In the previous episode, we briefly touched on the wonder of fat grafting in preventing scarring when used in eye surgeries. Today, we dive even deeper, with the help of the Oculoplastic Surgeon, Dr. Brian Willoughby. Dr. Willoughby begins by walking us through his professional history, current practice setup, and the relationships he has with neighboring colleagues in Denver, Colorado. Then, we explore his recent fat grafting exploits, the common traumas that he encounters at work, and the procedures that follow for each ailment. To end, Dr. Willoughby shares some important advice for medical residents who worry about the future and we discover how having mechanical skills outside of medicine can be beneficial for the practicing surgeon.

Key Points From This Episode:

• Dr. Brian Willoughby's professional background and current practice setup.
• The working relationship that he has with colleagues in his community.
• A deep dive into his recent work in fat grafting.
• Other traumas that he encounters and the procedures that follow.
• Dr. Willoughby's advice to medical residents who are apprehensive about what comes next.
• Palm Beach, being a fixer, the Desmarres eyelid retractor, and Idiocracy.

Links Mentioned in Today’s Episode:

Dr. Brian Willoughby — https://www.eyesandface.com/

Dr. Brian Willoughby on LinkedIn — https://www.linkedin.com/in/brian-willoughby-0a36a945

Dr. Brian Willoughby Email — brian@eyesandface.com

Dr. Aaron Liddell — coloradooralsurgery.com/meet-us/dr-aaron-t-liddell-md-dmd-facs/

Dr. Sydney Coleman — https://www.colemanlipostructure.com/

AAOP 2024 — https://aaop.org/2024-aaop-conference/

Season — https://www.amazon.com/Season-Inside-Americas-Richest-Society/dp/0060193913

Madness Under Royal Palms — amazon.com/Madness-Under-Royal-Palms-Behind/dp/1401310117

Idiocracy — https://m.imdb.com/title/tt0387808/

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059

What can we learn from the cases that don’t go according to plan? During this episode, Dr. Benjamin Hechler joins us to discuss dentoalveolar and anesthesia complications. Join us to hear Dr. Hechler’s insights on a series of real-life cases, from what actually went wrong to what could have been done differently. These case studies bring up key take-home messages which touch on navigating competing interests in dentistry, avoiding miscommunications, and preventative practices and processes. We discuss the problem of discrepancies in information, particularly with pediatric and geriatric patients, and how to go about identifying the gaps in order to gather the necessary details. Dr. Hechler also emphasizes the importance of including all the necessary information during X-ray procedures. Our conversation touches on communication and language, daily preparation, and more. While these cases are not easy to discuss, it is important to dissect them to prevent future mistakes and complications. Thanks for listening!

Key Points From This Episode:

• How the Swiss Cheese principle applies to entoalveolar and anesthesia complications.
• Dr. Stucki’s one take-home message: try to control as many variables as you can.
• A few areas of complication related to a 71-year-old patient Dr. Stucki served after a routine procedure.
• The problem of referred pain.
• Competing interests in dentistry and how to navigate them collaboratively.
• The necessity of hesitating on a diagnosis.
• Why it is so critical to be on the same page as the patient.
• Dr. Hechler’s insights on a real-life case with a 13-year-old patient.
• Miscommunication and failure to refer.
• How daily preparation can help to identify gaps ahead of time.
• Navigating discrepancies in information for pediatric and geriatric patients.
• A case that illustrates why it is so important to have both a date and the patient’s information on every X-ray.
• Talking to patients and using the correct language.
• Dr. Hechler’s insights on how the case of a 53-year-old man could have gone differently.
• The importance of communication and referral.
• Why discussing these cases is necessary.

Links Mentioned in Today’s Episode:

Dr. Ben Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059

We are excited to welcome our first-ever Oculoplastic Surgeon onto the Everyday Oral Surgery podcast. Dr. Harkaran Rana is currently a staff member at the Swedish Medical Center in Colorado, and he begins our conversation by walking us through his professional training history and current fellowship setup. Then, we learn about the intricacies of oculoplastic residencies, a comprehensive breakdown of the anatomy of the eye, the severe and non-urgent cases that Dr. Rana comes across, and his surgical and nonsurgical treatment protocols. We also redefine clinical entrapment within orbital floor fractures, discuss the basic principles surrounding open globe inquires, and unpack everything that we can learn from one of Dr. Rana's most recent cases.

Key Points From This Episode:

• Dr. Harkaran Rana's professional background, training, and current fellowship setup.
• How oculoplastic residencies differ from the rest.
• Understanding the anatomy of the eye.
• Critical eye traumas that Dr. Rana encounters, how he identifies them, and how he assesses severity.
• Treatment and repair options for various eye injuries.
• Orbital floor fractures and clinical entrapment.
• Dr. Rana walks us through his common and non-urgent cases.
• How he knows when surgical intervention in required, and the protocol he follows.
• Basic principles when dealing with open globe injuries.
• A case study of one of Dr. Rana's most recent patients.
• A teaser on using local fat for repairs ahead of our upcoming episode on this topic.
• The Debt Trap, road running, yoga, the versatile No. 9 scalpel, and Succession.

Links Mentioned in Today’s Episode:

Dr. Harkaran Rana on LinkedIn — https://www.linkedin.com/in/harkaran-rana-aa3637179

Dr. Harkaran Rana Email — harkaran.s.rana@gmail.com

Swedish Medical Center — https://www.healthonecares.com/locations/swedish-medical-center

Dr. Richard C. Allen on YouTube — https://www.youtube.com/@oculosurg1

American Academy of Ophthalmology — https://www.aao.org/

The Debt Trap — amazon.com/Debt-Trap-Student-Became-National/dp/1501199447

Succession — https://www.imdb.com/title/tt7660850/

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059