Secure Dental-Juan Gonzalez.mp3: Audio automatically transcribed by Sonix

Secure Dental-Juan Gonzalez.mp3: this mp3 audio file was automatically transcribed by Sonix with the best speech-to-text algorithms. This transcript may contain errors.

Dr. Noel Liu:
Welcome to the Secure Dental podcast. Through conversations with the brightest minds in the dental and business communities, we'll share practical tips you can use to scale your practice and create financial freedom for yourself and your family. My name is Dr. Noel Liu, CEO and Dentist at Secure Dental, and also co-founder of DentVia. I'm your host for the Secure Dental podcast and I'm so glad you're joining in.

Dr. Noel Liu:
Welcome back to another episode of our Secure Dental podcast, where we bring in many bright dental talents from all over, both inside and outside our dental profession. Today we have a very, very special guest. But before we go on, this pod is sponsored by DentVia, Dental Virtual Administration company, that focuses on back-end dental office tasks like calls, claims, AR, etc., to assist our front desk personnel and office managers with their daily tasks. Visit them at www.DentVia.com. That's www.DentVia.com. So now without further ado, let's dive right in. So today we have Dr. Juan Gonzalez. And this guy is like the master of full arches. So Doctor Gonzalez is an oral maxillofacial surgeon and he is board certified, specialized in both full-arch rehab. And he is a co-creator of Patsy protocol. And it's one of those world-renowned for treatment of severely atrophic full-arch cases. His service in the military has, as well as his love for teaching and mentorship, has resulted in over 15 years of advanced full-arch implant experience. So Doctor Gonzalez is such an honor to have you here. Let's dive right in.

Dr. Juan Gonzalez:
Honor is mine, doctor Liu, thanks for inviting me.

Dr. Noel Liu:
No, it's great. So let's start with the first question. What's your background? Where did you get started?

Dr. Juan Gonzalez:
How far do you want to go?

Dr. Noel Liu:
Let's start with dental school.

Dr. Juan Gonzalez:
Dental school? I went to dental school in Puerto Rico. I graduated from dental school, and then I did a one-year GPR. And then I signed up with the military, where I moved to Texas with the Army. And I did two years, two and a half years of general dentistry attached to a ground unit. It was called, Forward Support Unit, where I had a mobile truck that was a dental clinic. So we were behind wherever the people were fighting; we were miles behind providing medical and dental care. After that, I went to residency, and I did my residency at Brooke Army Medical Center in San Antonio, Texas. Then after graduating from oral surgery, I went to Fort Hood, Texas, where I spent five years as the Chief of Oral Surgery at the hospital over there.

Dr. Noel Liu:
So you were at the frontlines in the military?

Dr. Juan Gonzalez:
I did not get deployed. We did a lot of training, but right before getting deployed to Iraq, I got selected for residency and I was ready to go. But my, the captain that was in charge of the unit told me, Hey, we have a new dentist coming in, you go do your residency. Until we, you know, to tell you the truth, I felt a little bit shattered because I had trained with that unit for two years. I was looking forward to deploy with them. And then, somebody else ended up going instead of me. And all in all, in over 20 years of military service, I came up for deployment three times. And always something happened. Not on me, I was ready and I wanted to be deployed. I was always a player, but something would happen and that, you know, things happen in life. You don't know the reason. And for some reason, I never ended up getting deployed.

Dr. Noel Liu:
So what was residency like when you were starting? Did you do any kind of like oral surgery while you were in service, or did you do everything like after residency?

Dr. Juan Gonzalez:
Oh, everything in residency and long hours, long hours every day; 14, 16 hours. I remember one time when I was doing the general surgery rotation, I stayed up for 42 hours and I think I slept for like 12 straight hours after that. It's long hours, lots of work, lots of learning. It's very intense residency, but you learn so much. You make friendships for life too.

Dr. Noel Liu:
Now, is this because you had like very good work ethics, or was it like the military background had influenced the approach, how you did things at the residency?

Dr. Juan Gonzalez:
No, I think it's just in their residency training. I know that over the years now, things have gotten a little bit easier because they have clamped down on hours. They frankly, they were abusing residents back in the day. And they were, yeah, they were getting 180, 100 hours out of a resident. And then a lot of medical mistakes were being made. So they had to regulate things and put a limit on the hours that residents could work in a week.

Dr. Noel Liu:
So once you graduated residency, what was your first job or your first step in your career?

Dr. Juan Gonzalez:
As soon as I finished residency, I went to Fort Hood, Texas, and then being the most senior there, I ended up being the Chief of Oral Surgery at the Hospital Darnell Army Medical Center in Fort Hood, Texas, and I was in charge of three other oral surgeons where we covered everything. We covered trauma, orthodontics, cosmetics, pathology, and we also trained GPR residents. That's probably my beginning on teaching, even though that any oral surgeon that graduates from residency is a good teacher because you're mentoring always your junior residents.

Dr. Noel Liu:
That's nice, that's nice. So you went back into the Army then, right?

Dr. Juan Gonzalez:
Yes, yes because you owe them a commitment. When you sign up with the military. Basically, you sign up for a certain number of years. When you do training, if you train for four years, you owe them back four years. So you had to train with them for four years and to do work with them for four years.

Dr. Noel Liu:
Gotcha, gotcha. So what inspired you to go into, from oral surgery, and you went straight to, like, even though it's part of oral surgery, the full-arch treatment, rehab? Like what got you motivated?

Dr. Juan Gonzalez:
Yeah, that's a long story on itself. And after, at Fort Hood, I didn't do any full-arch. In the military, back then, full-arch was not a thing. We did single implants and snap-ins and things like that. When I finished, after, well, actually, before I finished my military commitment, I started what we call moonlighting; when you're in the military and you start working part-time because, you know, military pay is not that great. So in a few days of work outside the military, in the civilian world, you can make more money than in the military in a whole month. So you basically use your days off to do some work. So at that time, I started working on a friend's office in Austin. Fort Hood is about 45 minutes, an hour away from Austin, North Austin. So I was doing some work at a really good ex-military friend of mine, ... Martin Tony, great oral surgeon. And there I was, I was doing the usual wisdom teeth, single implants, and whatnot. So fast forward a few years and I get out of the military, I open my own practice in San Antonio, the practice for several reasons. I had another part neurosurgeon, very nice guy, great surgeon. But the practice of being in a place that had a lot of competition and then we both had side jobs in corporate. So the practice never really took off and we were planning on closing it. Dental school was looking for oral surgeons to partner with and open an office in San Antonio. So through a mutual friend, we met and we got together and then we started working together. So dental practice was solely concentrated on full-arch, just basic full-arch, what everybody was doing about eight, ten years ago; you just put implants wherever you find the bone. So that combination of having a periodontist, you know, and summarizing, but that combination of having a periodontist and oral surgeon, we kind of complemented each other, and we took everything to the next level; the combining techniques and improving techniques.

Dr. Noel Liu:
Was that like a first goal towards like full-arch rehab?

Dr. Juan Gonzalez:
That was, I have had a little bit on corporate, the office I was working in, a little bit of full-arch experience where it was very minimal, and the first case I did was guided, and it didn't take me long to realize that you always have to, if you cannot freehand it, you probably shouldn't use a guide, because guides give you a false sense of security, and you have to always be able to be ready to take over if the guide doesn't work.

Dr. Noel Liu:
I want to reemphasize that again. You said, If you are not able to place freehand, don't even try a guide, right?

Dr. Juan Gonzalez:
You shouldn't. You shouldn't. Because the problem is it gives you a false sense of security and then nothing is better than experience. And that experience of drilling, of feeling the bone as you're drilling. And then as you drill, you can tell, Okay, this bone is soft. I'm going to under prep and then I'm going to place a bigger impact. So that type of thing you don't get with a guide. And then, if you follow everything in the guide, you might have the perfect position, but then you have no torque. What are you going to do after that?

Dr. Noel Liu:
Love it. This is coming from somebody who's like experienced, right? So I mean, a lot of guys like nowadays they're all about guides and they're like, Oh, if there's no guide, I cannot do it. And I just love what you just said.

Dr. Juan Gonzalez:
I've done a few arches. I might have a little bit of fun in here.

Dr. Noel Liu:
No. That's great. So tell me, what are some of the challenges that you face when you're doing like a full-arch rehab where there is no ridge and when you first started? So challenges and all the mindset thing that you went through.

Dr. Juan Gonzalez:
So when we first started, we were doing the usual: the putting implants here and there. But then we started realizing, you know, there's so many trophic momzillas out there that don't really have bone. And traditionally the way these were done, it was: you remove the teeth, you bone grafting to the sinus, you wait months, then place the implants and wait longer. And it was a lot of time, very unpredictable, at least in my hands. I'm an oral surgeon, so, you know, I'm not a periodontic so. I always pick on periodontics. But they're good people. I got many good friends and so. But it's more predictable. And it, over a year until the patient ends up with teeth. And then if you have failures, then that sets you back. With remote Anchorage, it's all immediate. So when we realized that, I went and did a, just a one-day course on zygomatic implants, just to be familiar with the anatomy and the technique after seeing that. Because as oral surgeons, we know all the anatomy, we know the surgical techniques, I can pretty much look at, watch the surgery in YouTube or read about something, and pretty much we can do it. So I did a one-day course and I saw zygomatic implants. I went back to the clinic, started doing them, started modifying the techniques, improving it, changing it. Then at that time, Daniel was not doing zygotes. So he just watched me do a lot of zygotes. And then, that way he learned how to do zygotes. And then one day he shows up at the clinic and says, Hey, check this out. I can't remember. He's told me a million times and I can't remember where he got the pterygoid technique, which has been around for a long time, but he pretty much kind of like, was one of the ones that reintroduced it into the US and made it popular. So he showed me that. I was like, Oh, that's a cool technique. So after that, we started combining all the techniques, and after doing hundreds and hundreds of cases, I noticed a pattern that I was always following. And that's basically the birth of Patsy protocol, which Patsy protocol, you know, a little bit of inside story, but after I noticed that pattern, I told, Hey, Daniel, you know, he had already named the ..., the adding Pterygoids to a regular ... I was, Hey, we need to name this something. And he said, Well, should we call it like the Zippy technique or something like that? I'm like, I don't know about that name. So I was giving one of my first courses in Dallas, and the night before, I was like, you know what, posterior, anterior, tilted, zygote; that's the way I do everything. So patz. But that patz sounds weird. So I added the 'i'. So patzi: posterior anterior tilted zygomatic implants, which was a way, another way I do every single case. and I have never, ever had a single case, not one case very delivery without teeth the day of the surgery. Now, that doesn't count the deliveries the next day. I'm saying, what I mean is, I've not been able to load the case at 100% success rate on immediate loading cases. And the protocol, it's not, some people think it is like I'm renaming, like I'm making my own names for everything. No, it's not a classification system. I'm not reinventing the wheel. I'm using techniques that have been around for a long time, many techniques that have been developed by many people. The only thing is that I put it in an order that if you know all the techniques, of course, you have to know the techniques. You know, some people criticize, Oh, but if techniques work only in one person. Well, that's why there's neurosurgeons. You know, not everybody can do brain surgery, but you train to do brain surgery and you can do brain surgery. So the same thing with this. If you cannot do all the techniques, or know, then maybe you should be able to recognize cases that you shouldn't be doing. Either let somebody else do those cases or learn the techniques, which is what we're doing. So it's just a logical order where I always start in the back with pterygoids, then move on anterior and in anterior, there's a lot of different techniques to obtain Anchorage anterior, and then in the middle. I end up in the middle and always follow the same protocol. And if one technique doesn't work, you look to the other one.

Dr. Noel Liu:
No, that's such great insight. So did you ever have like a mentor that you went through or this is something where you just saw one day and you're like, Hey, I can do this?

Dr. Juan Gonzalez:
Pretty much with the basic arch, I cannot like, Watch out, Dan. But for the remote Anchorage, I'm pretty much just combining techniques, figuring stuff by myself and talking to other people and watching techniques on YouTube. And like people, like many people that I've interacted with and we have a really good relationship, like ..., David Zelig, Alexander ...

Dr. Noel Liu:
You just formed a team, right?

Dr. Juan Gonzalez:
Yeah. No, we have a big team. We have a big group. There's about 50 of us in a group that we are constantly sharing ideas and talking and helping each other. And I think by doing this, and we have really great camaraderie, we talk pretty much almost every day. And it's not just here in the US. We have also many people internationally that belong to this group and we all talk.

Dr. Noel Liu:
Oh, I love it. Look at this guy. I mean, one day of course, and he mastered it. I mean, this is something which is really, really amazing. Love it. So tell me something about your courses. I know you've been teaching for over 15 years, and what is one thing that you are so passionate about? And I know, like you love to mentor young guys, right, coming out. So what's your passion?

Dr. Juan Gonzalez:
Yeah. So it all started, and I have to give credit where credit is due. So it all started, you're gonna laugh about this, but it was a wreck, the Austin Neerden wreck. Female Casey Ingraham, she'll come to the clinic, and we kind of didn't like each other, you know? We didn't, she thought I was not nice. So one day she said, Hey, you know, how come you're not on social media? And I said, Because I hate social media, I don't like social media. And she said, Well, you should because you do good work. And I was like, Well, are you gonna manage it because I don't know anything about technology? She said, No, you have to do it yourself. So I started taking pictures of cases, and it took a while until I developed my format that, well, I started documenting everything. So once I started doing my social media, then people started reaching out. I started with zero people. And to this day, I have never paid any money. I have paid zero to increase my social media because my social media is not for profit. My social media is not, I don't own an office, so I'm not promoting anything. All I'm doing is trying to do whatever knowledge people think I have, give it to the world for free and give it to people for free. So I had the first person that reached out to social media was a guy from Florida, really nice guy, and Kenan Osman. So he reached out and I just gave him my phone number. But he called me back and he talked and he said, Well, can I come to Austin and watch your work? I was like, Sure. And he's like, How much is that going to cost me? I said, Zero, just come here and hang out. That was the first person that came and he flew from Florida. And then I decided to look, yeah, I decided to look him up on Instagram. And I saw on his post this thing that looked like a mouth condom. I was like, What the hell is that? And I asked my restorative doctor, Doctor Sarah Emory. Hey, do you know what this mouth condom is? And she's like, Yeah, that's an ... And we have them in the clinic. I was like, Oh! So I used that day that ..., and I was in love with it. I'm like, This thing is awesome. I'm using this on every single occasion. I've used it ever since on every single case. And I've promoted heavily because it helps you ...; it's protecting the leap. So the point of the story is that this guy wanted to come learn from me. But he had really taught me something before he even came here. So that was the first of many. After that, for the next like about 2 or 3 years, I have dozens and dozens of people that would come from all over the place. You know, I've had people from Venezuela, Spain, and but mostly from the US that had come just to watch procedures, and they would come to the clinic, hang out, watch procedures. I've never charged anybody a single night. On the contrary, they all cost me money because after they would come watch, I would take them to my donor range and they would shoot machine guns, and, you know, machine guns shoot a lot of ammo real quick, real fast. And it gets really expensive quick. Yeah. But I created a lot of connections. Then after that, and I work with all implant companies, so I don't have a problem talking about them. So I created a relationship with Norris Medical, and they were really good to me. And I traveled all over the US and all over the world giving lectures on remote Anchorage with them, giving also cadaver courses. Then after that, now, I work with multiple companies like NeoDent, SIN, JD, ... So I tried to keep a relationship with all of them, and then that led to ORCAA, where I partnered with Simon Oh and Eldad Drori. And I think we have the best training in the world, period.

Dr. Noel Liu:
So what is ORCAA?

Dr. Juan Gonzalez:
ORCAA Global was founded by Simon and Eldad, and then I came in early, and it's a group that we bring some of the best surgeons in the world, and we have a partnership with the UFM University, Francisco Marroquin in Guatemala. This university has probably some of the best facilities in the world way than 99% of the University of Dental schools in the United States. The personnel there, the staff, they're incredible. So we have people that train level two and level three; level two is regular arches, level three is our remote Anchorage. And we go there two weeks out of the year, and we have about 14 participants, six level three, eight level two, and a lot of observers, I can't remember the number of observers. And we have seven staff. And now usually we have two alternate staff just in case. So about nine staff. And in a period of five days, we do approaching about 30 patients and close to 60 arches. Then we also partner with restorative doctors like ... has been supporting us for the last few ORCAAs. And they do all the restorative work. So all every single patient that we do leaves with teeth the next day. It's a lot of hours, very intense work. And it doesn't end there because whenever we are done with all those patients, we usually stay behind. And we bring other specialties like ENT, microvascular oral surgeons like Doctor Stephen ... and Kathan Patel, Joe Cammarata, plastic surgeons. And we do pathology patients for free. We've already taken care of two patients with pathology, one myxoma, one ameloblastoma, one girl that gets shot into maxilla. Next month, I won't be able to go because I'm going to be in Australia with ... But we have a group of doctors that are going to be there and taking care of a nine-year-old with ... ameloblastoma. All these were free thanks to their contribution. And we're planning on expanding. So stay tuned because we might be doing these in other countries.

Dr. Noel Liu:
You know, this is crazy because I've heard where there's a lot of courses out there, they do all the surgeries done, but then there's no follow-ups for those guys. And what you're doing is amazing that they're getting teeth and the restorative that's being done. That's huge.

Dr. Juan Gonzalez:
Not just that, but in ORCAA, we cannot guarantee you that this case, you know, if we tell you, you know, you'll probably do this many, but we cannot guarantee you that a case is going to be quad because we follow PATZi. And if it's a quad, it's a quad. If it's not a quad, before doing a quad, we're going to try everything else. Before even doing a zygo we're going to try. If we cannot do tilted, we'll go with ... palatal approach, whatever we need to do to avoid the quad. But if you do decide to go, what if you decide to go to zygo in the ... anterior, we can do a lateral approach, or if we can do transnasal, whatever approach. But the number of atrophic maxillas in Guatemala is so high that usually the participants exposure to all techniques is pretty much guaranteed.

Dr. Noel Liu:
So it's like, what you're saying is: if the patient does not need it, it's not going to happen. And if they need it, it's going to happen.

Dr. Juan Gonzalez:
It's not going to happen. It's not going to happen. Period. But I'm not going to let anybody do a quad on somebody that does not need it. No, no.

Dr. Noel Liu:
Love it. So how do you screen these patients? Are you like down there? Do you have a team down there who's actually screening them for the participants?

Dr. Juan Gonzalez:
We have a team, Fernando and Ector Clay, Dr. Ector Clay, Doctor Fernando and I can't remember Fernando's last name right now. Doctor Rodrigo Cayarga. There is a really good team of doctors, all the residents there. So we have support of the dean there, dean Marta, with the university. They're constantly scanning for patients. They see patients and they think the patient can benefit. Then they put them on a list. And then as ORCAA approaches, which is the, every February in September. As it approaches a few months before they start getting a list of patients, and then they send us, after they have looked at all the CTs, they send Simon and I the CTs. And I personally went through 45 CTs to classify them on the ones that could be level two, level three, and so on. It's a lot of work. Let's put it this way. People have no idea of the amount of work that we go to be able to organize all of this.

Dr. Noel Liu:
And what's your standard of protocol for measuring success in these courses for the participants?

Dr. Juan Gonzalez:
So for level two, we vet them. We make sure they have to fill out an application. And we have to make sure that the candidate has enough experience that they're not going to waste their time or our time, because it's not a basic course, it's an advanced course. And for level three, it's ... And I sometimes have to interview them on the phone to make sure that they already have experience. Number one. Number two, they've done didactic cadaver and some of them have even done already several zygot courses in other countries before they come in, because if not, it's just a waste of time for everybody. We just don't have enough time in these five days to do any, yeah, to do much didactic work. So it's pretty much all hands-on.

Dr. Noel Liu:
So is it like taking your course first, like the didactic portion and that?

Dr. Juan Gonzalez:
Yeah, there's many courses. I can't keep track of them, but I have courses. Many different companies have courses that they give. My recommendation would be to start with learning all the basics of implants. Once somebody sees them at placing hundreds of implants and they feel comfortable doing full-arch, then start moving to the basics of full-arch. And there's many courses for that. And then for remote access, there's also many, many courses, like one of the best courses is in Virginia Beach, the Atlantic Implant Institute with Adam Hogan. He has many different courses from basic full-arch to advanced full-arch, and also even business aspect of full-arch.

Dr. Noel Liu:
Love it. So basically, guys can just go and take any of the full-arch courses or any of the zygotes, and then they can qualify with you. Okay.

Dr. Juan Gonzalez:
Yeah. It doesn't have to be just with me. There's many qualified people there that can do this, you know, to name a few. ..., David ..., Alexander Alam, Stephen Nelson, Alex Wayne, so many, many, many people that can do this course. Of course, I'm only biased. I give several of them. I'm going to be giving one soon in Mexico with Nestor Marquez, a really good guy, and have another one in Australia with Simon Oh. And I had another one with Clarke Damon and Rick Klein, which they give an excellent course in Dallas. So there's many courses. My Instagram is, I'm easy to reach on Instagram. I manage my own Instagram, my everything that you see there, I've posted myself, I answer phone calls, I answer messages. So it's doctor.g.dmd.omfs, and most people probably already have it. So if anybody has a question about courses, you know, I'm very opinionated, but I'm fair. If something is good and I don't like something, I say it, I don't like it. You know, I don't have a problem with that.

Dr. Noel Liu:
No, I'm really excited because I think I signed up for your August one, the Dallas one.

Dr. Juan Gonzalez:
On the last one, I don't know if you saw the post, but at one point I was like, you know, ... this one a little bit bored. So while people were having lunch, I went back and I was like, you know what? There's a lot of people that like to show off that they can place three. That's no big deal, you know? So I put four on the cadaver because I would never do that on a real person. I would, I don't even think there's a need to place three zygomatic implants in a person, so I would, you'll never see me do that in a person. But a cadaver, you know what? That's a different story. Just to show the capabilities, the things that we can do with today's system.

Dr. Noel Liu:
So as far as your courses are concerned, are you, like, still like the main person who's teaching it one-on-one with the students, or do you have like a faculty team member?

Dr. Juan Gonzalez:
When we do the cases in a cadaver courses? Yes. It's going to be one-on-one. I'm going to be there with whoever I'm working with, whether it's like part-time or recline. We're all there like one-on-one. But in Guatemala, it's just too many participants in Guatemala. So I had to step back on this one. This was the first one that I was not actively doing. So I had to step back and let others. But every single person that I bring to teach at ORCAA is qualified. Even the level two mentors, they're all qualified to work level three. So every single one of them, I didn't have to really do much. I ended up doing a few cases just because you give them a break to some other people. And we're continuously evolving in the training. So the other thing is that people that I work with or go to my courses or something like that, I'm always open if they have a difficult case, because not everybody that does a case feels comfortable going back to do. Some of them would like to have some more mentorship and have maybe that guardian angel over their shoulder when they're doing a case. So I'll do a lot of what I call one-on-one training. Yeah. So I do that. I do it just to help because a lot of these people, they're great doctors and great surgeons and I create relationships and they might just want to have extra insurance on those first cases. And I go, I've traveled all over the country helping them. And that, frankly, is not even worth the money. I'll just do it because of the camaraderie. These are people that I develop relationships, I end up going to visit, I stay at their houses, I get to meet their families, and they treat me like family. These are friendships for life.

Dr. Noel Liu:
One thing I really love about you, you have such humble personality and a humble beginnings, and you keep everything so down to earth. This is something which is so, so, so great about you.

Dr. Juan Gonzalez:
Yeah. Well, life is short. I've already had a lot of friends, you know, that are no longer with us. It's like you can make all the money in the world, you can work five, six days a week and make a lot of money, but something is going to be affected. And then after having a stroke at a young age, and then my dad was an E.R. physician, so he didn't spend a lot of time at home with us at the beginning, but he tried to do as much as he could on weekends with us. So after that, I learned, you know what? I'm not going to be like that. So for the last, I would say, about five years, I've been working only about 2 to 3 days a week and spending more time with my family. Now my kids are a little bit older. They're still young, 12, 14, 17, but I still do things with them. I still like to do things. I still like to do lots of trips with my wife. I would say I'm the poorest oral surgeon because I own anything, but I'm reaching in experiences and friendships and family and all that stuff, and I try to enjoy life as much as I can because people always forget that, if this is not forever, it can be gone tomorrow, it can be gone tonight; you never know. So I try to enjoy constantly learning new things and having new experiences.

Dr. Noel Liu:
Yeah. Love your approach to life. So last question for you. Any takeaways for young people coming up, like want to be surgeons and they are aspiring to do full-arches? What kind of advice or direction would you like to give them?

Dr. Juan Gonzalez:
Well, learn as much as you can do, as much as you can, as much experience, take as many courses and find a mentor. Find somebody that can mentor you and guide you. It's like, anybody can do these cases. It's, I can train pretty much anybody to do these cases, but it's managing the complications that makes a difference. If you cannot manage the complications, then probably you should be doing these cases. And, unfortunately, everybody wants to do these cases and everybody is doing them these days. And how we like to say winter is coming, meaning that, and I'm starting to see it already all the cases that have not been done properly, they're starting to come back. And I've been pitching a lot of cases. This number is only going to increase with time. So my advice is do as many courses as you can, get as much experience, get a mentor, and always try to do what's best for the patient. I mean, ... is about, three years ago, I did my own mother's surgery. And, yeah, it was a remote Anchorage. And then I wanted to show that I trusted my whole team, so I let them place the pterygoids on her. Then I placed the anterior implants, I place azygos. Then, I let my anesthesiologist put her to sleep. Not only that, but I also let my anesthesiologist, Brett Harris, who is an anesthesiologist that I worked with, he also is a dental specialist, so I let him take out her mandibular teeth. And then I did her mandible, and then I let my restorative doctor Emery do her restoration. That showed that I trusted my whole team. And if I didn't believe in this type of treatment, I wouldn't have done my own mother.

Dr. Noel Liu:
That speak volumes, by the way, if you do all this stuff with your mom and you really entrusted your team. So that's huge, really, really huge. So last thing is, how can, besides your Instagram, any other website or any place where audience or we can find you?

Dr. Juan Gonzalez:
Unfortunately, I need to figure out how to transfer all my Instagram to Facebook. So now, basically, Instagram is the easiest way, and from there, because I don't have a website and I don't have a Facebook or anything else, and I'm still in between clinics, I still have not decided where my next home is going to be. So I'm still doing a little bit of like on the road, you know, like going to multiple clinics. But as soon as I have a clinic which might be coming soon that I'm going to be mostly at, I'll post it. And I'll always continue to teach. I always have people come visit it because that's just part of what I do.

Dr. Noel Liu:
Love it. Love it. Well, I think we're going to land the plane, and that's pretty much it for now. So if you had any other last-minute advice, otherwise, you know, we are good.

Dr. Juan Gonzalez:
Okay. Sounds good. No, that's about it. And, now, when people come visit me, can I take them, shoot machines like I did with a really nice guy from Australia, David Aria. But he was brave enough to also go fly with me at night.

Dr. Noel Liu:
You know what? You offer that to me. I think I'll take that upon that offer once when I'm down there with you someday.

Dr. Juan Gonzalez:
Yeah, yeah. Come visit me, anytime.

Dr. Noel Liu:
Thanks a lot, Doctor Gonzalez. Well, I think we're going to land the plane. Once again, I'm going to check out. This is your host, Doctor Noel Liu. Make sure to like and subscribe and follow us on our next episode.

Dr. Noel Liu:
Thanks for tuning in to the Secure Dental podcast. We hope you found today's podcast inspiring and useful to your practice and financial growth. For show notes, resources, and ways to stay engaged with us, visit us at NoelLiuDDS.com. That's N O E L L I U D D S.com.

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