[00:00:01] Nick: On this episode of “In The RACK” podcast.
[00:00:04] Dr. Mike Mayr: Your silver fillings also known as amalgam fillings, they contain mercury in them close to 50% of Mercury. Mercury we know is a well-known neurotoxin. I always use the example of when I was in school, I remember we had the thermometer.
[00:00:29] PODCAST INTRO: Welcome to “In The RACK” podcast, where we provide you with the practical framework for breaking PRs in all facets of health and wellness. We are just a couple of bros giving you the simple house in a world of complex wants. No filters, no scripts, no rules, just straight talk, talk tune. Now, let's get into the rack with your hosts, Dr. Chad and Dr. Nick.
[00:00:55] Chad: Alright, everyone. Welcome to “In The RACK” podcast. I'm your host Chad and with me is my co-host and fellow physical therapist, Nick. Nick and I have another guest on the episode this week. This guest is named Dr. Michael Mayr. I always question myself. I never really know. So he is a dentist actually is the first dentist we've had a podcast which is actually really cool. But he's not just your normal dentist. Would you call it a holistic dentist holistic?
[00:01:27] Dr. Mike Mayr: Holistic biologic dentist.
[00:01:30] Chad: He's part of this Holistic Dental Practice out in Boston called “Harmony”, which is actually very interesting. Actually. Nick's been on his journey to getting all the mercury removed out of his mouth. And over the last year and a half going on that, it's been a little while. So, Nick just casually asked Dr. Mayr, if he'd be cool with coming on the podcast, and he was like, “Let's do it.” So I know, he's gonna go into a little bit more about his story. But this is a subspecialty of dentistry that super interested in talking about because we love niches, so it's great to get in the weeds with some of this stuff. And I know, Nick's gonna go on his tangents about toxicity in the body. So just be aware, Dr. Mayr, that he likes to go down these rabbit holes.
[00:02:17] Nick: We should probably test your body for mercury, I just want to say I don't really care, I just want to see.
[00:02:24] Chad: The only thing I know is that Nick is super particular about , where he goes for things, whether it's his meat, whether it's his eggs is true, no milk, whatever it may be. So when he found this dentist, I know he was doing some crazy searches for this. And I'll kind of let Nick talk about that, because I don't know all the acronyms and all that other stuff. But it's very, very interesting. So I don't know, you want to share something?
[00:02:48] Nick: Let’s Dr. Mayr get in there. So basically, number one, I think that anyone who is if you're a provider, listening, whatever you are, even if you're just a strength coach, personal trainer, whatever, but doctors, PTs, chiropractors, you should all have a good and I believe biological or holistic dentist in your network of referrals, because oral health is so profoundly important. And I have learned that firsthand, personally. So if you don't have one in your network, I suggest finding one. And if you're in New England, Boston, that area, harmony is a great place to go. I've been there as a patient. We're getting to know Dr. Mayr more and more and more here. So that is first and foremost, I think that is a huge, huge thing you should have someone that is knowledgeable about that holistic dentistry realm that can not only provide education, but can perform the appropriate treatments. But nonetheless, my story quickly. I was a high school college age when every time I went to the dentist, they were right off you got another cavity. Let's just fill it in. This was a family friend. It was our dentist. Not so friendly. That's how it was a family friend. So it was actually the son of the father who was the actually the family friend. So the son kind of took over the practice. And he's like, let's just doing the filling. And I was 16, 17, 18 or 19. So I asked very minimal questions, “Why is this happening?” Your dad's got softie too, it's your genetics and then every time they'd be stop drinking soda and I stopped drinking soda and it's just still happening. I don't get it what's going on? So I got all these fillings done. And throughout High School College and then afterwards when I started to get into in the past couple years this functional medicine part of not only practice now that we're adding that I performed but just trying to better my health. As a whole I started to learn just how important the health of your teeth and your oral cavity is and I was just like, “Man, this is crazy”. I don't know how much of a role this is playing in my health. So I went down the rabbit hole and did the research and found what the organization is? I always mess up. Chad said he was gonna mess it up too. But I got it written down. So you should know the other acronyms. But nonetheless, I sought out harmony, and I found them and I was like, what I gotta get I gotta take care of this. And I met with Dr. Mayr, a little over a year ago. I think now I don't even know how long ago was but he has done I think five or six of my failing replacements at this point. We still have some to go. I know that sounds crazy. But like I said, every time I went to the dentist for a span of four or five years, I was getting a feeling pretty much every time. So I had pretty much most of my molars done. And that was something that I was just like, let's just get going with will hack away at it over time. And I'll let Dr. Mayr talk about the specific process they use for that replacing the amalgam the mercury filling, with something a little bit more consistent with your body's physiology. So that is super important, because the other side of it is potentially releasing the mercury and which can be toxic at certain levels in your body. So I just started to do that myself. And I'm, I'm excited to continue along that process. So that was how I found Dr. Mayr. But let's let Dr. Mayr tell his story a little bit, tell his side of it. We told ours. So let's let you go now.
[00:06:47] Dr. Mike Mayr: Well, thanks for having me here. And thank you for finding a space for somebody like me in your space, I think that as we kind of learned as practitioners and providers for folks, and understanding the body is incredibly complex. And we are specialists in certain areas of that. But I think what's important to always keep in mind is that those walls, there's no walls or barriers that exist between what you and I do everything, I believe impacts one another. And so whether I'm a chiropractor, or a dentist, or a physician, or a nutritionist, a physical therapist, you have to be kind of thinking of what is beyond what you've been trained as your specialty, and how is that influencing your outcomes? And how do you address those things. And that's what brought me into this world. You go through your education process, and it's based in very conventional teachings. And especially on the East Coast, I just feel the institutions around here are well established institutions that they have put out lots of great material over the past centers at this point or decades, but they're so rooted in that they can't see any other perspectives. But going through your education my question was always, well this the only way? I grew up with a family that was living, healthier kind of lifestyle, and maybe slightly alternative, a kind of a balance of both conventional and alternative kind of ways of life. And I went through schooling and this is great and all but I just knew talking with folks who had already gone before me that there's a lot more out there than what they taught us in school. And I met my colleague, my partner, Dr. Yuko, who I practice with now and she was just kind of getting into this holistic biologic dental space at that time. And we discovered the organization which is IAOMT (International Academy Oral Medicine Toxicology) and this is the largest group of dentists who practice more biological holistic dentistry throughout the world really, it's a global organization and, and it just the material that they provided was, was really eye opening. Some folks might read a lot of these things and say, this seems a little weird, but what I found throughout practice is seen as believing I told my patients that all the time I'm my biggest skeptic, I do as much research as possible. I read the literature, I put things into practice. But even then, I'm not completely sold on it. I want to see the outcomes myself. But the IoT has been a really good organization and providing at least the foundation foundational knowledge for a lot of what we do now. And as you get into it, the biggest thing as, as providers in any sort of healthcare space is asking questions, as you as you as you kind of go along, because you'll experience that one or two, that patient or that client, who's kind of stomping you and you're just like, what else is going on here? Are you start to see patterns with folks, I see patterns all the time you say, “What's happening here?” Nick, you talked about your passing dentist, just saying, “You have genetics, and you have soft teeth.” I hear that all the time. And I think there is that component, for sure. But that can't be the only component, and I can go into some examples that just boggles my mind sometimes. And I call myself kind of the Sherlock, because I'm trying to figure out, we have diagnostic testing available to us that we can try to uncover these things. But then there's only so much I can do. And that's when I need to have my network of providers that I can reach out to and say, I can't do this, can you do this for me, and let's see if this puts us in a different place, or puts us in the direction. So it's been a wild journey, there's a lot of learning. Again, in our formal education, you talk a lot about the mouse. And you don't really go below the neck, you don't really go above the eyes. Again, there are no walls that help us in that all patients out all the time, there are no walls in our body. So to think that anything that happens, your mouth just stops at the root of the tooth or the jaw, it's doing you a disservice. But what I found is that it's also very challenging, because now you're forced into this into a bigger realm of understanding, whether it's from a neuromuscular standpoint, or from a physiological or biochemical standpoint. And then all of a sudden, you're getting into the medicine or the physics of it, and it can be daunting. And so that's again, why I have educate myself to a certain extent, but then I know when to pass the torch on to somebody who does this better you guys. So it's a very interesting different way to practice but it's very fulfilling. A lot of the folks that we see either they're looking to just a better wellness outlook on their life. And I also have a lot of folks who are dealing with some chronic diseases that conventional medicine has not been able to address. I feel we're not there to be end all the cure for everything. But we're a piece of the puzzle of this very complex body. So it's been a fun journey.
[00:13:04] Nick: That's awesome. There was a few things there that I really appreciate you saying you grew up in that way, where it was kind of a balance of using conventional medicine and more kind of holistic health. And that is where I talk about this with patients and people all the time. And sometimes in an argument where they're like, what are you saying, we shouldn't have medicine? No, I'm not saying that. I'm just saying we're turning towards medicine probably too much. Can we find a better balance where we have these really nice pharmaceuticals and maybe a lifesaving situation, but let's not use them in a situation where maybe it's overkill? And that's the reality I think we're at right now as a healthcare system is we're very scared of this gray area. And that's that that complexity that you touched upon, that's what it is. And we have to be the Sherlock and kind of dive in. And we've always our way through that, that gray and that complexity, rather than just being look at it, let's try to be make it black and white. It's either this or that. We either do the filling or find a different way. So I think too many people are out there focusing on the black and white. And that's why you said with the genetics, that's a piece of it. But I think those are the two biggest scapegoats cop outs in our healthcare system, our age and genetics. Because the provider immediately if they say, genetics, or age, or both, I don't have any control over that. So I took the pressure off myself right now. There's nothing I could do. So why would we even focus on that anyway. Until we can change those things, we're not gonna focus on let's focus on the stuff we can control and manage what we can manage. So I love that you touched upon that kind of stuff. And the one thing I'm not even gonna use the acronym but toxicology being “T” of the last word. I love that because that organization is respecting this huge issue, in my opinion in our modern world for anybody in the health space. Your body's toxic load. We are exposed to so many different toxins. I did a workshop here a couple of weeks back. And I told those people I said, “Look, there are the EPA has identified over 104,000, toxins chemicals in our environment, we've only studied 4000 of them” that's insane. So we don't even know 100s of 100,000 of them. We don't even know what the effects are, we have no idea. And then you think about we don't even know what the combined effects are when we start interacting with these things. So respecting your body's toxic load, helping your body to flush out toxins and deal with toxins is super effective. And that was one of the main reasons that I sought out Dr. Mayr and helping to get replaced my fillings because I didn't want a toxin sitting in my body all the time. And maybe if I eat something and some of it chips off, or some of it gets inhaled. I don't want that in my mouth if I can avoid it. So that's a really cool thing that the organization is saying, we're gonna put this toxicology word in our in our acronym, because most people will look at that and toxicology that's not dentistry, that's for other people that's for an environmentalist or something. But the fact that we have this organization of biologic dentists recognizing that this is really important, these toxins are affecting people day in and day out, and we're not respecting it, we're not realizing it, or treating it.
[00:16:20] Dr. Mike Mayr: One of my favorites, one of my favorite things to talk about is the rain barrel factor. And if there's a book on this, and it's a really great example that you can use in multiple areas of health and health care and whatnot. I always tell patients, you have a rain barrel, for every sort of thing that you're exposed to in this world. And you said, there's a lot of things and that rain barrel, if it has a spout at the bottom, and if it asked about is open and it's running well, your body has the ability to kind of keep yourself healthy, you're detoxing organs, they're doing what they do. But if that spout gets clogged, or that rain barrel just gets flooded, all of a sudden with something and it overflows, that's when disease happens. So I never tell patients who come in who have an amalgam or mercury fillings that I never say that, it has to come out.
[00:17:14] Nick: For everyone, listen, “That was me.” He literally said, he's probably tested first. And I said, “None,” and I don't care about that. I just want them out. This is my thing. So don't think I went there. And he was like, “We gotta do this”. He had a conversation with me. And I was like, “Look, I learned about this, I want these.”
[00:17:33] Dr. Mike Mayr: Everybody has a different journey. And some folks want it done quickly. Some folks, we do it over a long period of time. But I always say, not everybody in this world is going to experience disease the same way. And that's why I think medicine is moving to a more personalized space, because we understand while there are trends, and we use a lot of population data to help guide us with our treatments and whatnot, that still doesn't take into account that there's individual differences among amongst everybody. Again, one person's experience with a disease is not going to be another person's experience. And so that's how I aim to treat folks is, I don't want to have this kind of blanket, kind of treatment plan for everyone that walks in the door, you try to personalize it, and ask why and try to figure out the etiology of things before you start to execute. I think one thing toxins in it, they're everywhere. And even with what we do, at the end of the day, the dentistry that I do is still in a very conventional space. I cut the tooth is a very similar way to what we taught in school, I'm not using crystals to help. So we've tried to source materials that are that are being manufactured, that are the most biocompatible with our bodies. I tell patients all the time, I say, Nothing is going to be as good as your actual tooth structure in there. And that's why for folks, Nick, or anybody who comes in, I tend to be ultra conservative before I cut that tooth, because once you cut that tooth, it's gone. And you're gonna have a lifetime of replacement and treating it with whatever materials available. And so really preserving what we've been given I think is so is so important, and understand how to heal that. And there's a lot that we talked about, and that's in the practice about that.
[00:19:32] Nick: I like brought up the rainbow effect because Steven Cobra is an integrative doctor in Boston, and he wrote the book, “The rain barrel effect” and it's very, very digestible for anybody you do not have to be a provider to understand and extrapolate things from that book. He very much simplifies how you can address what Dr. Mayr was just talking about your rain barrel filling up or your spout being clogged, that you can address it, he gives you practical tips that you can implement today. So it is a book I recommend for everybody just to read and make some progress on their health journey because it really is a well written book. Just very quick read simple practical tips. So that's pretty cool. Do you work with Dr. Growing up?
[00:20:25] Dr. Mike Mayr: So he's kind of moved into a new kind of phase of his practice. More virtual and definitely cater into a larger kind of population of folks. But initially, years ago, we first started his office was right down the street from our eyes. And so we had that benefit of just sharing patients and sharing our message with each other. There's a lot of folks like him that are in this space, and they have a lot of good things to offer. But I love that rain barrel example. Because I think like you said, it's easy to digest for sure it for folks and it makes sense.
[00:21:00] Nick: So that's fantastic. So I definitely want to get this, let's do this first, because I want to get this I want to make sure we talk about this. So the smart technique. I want you to describe that for the listeners, because I've told some people just about my experience of what I went through and how different it was from a normal feeling. And people sounds like a little excessive. It sounds like a lot. It sounds kind of crazy. So I want people to hear from the specialists, because I couldn't see anything I had, my face is covered. And they're like, “Wait, your face was covered.” It was dark.
[00:21:40] Dr. Mike Mayr: Your silver fillings, also known as amalgam filling. They contain mercury in them, close to 50% of it is Mercury. Mercury is a well-known neurotoxin. I always use the example of when I was in school, I remember we had the thermometers in grade school, the thermometers that had the mercury in it. And I remember when one of those broke, it was evacuated this kid close to it. And then totally forgot about. And then in our profession, I wasn't around for this, but folks before me, were just would say this is before even gloves kind of even existed for isn't in the 70s and 80s. But they would just pick up this liquid mercury with their hands and mix it in their hands before they were putting it up in the purlins. It's wild. So this is what comprises those silver fillings. And what we know about it is that that while a lot of that is mixed in together, that it is not an assault, it's not in a state where it is stable, it is always being we call off gassed, or released those fillings, there's their Mercury particles that basically just released from those fillings and you either breathe a man or obviously, if you break a piece of that feeling and you've ingested, there's that exposure, but it's always happening even at the highest level of ADA, they acknowledge that there is a degree of mercury release from this fillings. They say that it's just so small that it's not going to affect you. But again, I go back to that rainbow effect. I'm like, “Well wait that that spout is clocked up?” It slowly fills up throughout your life. So through the IoT, we have been certified under “SMART”. SMART stands for (Safe Mercury Amalgam Removal Technique). And there are a number of interventions that we have to take in order to protect our patients and to protect ourselves, myself and my assistant, as well as our office in general. And so when we purposely built out our office because we wanted to space that wasn't an old practice that we were buying into that the person there was just kind of drilling out these silver fillings in the mercury. It literally just goes into the walls and onto the floor and that is created, I'll talk about in a second. It's everywhere. So a number of steps that we take, and that starts with it really simple is just doing like an activated charcoal slurry. When you sit down with this, and we do that just too kind of line the gut to make sure that whatever gets passed are barriers and whatnot. Your body at least has some level of protection there. And then there are a number of steps that we take to obviously protect your mouth from having any of that when I drill that, that it just it vaporizes. It turns into just a whole toxic slurry in your mouth. We want to make sure that's not going down your throat. So this rubber dam on there, your face, you have a cover over your face. So again, that aerosol is not landing on your skin. You have an arc Oxygen cannula in your nose, that the air you're breathing. And really, it's the air. That's the most important thing when we're doing this, because when you breathe something, and it goes right into your lungs, and then it transfers right into your bloodstream that it's, it's deposited throughout your body. So the air is a very, very important component to this, we make sure that you're breathing in some clean oxygen, your nose is covered, we have a really high powered high speed backing that sits over your chest. That is that is sectioning all of the aerosol up we have ionisers that are running in the room. Again, to capture any particles to keep the air as clean as possible, keep the room as clean as possible. Your whole body is covered in a sheet that we dispose of properly. So that doesn't go on your clothes, you're not taking that home to your families. And then myself and my assistant, we're in some kind of major PPE, which some people might think they called the spacesuit, but I have a respirator that I wear because I have to protect myself. I think in a conventional practice, I'm actually at a higher risk, because I have patients coming to me to have these removed. Whereas in a conventional practice, they might be removing these amalgam fillings a few times a week, but I'm doing it on a daily basis. So I gotta protect myself, I got to protect my system that I'm working with. So we were these big respirators, I have a whole kind of gown that I wear. So those steps all together, I never tell a patient that it's zero exposure, as much I'd like it to be zero exposure. But it is significantly less than what you're going to experience in a conventional practice where there are no standards set. There's recommendations from the ad that you should put a rubber dam on the tooth when they're drilling out those silver fillings, but it's a recommendation, it's not a requirement. And so I've had so many patients who say, they're just shocked when we do the first removal, they say, “I had one done a few years ago, and my whole mouth just had this metallic taste and I was just spitting all this black stuff afterwards.” And then you wonder, why there could be a health decline after that, that's when that rain barrel gets that dump of just like that specific toxin that mercury all at once. So if you're going to have them removed, I always just say, it's better be safe than sorry. Some people might say that what we do is overkill. But I know what I want for my body, and my patients know what they want for themselves. And I think I wish that this specific technique, I don't think it's rocket science, I don't think it's necessarily even impossible for more conventional practices to be doing this, it's just a safety measure that we're taking to protect people.
[00:27:48] Nick: Now I don't think it's overkill at all either. It sounds like a lot, but it's really not. And if you think about something, I don't even charcoal rinse before or charcoal rinse and swallow before and then charcoal, rinse and spit afterwards. Charcoal is really cheap. It's not going to be that expensive for your clinic to stock up on some charcoal to provide to people. I know there's probably more costly things involved in the special event, things like that. But it really is worth it, in my opinion. Because if you reduce the exposure to mercury in that moment, now when someone then goes outside, where they're just naturally going to be exposed to stuff, whether it's pollution from cars and vehicles things from above our heads from planes, and then things from power plants are whatever, all this stuff in our environment that we're being exposed to that we aren't really aware of and we kind of know what's there. But no one's really thinking about it. It's all just kind of quietly affecting us. We can better tolerate that stuff, if we're not getting this big bolus of mercury. So it just makes sense to me at least. I don't think it's overkill at all. I know it kind of sounds like it when you say it. But I had that same reaction, you were describing that when I told some people about how it went down. They were like, I didn't do that that sounds kind of crazy. It's kind of worth it in my opinion.
[00:29:12] Dr. Mike Mayr: So from the provider perspective you got to take care of yourself versus take care of others. There's a lot of research out there that shows that especially in the dental world, the things that we that are aerosolized when we drill things and things that we breathe in as providers even. They talk about the FDA acrylics that we've always had passed and how that gets into our lungs and what kind of health effects that has. So from a provider perspective, whether you're listening to this and you're a dentist, or you talk to your dentist when you go into them next time ask what are you doing to protect yourself to take care of yourself? I see some of these older folks that they have to retire early because there's they start to have tremors and things like that. I can't help but wonder people were touching that mercury with the bare hands have some sort of health impacts.
[00:29:56] Nick: Now do you know if there are higher rates of any kind of conditions or anything that in people who were in dentistry that for their careers? Because I know in some spaces, firefighters have higher rates of cancer, and they're exposed to it. The firefighter phones and things like that are known to be the “Forever Molecules” the PFS, or the poly fluorinated substances, but those are known as “Forever Molecules” that we found in, in the laboratory, and the studies don't break down, just , we don't know how long they may last forever, we have no idea. , so firefighters are known to be exposed to those higher rates. So they have higher rates of certain cancers. So they think that, that that's the association there. But again, it's a rainbow thing. It's not just that, it's a combination of factors. I know there's definitely some professions out there that have these associations with, we're exposed to these types of chemicals on a daily basis. Now, we've seen that.
[00:31:05] Dr. Mike Mayr: The EPA recognized this, and ADA recognized this back in 2015, when we had when they started to mandate that every office put in these things called amalgam separators, into their sewage systems. Because before that, what would happen is that you'd have removed these amalgam fillings that would suction it up, and it gets suctioned and release into this your wastewater system. And then the wastewater treatment centers don't have the ability to treat that. So we're finding out. Now, fortunately, that's mandated that every office have these specific separators that capture it, and then you send it off to be disposed of properly.
[00:31:48] Nick: I imagine if mercury like you said, it's that unstable blood molecules that are breaking off, or sometimes very, very microscopic, that they're gonna get through any kind of filtration system after water treatment, because then at the water treatment, the filtration, we know that micro-plastics get through, we know that a lot of these chemicals are getting through, that's why it's in people's tap water in their homes. And that's a huge factor for just health in general for everybody nowadays is the water because we're getting all these things released into the water supply, and then it's going through a filtration process, but that's they're all small enough, all these things that we're finding are small enough to get through. Whereas there, they're catching the big stuff, the sediment, the stuff that you can actually see to the naked eye. So that's super interested in that concept of them then mandating that but now you can still use it, just separate it in the water. That kind of reminds me of there was the EPA. They banned triclosan, which is the agent that makes soap foamy, the antibacterial, they were finding that it was playing a role. There was a bunch of lawsuits because people had learned about it and I've been using this for however many years, whatever. So now they're getting all these lawsuits filed against these companies. So we should probably do something about checklists. And so they just banned it in pentose. But they let any of the products use it. So you know all these other. God brought makeup, it was right in makeup, don't wash your hands with it. But you put on face, you may eat some of it, but it's fine. It's gonna get in your eye. But if it's not your hands, you're good. Why don't we just say, you could ban it here, but not here. It's crazy. So that stuff happens all the time. And that's the stuff that we never hear about, no one hears about unless you go do the research, so this these types of things that these manmade, substances, chemicals, whatever, the US, we kind of do it backwards, we use it, we create it, and we use it. And we say it's safe until proven otherwise. Whereas a lot of other countries, when a chemical is created in a laboratory, they study it, study it, study it before they release it to the public, because they are viewing it unsafe, until they prove it safe. So we kind of do it backwards. So it's important for people in the US to know and understand that, that if there's these products that you're using, they have words that you don't really you can't read very easily. You have to really look at it to read it. It's probably Dr. Mayr said to be better be safe than sorry, because we don't know. , there's a lot of stuff we don't know about that. Because these organizations are studying it can take time. We all know that research takes some time. So if you can minimize your exposure to it, of course, at some point you're going to be exposed to it or use it or you're at an event or a restaurant or whatever. And they have foamy soap, it's one time but should we be using the foamy soap at home? Maybe not. So I think that's important. It's just an important kind of concept for people to understand. So the smart technique, what do you guys fill it with afterwards?
[00:35:01] Dr. Mike Mayr: So again, we have done the legwork to try to find materials that are as biocompatible that are as least harsh on the on the bio terrain as possible. When it comes to the material we use for a filling, or bonding or composite, whatever, you might have heard it as we use through a company called “VOCO”, we use a ceramic bass composite. So, a lot of the composites that exist, basically what a composite is, is you have a picture a little sphere that's surrounded in kind of a liquid kind of matrix and a bunch of these little spheres. And traditional composites have these spheres made of plastic. And they're surrounded in this kind of matrix that we that polymerize is and gets hard and turns into you're filling. Those plastics are just like any other plastic. They have a number of chemicals and things that have gone into it that we don't know, obviously BPA, things like that we know of but there could be other things we haven't discovered yet. But that exists. So we opted for this Admir fusion, which is a ceramic based particle. So it's basically ceramic, it's glass. And it is surrounded that matrix. So again, we do something called biocompatibility testing in our office where a patient can have a blood test, and basically have every dental product on the market ran against their blood to see if there's some sort of reaction to it. And we found that very, very few patients have any sort of issue with this specific type of deposit. So that's really interesting. And if we move into something a little bit bigger than a composite, we do a lot of we don't do a lot of full crowns and a lot of partial crowns, we try to make it minimize and maintain as much structure as possible. But any sort of ceramic that we use, it's non-metal. And again, it's not for every patient, but the biocompatibility testing is really interesting, because I have had patients that are not suitable for even a ceramic and then we have to get really kind of dig deep to figure out what is compatible for their body specifically. So you think about the folks that don't have that type of testing. And I'm not saying that it's very widespread people who have these incompatibilities, but your body might not like something that you're putting into it every day, and you just don't know it. So that's what we use. And, again, our techniques, we're always trying to even the way that we place fillings and restore teeth, we try to do it in a way that mimics what was there. We call it biomimetics. But just kind of restoring to what nature had kind of initially had there. And there's so many, I think a lot of times a filling, you just kind of go in there, they plop it in there and you're out the door, or we take a lot more time because it is very technique sensitive, and there's a lot of different things, you'd be surprised this tiny little thing in your mouth. How it can just changing it or altering its structure, how that affects. And we talked about a little bit later, but it's even from a muscular and a neuromuscular kind of standpoint, it can affect you.
[00:38:22] Nick: It's so interesting that even though you guys are using something that has been shown to be more biocompatible that you're still kind of checking in on it and making sure that it’s okay with the person's body, because I feel most conventional dentists would put the mercury filling in, and someone may come back and say, “I'm having an issue with this. And I know, that's not the feeling that's something else.” They would just kind of brush it off, it can't be the filling. I did a great job. It can't be respecting the fact that that person's body may be less tolerant to something like a mountain. That mercury from the amalgams. So that's cool that you guys do that as well. So let's actually segue into that because you talked about how it can do some things neuromuscularly so we in the physical therapy space, we deal with a good amount of TMJ, we kind of go through waves where we'll get a huge influx of people all at once. I don't know we should pay attention to right time of year we get the holidays. We're not in it right now. Now, we're not in it. But we do get this influx where one of our employees who works at the front desk, she gets from time to time. So she saw on the schedule that you were coming this week. She was asking about this because we will dry needle her jaw every once in a while, which she loves it feels great for her but she woke up the other day, and I think a lot of it this week was she was one of them. Someone else was out. So she was covering. So she worked like 60 hours or whatever you definitely since she was six I think, that was a big piece of it. So how do you guys go about the whole TMJ thing when someone comes in with those sense of things?
[00:40:01] Dr. Mike Mayr: So this is an area that I've really just kind of taken a deep dive into. And it's just so fascinating that the whole head and the neck, and you guys can speak to this, probably more than I can. There are so many different components that go into this chewing system into our head to our neck to our muscles, our skeleton to the ligaments, every part of it. So when it comes to the TMJ, you've heard so many things about it, people come in, and they say, “I have TMJ”. And I say, “We all have TMJ”, where you might be saying you have TMD, which attempted real disorder. But everybody, it's incredible the amount of tension that you hold in those jaw muscles in your masters in your temporalis or sternocleidomastoid that's maybe an evolutionary thing that that we have developed over time is that when there is that kind of stressful period, and lard lives, or that fight or flight moment, for whatever reason, those muscles just activate a lot. And then you have this bone under there, this mandible. It's a double jointed bone. It's one solid bone that has two joints on it. And I'm sure you guys know, our bodies are not symmetrical, everything is different from the right to the left. And so then you have this one bone that has a right side on the left side, and you expect it. So it kind of function symmetrically, when it doesn't, it says on the base of your skull, and you have these lots of ligaments that are tied to these really intricate muscles. So it's really, really complex from a musculoskeletal perspective, and then you bring in a physiological component, you bring in the environmental component, and then it just gets even more and more complicated complex. So when it comes to these patients, we try to take a functional standpoint, where you look at one area, and you try to stabilize or assess it and address it, and then see how that affects the outcomes. And then you kind of move and to the next system after that. And so when I talked about the chewing system, I look at it from a standpoint of balance between the joints essentially. So if a patient come in, and they have their complaint of symptoms, whether it's pain in the joint, or radiating pain up their head with migraines, or even tooth pain gum recession, these are all a lot of a lot of times, manifestations of issues that come from the joint, we try to stabilize and balance it. And so using things like an orthotic that can help to kind of level off the joints and where they sit inside of the joint. That's one thing that we do. And in doing that, I often have to call on my physical therapist, our practice, because sometimes to get those muscles to break down and it's been years and years, that's my splint. So I'll dress it from that standpoint, from that kind of skeletal, muscular, muscular skeletal standpoint. And then from there, he talked about a nutritional standpoint, I know that magnesium is a big is a big mineral that we know, we're quite deficient and is involved in the health of our muscles, and so in the contraction and the release of them as well. And so folks are super deficient or sometimes recommend certain supplements to start taking and then and then if we go beyond that we look at obviously, lifestyle. So life has to be partners, that's probably the hardest one to control. Because how do you tell somebody, could just stop stressing now but that's another area. And then the fourth area, which I think is for me, really, really coming to the surface here is airway, and how our airway drives a lot of function of the of our mouths and our jaws and our head neck. Again, it's interesting to see how things manifest way beyond the joint how they translate down the neck to the, to the shoulders. We'll photograph people before and after even just putting them in a stabilizing splint. And I'm sure you guys see this all the time. As you see just different leveling of the shoulders, you see kind of neck head tilts and things like that. And it's just all about imbalances that exists there. And so trying to just provide that leveling effect, there is one important component to it.
[00:44:56] Nick: That's one of the main reasons that I said at the beginning. I think everyone should have a biologic dentist in their network. And part of that is because they're not only trained, but they're just aware and they're paying attention to the airway. Whereas I think a lot of conventional dentistry, they may go through it in schooling and things like that. But they're kind of viewed as separate entities, go see the end for that or the pulmonologist or whatever. But there is that that such that , intimate connection between the two, because of not only are they adjacent, but the mouth is there as a backup, kind of support system for your nasal cavity and all that kind of stuff, and the nasal cavities, the roof of the mouth, and so on. So that is one thing, where you're getting a different kind of viewpoint as to your particular airway. Because so many people out there, we see it all the time, people are dealing with airway issues, and they're not really aware of it, because they go to the pulmonologist and they test on their typical tests there. So your respiratory capacity is fine, your airway is fine. Maybe not, maybe that's just compensating with my mouth instead of my nose or something like that. So, I think that's super important for sure, and then the whole thing about magnesium, it's so true. When we are stressed, your body uses up your stores of magnesium and B-Vitamins primarily first, other things too, but those things that we just blow through in a state of stress. So not only is our food less, less dense with magnesium, but we're just blowing through it in our modern world all the time. So those are two things that when I talk to people about supplements, or what should I take? What's the best thing? My first is, “Well, are you getting enough protein in your diet?” If not, the high quality protein powder is usually first recommendation just because I know they probably need more protein in their lives. But usually next is going to be magnesium and then some good high quality, be complex, usually just because people are probably deficient in those things, and just blowing through it with some stress bonded out. So I love the fact that you brought that up for sure. It's crazy.
[00:47:14] Dr. Mike Mayr: It really is. And in the airway component, I always tell folks, and it is something you probably see as physical therapist is, you're watching that person while they're doing whatever treatment they're doing. Just look at how they're breathing other is your mouth open? Is there constriction in their nostrils shoulders up? There's so many ways to intervene. And I think that's everybody's role, but especially if you're working in that space there, they're easy observations to make. And once you make them, like I said, a lot earlier, you start to see patterns and things. And it is so telltale, it's just you see it, and obviously it will correlate to something else down the road, and patients will sometimes be surprised. I'll say, “Your palate is really vaulted. Do you have trouble breathing through your nose? Do you go through your mouth? How's your tongue tied?” If you can just start you can just predict everything.
[00:48:12] Nick: Absolutely. It's crazy. The breathing thing is something that in the past couple of years I've gotten more aware of assess everybody, no matter what we're dealing with. I just says the breathing. , hands on the ribcage, see how the ribcage is moving? Is it expanding? 360 degrees, all that good stuff. And then just check how's term posture, mouth breathing and nasal breathing is? Because for a lot of people, it's just awareness, some people can just and it's awareness over time. That's something that I noticed a couple of years ago, because I watched a presentation from a myofunctional therapist three or four years ago now. And all the things she was listing, the precursors to sleep apnea, I'm doing it all right now. So all I did was just create an awareness practice around it. And I've made so many changes with my breathing, I used to be at asthma through throughout middle school, high school, all that kind of stuff. I can't remember the last time I took my inhaler, I used to have to take it decently regularly. I used to get pretty significant allergies, maybe not 365, but close to it. Then every once in a while, they'll come around, but then I just usually my first step is instead of going into allergy medicine, let me just make sure I'm breathing through my nose. So I can clear that out and clear out the pathway there. So I'm not just breathing through the mouth, because that myofunctional therapist that I was referring to, I forget her name, but she basically said the best thing you can do when your nose is stuffy is just force nasal breathing. And I was like, “Wow, that's so counterintuitive, but it's it just it kind of makes a lot of sense.” So that's why we've seen this boom of mouth taping all over the internet and that kind of stuff but it is so important. It's something that a lot of times, there are certain instances where we need medical intervention, some severe sleep apnea and things like that, but a lot of people can just create an awareness practice around this daily and make some significant strides. And I think that that is so helpful because that is easy. That's free. Anybody can do it, just while you're driving, do pair it with other things that you're doing. It's like, “Am I breathing through my nose?” Alright, cool. Let me focus on that for five minutes and then carry on my day.
[00:50:17] Dr. Mike Mayr: The downstream effects of it are incredible. I am just blown away. Folks dealing with obesity with blood pressure issues. Something as simple as just breathing properly can have an impact on that. And then we can talk about with kids, that's huge. Nick and I, we talked.
[00:50:36] Nick: We've been going back and forth a little bit. We're definitely gonna get him in with you. But my little guys do. We've had some, just concerns about a minor tongue tie that, and it's something that it well, he's in a baby, it's better. If it is significant to get it, handled them because babies respond like that, it's crazy. Versus if you wait later in life, it takes a little bit more attention to detail for sure. But we're waiting a couple more months for sure just to see.
[00:51:12] Dr. Mike Mayr: So that's pretty interesting how that your body is formed and grows. And according to something, it's just as simple as your breathing.
[00:51:24] Nick: And then environment comes into play too. Because if you have a child at home, and maybe you have mold in the house, or you have some kind of something in the house, the house is stuffy. Maybe it hasn't been cleaned. It's super dusty. A baby is just gonna breathe, however, they got to breathe but it's gonna take path of least resistance. So if you notice that they're breathing more, your child is mouth breathing more, maybe we need to address the home too, we need to address their room, the immediate environment, because there could be something there, that's triggering them. Maybe it's not something internal, so we have to look at it as a whole picture. And it sounds like I do so much. It's the world we live in now. It really is, it's the world we created.
[00:52:06] Dr. Mike Mayr: So it have to happen fast. You take little steps, little baby steps, just like with everything, for sure but there it is. It can be overwhelming at times. But there's little things that you can just start to put into practice that that are manageable and make a big difference.
[00:52:24] Nick: I know Chad wants to get into a little bit of the insurance.
[00:52:26] Chad: Dude, it's been about 50 minutes. I'm just gonna get it all in right now. But I am going to chime in only because, I want to chime in on a few things. There were a couple of things. And the main thing that I'm noticing is obviously your approach to dentistry that is probably different from the conventional type of dentistry, we are in the physical therapy world. I guess my big question for you is, are you an anomaly? Is that just or is it frowned upon or is this a shift in dentistry now, where a lot of people are now kind of taking this whole health approach where you were just saying, just noticing something as simple as breathing is something that I should be kind of noticing in my patients kind of going forward where it's a patient comes in and says, they get soft teeth? Is that like a patient that comes in and says, “Hey, I have arthritis? Do you really mean, so? I don't know the world. How's it going in that direction?”
[00:53:22] Dr. Mike Mayr: The funny thing is, I think things like this, podcasts, social media, there's more connection that has come of this, and more people are talking about it. And that's I think bringing more awareness to more providers, I think we're still incredibly deficient. As far as understanding and, and, and having the ability, this is a big part of it, having an ability to actually practice that way. We designed our practice in a way that we can, that we are allowed to take the time to address these things. And in medicine, as you guys know, time is everything. And if you don't create an environment or a business, that can foster your ability to take the time, then you're not gonna able to talk about these things or address these things. So that is a huge component to this is that I think providers know about these things to a certain extent, maybe not super in depth as much as I'd like them to know. But they don't have the ability within their practice models to talk about these things with their patients, unfortunately. And that's, that's the tough part there. So I think education awareness is a big part of it. But having been able to take that time and to understand and to work through it with a patient is I found to be incredibly even with, even with the amount of time that we've created I still find I still want more time and more resources and more diagnostics to kind of figure these things out. So I would love things like airway are coming to the surface. Like I said, across the bottom, , the broader profession, I think we still are very lacking in understanding nutrition understanding a musculoskeletal imbalances and how that plays into folks. It's so frustrating when I see somebody just like a night guard, and just somebody that's kind of molded and threw it in their mouth and whatnot, and you just want to look at it, you say, , their mouth is open, they can't close their lips or not. You know with it, their jaws are all out of whack. They're like chewing this thing up. I never want to put somebody in a worse place. We just do. But I'm hoping that there's some more kind of light shed on that. And then obviously, just the toxins that that exist in in our industry and uncovering that’s going to be a bigger battle for us just because of the pushback that comes from?
[00:55:55] Chad: For sure. I know, in the conversation that we had prior to this podcast, that we'll talk about in a second. But , just the fact that you were saying, , somebody comes up with a night darkness, what are you doing for that I feel that's when there's so many similarities between our professions where I feel when somebody walks into the door, and they've got these huge on and they've got these huge asks for thought. It's like, what do you do? It's, it's almost exactly like you just said, you are just throwing everything off. It just makes no sense to us. But it makes sense to everybody else, which is weird. We're the weird ones. I don't really know. We just do our education, and in our experience, that that's not the right thing to do. But why isn't it like that? Why doesn't everybody understand? I don't know, it's weird.
[00:56:46] Dr. Mike Mayr: It's difficult. I think it's because it's challenging, not understanding to know, they talked about the levels of learning, and there's an unconscious. I don't know, understanding where you just don't have any clue. And then there's those folks that they know what's going on, but they don't know how to kind of implement it. And then there's the people who know about it, the willfully kind of choose to ignore, and then there's the people that know, and they choose to act on it. So I think there's just there's a lot of folks that maybe, I don't know, I think they know better, or they just don't take the time to dive deeper. I don't know what it is.
[00:57:24] Nick: I think Chad hates when I do this, but I get I tend to I tend to kind of put it down. But nonetheless, I think there's a lot of and this, this, in my opinion applies to a lot. Certain professions, medical doctors, things like that, because they just don't want it , there was a report that said, medical doctors have on average, three to five minutes with a patient face to face time with the patient. That's insane. Imagine trying to do what you weave things that we've talked about in three to five minutes, obviously, a procedure wouldn't be three to five minutes. But in terms of the educational piece, I would fail so hard, because I was doing I told the patient this the other day, and I was I've been talking to you for and I looked at the clock, I was like, it's been nine minutes. And I haven't even gotten to my point yet. I haven't even gotten to the climax. And it was nine minutes in and so I think that there are a lot of doctors who aren't furthering their education and learning more. And so that is a problem for sure. But I think there are also some who are in one of those realms where they know it. But because they only have three to five minutes in the system, they don't know how to implement it. And then to your point, Chad, where you would say, well, they need to get out of it. I think they're also afraid to then take that leap and do what we've done, , and move away from insurance and the conventional model, because that's the only way, because if you only have three to five minutes, good luck. I have to give you something that will make you feel good upon leaving, because otherwise I'm just going to talk to you and you're still going to be in that state, or one of the states you just mentioned where you have, you still have no idea. You have zero clue you don't know what to do. So if I give you a medication, or I'm gonna give you this orthotic, put it in whatever shoe you got, I heard some things about these shoes. So go get these shoes, and put this in and it's probably gonna feel good today, tomorrow next week, but then at some point then your hips gonna hurt, your back's gonna hurt. It's gonna throw it off. So in the short term, I can give you something but then long term, I don't know. Because then also, I see you three to five minutes today. And then, I'm booked up, I can't get you in for another 12 weeks. So I think there's a lot of that going on too. But I do agree that you would tell me, “Stop giving people the benefit”. Now I get it. There are a lot of people who are just so caught up in it. And you mentioned this at the beginning. They're rooted in their old ways that rooted in what they were educated based on stuff from decades ago. And that is a problem. People need to expand their knowledge a little bit.
[00:59:46] Chad: I think you nailed it. I think time is one of the major reasons why patients don't get the outcomes they get because we just can't give them the time in a conventional practice, whether it's insurance or whatever. I know that that limits us with what we can and can't do and I know that's been a huge change with our practice. I know that you like to give people the benefit I I've just seen it for so long that I'm just done.
[01:00:16] Dr. Mike Mayr: If you've been doing it for 15 years then maybe we'll have this conversation again, I'll see if you still feel the same way.
[01:00:20] Nick: I've come around, actually. So you've gotten to the point where I have now with patients and clients, I used to be. So they're trying to do this or that. And I just stop seeing that person because it's only hurting you, you've just gotten to that point. And I get that insurance covering most of it, you only have a $20 copay, or whatever it is, it would save you 20 bucks because just don't go back. Because clearly, whatever they're doing isn't working, and that'll free up their time to go to see someone else, but we're getting to a point now where because of the internet, because of the podcasts and videos that are out, people are learning so much. So now people are going to their doctor, and they know sometimes a little bit more about a specific topic. And now doctors are getting defensive, and not just doctors that providers are just getting defensive. And I tell now, I've gotten in the habit of telling people that's a red flag, if your provider is getting defensive and not open to having a discussion with, I don't know enough about that. Let me go. Let me read up on that for our next session, then I think that that is a problem, if someone first reaction is, they come off as defensive, or they're kind of bashing what you're bringing up, maybe that provider is not for you. Because we're in this with this kind of transition phase where the general public are becoming much more knowledgeable about this stuff.
[01:01:46] Dr. Mike Mayr: So that is so frustrating when a patient comes in, and they're sitting in the chair there and they go, I'm so sorry. I have one more question. I said, “Why are you saying? This is what we're here to talk about.” And they'll talk about those providers, they've gone to they get chastised, and they get belittled. And that just boggles my mind. Because I want to be the best provider that I can be. And I want to learn as much as I possibly can for sure. And maybe I can't do it all. But if you're not trying to move into that next space, then you got to really question I think you really have to question what your role is in the in your profession because I think we have a duty to consistently be raising the bar.
[01:02:34] Chad: Absolutely. I think it's a shame that there are a lot of great providers out there, I know, a lot of great physical therapists out there that are just subject to the insurance world, and they can't be as good as they want to be because they have these limitations. I think podcasts and conversations like this, are not only bringing awareness to patients, but also to the other providers saying, “Hey, listen, you have a choice.” So I do it, because I want what's best for the people and what's best for the providers, not because I want to be a dick, if you take it that way, that's fine. Maybe that's your motivation. But it's one of those things where it's just a shame, I just see it so often but you can though now. So I think that it's great that it's going into other professions like that history. I think it's awesome. That's great. That's very possible. That's really cool. And you have made the switch away from insurance just recently. And, how's that been gone?
[01:03:28] Dr. Mike Mayr: We had we started our practice seven years ago from scratch, the ground up. And so when you're in those early phases, it's understandable that you have to pay the bills, keep the lights on, and there are certain things that you have to do as far as taking insurances to make that happen. But as we knew, our whole intention from the start was that we wanted to get to this point, it was just a matter of one. And as we've gone through this process, little by little, we've kind of dropped insurances along the way, I have the ability to take the time and during a treatment, it's just our practice model so different from a lot of other practices. And I have colleagues who come in there, they'll look at our schedules and things like that, and just be shocked and say, how are you surviving like this? Look at the write offs that you take. Have you ever looked at that, look at your annual write offs, and your jaw will drop. It is just so hard. You're not getting paid. It's almost a crime. It's maybe not a crime to us, but it's a crime to the subscriber the patient, the person that's paying for that policy, the businesses that are paying for those policies because they're doing a disservice to themselves or to their employees or whoever by providing this insurance that is handcuffing so many providers and not in allowing us the time to really address things for the patient helping them come to a better place. So it's been for us, we're going through that last phase of it right now. And every step of the way, it's almost impossible to avoid the sense of worrying and fear, what's going to happen when we do this, it's just for me, it's something that I try to work on, but I can't avoid. But every time we've gone through each of these phases. Everybody I talked to you chat, they all say you're gonna get through. And we looked at our collections. And for the first time, I was working at a pace that I felt comfortable that I could take the time, and we were meeting the levels, we actually could actually put some of our funds away into a savings account, which we would never been able to do, we were always cutting it close every month. So it's been a good move so far. And I anticipate it to continue that way. Everything takes time. It takes time. So I don't expect it to happen overnight. And we talked to kind of about the 12 to 16 month range and whatnot. But I'm in it for the long, I'm not going anywhere. So there's going to be some, it's gonna kind of be some highs and lows of lows. But I think consistently will just improve.
[01:06:21] Chad: I think that was the one big thing too, when we first made that switch, people were getting, they were almost taking it personal as to how much we were charging. And it's not personal on the patient at all. And it makes us look greedy. And it almost makes us look like we're trying to make more money, I make way less money now. I can show you the spreadsheet would make you vomit. If I wanted to make more money, I would continue to take insurance and just have a bunch of providers like everybody else. And then fish two to three patients every single hour. There's that's what people do. But that's not our model, we can't get the best outcomes that way for our patients. So we have to be able to charge more to like you said, keep the lights on be able to pay our employees, but not only pay our employees, give our employees benefits, that's part of the deal. We want our employees to be healthy as well as our patients.
[01:07:15] Dr. Mike Mayr: I have this conversation with patient’s hard time. And this is the economics of it. This is the reality of it. I'm not out there driving a Porsche. I live a comfortable life, I'm very happy, but I'm not in this to get rich. And some patients think it's greedy. But look across industry, you'll be surprised is because you're used to getting that insurance statement seen. If you look at your insurance, your explanation of benefits that come in after you have treatment. And if they do that for physical, like look at the breakdown with insurance and just kind of sit tell your patients to read it really carefully. And understand what our fee that we charge is. What we're only allowed fee is charge and, and do the math. It's incredible how much we have to take a hit on.
[01:08:06] Nick: People that people have to understand that the insurance company people but I have insurance but the insurance company doesn't care about you. They care about money. They're trying to maximize their profit margins, they don't really care about you and your health. If they did, they would be providing the services that will prevent something catastrophic from happening down the road, they just want more money today. And in the long run, it's usually going to cost them a little bit more money down the road. We have crazy rates of health issues later on in life now, because of the lifestyle and culture we've created. That's a topic for another day. But the insurance company don't care about you just flat out. People think they do. It's they don't.
[01:08:51] Chad: I would even argue that it's cheaper to not go through insurance. And I've seen that myself, as well as with our patients. My brother, for example, got labs done and got charged $400 for a metabolic panel. It was the most ridiculous thing I've ever seen that basic stuff.
[01:09:11] Nick: Not even the stuff that you're gonna get information from he was being diagnosed with or they were suspecting thyroid issues, and they only tested TSH, it's crazy. You need the other stuff.
[01:09:24] Chad: But anyways, we had him run another panel, and it cost him almost $200 less to not go through and just self-pay. I don't know if that in your profession. But how many patients do we have that comes in that we're seeing a PT for two to three times, if not more times a week made no gains. Now they're coming to us four months later, they've wasted all that time and all that money, and now they got to pay us on top of that. Where they could have just seen us once a week, been way further along, and probably either made out or broke even in terms of how much they paid. It's crazy, that's wild. How many?
[01:10:05] Dr. Mike Mayr: We could do this. That's cheaper. But it's not going to last. And sure enough, I've had it fixed it like every two years. How much does that cost? You don't want to do this one other alternative that costs a little more up front, that's gonna last you a lot longer. I don't know.
[01:10:22] Chad: It's wild. But it's a good move. I like that how the profession is going in that direction.
[01:10:28] Nick: For sure. Now, I think it's good. It's where it needs to go.
[01:10:32] Dr. Mike Mayr: I think for medicine and healthcare, there needs to be some sort of revolution honestly, if we're ever going to expect outcomes to change.
[01:10:45] Chad: I think you made a great point to going through dentistry school, we don't look at anything above the eyes, anything below the neck. When we treat a shoulder, we treat a shoulder, when we treat a knee, we treat a knee. It's not what else is involved with that. And how many people do we have come in that? You're coming in for knee pain. But we're talking about sleep, we're talking about nutrition, we're talking about recovery all these other things that kind of play into your rehab process, instead of just to your pain. So I think that's the direction that everything kind of needs to go kind of what you were saying. And I think that's just whole health approach. And I feel if you're not taking that you're missing some serious gains for your patients for sure.
[01:11:29] Nick: I think we need a round two.
[01:11:31] Chad: I think it's really interesting. We haven't had a dentist on the podcast.
[01:11:37] Nick: I've been excited for this one for weeks, because it's been personal for me, it's been super important to me, but I think it's just really important for our patients and clients, because I know I have some that would benefit from seeing someone like yourself, Dr. Mayr and it really is important. I'm still working on him trying to live out Boston. And actually, you get that little kind of access road in front of the parking spot. It's kind of a little, it's nice. I'm trying to figure out how to clone myself so that I can have multiple locations to probably be able to that it's true. One question we usually ask pretty much everybody at the end. So for all the listeners, what's one piece of health advice that that you would give them that they can implement right away today?
[01:12:42] Dr. Mike Mayr: Lips closed, breathe through your nose. Simple, easy, but can world of a difference, especially for young ones.
[01:12:54] Nick: I love it. Now thank you for coming up. As I was emailing back and forth with Dr. Mayr, and trying to schedule this, so you do it virtually. You gotta come. We love the impersonal stuff.
[01:13:10] Dr. Mike Mayr: Let me tell you, coming into your space, it's a beautiful space. And it's really fun to be “In The Rack”. I get that. But it's also great to have you guys kind of talking about this and getting this message out. Whoever's listening to this, I think it's important to continue to spread this.
[01:13:26] Chad: Awesome. And if anybody is interested in checking out your practice, or how can they find you?
[01:13:30] Dr. Mike Mayr: So our practice name is “Harmony”. It's our website is harmonyboston.com. And then you can also find us on social media on Instagram at HarmonyBoston. I'm also have my page at Dr. Mayr, Dr. M-A-Y-R. So feel free to reach out to us as well.
[01:13:51] Chad: Thank you for coming on the podcast.
[01:13:54] Dr. Mike Mayr: Thanks for having me guys.
[01:13:57] PODCAST OUTRO: Thank you for joining us “In The RACK” this week. Make sure to subscribe so you don't miss out on any future episodes. You can also find us online at proformptma.com, or on social media at ProForm PTMA. And remember;
“If you train inside the rack, you better be thinking outside the rack”.
