, and I was like,

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I wonder if I could learn about this

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so that it would help me with my

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pain, but maybe could help other people. And

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it just kinda started from there. So I

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relearn learned

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ergonomic.

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I started practicing more ergonomic and I felt

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that it was almost night and day as

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far as the pain difference. I had more

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energy, and then I was like, yep. Okay.

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This is what I'm gonna do. So I

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just went back to school, got my ergonomic

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certification and started my business and I've just

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been off in running ever since. Yeah. That's

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so interesting. Is you think there's a lot

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of information about ergonomic

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out there or is it kind of all

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mixed up and confusing?

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Well, it was kinda tough for me to

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find

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a lot of information, but if there's not

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honestly... As far as, like, you've done and

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how I risk we are. There's not merely

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enough information out there. But I did learn

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from... There's, like, a physical therapist, 2 has

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done a lot of work as far as

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dental ergonomic. I learned a lot from her.

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I read some studies about, like, how you

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want your patient position, how you want the

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oc ec planes positioned, reading articles and stuff

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like that. And just kind of, like, putting

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all of these little pieces together.

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And then that

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combined with what I learned when I went

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back to school to get my ergonomic certification,

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all of that kind of helped me

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figure out my process as far as my

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program and how I do assessments in coaching.

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But I I wish that there was more

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information out there honestly.

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Yeah. Absolutely. I think from my experience, I

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think the only information we have got as

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an for those listening

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I mean, I've only done first year completed

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first year or a whole therapy.

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I think the only information we get given

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in Uni. I don't know if it is

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to extend more, but is just in

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in our simulation labs

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all our tutors do is just say, you

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should move your patient up and doubt. That's

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basically it. Or you should move closer. Or

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you should put your feet on the floor,

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and that was it. And but as soon

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as they walk away, it would just go

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back to what we we'd be just going

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moving back to a hunch position because we

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don't really... We're not thinking about our posture.

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We're trying to do a rot

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restoration, and we wanna get that perfect. We

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don't care about our posture So I think

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that brings me to my next question. I

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think,

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really... I mean, Uni is hard enough as

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it is.

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I mean,

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should we be really thinking about posture

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at University While we're studying or can we

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kind of get away with it and start

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maybe half we graduate.

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You know, it's interesting with post

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issues because really a lot of us develop

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posture problems when we're younger. Even... I mean,

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young, like, you know, at a adolescent in

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teen years, which actually makes me very worried

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about cell phone use? With young people

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because they're hunch over, you know we... And

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that can, like, carry on into our adulthood.

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But I would say

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school, really, I and I I understand, like,

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the demands of school. And, yes, you want

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to, like, do that restoration, do the crown,

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whatever get through, whatever.

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To get your, you know, your check sheet

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checked off. Right?

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But I do think it's a really good

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time to slow down and really establish some

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good habits.

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Because if we establish bad habits in school,

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that's just gonna follow us out into practice.

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And then it's like,

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We kinda play this trick with ourselves. Right?

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Like, in school. It's like, okay. We're too...

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I'm too busy to learn about posture. I'll

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learn that after. I've graduated and I get

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out practice.

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But then we get into practice, and it's,

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like, we need to get faster. We need

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to see more patients. We need to make

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more money and all of these things start

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to pile up and then that that importance

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of posture just goes down and down and

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down.

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But it... I mean, I can tell you

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if we don't focus on ergonomic at some

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point, we're gonna experience some pretty severe pain

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or even injury of where people can't even

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practice anymore. So the short answer, the earlier,

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the better, And I do think school is

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a really great time to start working on

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that.

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Okay. And so

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what could possibly be some of the mistakes

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that you think we'd be making right now

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during school.

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Our school years,

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what are the common things that you see

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patient positioning is huge, and that's

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whether people are in school or if they

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practice for 20 years,

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patient positioning is a really important part for

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us to to nail. Because if our patient,

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if their head and their mouth isn't in

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the right position, we're gonna be the ones

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that suffer. We're gonna be out here, Chicken

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wing or we're gonna be, like, upside down,

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you know. So I think that's important. Also

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mastering indirect vision.

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Some people, I've have seen have practiced for

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a long time and they rarely use their

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mirror, and that is just... It's a nightmare.

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So I would say probably those 2 things

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are really important, and just body awareness too,

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knowing where your head is at in space.

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Knowing where your arms are at, You know,

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or or am I twisting, you know, 20

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times during this procedure. It's just... It's really

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being aware of what you're doing, which

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sounds simple, but it's not easy when you're

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seeing patients. Yeah. And so what do you

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find we're doing with our heads

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and

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when we're not doing that indirect vision and

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we're not positioning our patients

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00:10:08,891 --> 00:10:11,404
well enough. Yeah. So if it... Let's say

270
00:10:11,684 --> 00:10:14,002
patient positioning. If the patient is positioned too

271
00:10:14,002 --> 00:10:16,239
high, which I see all the time, and

272
00:10:16,319 --> 00:10:17,997
I used to do this too. Like, in

273
00:10:17,997 --> 00:10:19,755
all the mistakes I'm talking about, I used

274
00:10:19,755 --> 00:10:21,526
to do them as well. No so there's,

275
00:10:21,606 --> 00:10:24,158
like, no judgment here. But if the patient

276
00:10:24,158 --> 00:10:26,949
is positioned too high, that means our shoulders

277
00:10:26,949 --> 00:10:28,784
they're gonna go up towards our ears because

278
00:10:28,784 --> 00:10:30,711
we're trying to work on them. Or we're

279
00:10:30,711 --> 00:10:32,780
gonna be out in chicken wing, either 1

280
00:10:32,780 --> 00:10:34,848
arm or both arms, which is just not

281
00:10:34,848 --> 00:10:37,076
good for the shoulder or the neck. So

282
00:10:37,076 --> 00:10:38,826
that's a patient positioning problem.

283
00:10:39,716 --> 00:10:43,318
Indirect vision, I have literally seen people almost

284
00:10:43,454 --> 00:10:45,601
upside down, trying to see, you know, the

285
00:10:45,601 --> 00:10:48,241
upper art of the upper arch. I... You

286
00:10:48,241 --> 00:10:49,457
cannot do that

287
00:10:49,832 --> 00:10:52,140
with good posture unless you're using your mirror.

288
00:10:52,617 --> 00:10:54,448
So those are just a couple things. Yeah.

289
00:10:54,925 --> 00:10:56,596
Absolutely. I think... Yes.

290
00:10:57,328 --> 00:10:59,822
Indirect vision was 1 of the hardest things

291
00:11:00,120 --> 00:11:03,651
to learn at first half. So any any

292
00:11:03,709 --> 00:11:06,022
opportunity I got to avoid using the mirror

293
00:11:06,182 --> 00:11:06,501
I would.

294
00:11:07,313 --> 00:11:09,628
But, yeah, I can... Yeah, Definitely. I think

295
00:11:09,628 --> 00:11:10,426
there was 1 time,

296
00:11:11,224 --> 00:11:13,240
like, the first time I did a

297
00:11:13,698 --> 00:11:15,627
restoration and it was a big 1. By

298
00:11:15,627 --> 00:11:18,888
the end of 3 hours in simulation, if

299
00:11:18,888 --> 00:11:19,547
you weren't

300
00:11:19,921 --> 00:11:22,784
using good posture by 3 hours, you really

301
00:11:22,784 --> 00:11:24,795
could feel it like you could really

302
00:11:25,424 --> 00:11:28,245
you can tell that that if your body

303
00:11:28,784 --> 00:11:31,184
kept on doing it, it didn't feel right.

304
00:11:31,824 --> 00:11:32,324
So

305
00:11:32,625 --> 00:11:34,797
it is good. And it's good to sort

306
00:11:34,797 --> 00:11:37,669
of know these things. With indirect vision to,

307
00:11:38,387 --> 00:11:40,781
there are some times where it's like,

308
00:11:41,434 --> 00:11:43,352
You can't use your mirror. You know, because

309
00:11:43,352 --> 00:11:45,190
you need your other hand to stabilize or

310
00:11:45,190 --> 00:11:46,868
whatever it is. And I understand. I mean,

311
00:11:46,948 --> 00:11:48,706
I'm a clinician, and I get it. It's

312
00:11:48,706 --> 00:11:50,065
not always going to be perfect.

313
00:11:50,559 --> 00:11:52,240
And I... That's something that I really want

314
00:11:52,240 --> 00:11:54,799
people to understand. It's like, it's not always

315
00:11:54,799 --> 00:11:57,059
gonna be perfect. There are gonna be times

316
00:11:57,120 --> 00:11:59,053
where you have to drop your mirror and

317
00:11:59,053 --> 00:12:01,370
do this number, you know, that's just gonna

318
00:12:01,370 --> 00:12:03,847
happen. But what I try to stress with

319
00:12:03,847 --> 00:12:05,938
people is, like, try to be is good

320
00:12:05,938 --> 00:12:08,353
as you can as often as you can

321
00:12:08,412 --> 00:12:10,806
so that when you have to go upside

322
00:12:10,806 --> 00:12:12,881
down or hunch over or lean over or

323
00:12:12,881 --> 00:12:13,280
whatever,

324
00:12:13,694 --> 00:12:15,070
you're not so depleted

325
00:12:15,446 --> 00:12:17,437
because you've been doing good up until that

326
00:12:17,437 --> 00:12:18,871
point. You know what I mean? But I

327
00:12:18,871 --> 00:12:20,544
just want people to realize. That you're not

328
00:12:20,544 --> 00:12:22,376
gonna have perfect to ergonomic all the time.

329
00:12:22,789 --> 00:12:24,222
But we just wanna try to have it

330
00:12:24,222 --> 00:12:27,647
as much as we can. Okay. So just

331
00:12:27,647 --> 00:12:28,386
to summarize,

332
00:12:28,921 --> 00:12:31,470
what should we be doing with our head.

333
00:12:31,804 --> 00:12:33,640
What should we be doing with our arms

334
00:12:33,640 --> 00:12:34,438
and our shoulders?

335
00:12:34,917 --> 00:12:37,951
So what ideally... So let's talk about natural

336
00:12:37,951 --> 00:12:39,547
posture for a second, and we're gonna go

337
00:12:39,547 --> 00:12:40,425
from the top down.

338
00:12:41,716 --> 00:12:44,849
Ideally with our head, we want our ear

339
00:12:45,146 --> 00:12:46,741
stacked in line with our shoulder.

340
00:12:47,459 --> 00:12:49,932
And most of the time, we and dentistry

341
00:12:49,932 --> 00:12:50,671
work forward

342
00:12:51,457 --> 00:12:53,994
because we're, like, looking at our patient with

343
00:12:53,994 --> 00:12:57,243
cell phones. We're hunch over with laptops. We're

344
00:12:57,243 --> 00:12:59,643
hunch over, So we really want to move

345
00:12:59,643 --> 00:13:01,713
our head back to get the ear in

346
00:13:01,713 --> 00:13:02,509
line with the shoulder.

347
00:13:03,066 --> 00:13:04,818
This is like, from the profile view, if

348
00:13:04,818 --> 00:13:06,172
you imagine it from the profile.

349
00:13:06,903 --> 00:13:08,596
And then we want our shoulders

350
00:13:08,970 --> 00:13:11,617
down. We wanna try to think of our

351
00:13:11,833 --> 00:13:14,060
shoulder blades like, going to little pockets in

352
00:13:14,060 --> 00:13:15,968
our back. So we want our shoulders down.

353
00:13:16,699 --> 00:13:17,994
And then we want our arms

354
00:13:18,370 --> 00:13:20,518
close to our sides with the elbows bent

355
00:13:20,518 --> 00:13:21,711
at about 90 degrees.

356
00:13:22,348 --> 00:13:24,192
So that's a good and then you know,

357
00:13:24,351 --> 00:13:26,257
for seated, we... I mean, we can talk

358
00:13:26,257 --> 00:13:29,434
about seated positioning too, but when we're sitting

359
00:13:29,434 --> 00:13:31,658
down, we want our feet flat on the

360
00:13:31,658 --> 00:13:33,509
floor, like, what your instructors have said. We

361
00:13:33,509 --> 00:13:34,950
don't wanna be up on the tip toes

362
00:13:34,950 --> 00:13:36,389
or, like, crossed or anything,

363
00:13:36,950 --> 00:13:39,029
but we also want our hips to be

364
00:13:39,029 --> 00:13:39,909
above our knees.

365
00:13:40,724 --> 00:13:43,199
Not parallel to the knees, but above the

366
00:13:43,199 --> 00:13:44,816
knees. So that's a really nice

367
00:13:45,274 --> 00:13:45,913
neutral posture.

368
00:13:46,472 --> 00:13:48,467
And we can have that... We can't have

369
00:13:48,467 --> 00:13:50,239
it a hundred percent at the time. But

370
00:13:50,239 --> 00:13:52,636
we can have it pretty close to that

371
00:13:52,636 --> 00:13:54,634
if we're using really good equipment and then

372
00:13:54,634 --> 00:13:56,393
just like checking our body awareness.

373
00:13:57,591 --> 00:14:00,103
If you're like me, you might be feeling

374
00:14:00,161 --> 00:14:02,814
overwhelmed by dental school and all the little

375
00:14:02,952 --> 00:14:05,663
extra extracurricular tasks we need to complete life

376
00:14:05,663 --> 00:14:08,029
ind insurance. So let's get that ticked off

377
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378
00:14:11,110 --> 00:14:14,870
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379
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380
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381
00:14:20,565 --> 00:14:23,205
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382
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383
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384
00:14:28,571 --> 00:14:31,363
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385
00:14:31,363 --> 00:14:32,855
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386
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387
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388
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389
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390
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391
00:14:45,205 --> 00:14:47,443
Thank you dental protection limited for helping me

392
00:14:47,443 --> 00:14:49,841
get started and for supporting the dental head

393
00:14:49,841 --> 00:14:50,580
start podcast.

394
00:14:54,227 --> 00:14:54,727
So

395
00:14:55,100 --> 00:14:56,449
do some of these,

396
00:14:57,480 --> 00:14:59,249
suppose in neutral position

397
00:14:59,799 --> 00:15:01,720
is there tools that we need other than

398
00:15:01,720 --> 00:15:03,399
like our mirror and that, But are there

399
00:15:03,399 --> 00:15:05,259
are other tools that might help us

400
00:15:05,639 --> 00:15:07,959
get into neutral position that we can talk

401
00:15:07,959 --> 00:15:08,200
about.

402
00:15:08,773 --> 00:15:09,273
And,

403
00:15:09,650 --> 00:15:11,505
you know, are they affordable

404
00:15:12,519 --> 00:15:15,867
what about things that really we can't afford

405
00:15:15,867 --> 00:15:18,355
just yet. What's your advice there? What are

406
00:15:18,355 --> 00:15:20,351
the tools that we should be using to

407
00:15:20,351 --> 00:15:23,304
help us get there? Great question. So the

408
00:15:23,304 --> 00:15:24,981
the 1 thing and I talk about these

409
00:15:24,981 --> 00:15:28,024
a lot. The 1 thing that is really

410
00:15:28,024 --> 00:15:31,211
exciting that's come out recently is ergonomic loops.

411
00:15:31,929 --> 00:15:33,297
And I don't know if you've seen them.

412
00:15:33,456 --> 00:15:36,320
So not all loops are created equal, and

413
00:15:36,320 --> 00:15:38,785
not all loops are ergonomic. And I I

414
00:15:38,785 --> 00:15:40,535
feel like I just breakouts hearts when I

415
00:15:40,535 --> 00:15:43,021
say that, but if we can't, if we're

416
00:15:43,021 --> 00:15:44,298
wearing a pair of loops,

417
00:15:45,016 --> 00:15:46,612
and we still have to have our head

418
00:15:46,612 --> 00:15:47,112
forward

419
00:15:47,490 --> 00:15:49,086
or we still have to tip our head

420
00:15:49,086 --> 00:15:49,405
down,

421
00:15:49,898 --> 00:15:52,044
that's not an ergonomic loop. We need something

422
00:15:52,044 --> 00:15:54,213
that allows us to have this, like elevated

423
00:15:54,270 --> 00:15:54,905
head position.

424
00:15:55,621 --> 00:15:57,313
So these ergonomic loops

425
00:15:57,704 --> 00:15:59,944
are... If you look at the... So the

426
00:15:59,944 --> 00:16:02,184
scope of the loop is like the thing

427
00:16:02,184 --> 00:16:03,865
that comes out from the glasses that our

428
00:16:03,865 --> 00:16:04,664
eyeballs look through.

429
00:16:05,477 --> 00:16:08,261
And with the ergonomic loops, these scope are...

430
00:16:08,499 --> 00:16:10,886
They come out, and then they angle down

431
00:16:10,886 --> 00:16:11,975
so that we can see

432
00:16:12,491 --> 00:16:14,321
into the patient's mouth as if you are

433
00:16:14,321 --> 00:16:15,991
looking through a microscope kind of.

434
00:16:16,707 --> 00:16:19,905
But these are the loops that truly allow

435
00:16:19,905 --> 00:16:21,975
us to have a neutral head position to

436
00:16:21,975 --> 00:16:23,488
where you don't have to jot your head

437
00:16:23,488 --> 00:16:25,240
out forward and you don't have to tip

438
00:16:25,240 --> 00:16:27,253
your head down. So these

439
00:16:27,724 --> 00:16:29,080
will, like, go to my grade,

440
00:16:29,957 --> 00:16:32,110
promoting these, I wish I had them when

441
00:16:32,270 --> 00:16:34,184
I was in school, like, 16 years ago.

442
00:16:34,583 --> 00:16:36,816
But when we're talking about cost of things,

443
00:16:37,708 --> 00:16:40,180
I remember being a student. I I was

444
00:16:40,180 --> 00:16:42,651
so broke that, like, I couldn't even afford

445
00:16:42,651 --> 00:16:44,723
the discounted loops that they came in. You

446
00:16:44,723 --> 00:16:46,971
know, they were, like, 60 or 70 percent

447
00:16:46,971 --> 00:16:49,204
off, and I couldn't even afford that. So

448
00:16:49,364 --> 00:16:51,996
I understand. And these loops just like any...

449
00:16:52,235 --> 00:16:54,628
I mean, all loops are... If you're getting

450
00:16:54,628 --> 00:16:55,686
quality loops

451
00:16:56,077 --> 00:16:58,940
they're not cheap. It's an investment. So I

452
00:16:58,940 --> 00:17:01,109
recommend, you know, sometimes they do have student

453
00:17:01,166 --> 00:17:03,551
discounts if people can swing it, the earlier

454
00:17:03,551 --> 00:17:05,062
they use these loops the better.

455
00:17:05,714 --> 00:17:08,272
If that's not an auction, you know, just

456
00:17:08,272 --> 00:17:09,790
making sure that you have it on your

457
00:17:09,790 --> 00:17:11,309
wish list for when you get out into

458
00:17:11,309 --> 00:17:13,147
practice and you do start making some money

459
00:17:13,147 --> 00:17:15,065
to invest in those as soon as possible.

460
00:17:15,720 --> 00:17:17,480
So I would say those allow us to

461
00:17:17,480 --> 00:17:19,319
be a neutral posture. But, you know, if

462
00:17:19,319 --> 00:17:21,640
we're talking about some, like, low cost or

463
00:17:21,640 --> 00:17:25,508
no cost options, If we build our strength

464
00:17:25,726 --> 00:17:27,880
in our neck and in our back and

465
00:17:27,880 --> 00:17:28,518
our shoulders,

466
00:17:28,996 --> 00:17:31,389
we're much more likely to be able to

467
00:17:31,389 --> 00:17:33,637
be upright in a neutral posture sure because

468
00:17:33,637 --> 00:17:35,628
those muscles just kind of hold us that

469
00:17:35,628 --> 00:17:38,177
way. So if you learn these exercises to

470
00:17:38,177 --> 00:17:39,611
do, you know, things like Rows,

471
00:17:40,342 --> 00:17:43,436
that will in, like, certain neck exercises that

472
00:17:43,436 --> 00:17:45,578
will help you be in a more neutral

473
00:17:45,578 --> 00:17:45,974
posture.

474
00:17:46,768 --> 00:17:50,043
And I talk about micro breaks. I guess

475
00:17:50,043 --> 00:17:52,350
this isn't necessarily post related,

476
00:17:53,225 --> 00:17:55,714
But micro breaks really help to

477
00:17:56,264 --> 00:17:58,262
stretch out our muscles and give us a

478
00:17:58,262 --> 00:17:59,141
little bit of a break.

479
00:17:59,700 --> 00:18:01,638
But if we have muscles that are constantly

480
00:18:02,017 --> 00:18:04,588
contracted all day long, that's gonna kinda force

481
00:18:04,588 --> 00:18:07,139
us into an unhealthy posture, so we need

482
00:18:07,139 --> 00:18:09,610
to also, like, learn what these micro are,

483
00:18:10,009 --> 00:18:11,922
and make sure we're taking them throughout the

484
00:18:11,922 --> 00:18:13,215
day too. Oh, here.

485
00:18:14,095 --> 00:18:17,234
Just back to the neck and the shoulder

486
00:18:17,615 --> 00:18:19,535
exercises, so you mentioned rows,

487
00:18:20,348 --> 00:18:22,600
what other ones would it be like a,

488
00:18:23,055 --> 00:18:24,749
like a a lot of

489
00:18:25,125 --> 00:18:27,751
a lateral pull down? Yeah. Working on the

490
00:18:27,751 --> 00:18:30,413
lats also doing some core exercises

491
00:18:31,106 --> 00:18:32,695
to make sure that we... Because our core,

492
00:18:32,855 --> 00:18:34,047
you know, we need to hold up our

493
00:18:34,047 --> 00:18:36,114
trunk somehow and our core is responsible for

494
00:18:36,114 --> 00:18:38,519
that. So making sure that we're strengthening our

495
00:18:38,519 --> 00:18:41,000
core. We also need to strengthen those the

496
00:18:41,000 --> 00:18:43,960
smaller muscles in our shoulder. So things like

497
00:18:43,960 --> 00:18:44,460
external

498
00:18:44,839 --> 00:18:47,079
rotations either with a a band or, like,

499
00:18:47,160 --> 00:18:49,732
a bell can help strengthen those muscles,

500
00:18:50,531 --> 00:18:52,469
but we also need to

501
00:18:52,848 --> 00:18:53,348
avoid

502
00:18:54,206 --> 00:18:55,485
other exercises.

503
00:18:56,138 --> 00:18:58,046
So when we're in Dentistry, a lot of

504
00:18:58,046 --> 00:18:59,398
times we're like this. Right?

505
00:19:00,114 --> 00:19:01,863
Like, we've got our shoulders kinda up towards

506
00:19:01,863 --> 00:19:05,203
our ear, and that contracts the trap muscle

507
00:19:05,203 --> 00:19:05,362
here.

508
00:19:06,333 --> 00:19:08,649
So for most dental professionals, and I I

509
00:19:08,649 --> 00:19:11,224
honestly don't know. I can't speak to students

510
00:19:11,603 --> 00:19:13,359
because you guys haven't been doing this as

511
00:19:13,359 --> 00:19:14,796
long as some of us, and so you

512
00:19:14,796 --> 00:19:16,970
might not have this severe of an issue.

513
00:19:17,529 --> 00:19:18,650
But a lot of us who have been

514
00:19:18,650 --> 00:19:21,130
doing this a while have these rock hard

515
00:19:21,130 --> 00:19:23,130
traps that's... You don't want them to be

516
00:19:23,130 --> 00:19:25,304
rock hard. That's not a good thing. But

517
00:19:25,304 --> 00:19:28,500
they're already very strong and contracted because we

518
00:19:28,500 --> 00:19:30,498
over work them so much when we're working.

519
00:19:30,977 --> 00:19:33,375
So exercises like overhead presses.

520
00:19:34,028 --> 00:19:36,342
Or, like, doing a snatch, you know, with

521
00:19:36,342 --> 00:19:39,213
a dumbbell, anything overhead probably isn't great for

522
00:19:39,213 --> 00:19:40,968
us because we don't need to work these

523
00:19:40,968 --> 00:19:43,382
muscles out anymore or, like these lateral

524
00:19:43,774 --> 00:19:44,493
type things.

525
00:19:45,132 --> 00:19:47,689
So just kinda knowing what to do and

526
00:19:47,689 --> 00:19:49,766
what not to do can really help with

527
00:19:49,766 --> 00:19:50,325
your posture.

528
00:19:51,139 --> 00:19:51,299
Okay.

529
00:19:52,098 --> 00:19:54,675
I like the idea of micro breaks even

530
00:19:55,294 --> 00:19:57,232
now. This isn't just generally

531
00:19:57,691 --> 00:20:00,254
throughout the day just being a human being.

532
00:20:00,652 --> 00:20:02,957
Having micro breaks would sounds amazing.

533
00:20:03,593 --> 00:20:04,570
What does a micro

534
00:20:05,023 --> 00:20:07,408
involve in the your surgery or in your

535
00:20:07,408 --> 00:20:10,930
practice? Yeah. So what I recommend is taking

536
00:20:10,930 --> 00:20:12,446
1 every 20 minutes,

537
00:20:13,084 --> 00:20:13,961
but you're holding...

538
00:20:14,679 --> 00:20:16,195
There's a bunch of different ones. A bunch

539
00:20:16,195 --> 00:20:19,079
of different micro breaks are stretch is, but

540
00:20:19,079 --> 00:20:21,228
holding each stretch for at least 20 seconds.

541
00:20:21,945 --> 00:20:23,935
Because when we're working and, let's say we're

542
00:20:23,935 --> 00:20:26,140
out here, you know, in chicken wing, which

543
00:20:26,339 --> 00:20:28,331
all of us find ourselves here sometimes.

544
00:20:28,888 --> 00:20:31,040
But when we're out here for a long

545
00:20:31,040 --> 00:20:33,271
time, these muscles here, these traps,

546
00:20:34,147 --> 00:20:35,820
trap muscles and our neck muscles,

547
00:20:36,394 --> 00:20:39,115
They're just contracted the entire time, and they're

548
00:20:39,115 --> 00:20:41,195
not getting a break. And so when a

549
00:20:41,195 --> 00:20:44,589
muscle is contracted for a long time, pressure

550
00:20:44,648 --> 00:20:46,566
starts to build up on the inside of

551
00:20:46,566 --> 00:20:48,404
that muscle, and it cuts off blood flow.

552
00:20:49,043 --> 00:20:50,721
So then we've got all of these muscles

553
00:20:50,721 --> 00:20:53,134
that are just really strained and working overtime,

554
00:20:53,295 --> 00:20:54,974
and it's not getting the blood that it

555
00:20:54,974 --> 00:20:56,974
needs, and that's when we start to feel

556
00:20:56,974 --> 00:20:59,215
pain. They start to get really hard. They

557
00:20:59,215 --> 00:21:01,548
start to get fatigued. So what these micro

558
00:21:01,548 --> 00:21:04,365
breaks do, like, for the trap is you're

559
00:21:04,425 --> 00:21:07,061
stretching, so it feels great, but also, when

560
00:21:07,061 --> 00:21:09,312
you hold it for 20 seconds, that's when

561
00:21:09,312 --> 00:21:11,623
the blood can flow back into those muscles

562
00:21:11,623 --> 00:21:13,216
and start to heal some of the damage.

563
00:21:13,933 --> 00:21:15,845
So that's just an example for the traps.

564
00:21:16,179 --> 00:21:18,480
But I have, like, on my Instagram, I

565
00:21:18,480 --> 00:21:20,543
have a whole highlight on all of my

566
00:21:20,543 --> 00:21:22,448
favorite micro breaks, and I'm actually gonna be

567
00:21:22,448 --> 00:21:24,432
starting a new series probably next week.

568
00:21:25,081 --> 00:21:28,092
Just demonstrating those, but we really need to

569
00:21:28,092 --> 00:21:30,310
focus on these muscles that we over work.

570
00:21:30,548 --> 00:21:33,690
So the upper traps. Are for our muscles

571
00:21:33,750 --> 00:21:35,750
our wrists, you know, we just need to

572
00:21:35,750 --> 00:21:36,789
to give them a break.

573
00:21:37,349 --> 00:21:37,750
Yeah.

574
00:21:38,869 --> 00:21:40,730
1 thing that I suffered

575
00:21:41,284 --> 00:21:43,538
at the very beginning it when holding

576
00:21:44,234 --> 00:21:44,894
a hand

577
00:21:45,511 --> 00:21:46,011
instrument

578
00:21:46,707 --> 00:21:47,207
was

579
00:21:47,744 --> 00:21:50,636
how tight I held my hand scaler

580
00:21:51,108 --> 00:21:53,977
and that was really painful after the first

581
00:21:53,977 --> 00:21:55,831
time I actually had to

582
00:21:56,288 --> 00:21:59,406
really start using them. What about our finger?

583
00:21:59,564 --> 00:22:01,969
Like, are their muscles and our fingers that

584
00:22:02,342 --> 00:22:03,294
we could damage?

585
00:22:04,008 --> 00:22:04,325
Yes.

586
00:22:04,960 --> 00:22:06,880
Yes. L we have to all kinds of

587
00:22:06,880 --> 00:22:09,262
muscles and, like tendons and l and everything

588
00:22:09,262 --> 00:22:11,327
in our hands. But back to when you

589
00:22:11,327 --> 00:22:13,312
were saying how tightly you're holding something.

590
00:22:13,964 --> 00:22:17,395
That it's just crazy to think that just

591
00:22:17,395 --> 00:22:20,188
us holding something too tightly can lead to

592
00:22:20,188 --> 00:22:21,166
things like tend,

593
00:22:21,480 --> 00:22:23,400
and carpal tunnel to where people need surgery.

594
00:22:23,640 --> 00:22:25,799
Isn't that crazy? It... Just because we're holding

595
00:22:25,799 --> 00:22:26,839
on to something too tight.

596
00:22:27,400 --> 00:22:29,810
So I do recommend just a light grip.

597
00:22:30,049 --> 00:22:32,200
And not just on your instruments, but on

598
00:22:32,200 --> 00:22:34,612
your air water, you know, on your suction

599
00:22:34,670 --> 00:22:37,379
on your your composite when you're doing a

600
00:22:37,379 --> 00:22:39,470
filling, whatever it is just a light light

601
00:22:39,470 --> 00:22:42,269
grip. But there are hand strength nerves.

602
00:22:43,070 --> 00:22:44,829
So when we're working, a lot of times

603
00:22:44,829 --> 00:22:47,080
we're like this. We've got like, claws, you

604
00:22:47,080 --> 00:22:49,313
know, because we're gripping things. So what we

605
00:22:49,313 --> 00:22:51,886
need to do is do the opposite movement

606
00:22:52,503 --> 00:22:55,628
and strengthen the muscles going this way. So

607
00:22:55,628 --> 00:22:57,782
there are some strength that I have. They're

608
00:22:57,782 --> 00:22:59,776
listed. I just did a podcast about this,

609
00:23:00,255 --> 00:23:02,488
but they're listed on my Amazon storefront, but

610
00:23:02,488 --> 00:23:04,402
they're just... It's, like, hand yoga, Like, it's

611
00:23:04,402 --> 00:23:06,331
a little device you put your fingers into,

612
00:23:06,490 --> 00:23:08,187
and then you can just do these little

613
00:23:08,325 --> 00:23:10,717
exercises. Really helps with the hand and the

614
00:23:10,717 --> 00:23:11,036
rest.

615
00:23:11,753 --> 00:23:14,877
Okay. That's interesting. I I like that. That

616
00:23:14,877 --> 00:23:18,080
was probably the first pain I experience was

617
00:23:18,376 --> 00:23:19,194
just having

618
00:23:19,886 --> 00:23:22,510
because I wanted to do this perfectly. I

619
00:23:22,510 --> 00:23:23,964
wanted to hand scale

620
00:23:24,594 --> 00:23:27,810
correctly, I wanted to get to all surfaces

621
00:23:28,748 --> 00:23:32,680
correctly, in some reason, I had... I felt

622
00:23:32,680 --> 00:23:34,519
like I needed to hold this thing so

623
00:23:34,519 --> 00:23:36,940
tightly to get to that surface, which it

624
00:23:37,000 --> 00:23:37,500
actually

625
00:23:38,200 --> 00:23:40,460
thinking back. It's like, no. It's just

626
00:23:40,773 --> 00:23:42,067
your wrist movement

627
00:23:42,599 --> 00:23:44,902
that gets you to all these differences. It's

628
00:23:44,902 --> 00:23:48,420
not how hard you're gripping on to

629
00:23:48,809 --> 00:23:49,447
a skyler.

630
00:23:50,005 --> 00:23:51,781
So, yeah. It's interesting.

631
00:23:52,237 --> 00:23:54,629
Yeah. Like, that's not actually what's making it

632
00:23:54,629 --> 00:23:56,702
efficient. And I think the stress too because

633
00:23:56,702 --> 00:23:57,442
our job

634
00:23:57,994 --> 00:23:58,875
It's stressful.

635
00:23:59,355 --> 00:24:01,674
That's, like, working on patients. A lot of

636
00:24:01,674 --> 00:24:03,674
times they're not super excited to see us,

637
00:24:03,994 --> 00:24:05,994
but that stress a lot of times presents

638
00:24:05,994 --> 00:24:08,009
in this, like, death grip that we have

639
00:24:08,009 --> 00:24:10,409
on things. But I still find myself doing

640
00:24:10,409 --> 00:24:12,169
that too. If I'm doing a hard scaling

641
00:24:12,169 --> 00:24:12,889
and root play,

642
00:24:13,609 --> 00:24:15,265
and I'm really working on a piece of

643
00:24:15,384 --> 00:24:18,577
calculus. I'm like, okay, Stephanie, like, I'll be

644
00:24:18,577 --> 00:24:20,253
gripping it so hard and I'm, like, no.

645
00:24:20,413 --> 00:24:21,930
Because I know the power comes from here.

646
00:24:22,089 --> 00:24:23,047
If you knows, so I just have to,

647
00:24:23,127 --> 00:24:24,978
like, relax it and then do it correctly,

648
00:24:25,138 --> 00:24:27,132
but it still happens to me too. Okay.

649
00:24:27,531 --> 00:24:27,851
Yeah.

650
00:24:28,409 --> 00:24:28,909
So

651
00:24:29,766 --> 00:24:31,760
this is a sad said, art. I mean,

652
00:24:32,254 --> 00:24:34,085
Is there ever a time where it's too

653
00:24:34,085 --> 00:24:35,439
late? Like, how do we know?

654
00:24:36,235 --> 00:24:38,067
Let's say we have injured ourselves?

655
00:24:38,784 --> 00:24:40,558
Is there an indication that

656
00:24:41,029 --> 00:24:43,283
it's too late to repair that

657
00:24:43,820 --> 00:24:45,038
injury? Or

658
00:24:45,814 --> 00:24:47,409
is it ever too late to work on

659
00:24:47,409 --> 00:24:50,440
your posture like, is there any indications that

660
00:24:50,440 --> 00:24:53,080
might we might think as students, you know,

661
00:24:53,159 --> 00:24:54,908
what, I could just never get used to

662
00:24:54,908 --> 00:24:57,293
that. I could never do that. I don't

663
00:24:57,293 --> 00:24:58,326
think it's ever too late.

664
00:24:58,899 --> 00:25:00,733
But I do have people reach out to

665
00:25:00,733 --> 00:25:03,466
me often that, you know, are already

666
00:25:04,242 --> 00:25:06,316
recovering from a surgery or they, you know,

667
00:25:06,555 --> 00:25:08,230
they've had to take leave off of their

668
00:25:08,230 --> 00:25:09,916
off this because they're in so much pain.

669
00:25:10,313 --> 00:25:11,666
But I don't think that's ever too late.

670
00:25:11,904 --> 00:25:14,154
I do think that you cross a threshold

671
00:25:14,688 --> 00:25:15,188
where

672
00:25:15,898 --> 00:25:19,328
preventive techniques are not enough anymore. And peep,

673
00:25:19,487 --> 00:25:22,039
just like the mouth. Right? I mean, people

674
00:25:22,039 --> 00:25:23,954
cross over this line to where they're not

675
00:25:23,954 --> 00:25:26,125
preventive anymore. We need to start taking action.

676
00:25:26,684 --> 00:25:28,525
And it's the same with our body. And

677
00:25:28,525 --> 00:25:32,224
so sometimes people need surgery. They need Pt.

678
00:25:32,525 --> 00:25:34,444
They need to get some, you know, some

679
00:25:34,444 --> 00:25:36,775
help to to help things, but I don't

680
00:25:36,775 --> 00:25:39,249
think it's ever too late. 1 thing with

681
00:25:39,249 --> 00:25:42,203
these ergonomic loops that I mentioned because they

682
00:25:42,203 --> 00:25:44,772
kind of force you in this upright position,

683
00:25:44,852 --> 00:25:45,650
which is good.

684
00:25:46,449 --> 00:25:47,986
Sometimes people, unfortunately,

685
00:25:48,365 --> 00:25:50,520
who have been practicing a while, and they

686
00:25:50,520 --> 00:25:52,995
develop what's called forward head posture.

687
00:25:53,569 --> 00:25:56,124
Where they're kind of in this fixed slumped

688
00:25:56,124 --> 00:25:56,922
over position.

689
00:25:57,640 --> 00:26:00,434
They then start to get those loops that's

690
00:26:00,434 --> 00:26:02,590
forcing them upright, and they cannot do it.

691
00:26:03,162 --> 00:26:05,710
Anymore. They can't get upright, or it's really

692
00:26:05,710 --> 00:26:08,677
painful for them. And so even with those

693
00:26:08,734 --> 00:26:10,700
those people, it's not too late, but they

694
00:26:10,819 --> 00:26:12,653
typically need to get some rehab so that

695
00:26:12,653 --> 00:26:14,807
they can get their head more upright, and

696
00:26:14,807 --> 00:26:16,003
then they can use those loops.

697
00:26:16,642 --> 00:26:18,179
Okay. And so

698
00:26:18,715 --> 00:26:19,215
with

699
00:26:19,991 --> 00:26:20,491
rehab

700
00:26:20,965 --> 00:26:23,525
what does that sometimes involve? Who who are

701
00:26:23,525 --> 00:26:25,384
these specialists and who are the

702
00:26:26,005 --> 00:26:28,325
clinicians that we would need to be involved?

703
00:26:28,485 --> 00:26:29,259
We've just

704
00:26:29,619 --> 00:26:30,440
who probably

705
00:26:31,220 --> 00:26:32,579
might get to that point and be like,

706
00:26:32,740 --> 00:26:34,820
okay, who should I be speaking to? Where

707
00:26:34,820 --> 00:26:36,980
should I start if I'm starting to get

708
00:26:36,980 --> 00:26:39,305
an injury? You know, I always say start

709
00:26:39,305 --> 00:26:42,327
with your primary care physician. But most of

710
00:26:42,327 --> 00:26:44,155
the time, they're, I would say all the

711
00:26:44,155 --> 00:26:46,636
time. They're gonna refer you to either a

712
00:26:46,636 --> 00:26:49,921
sports medicine, doctor or at least a physical

713
00:26:49,978 --> 00:26:52,764
therapist to help you start, you know, evening

714
00:26:52,764 --> 00:26:54,833
out some of these muscle imbalances that we

715
00:26:54,833 --> 00:26:55,333
have

716
00:26:55,884 --> 00:26:58,144
and then sometimes people need things like cortisol

717
00:26:58,365 --> 00:27:00,305
injections or they do need to get surgery

718
00:27:00,525 --> 00:27:03,964
because the muscular issues have started causing joint

719
00:27:03,964 --> 00:27:06,373
problems to wear those like, the joints are

720
00:27:06,373 --> 00:27:08,998
even that our vertebra and our back, they

721
00:27:08,998 --> 00:27:10,589
can't get better on their own, and so

722
00:27:10,589 --> 00:27:12,021
they need to get some kind of surgery.

723
00:27:12,434 --> 00:27:14,422
So it just... It always... It just depends,

724
00:27:14,661 --> 00:27:16,411
and everyone's different as far as what they

725
00:27:16,411 --> 00:27:17,366
need. Okay.

726
00:27:18,320 --> 00:27:18,820
So

727
00:27:19,529 --> 00:27:21,919
for those who are listening and are about

728
00:27:21,919 --> 00:27:22,578
to graduate

729
00:27:23,034 --> 00:27:23,534
now

730
00:27:24,229 --> 00:27:26,062
searching and applying for jobs.

731
00:27:26,953 --> 00:27:28,942
From your podcast, I've heard that there are

732
00:27:28,942 --> 00:27:33,021
tools that the practices should provide to support

733
00:27:33,078 --> 00:27:33,578
our

734
00:27:34,365 --> 00:27:35,740
ergonomic and our posture,

735
00:27:36,512 --> 00:27:39,374
so things like a saddle chair. I've heard

736
00:27:39,374 --> 00:27:40,113
is good

737
00:27:40,567 --> 00:27:41,783
for helping us

738
00:27:42,174 --> 00:27:44,571
stay in this neutral upright position.

739
00:27:45,290 --> 00:27:47,047
I mean, what other things should we be

740
00:27:47,047 --> 00:27:49,616
looking for in a practice and and how

741
00:27:49,616 --> 00:27:52,423
can we deal with the practice doesn't supply

742
00:27:52,479 --> 00:27:53,592
those things to us?

743
00:27:54,308 --> 00:27:56,296
So I guess, let me say what I

744
00:27:56,296 --> 00:27:58,682
think the office is responsible for.

745
00:27:59,414 --> 00:28:02,391
I think the office is responsible for providing

746
00:28:04,048 --> 00:28:06,366
where you are not going to injure yourself

747
00:28:06,366 --> 00:28:07,085
when you use it.

748
00:28:07,818 --> 00:28:08,717
Because I've seen

749
00:28:09,254 --> 00:28:11,189
where it used to be an old closet

750
00:28:11,407 --> 00:28:13,800
or, like, an old panel room or something

751
00:28:13,800 --> 00:28:16,693
that they've, like, makeshift made into an.

752
00:28:17,563 --> 00:28:19,473
And there is no way to use it

753
00:28:19,473 --> 00:28:22,180
ergonomic. You know, the clinician has to reach

754
00:28:22,180 --> 00:28:23,931
way over here to get this or they'd

755
00:28:23,931 --> 00:28:26,159
have to twist and this... Like, that's not

756
00:28:26,159 --> 00:28:28,409
okay with me. I think that the office

757
00:28:28,409 --> 00:28:29,869
should providing a healthy

758
00:28:30,250 --> 00:28:31,210
arbitrary environment.

759
00:28:31,849 --> 00:28:33,450
So that's what I think the office is

760
00:28:33,450 --> 00:28:34,169
responsible for.

761
00:28:34,824 --> 00:28:37,541
Other things that I don't necessarily think the

762
00:28:37,541 --> 00:28:40,098
office is responsible for. I mean, it would

763
00:28:40,098 --> 00:28:41,696
be cool. It would be nice if they

764
00:28:41,696 --> 00:28:44,289
would provide it. But I don't think it's

765
00:28:44,589 --> 00:28:46,909
necessarily like, I don't think they have to,

766
00:28:47,390 --> 00:28:50,109
but things like loops, things like stool,

767
00:28:50,922 --> 00:28:53,544
I am a huge proponent of saddle stool.

768
00:28:53,783 --> 00:28:55,395
I wish they were in every

769
00:28:56,246 --> 00:28:57,597
everywhere. They're not.

770
00:28:58,329 --> 00:29:00,966
Some offices are open to getting those and

771
00:29:00,966 --> 00:29:03,764
some aren't. But I don't think that, you

772
00:29:03,764 --> 00:29:05,442
know, if you approach your office and they

773
00:29:05,442 --> 00:29:07,894
will not invest in that for you, just

774
00:29:08,013 --> 00:29:09,442
please don't let that be the end of

775
00:29:09,442 --> 00:29:10,156
the line for you.

776
00:29:10,950 --> 00:29:12,774
You can invest in it on your own.

777
00:29:12,933 --> 00:29:15,179
And the and the good thing about getting

778
00:29:15,408 --> 00:29:18,825
good equipment for yourself is it's yours, so

779
00:29:18,825 --> 00:29:19,938
you can take it with you. I mean,

780
00:29:20,017 --> 00:29:21,448
the odds of you being in the same

781
00:29:21,448 --> 00:29:23,911
practice for your entire career are pretty low.

782
00:29:24,644 --> 00:29:26,724
So it's yours. You can take it with

783
00:29:26,724 --> 00:29:29,125
you. You could even... I mean, I used

784
00:29:29,125 --> 00:29:30,964
to temp, and I would, like, carry my

785
00:29:30,964 --> 00:29:32,539
saddle stool and, like, all of my other

786
00:29:32,659 --> 00:29:34,016
stuff, you know, and I would just take

787
00:29:34,016 --> 00:29:35,692
it in and leave or bring it with

788
00:29:35,692 --> 00:29:37,288
me when I left, and it was mine,

789
00:29:37,448 --> 00:29:39,602
and I took care of it. Things like

790
00:29:39,602 --> 00:29:42,886
ergonomic instruments you know, that, yes, It it

791
00:29:42,886 --> 00:29:45,037
would be great if the office would provide

792
00:29:45,037 --> 00:29:47,268
it, but sometimes they don't. And I remember

793
00:29:47,268 --> 00:29:47,906
my first year,

794
00:29:48,479 --> 00:29:49,195
of practice.

795
00:29:49,753 --> 00:29:52,859
They had terrible in, like, terrible instruments. And

796
00:29:52,859 --> 00:29:54,214
it was a no brainer for me just

797
00:29:54,214 --> 00:29:55,807
to buy my own. You know? It was

798
00:29:55,807 --> 00:29:57,973
like, okay. Like, this kinda sucks but I'll

799
00:29:57,973 --> 00:29:59,568
spend a few hundred bucks and get my

800
00:29:59,568 --> 00:30:01,004
own and that way, I I know that

801
00:30:01,084 --> 00:30:02,918
I'm taking care of myself. Okay.

802
00:30:03,795 --> 00:30:06,108
1 thing that also sparked my interest was

803
00:30:06,108 --> 00:30:07,305
this certain pillow.

804
00:30:07,879 --> 00:30:10,935
That you suggest in your resources

805
00:30:11,554 --> 00:30:12,432
for patients.

806
00:30:12,992 --> 00:30:15,402
Could we talk a bit about this pillow

807
00:30:15,402 --> 00:30:18,116
what's so special about it. Yeah. So it

808
00:30:18,116 --> 00:30:18,935
is a

809
00:30:19,393 --> 00:30:22,266
it's a cervical cushion, so it supports the

810
00:30:22,266 --> 00:30:22,505
neck.

811
00:30:23,158 --> 00:30:23,658
And

812
00:30:24,115 --> 00:30:26,505
it does 2 things. So it keeps our

813
00:30:26,505 --> 00:30:27,142
patient comfortable,

814
00:30:27,859 --> 00:30:30,489
and I mean, patients love them. Like, every

815
00:30:30,489 --> 00:30:32,082
time I put them behind my patient, they're

816
00:30:32,082 --> 00:30:35,134
just, like, Thank you. But a comfortable patient

817
00:30:35,134 --> 00:30:37,214
is a compliant patient for the most part.

818
00:30:37,615 --> 00:30:39,295
So if we can keep them comfortable with

819
00:30:39,295 --> 00:30:41,386
something as simple as a cushion, they're gonna

820
00:30:41,386 --> 00:30:43,533
be much more compliant when we need to

821
00:30:43,533 --> 00:30:45,441
really tip them back in the chair, You

822
00:30:45,441 --> 00:30:47,031
know, especially if for working on the top

823
00:30:47,031 --> 00:30:48,542
teeth. We need them like, all the way

824
00:30:48,542 --> 00:30:48,701
back.

825
00:30:49,513 --> 00:30:52,065
But another thing it does is it actually

826
00:30:52,065 --> 00:30:53,283
gets the patient's

827
00:30:53,740 --> 00:30:56,372
head in the correct position depending on if

828
00:30:56,372 --> 00:30:58,127
we're working on the upper arch or the

829
00:30:58,127 --> 00:30:58,765
lower arch.

830
00:30:59,337 --> 00:31:01,405
So it can actually position the oc ec

831
00:31:01,405 --> 00:31:03,075
plane for the upper it kind of forces

832
00:31:03,075 --> 00:31:05,086
their chin to go up towards the ceiling

833
00:31:05,381 --> 00:31:07,767
while still supporting their head, so it's not

834
00:31:07,767 --> 00:31:10,171
uncomfortable for them. And then for the lower

835
00:31:10,171 --> 00:31:10,490
arch,

836
00:31:11,048 --> 00:31:12,723
I use... I kinda of flip it around

837
00:31:12,723 --> 00:31:14,717
for the lower arch, but then it kinda

838
00:31:14,717 --> 00:31:16,870
forces the chin down towards the chest, which

839
00:31:16,870 --> 00:31:18,465
is what we want for the lower teeth,

840
00:31:18,799 --> 00:31:20,470
And then again, it keeps them comfortable.

841
00:31:21,027 --> 00:31:23,175
So I've used this for, you know, 90

842
00:31:23,175 --> 00:31:25,323
plus year old patients, and we all know

843
00:31:25,323 --> 00:31:28,288
with that patient population that's hard to position

844
00:31:28,288 --> 00:31:30,441
them, you know? But if we're supporting their

845
00:31:30,441 --> 00:31:32,515
head, you would be surprised at how far

846
00:31:32,515 --> 00:31:34,748
they allow you to tip them back. So

847
00:31:34,748 --> 00:31:37,475
those, again, I wish like, every office had

848
00:31:37,475 --> 00:31:39,868
them, but that's 1 of the lower cost

849
00:31:39,868 --> 00:31:41,303
items. So that's not, like, buying a pair

850
00:31:41,303 --> 00:31:43,138
of loops. You know? It's, like, 60 bucks

851
00:31:43,138 --> 00:31:44,653
or something. You can get a cushion and

852
00:31:44,653 --> 00:31:46,581
it can really help your patient. Yeah. Yeah.

853
00:31:46,899 --> 00:31:49,365
Absolutely. No. That's cool. That's good to know

854
00:31:49,365 --> 00:31:51,853
as well. I... Yeah. The amount of times

855
00:31:51,910 --> 00:31:52,887
when I assist

856
00:31:53,198 --> 00:31:53,698
and,

857
00:31:54,232 --> 00:31:56,085
you know, you spend a few minutes

858
00:31:56,460 --> 00:31:58,790
having to sort of get the patient to

859
00:31:59,324 --> 00:31:59,824
continue

860
00:32:00,454 --> 00:32:02,929
lowering their chin or raising their chin up,

861
00:32:03,168 --> 00:32:05,403
you know, reminding them to do that. That

862
00:32:05,403 --> 00:32:07,260
does take up time, and it does sometimes

863
00:32:07,319 --> 00:32:08,995
affect your focus. You're kind of like,

864
00:32:09,967 --> 00:32:12,378
okay. Gotta stop what I'm doing. Again. Just

865
00:32:12,516 --> 00:32:14,747
reposition your chin or whatever it is. Yes.

866
00:32:14,986 --> 00:32:17,313
So that's handy to know. Yeah. And when

867
00:32:17,313 --> 00:32:18,829
we have our patient, you know, we're like,

868
00:32:18,989 --> 00:32:20,746
okay, tip your chat, towards the ceiling and

869
00:32:20,746 --> 00:32:22,741
they do, but then 2 seconds later, they

870
00:32:22,741 --> 00:32:24,178
start drifting down, and then we have to...

871
00:32:24,418 --> 00:32:26,429
And so many people just give up. Because

872
00:32:26,429 --> 00:32:28,903
they're tired of reminding them. And... But that

873
00:32:28,903 --> 00:32:31,617
sucks because that... Because then it, like, really

874
00:32:31,617 --> 00:32:33,533
affects our position. So these Christians just kind

875
00:32:33,533 --> 00:32:35,625
of, like, lock them in place. Which is

876
00:32:35,625 --> 00:32:36,105
really nice.

877
00:32:36,664 --> 00:32:39,644
Okay. All this information that... And all these

878
00:32:39,944 --> 00:32:42,345
tools and all these resources that we've spoken

879
00:32:42,345 --> 00:32:42,720
about

880
00:32:43,156 --> 00:32:44,902
I will make sure everyone knows where to

881
00:32:44,902 --> 00:32:47,283
find them. All... I've learned all this stuff

882
00:32:47,283 --> 00:32:47,839
on your,

883
00:32:48,791 --> 00:32:51,504
social media and you're very good at sharing

884
00:32:51,504 --> 00:32:53,488
all this information and where to go find

885
00:32:53,488 --> 00:32:55,947
this stuff. So if anyone is interested in

886
00:32:55,947 --> 00:32:56,423
listening,

887
00:32:56,979 --> 00:32:58,978
and they want to find out more I

888
00:32:58,978 --> 00:33:01,922
will obviously provide all the links to where

889
00:33:01,922 --> 00:33:04,649
they can find you and should they need

890
00:33:04,706 --> 00:33:07,510
to speak with you by all means. That

891
00:33:07,510 --> 00:33:09,346
you know where to go, and I'll put

892
00:33:09,346 --> 00:33:11,660
that all in the journey, but you're not

893
00:33:11,660 --> 00:33:15,600
based in Australia. So we don't have the

894
00:33:16,133 --> 00:33:19,094
luxury of getting you in our surgeries. So

895
00:33:19,468 --> 00:33:22,985
I suppose if we've needed someone like you

896
00:33:23,454 --> 00:33:25,611
if we wanted to work with someone like

897
00:33:25,611 --> 00:33:27,928
you, how can we get that help here

898
00:33:27,928 --> 00:33:28,807
in Australia?

899
00:33:29,207 --> 00:33:30,245
Well, I do virtual.

900
00:33:31,140 --> 00:33:33,700
Virtual is great. Yeah. And I do presentations

901
00:33:33,700 --> 00:33:36,180
for schools. It's, like a 45 minute, kind

902
00:33:36,180 --> 00:33:38,019
of crash course and ergonomic.

903
00:33:38,591 --> 00:33:40,578
That I do virtually, but I also do

904
00:33:40,578 --> 00:33:43,199
assessments in coaching virtually, where you just need

905
00:33:43,199 --> 00:33:45,757
your phone, and I can you pro this

906
00:33:45,757 --> 00:33:46,950
and I can look and see what kind

907
00:33:46,950 --> 00:33:49,655
of equipment you're working with and make recommendations

908
00:33:49,655 --> 00:33:52,121
from there. So, virtual is a nice option.

909
00:33:52,454 --> 00:33:53,729
Yeah. Or you could just find me out

910
00:33:53,729 --> 00:33:55,003
there. I'd love a trip. Yeah.

911
00:33:56,677 --> 00:33:59,680
Yes. I think if we can try and

912
00:33:59,878 --> 00:34:02,757
sort of work on our posture early. Hopefully,

913
00:34:03,447 --> 00:34:05,454
we don't really need such

914
00:34:05,827 --> 00:34:08,701
intervention. That's the goal here. I Yeah. Yeah.

915
00:34:08,940 --> 00:34:11,171
And and 2, you know, it's not just.

916
00:34:11,729 --> 00:34:13,243
I mentioned this earlier, but it's our cell...

917
00:34:13,402 --> 00:34:15,076
I mean, cell phones are huge.

918
00:34:15,728 --> 00:34:18,508
And so really making sure, like, I made

919
00:34:18,508 --> 00:34:21,368
my first podcast episode has some good tips

920
00:34:21,368 --> 00:34:23,671
on cell phone and laptop use.

921
00:34:24,244 --> 00:34:25,842
But I know that you guys in school

922
00:34:25,842 --> 00:34:27,521
are probably on your phones and your laptops

923
00:34:27,521 --> 00:34:29,918
a lot. So just making sure your phone

924
00:34:29,918 --> 00:34:32,715
is held up higher, so you're not hunch

925
00:34:32,715 --> 00:34:35,622
over it. Making sure your laptop is elevated

926
00:34:35,839 --> 00:34:37,432
on something even if it's just a stack

927
00:34:37,432 --> 00:34:39,186
of books, you know, to get the screen

928
00:34:39,186 --> 00:34:41,496
up so that you're not hunch over, and

929
00:34:41,496 --> 00:34:42,771
then, of course, in practice too.

930
00:34:43,505 --> 00:34:43,744
Okay.

931
00:34:44,545 --> 00:34:45,045
So

932
00:34:45,344 --> 00:34:48,484
for those who are interested like you in

933
00:34:48,625 --> 00:34:51,925
ergonomic and posture and helping out their peers

934
00:34:52,479 --> 00:34:54,714
where do you suggest they start looking to

935
00:34:54,714 --> 00:34:55,534
get that

936
00:34:55,911 --> 00:34:59,105
qualification and that certification? Oh, to... Yeah. To,

937
00:34:59,185 --> 00:35:01,340
like, be an ergonomic specialist? Yeah.

938
00:35:01,834 --> 00:35:03,429
What does it take? Is it just a

939
00:35:03,429 --> 00:35:05,661
course? It is. Yeah. And I can tell

940
00:35:05,661 --> 00:35:07,416
you what I did. This isn't the only

941
00:35:07,416 --> 00:35:10,127
way. But I got certified over Covid, and

942
00:35:10,127 --> 00:35:12,213
so I it was a virtual. They have

943
00:35:12,213 --> 00:35:14,124
in person, but it was a virtual course.

944
00:35:14,681 --> 00:35:16,274
It was, like, a few weeks long. It

945
00:35:16,274 --> 00:35:19,322
took it virtually, but the thing is with

946
00:35:19,634 --> 00:35:22,284
with this, is there isn't a dental

947
00:35:22,818 --> 00:35:24,115
specific ergonomic

948
00:35:24,570 --> 00:35:27,198
certification yet. Like, I I hope eventually there

949
00:35:27,198 --> 00:35:27,857
will be

950
00:35:28,168 --> 00:35:30,416
But I had to take a basic course

951
00:35:30,472 --> 00:35:32,244
in ergonomic like

952
00:35:33,015 --> 00:35:35,081
ergonomic for people who worked in a factory.

953
00:35:35,494 --> 00:35:37,409
Are on an assembly line or who work

954
00:35:37,409 --> 00:35:39,962
on computers all day. So that gave me

955
00:35:39,962 --> 00:35:42,276
a good foundation as far as what ergonomic

956
00:35:42,276 --> 00:35:45,244
is and posture and dangerous movements and things,

957
00:35:45,483 --> 00:35:47,639
But then I had to figure out how

958
00:35:47,639 --> 00:35:50,672
that translated into dentistry. And so that took

959
00:35:50,672 --> 00:35:53,152
a lot of like, field work on my

960
00:35:53,152 --> 00:35:56,166
part observing dozens of clinicians to realize what

961
00:35:56,166 --> 00:35:57,991
the issues were, and then I was able

962
00:35:57,991 --> 00:35:59,578
to build my program from there.

963
00:36:00,228 --> 00:36:02,636
But if people just want, like, a basic

964
00:36:03,646 --> 00:36:05,315
understanding of ergonomic, honestly,

965
00:36:05,951 --> 00:36:06,110
Youtube.

966
00:36:06,825 --> 00:36:08,514
You know, like, if they don't wanna go

967
00:36:08,514 --> 00:36:10,751
through the whole certification, Youtube has some really

968
00:36:10,751 --> 00:36:11,630
good resources,

969
00:36:12,109 --> 00:36:14,666
there is a book in Dentistry. I don't

970
00:36:14,666 --> 00:36:15,726
know the name

971
00:36:16,359 --> 00:36:17,954
of, I can't remember the name of the

972
00:36:17,954 --> 00:36:19,230
book, but I can tell you the name

973
00:36:19,230 --> 00:36:21,463
of the author. Her name is doctor Bethany

974
00:36:21,623 --> 00:36:22,123
Val.

975
00:36:22,899 --> 00:36:25,053
She is the physical therapist I mentioned, and

976
00:36:25,053 --> 00:36:27,935
she wrote an entire book on dental ergonomic,

977
00:36:28,094 --> 00:36:29,526
and I've learned a lot from her. So

978
00:36:29,686 --> 00:36:31,777
I would say at least order that book

979
00:36:32,073 --> 00:36:33,425
because that'll teach you a lot too.

980
00:36:34,079 --> 00:36:35,279
Okay. Well, that's good.

981
00:36:35,920 --> 00:36:36,400
Well, look,

982
00:36:36,960 --> 00:36:39,199
I really enjoyed talking about this topic. I

983
00:36:39,199 --> 00:36:40,339
think it makes

984
00:36:40,639 --> 00:36:42,900
will make a huge impact on how

985
00:36:43,614 --> 00:36:46,746
we perform as clinicians and how

986
00:36:47,124 --> 00:36:50,156
much we will actually enjoy doing what we

987
00:36:50,156 --> 00:36:50,656
do

988
00:36:51,208 --> 00:36:53,515
it would be... Yeah. I think it's so

989
00:36:53,515 --> 00:36:53,913
important.

990
00:36:54,391 --> 00:36:54,891
So

991
00:36:55,346 --> 00:36:57,972
for all those who are listening and want

992
00:36:57,972 --> 00:37:00,219
to get to know more about Stephanie, I

993
00:37:00,219 --> 00:37:03,032
will put those notes in the

994
00:37:03,489 --> 00:37:03,989
episode

995
00:37:04,367 --> 00:37:06,919
notes. Might get those links into those episode

996
00:37:06,919 --> 00:37:10,197
notes and yeah. Thank you again, Stephanie for

997
00:37:10,197 --> 00:37:13,295
being part of the podcast. And, yeah, I

998
00:37:13,295 --> 00:37:16,077
wish you all the best in your future

999
00:37:16,077 --> 00:37:16,974
endeavors, and

1000
00:37:17,283 --> 00:37:19,507
in your future teaching. I think we need

1001
00:37:19,507 --> 00:37:21,732
more people like you. Oh, thank you. And

1002
00:37:21,732 --> 00:37:23,797
thanks for having me on, and I just

1003
00:37:23,797 --> 00:37:26,369
wanna rest to you, and then everyone listening

1004
00:37:26,369 --> 00:37:28,070
to, like this is an amazing

1005
00:37:28,530 --> 00:37:30,610
profession that we're all in, and we have

1006
00:37:30,610 --> 00:37:33,184
such an opportunity to help people. But let's

1007
00:37:33,184 --> 00:37:35,264
just not forget about ourselves because we have

1008
00:37:35,264 --> 00:37:36,784
to take care of ourselves in order to

1009
00:37:36,784 --> 00:37:38,385
do our job. So... And and a lot

1010
00:37:38,385 --> 00:37:40,224
of that comes down to ergonomic of posture.

1011
00:37:40,876 --> 00:37:42,090
Great. Thanks, Stephanie.

1012
00:37:42,621 --> 00:37:43,256
Alright. Thank you.

1013
00:37:44,843 --> 00:37:46,430
Thank you so much for listening to the

1014
00:37:46,510 --> 00:37:47,541
Dental Head podcast.

1015
00:37:48,111 --> 00:37:50,253
I genuinely hope this is helping you become

1016
00:37:50,253 --> 00:37:52,316
a better dentist. So if you like what

1017
00:37:52,316 --> 00:37:53,981
you're hearing, make sure you subscribe on your

1018
00:37:53,981 --> 00:37:55,828
podcast player and I want you to do

1019
00:37:55,828 --> 00:37:57,344
me in favor. I want you to go

1020
00:37:57,344 --> 00:38:00,239
to social media and share something that you've

1021
00:38:00,298 --> 00:38:01,895
appreciated from us with 1 of your friends.

1022
00:38:02,295 --> 00:38:03,891
That's how the word gets out. That's how

1023
00:38:03,891 --> 00:38:06,210
more people gain and benefit from what we're

1024
00:38:06,210 --> 00:38:08,192
doing. And if you're a dental student or

1025
00:38:08,192 --> 00:38:09,778
a graduate, you wanna get a head start,

1026
00:38:10,016 --> 00:38:12,077
go to dental head start dot com to

1027
00:38:12,077 --> 00:38:14,666
find everything we're doing to help dental students

1028
00:38:14,725 --> 00:38:15,523
become great dentists.