Dr. Wahan Experiment

ep 010: Medical Emergencies at the Dentist part 2

keywords
 
perioperative emergencies, cardiac events, daylight savings, medical emergencies, simulation training, allergic reactions, patient management, anesthesia, emergency preparedness, healthcare training
 
summary
 
In this conversation, Dr. Serv Wahan and Dr. Peter pfeiffer discuss various aspects of perioperative emergencies, including the prevalence of cardiac and respiratory issues during surgeries, the impact of daylight savings time on cardiac events, and real-life experiences with medical emergencies. He emphasizes the importance of having proper training and equipment, such as AEDs, in medical settings. The discussion also covers the management of hypotension and hypertension in patients, allergic reactions, and the significance of simulation training for emergency preparedness. Overall, the conversation highlights the critical nature of being prepared for medical emergencies in both dental and medical practices.
 
takeaways
Perioperative emergencies are relatively rare but can be serious.
Daylight savings time can increase the risk of cardiac events.
Real-life experiences in emergencies highlight the need for preparedness.
AEDs are essential in any medical or dental office.
Training and simulation improve emergency response skills.
Managing blood pressure in patients requires careful consideration.
Allergic reactions can escalate quickly and require immediate action.
Epinephrine is crucial for treating anaphylaxis.
Experience and training are vital in handling emergencies.
Emergencies can happen to anyone, regardless of experience.
titles
Navigating Perioperative Emergencies
The Hidden Dangers of Daylight Savings
Sound Bites
"Daylight savings time causes heart attacks."
"AEDs save lives. That's a thing."
"You need this. Nobody could find an AED."
"You have to have reps, right?"
 
Chapters
 
00:00 Understanding Perioperative Emergencies
03:03 The Impact of Daylight Savings on Cardiac Events
05:55 Real-Life Emergency Experiences in Medical Settings
09:13 Managing Hypotension and Hypertension in Patients
12:06 Addressing Allergic Reactions and Anaphylaxis
14:57 The Importance of Simulation Training for Emergencies
19:11 The Role of Experience in Emergency Situations

ep 009: Medical Emergencies at the Dentist part 1

keywords
 
medical emergencies, dental office, anesthesia, airway issues, syncope, laryngospasm, bronchospasm, patient safety, sedation, anesthesiology
 
summary
 
In this conversation, Dr. Serv Wahan and Dr. Peter Pfeiffer discuss critical medical emergencies that can occur in dental settings, focusing on anesthesia-related issues. They explore common emergencies such as syncope, the differences between laryngospasm and bronchospasm, and the protocols for managing these situations effectively. The discussion emphasizes the importance of preparedness in dental offices, including the necessity of monitoring equipment and understanding patient safety during sedation procedures.
 
takeaways
Medical emergencies in dental offices are common and require preparedness.
Syncope is the most frequent emergency, often caused by fainting.
Proper monitoring equipment, like pulse oximeters, is essential in dental practices.
Laryngospasm can occur during sedation and requires immediate attention.
Understanding the difference between laryngospasm and bronchospasm is crucial for management.
Efficient management of emergencies can reduce patient risks and improve outcomes.
Anesthesiologists play a vital role in complex dental procedures.
Training and experience in anesthesia can vary significantly among dental professionals.
Patient safety protocols should be in place for all sedation procedures.
Communication and teamwork are key in managing medical emergencies in dental settings.
titles
Navigating Medical Emergencies in Dental Practices
The Role of Anesthesia in Dental Emergencies
Sound Bites
"I've seen dental students faint."
"If you see someone pass out, lay them down."
"Laryngospasm is a cough gone haywire."
"Halcion has a little amnesia with it."
Chapters
 
00:00 Introduction to Medical Emergencies in Dental Settings
04:23 Common Medical Emergencies: Syncope and Fainting
10:08 Understanding Airway Complications: Laryngospasm vs. Bronchospasm
16:12 Managing Laryngospasm: Techniques and Protocols

Ep 008: Nerve Issues with Wisdom Teeth Surgery

keywords:
 
wisdom teeth, nerve injury, dental surgery, oral surgery, risk factors, patient management, supplements, recovery, dental health, oral maxillofacial surgery
 
summary:
 
In this conversation, Dr. Serv Wahan discusses the findings from a recent study on the risk factors associated with inferior alveolar nerve injury during the extraction of impacted lower mandibular third molars. He emphasizes the importance of understanding these risks, the management of potential nerve issues post-surgery, and the role of certain supplements in aiding nerve recovery. The discussion is rooted in practical insights from his extensive experience in oral and maxillofacial surgery.
takeaways
The Journal of Oral Maxillofacial Surgery published significant findings.
CT scans are not routinely necessary for wisdom teeth extractions.
17% of patients may experience nerve issues post-extraction.
Chiseling teeth increases the risk of nerve injuries.
Age and gender are important risk factors for nerve complications.
Steroids can help mitigate nerve issues after surgery.
Nerve injuries can be temporary or permanent.
Certain supplements can aid in nerve recovery post-surgery.
Patient management is crucial for minimizing long-term nerve issues.
Experience of the surgeon plays a vital role in outcomes.
titles
The Role of Supplements in Nerve Recovery
Navigating Wisdom Teeth: Risks and Recovery
Sound Bites
"I don't routinely get CT scans for wisdom teeth."
"17% of patients had some nerve issue after surgery."
"Chisels had more nerve issues than drills."
Chapters
 
00:00 Introduction and Overview of the Journal
03:02 Understanding Nerve Injuries in Wisdom Tooth Extractions
05:50 Risk Factors for Nerve Injuries During Extractions
08:59 Management of Nerve Issues Post-Extraction
11:49 Supplementation for Nerve Recovery

ep 007: 3 Most Common Oral Lesions: Dry Mouth, Candidiasis, and Aphthous Ulcers

Summary
 
This conversation discusses common oral lesions, specifically dry mouth, candidiasis (fungal infection of the mouth), and canker sores (aphthous ulcers). The prevalence, causes, symptoms, and treatment options for each condition are explored.
 
Dry mouth can be caused by medications and can lead to dental issues and bad breath.
 
Candidiasis is an opportunistic infection that can be triggered by an imbalance in the oral cavity.
 
Canker sores are the most common oral lesion and can be caused by nutritional deficiencies and certain toothpaste ingredients.
 
Treatment options include medications, natural remedies, and lifestyle changes.
 
Keywords
 
oral lesions, dry mouth, xerostomia, candidiasis, fungal infection, canker sores, aphthous ulcers, prevalence, causes, symptoms, treatment options.
 
Takeaways
Dry mouth, or xerostomia, is a common condition that can be caused by medications and can lead to dental issues and bad breath.
Candidiasis is an opportunistic fungal infection that can occur in the mouth due to an imbalance in the oral cavity.
Canker sores, or aphthous ulcers, are the most common oral lesion and can be caused by nutritional deficiencies and certain toothpaste ingredients.
Treatment options for these oral lesions include medications, natural remedies, and lifestyle changes.
 
Titles
Understanding and Managing Dry Mouth
Preventing and Treating Candidiasis in the Mouth
Sound Bites
"What is fricking spit? What is saliva? It's really water."
"Dry mouth can lead to fungal infections, dental caries, dysphagia, and bad breath."
"Fungal infections in the mouth are opportunistic and require an imbalance in the oral cavity to occur."
Chapters
 
00:00 Introduction and Overview
02:15 Dry Mouth: Causes, Symptoms, and Effects
08:02 Candidiasis: Opportunistic Fungal Infection
11:18 Canker Sores: Common Oral Lesion

ep 006: Redheads, Cannabis, and Dentistry?!

Summary 
In this conversation, Dr. Serv Wahan and Dr. Peter Pfeiffer discuss the challenges of anesthesia and sedation for redheads and marijuana users in dentistry. Redheads have a different way of experiencing pain and may require more medication for sedation and local anesthesia. Marijuana use can affect anesthesia and sedation, as well as post-operative pain and nausea. However, there is a lack of research due to the federal illegality of marijuana. The conversation highlights the need for individualized protocols and patient education in these cases. 
 
Keywords 
redheads, anesthesia, sedation, dentistry, marijuana, local anesthesia, IV sedation, general anesthesia, pain management 
 
Takeaways 
Redheads may require more medication for sedation and local anesthesia due to their different pain perception. 
Marijuana use can affect anesthesia and sedation, as well as post-operative pain and nausea. 
There is a lack of research on the effects of marijuana in dentistry due to its federal illegality. 
Individualized protocols and patient education are important in managing anesthesia and sedation for redheads and marijuana users. 
 
Titles 
Navigating the Lack of Research on Marijuana in Dentistry 
Challenges of Anesthesia and Sedation for Redheads in Dentistry 
 
Sound Bites 
"Redheads have a different way of experiencing pain and cold temperatures, they will notice more, but it hurts less."
"Patients that are 16, 17 years old now are raised differently than they were when I was 16 and 17. You know, I think every generation kind of does."
"Marijuana is legal in a lot of states. Okay, that's fine. But technically it's still illegal federally."
 
Chapters
00:00 Introduction and Background
01:51 Challenges of Anesthesia and Sedation for Redheads
13:05 The Impact of Marijuana Use on Anesthesia and Sedation
23:23 Difficulties in Managing Anesthesia and Sedation for Redheads and Marijuana Users
26:36 Individualized Protocols and Patient Education
#redheads #redhead #marijuana #marijuanaanddentistry #dentalanesthesia

ep 005: Shadow Bans, Community Guidelines Violations, and How I get Around the Instagram Algorithm

Serv Wahan MD, DMD discusses shadow bans, community guideline violations, and hacks to get around algorithm blocking on TikTok and Instagram. He shares his experience with social media and how he started posting surgical content after the pandemic. Serv explains what a shadow ban is and how it affects reach and engagement. He also provides tips on avoiding shadow bans, such as giving your account a break, removing flagged content, and checking banned hashtags. Serv discusses community guideline violations and the importance of striking a balance between informative and sensitive content. He also shares insights from a study on content and engagement among plastic surgeons on Instagram.
 
Keywords
shadow bans, community guideline violations, algorithm blocking, TikTok, Instagram, surgical content, reach, engagement, banned hashtags, personal content, social media following, SEO
 
Takeaways
Shadow bans can result in a sudden decrease in reach and engagement on social media platforms like TikTok and Instagram.
To avoid shadow bans, give your account a break, remove flagged content, and check for banned hashtags.
Community guideline violations can include posting dismemberment, sadistic comments, or celebrating suffering or humiliations.
Personal content tends to have the highest engagement on social media platforms.
Having a large social media following can improve search engine optimization (SEO) and increase visibility on search engines like Google.
Titles
The Impact of Social Media Following on SEO
The Power of Personal Content on Social Media
Sound Bites
"A shadow ban has a sudden decrease in your reach and engagement."
"Give your account a complete break and let the algorithm reset."
"Hashtags can go from being used a lot to being banned."
Chapters
00:00 Introduction and Background
02:53 Understanding Shadow Bands
07:12 Tips to Avoid Shadow Bans
10:05 Banned Hashtags and Community Guideline Violations
31:13 Engagement and Social Media Following

ep 004: Managing Anticoagulants in Dentistry

In this episode, Dr. Serv Wahan discusses the management of patients on anticoagulants in the dental setting. He addresses common questions and concerns related to blood thinners, tranexamic acid, and the management of bleeding in dental procedures. Dr. Wahan emphasizes the importance of not stopping blood thinners and provides insights into the use of tranexamic acid for local hemostasis.
 
anticoagulation, blood thinners, dental procedures, tranexamic acid, local hemostasis, patient management
Takeaways
The importance of managing patients on blood thinners in the dental setting
The use of tranexamic acid for local hemostasis in dental procedures
The risks and benefits of managing patients on anticoagulants during dental surgery
Titles
Tranexamic Acid for Local Hemostasis in Dental Surgery
Managing Patients on Anticoagulants in Dental Procedures
Sound Bites
"This topic is for everyone. It's not for doctors, dentists. It's for patients, it's for your family, it's for your friend."
"The answer is no. I do not. We just manage any risk of bleeding locally because that's still safer than taking someone off blood thinners."
"And they can use it on any cut. I just tell them, you keep it in your fridge, you can use it on any cut. You know, it's a topical. And so it does help."
Chapters
00:00Introduction to Anticoagulation Management in Dentistry
03:23Local Management of Bleeding in Dental Procedures

ep 003: How to Treat Jaw Dislocation Without Sedation

I have been able to successfully reduce 80% of TMJ dislocations this way. The other 20% have needed general anesthesia or IV sedation.  It doesn't matter if you are a patient, doctor, assistant, or if your friend dislocated their TMJ, you will get something from this episode. 

ep 002: Hollow Jaw / Focal Osteoporotic Bone Marrow Defects and How They Affect Dental Implants

So you thought you were safe because your CT scan shows lots of bone for your dental implant? Think again.

ep 001: What Antibiotics I Recommend for Dental Infections

My 17 years of oral surgery experience combined with relevant literature makes this a go-to for patients, doctors, and your mom.
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