“Practice Less, Earn More, And Love What You Do!” With special guest - Dr. Ron Schefdore UNEDITED TRANSCRIPT Welcome to the Madow Brothers Audio Series with Rich and Dave Madow Madow: Hi, this is Dr. Richard Madow and our guest today is Dr. Ron Schefdore. How ya doing today, Ron? Schefdore: Fantastic. I woke up today; it’s a great day. Madow: That is always good to hear, always. Yeah, I’ll tell ya, when our guests don’t wake up, it makes for really boring interviews, so glad you’re here with us. I’m sure most people listening know your name. You’re a dentist who’s done so much to help other dentists but I’ll give you an introduction anyway, just in case people don’t know what you’re up to. I’ll start by saying before your introduction that we actually kind of met in person recently at the Chicago Midwinter Meeting. Dave and I were lecturing there and you were in the audience, and I’ve gotta say, it’s always flattering when a dentist who’s so accomplished, you know, like someone like you who’s got a fantastic practice and you lecture and you publish, you write, you help many other practices; it was just kind of flattering to see you in the audience, and I’m guessing you were one of those guys who just loves not only teaching but continually learning. Schefdore: Absolutely, and I’m honored that you asked me to come on, and if I could help several guys and ladies improve their practice, great. Madow: No question. Well, let’s do it then. Now you’re a full-time practicing dentist, and we’ll get to that in a minute ’cause I have an interesting question for you about that. You’re in the western suburbs of Chicago and your dental practice profits are always in the top five percent for all general dentists, which is just fantastic. Your practice is one where you focus on exceptional service and you really like documenting the improvement of a patient’s overall and oral health; I know you’re big into that. You’re a big communicator. You like to work with the medical professionals as well, to do like a mutually referring relationship kind of thing, so you’re really doing some things in your practice that a lot of dentists need to hear about. You’re a seminar leader, you’re always recognized by Dentistry Today magazine as giving some of the best seminars in the country. You’re also, I don’t know how you do all this but you’re also president of Pharmaden Nutraceuticals and Top Search Video. You wrote the book “Better Service, Better Dentistry, Better Income.” Over fifty of your articles have been published; not only have been published but you were a cover boy! You’ve been on the cover of the American Academy of Cosmetic Dentistry Journal, Dentistry Today magazine, Dr. Woody Oakes’ Excellence in Dentistry magazine, his Profitable Dentist group; I know you’ve done a lot with them. You’ve been in U.S. News & World Report, Wall Street Journal, Prevention magazine, Reader’s Digest, an NBC report called “Can a Trip to the Dentist Save Your Life?” and you were also one of the guys behind the major paradigm shift in dentistry where dentists are being called upon to be, like, we’re kind of like front-line people in disease detection now, and I know we’ll talk quite a bit about that later but I guess the basic generic question is, what the heck, man, how do you have time to do all this stuff? Schefdore: Well, first of all, you make me sound like I’m really something important, so thank you. I’m very humbled by all that, but how do I do it? You know, there’s one key that I’ve learned in my life; surround yourself with the best people. Madow: That is a great tip. Schefdore: And it’s true. I mean, staff members in your office, right, when you’ve got a nice strong team in your office, man, you can move mountains. You got a few weak links surrounding you, oh man, it’s just awful, so you know, you kind of hire slow and fire quick. Madow: I was just discussing that line with my wife this morning. Schefdore: Well, that one could be kind of expensive. You don’t want to be firing your wife and… Madow: Oh no, no, no, I didn’t mean firing her; that will never happen, never, ever, ever. No, but she’s hiring someone in her firm and they’re having trouble finding the right person. I just said, take your time, you know, it doesn’t matter how long it takes, just make sure you have the right person. Schefdore: Yeah, that’s absolutely, and even when you think you have the right person, you know that I found through the years too is hiring two or three people for the same position and basically, you know, in the next couple of weeks have them fight over it and see who, you know, the cream of the crop will come up. Madow: Wow, interesting theory; that’s pretty cool. Schefdore: Yeah. Madow: Hey, something we were actually discussing before we went live on the air for this interview is that you’re, you do all these things and you’re still a full-time practicing dentist and we were just talking about the enjoyment of that. I mean, some of these other things I know take a lot of your time and you love doing it but the question is, do you still enjoy practicing dentistry? Schefdore: I do, and I think the reason is, is because when you get to the point that you have treatment that you know so well and you can predict how well the outcomes are going to be, it’s so addictive because patients, I mean, hug me, give me tons of money, and through my efforts and my own hands of creation can get outcomes that I’m just so proud of. How do you quit that? Madow: Well, getting hugs and getting tons of money are two great things; that’s for sure. Schefdore: Well, that when I know I did it right, and that’s kind of a rule in our staff, with our staff too, is when we get done with treatment or we’re doing treatment and somebody gives us thousands of dollars and gives me a hug on the way out, we did it correctly that day. Madow: That’s a, yeah, that’s like a benchmark; that’s pretty cool. Right, ’cause if they give you thousands of dollars but they’re unhappy, in the long run, nobody wins, that’s for sure. Schefdore: Oh, everybody’s gonna be, I want to overdeliver as much as I can. It doesn’t always happen that way, you know, nothing’s perfect, and I don’t do all my cases perfect, but, boy, you know, when you’re really well trained and you’re really well at what you do and you don’t have to do tons of things. I want to make sure dentists get this because I think the young dentists, I think all dentists, they try to be everything to everybody and you just can’t; just do what you really like and focus in on that area but be really, really good at it, and it’s just so much easier. Madow: So that’s a great point. Let’s talk about your practice. Just kind of in a general sense, what’s your practice like? I mean, you said do what you really like, so why don’t you tell people what you really like doing and what’s it like for a patient in your practice? Schefdore: Ok, before we have to get into that, let’s go back thirty years from the beginning or thirty-one years ago so we can understand how I got to this point. Thirty years ago I bought a practice from an existing doctor, and that’s another thing about how that worked, but they were doing things that, you know, wiping their hands on the back of the towel and, never mind, oh, it was… Madow: Sounds horrendous. Schefdore: Thirty-one years ago it was just not the way it is today. So I got that practice and for the first six months I was an associate and then he worked for me after that; then he retired. And it was just a two-chair practice, a small practice, and I, he bought, he owned the building so eventually, you know, I got busy, hired one associate, went into the other side of the building, hired another associate, got busy, hired a third associate, and so it was in about, now, three, four, five years, I mean, we went from a hundred fifty thousand to a million, and what I learned, during that time, is that I was doing everything for everybody. I mean, I saw a two-year-old in one room; the next room I’d be doing a denture; the next room I’d be doing an extraction; the next room, and it was kind of overwhelming trying to be really, really good at everything and communicating with such a variety of people, that, how do you do that perfectly? I mean, it was just really frustrating and almost overwhelming. At the end of the day, I was, like, oh my God, how can I do this for another thirty years? So I said, well, maybe I should just, because I know how to build a practice quick, let me do another practice and then do a third practice and maybe move into the administrative part of it because it was kind of overwhelming. So we did a second practice and the same thing happened and exploded and the third practice and so then I had to get to the point where I’m either gonna administrate the practices or practice, and when it really got down to it, I really loved helping people. I just didn’t like the way my day was so frustrating and so pressured. So what I decided to do is go with the love, take a pay cut and be a dentist, ’cause administrating practices was a whole much more financially rewarding, but I went ahead and I sold the practices to the associates that helped me build, and this was over, like, a fifteen-year period. And what I did is I stayed in the third practice, which was the smallest practice by my house in a demographic area that could support what I really love to do. And I was trained in dental school to do full-mouth rehabs. My senior year, I was done a year early with my requirements, and so they said, what do you want to do, and me and the prosthodontist sat there for twelve months and did nothing but full-mouth rehabs, so that was awesome training. So I wanted to go back to that love, and we didn’t call it cosmetic dentistry then; we just called it full-mouth rehabs, but we were doing a lot of cosmetic dentistry. So I had that in my heart, you know, right from the beginning. So I sold the practices and said, ok, I’m gonna write the rules on how I want this practice, who I want to see, how long I want to take; I don’t care about the money, just let me design my day around the way I want it. And the other thing I did, these practices were running my family and running me and I said, that’s done; we’re not doing that anymore. I had to design my personal life actually first and then design my practice around my personal life, and I really would encourage all dentists to do that. I know it’s scary because you’re in such debt but when you’re losing your mind and you’re pressured all day and you gotta survive at thirty or forty years in this profession, you have to get your personal life the way you want it so you’re happy. And then design the practice around your personal life and don’t let it mess up your personal life. And that’s, I think the, one of the best things that I can give any dentist ’cause I see so many unhappy, very pressured dentists, and it’s just, they never took the time to design their life with their spouse the way they want, and then the practice will fit into that, and don’t worry, it won’t cost you any more money; you’ll make more money. Madow: That’s a great tip, and I think a tip for people of any age, even though maybe, you know, it sounds like it’s intended for the younger people, but at any age, if you’re not happy with your personal life, you can do it, so I’m really glad you brought that up. Schefdore: Yeah, if you have a lifestyle that you really like and then you’re doing the treatment that you like, people you enjoy and work with the staff that you enjoy, then the money rolls in and that’s what life is all about. It’s about that balance, that’s how to create that balance. Without that balance, I absolutely guarantee that you’re gonna be miserable. I’ve been there. I wanted, can you imagine, I even wanted to quit dentistry just because I couldn’t figure out the balance or didn’t have a mentor to help me and tell me, hey, look, we gotta get a balance and this is how we’re gonna do it. I wish they would have told us that in dental school; that would have been some great advice. Madow: “I wish they would have told us in dental school” is a line you can never say enough. Schefdore: Aw, it’s just awful when they don’t. You know, the other thing is, you know, we’re small-business people and they don’t give us any business skills. It’s just awful. I mean, how could you do that in a three- or four-hundred-thousand dollar education? Madow: Well, that’s why people like us are around, helping dentists get all facets of their practice in place, so maybe we should thank the dental schools; I don’t know. Schefdore: Well, yeah, you’re right. I mean, it’s a lot of fun, but geez, this is the best profession in the world. If they just prepared us students a little bit better on some of the things that are more important than clinical skills. I mean, clinical skills are great and you have to have ’em but you have to have that balance in your life first so you could do good clinical skills. Madow: So hey, let’s flash forward to where you are today. Schefdore: Ok, so today, what am I doing today? So after I opened up the third practice and made my rules, my energy level is really good from seven in the morning till three in the afternoon, so those are my office hours, and I don’t like to work weekends; in fact, I don’t like to work Fridays at all. I like working on me and my family on Fridays, Saturdays, and Sundays, so I work Monday through Thursday seven to three; that’s just kind of my hours. I have an hour lunch and the reason I have an hour lunch is, isn’t to sit there and eat the whole time; I eat a real healthy, vegetables every day; I’m just boring as can be, fresh vegetables and a little bit of protein, and just to keep the energy up, but that hour gives my staff a chance to catch up with everything, return calls, just kind of put some order back in my day. So I take an hour lunch and don’t work evenings or Saturdays or anything like that, and new patients. New patients, when they come in, typically we’ll have a forty-five minute to an hour interview and we’re, I’m basically interviewing them and they’re interviewing me, and there’s certain things that I do to attract a certain clientele and there are specific questions that I need to ask. So what I’ve learned is when I ask these certain set of questions and I listen to their response, just shut up and just listen, you got one mouth and two ears, so I learned I better listen twice as much as I talk. When I do that, they tell me what I’m going to do. I don’t have to sell ’em anything; basically they’re giving me my marching orders, and the only words out of my mouth, you know, at the end is “When were you thinking of getting started?” right, and they go, well, right now, and I go, ok, and we just fit ’em in as soon as possible and we work out the finances. The finances don’t become that big of a, that bigger of a deal to ’em because they’ve already told me what they wanted and when to get started and we just work out the finances, you know, and we always tell them, look, how about can you afford X amount of dollars per month with no interest? Instead of giving them, look, this could be eighteen thousand dollars, you know, not a lot of people have eighteen grand just sitting around. But, you know, we do it in phases. We work out the finances with ’em that time and start treatment. So our acceptance rate’s high and I end up doing a lot of bigger cases only because I’m willing to listen and spend the time. In fact, I wrote that book, that you mentioned, “Better Service, Better Dentistry, Better Income,” just for this, a short, twice to the bathroom and a dentist will be done with it; it’s a great little book. But it kind of outlines how we took two practices from producing two hundred thousand to a million in a short amount of time. And so, anyway, I guess that’s a plug for the book, but it’s a really good little book. Madow: Yeah, plug it all you want, but I could, back up for a second, ’cause I, it’s funny ’cause I talk about this in our seminars and I kind of do a tongue in cheek ’cause I’ve heard some just horrendous interviews between the dentists and the patients or horrendous things recommended by seminar leaders. I’m just curious; what are one or two of the key questions you like to ask during your patient interview? Schefdore: Well, this is the most important one you’ll ever ask ’em. Introduce yourself, shake their hand, use both hands, look ’em in the eye, smile and say, “Hello, Mrs. Jones, welcome to our practice, how may I help you?” Sit down and shut up. Madow: I guess you hear all kinds of things when you ask that question. Schefdore: Oh, I hear everything and a lot of times they’ll end up crying. I mean, I’m not saying anything; they’re going on and they’re crying, they’re telling me about very personal things that you would never get, in fact, half their family members probably don’t even know about this stuff. Just shut up and listen and write. Madow: Always a great tip. Hey, also let’s just back up a little bit even more because when I introduced you I said that you were in the western suburbs of Chicago, and for people that might not be familiar with that area, there aren’t too many dentists there, right? Only like one every square foot? Schefdore: We breed like rabbits; we’re on every corner. Madow: Yeah, every corner. It’s a really competitive area but you’ve done an amazing job of distinguishing yourself, and as you said before, you somehow attract these patients who kind of know what they’re getting into. You know, it sounds like when patients walk through your door, they know they’re getting really high quality dentistry in a great environment and they know they’re gonna pay a lot of money for it. How do you do it? Schefdore: Well, it is, you know, too, they have to be presold, right? I mean, when you see an ad for Walmart, you know what you’re getting, right, because they’ve presold you before you ever go in the store. When you go into Marshall Field’s or an upscale place or restaurant or store that you’ve never been to before, didn’t they do just a great job of preselling you? What about Mercedes versus a Yugo? I mean, you know what you’re getting into before you go. So I just learned from the people that were selling me, it’s, like, ok, how did they sell me before I got in the door? And I hate to say “sell”; it’s educating them and having an image that you want to portray, which brings up a really, really good point. Every dentist has to decide what dentistry they’re gonna focus on and what patients they want to work on and what price point, and then you design your staff, your office décor, all your marketing materials from that. Not all of us, and the way I practice today is not the way any practice, any dentist has to practice. I just had to figure out what was good for me and my life and my universe; it doesn’t mean it’s the right way but it works for me and my family. Madow: That’s, you constantly keep coming back to that topic, how you’re kind of doing things your way, the way that makes you happy, and I think that’s why you’ve been practicing for many years and you still love it and you’re still energetic and you’re still making a ton of money ’cause you really have designed it so you enjoy it, and it’s a super cool theme to keep coming back to. But let’s get to some of your marketing in a second because I think a lot of times when you talk about a practice like yours, which is, you know, highend, high-priced, cosmetically-oriented, whatever you want to call it, you know, we get sick of some of those clichés, and you’re comparing it to Mercedes and a high-end department store, you do some marketing that some people might not associate with those kinds of practices. ’Cause I know a lot of people would say, oh, we only do word of mouth because like refers like, blah, blah, blah, blah, blah… But you’re a big Google guy for example. You’ve kind of found out how to make Google work for you. How do you do that? Schefdore: Oh, well, that’s pretty cool. I try getting my website, you know, on the first page of Google ’cause all people look at is the first page, maybe the second page, and then today, fifty percent of the patients that look for a dentist use their iPhone and iPad, so if you look on an iPhone and iPad for a dentist and you look on that first page, you can’t even read the things; it was just awful. So I had to figure out how do I get my presence on the first page. I hired, I’m not kidding you, I spent twenty-five, thirty thousand dollars over the last, oh, three, four, five years ago trying to get my website up by reputable companies that swore they can get me there. It never worked. So I was so sick of getting screwed, you know, my daughter was graduating from Ohio State, so she’s a nerd, I’m a nerd, and there’s a room full of nerds that are friends and I kind of presented this problem to ’em after a few beers. I’m really trying to get my website on the first page. They said, ah, we’ll figure it out in thirty days. Guess what? They did. They, ok, if you look at Downers Grove Dentures, ok, that’s just one of sixty search words that I have on the first page of Google. Look at it on your iPhone; I’m the only one that you can see a phone number on, and it’s a short video; it’s gotta be coded correctly; it’s gotta have the right time. I mean, they figured this out, however Google’s rules are, took ’em a while, but they figured it out. So within a couple weeks I had like fifty videos on the first page of Google and the iPhone. I’m the only one on there. When that, things like that’s just one example. When that happens, this just gives you so much credibility because people today do not want to go to websites. It’s too long, it’s cumbersome, it’s just a pain in their butt. For example, before I came down here to Florida for a little break, I had two patients come in. One was an accountant. He owned his accountant firm. The other was a physician that works in the emergency room. Both of them, I asked ‘em, everybody that comes in, how’d you find us? And they go, well, I saw your video, and I said, why did you see the video? And they go, well, basically, you know, the physician said I was in between patients and I wanted some veneers; I’ve been reading about ’em; I just Googled, you know, Downers Grove Veneers, and you popped up with this little icon, this movie, and she says, within thirty seconds I got all your contact information, saw your before-and-after pictures, and knew you were the right guy for me, and I called you right away. Madow: Wow, what a story. Unbelievable. Schefdore: That’s an eighteen-thousand-dollar case for me. Madow: Not bad from the iPhone. Pretty cool. Schefdore: On an iPhone, and, you know, the accountant that owns this big accounting firm in Chicago, he said the exact same thing. He said he was in between clients, he wanted some dental implants, he says I Googled Downers Grove Dental Implants, you came up, I liked the icon, I liked the little video, and in thirty seconds I got all the information I see, and man, you look like you’re the man. They’re presold, they know what they’re getting, they know it’s not gonna be cheap, and I’m solving their problem all because, that was another, that’s probably a twenty-five thousand dollar case. Madow: You don’t need too many of those. Schefdore: Well, that’s the point, you know, if now for me, I like doing adults fifty and older that are train wrecks that need a lot of work. So I do full-mouth rehabs because really that was my training right from the beginning and I love doing it. They’re very, very challenging so they challenge every part of my skill, my skill level, but the rewards to me personally are really, really good because it’s almost like painting a picture when you’re done and you’re so proud of it, and then you get paid really well for it. Madow: That’s always a good conclusion. Hey, let me ask you something because I’m sitting here, in the studio, and I’ve got my laptop open. I’m looking at your website and I know you said a lot of your patients are using their mobile phones, but I think people still use the website, so I personally love websites more than phones but I’m just curious about this offer you have on your home page of your website. I’m gonna read it too ’cause I think it’s really intriguing. It says, “Ten dollars gets you up to one hour” and I’ll prep it by saying it’s not cheesy looking, it’s in a very nice little box, it just looks classy but, “Ten dollars gets you up to one hour of Dr. Schefdore’s time to do a thorough exam and private consultation with you. Why would a top doctor spend up to one hour of his time for ten dollars? He knows the ten dollars will change the way you look at dental care. Everyone deserves great care and a great smile that will last a lifetime,” and then there’s some contact information, call today, blah, blah, blah, blah, blah. Is that a pretty popular thing on your website? Schefdore: Yeah, everybody that comes in gets a ten-dollar consultation exam and I donate the ten dollars to local charities. Madow: Wow, do they know that, that you donate it? Schefdore: They know that when they come in. I mention it to everybody that comes in because I don’t want to give ’em too much on the website, but everybody’s curious, what’s the ten bucks for, why do you even bother because it’s such a low amount of money, and I go, you know, if I pick up a hundred, two hundred patients a year, you know, I could donate a couple thousand dollars to some area charity. Madow: And that ten-dollar consult, you do a full-examination in that time? Schefdore: Yeah, well, you know, it’s without X-rays, so we talk first, and then when the time is appropriate and they allow me, I ask permission, is that ok if we take a peek here, and what I’ll do is I’ll do intraoral, I’ll do a cancer exam, I’ll check the lymph nodes, thyroid, TMJ, temporalis muscles, you know, for any clenching or grinding, check the occlusion, check the perio, as long as they don’t have any heart problems, no being premedicated, and check the teeth. So I’m doing the most thorough exam I can without any X-rays and they’re really impressed ’cause no dentist has ever done that for them ever. So yeah, I do that and it’ll take me an hour, hour and fifteen minutes to get through it and listen to ’em. Sometimes if they want to talk more than this, I’ll have to get ’em back to do the exam. I mean, sometimes I, they’re just talking for an hour; nobody has ever listened to ’em for an hour. They say, oh my God, how could you give up an hour of doctor time? Well, because they end up spending five, ten, fifteen, twenty-five thousand dollars or more with me. Madow: Yeah, I mean, but it’s just continually interesting that you attract the patients who kind of know that going in, which I think is also one of your overall themes. You’re not doing a ten-dollar consult for somebody who’s not right for your practice. Well, I’m sure it happens but it just doesn’t seem to be the norm. Schefdore: Yeah, and I wish I could put my finger on it. I mean, the people that come in are not young; they’re always forty-five, fifty, and older. They always need a lot of work and they need somebody to listen to ’em because many times, I hear this often, you know, I’m like the third or fourth or fifth guy that they’re interviewing because, you know, the last guy put a crown on, didn’t listen to ’em, and it fell off and this guy did some bonding and it looks like poopoo and the next guy, he’s so busy with his other stuff, he goes in with a hygiene visit for three minutes and he can’t run out the door fast enough. I get that one an awful lot. This is gonna blow people away; I’m gonna get all kinds of hate mail for this one or a lawyer. I do my own hygiene. Madow: No kidding. Schefdore: Yeah, I knew that would surprise you. Madow: Oh my, I’m shocked. Schefdore: You’re going, that can’t be possible. All I could tell dentists in my universe is that it’s a more relaxing practice; I don’t get bothered when I do restorative by doing prophy checks every five minutes; that would drive me up the wall. There’s no way that I could concentrate doing crown and bridge and doing the stuff that I do and get zapped every ten minutes for a prophy visit, and then when I go in there, I’m doing a half-assed exam because I have to hurry up and get back to what I was doing. That’s just crazy. To me, that’s craziness. I can’t do it. Madow: But how the heck do you have the time to do? I mean, you know, in a busy practice you could have two or three hygienists fully booked every single day. Schefdore: Not at my prices. Madow: That’s a good answer. Schefdore: Well, because they’re all so cheap. I mean, what do you want? To run a volume practice like Walmart or do you want a high priced practice? You want to sell one Mercedes a day or do you want to sell fifteen Yugos? Madow: That’s definitely an interesting way to look at it, but I have to admit, I’m like, I’m shocked that you do your own hygiene. Schefdore: I know. Everybody is, but one of the reasons is because very few hygienists are so strict as I am with the hygiene. We start with the hygiene. That hygiene has to be impeccable before I move on, and I’m sure we’re gonna talk about my hygiene. Madow: Your personal hygiene? Schefdore: No, well, that too but, you know, my perio program. Madow: Yeah, as a matter of fact, let’s get to that and some other things. Maybe we don’t even have to start with your perio program but let’s talk about some of the things you do to differentiate your practice. I know you gave me a nice list of ’em. I don’t know if you have that in front of you right now but what are some of the things you do? Let’s just kind of pick out a few that really make your practice different. Schefdore: I listen. I take as much time as the patients want. We treat people with respect. We’re kind. We don’t rush from patient to patient. We’re always wanting them to, you know, take a break or if they’re cold there’s a blanket. You know, we treat them, we really treat them like my spouse coming in. I mean, it’s just nice. We have a thirty-two inch TV in front of them with a thousand stations, Pandora music if they need it. We have NuCalm. NuCalm is, that’s a real good thing, nucalm.com, I suggest any dentist go to that… Madow: And just to clarify, it’s Nu Calm, NuCalm. Yeah, what is NuCalm? Why don’t you tell our listeners about that. Schefdore: Ok. NuCalm is a nutraceutical that the patient chooses; a nutraceutical is a natural food. It’s better than a vitamin because it’s all natural and it absorbs really well and then there’s a couple of, like, TENS units that you put right behind their ears to make sure it gets absorbed into the brain, and then they put on, we put on these headphones and behind the music are the same wavelengths that the brain makes when it’s sleeping, and it works, and then dark glasses, we put on ’em so they can’t see any light to activate the brain. But when you give ’em, the patients, this, maybe fifteen minutes before you start, it really relaxes them without drugging them up, and, you know, I tried this ’cause I thought it was BS, you know, when I first heard this, and, you know, the NuCalm group came to my office and I gotta tell ya, after about five or ten minutes, I mean, I’m trying to fight this and I’m going, why, this is, like, oh, this feels so good, let me just lay here and listen to this pretty music. Madow: What’s in the stuff? Schefdore: Um, it’s just a nutraceutical; you’d have to ask the company to get the, I don’t want to misquote anything. Madow: Ok, fine. Schefdore: But there’s no drugs or anything with that, but I gotta tell ya, I was in such a relaxed state. They did take a little video of me and I’m sitting there with my mouth open, drooling. I didn’t even realize it. Madow: Wow, that sounds great. Schefdore: Yeah, it was really, really nice, and what it does, it gets me through those really nervous people that are difficult to work on because, you know, a lot of people are so nervous with us and when you’re doing the bigger cases, you know, I’m able to do six-thousand dollars’ worth of dentistry in a couple hours when somebody’s just really relaxed, and I can just, you know, just keep going from one step to the next. The other thing that we do, if you want to go onto the next thing… Madow: Well, let me ask you a little bit more about NuCalm, well, maybe a lead-in from NuCalm. I was thinking before when you were describing your practice when you say you deal with the train wrecks, I would imagine some of those people are beyond nervous; they’re, like, you know, totally scared out of their wits and maybe too scared for NuCalm. Do you do any IV sedation in your practice? Schefdore: Well, you know, when they’re in the waiting room crying before they ever meet me, that’s kind of a clue that maybe they’re maybe a little bit nervous. So those particular patients I’ll actually interview ’em a lot of times out there in the waiting room. I mean, they’re so scared they can’t even go in the back and it’s just a shame on what some dentist did and treated them so brutal to get them to that point. I mean, it’s just, I really feel sorry for ’em, and so what we do is we have IV sedation. Now, I have a lot of people, I’m gonna get some more hate mail, but my personal opinion is I can’t do a full-mouth rehab or a bunch of dental work on somebody and watch the sedation at the same time; I just can’t do it, and I really don’t want to hire a ten-dollar an hour person to sit there and oversee. I mean, in my office I want to do the dentistry, get paid really well for it, and so I actually hire a physician to come in, and it’s a real physician and they do the IV and they monitor that. Yeah, it’s expensive but I, that’s just the way we do it. Madow: Just curious. What’s the typical patient charge for the physician-assisted IV sedation? Schefdore: Oh, varies from five to eight hundred dollars an hour. Five hundred is after a couple of hours, then they’ll finally come down. I think it starts at eight hundred and then it gradually works its way down to five hundred. So a typical patient, you know, three hours, let’s say, eight, seven, six, a couple grand. Madow: You know, it’s funny. I wonder how any of us were feeling if we were going to the hospital and they said, oh, you know, Dr. Schefdore’s doing your kidney surgery and he’s also going to be monitoring your sedation and your breathing and your pulse. I mean, they just would never do that. Schefdore: Would never, never do that. Now I know there’s some real controversies on that. I know guys really make a living off doing that. I, it just, in my world it doesn’t work. That doesn’t mean everybody else can’t do it. It doesn’t mean other dentists are doing something wrong. Just for me, in my happiness level, I can’t do it. Madow: Yeah, but it also sounds like you kind of cultivate the type of patient that would maybe not demand but would be totally cool to that level of service, so to speak. Schefdore: Yep, totally cool with it, and we help ’em afford it. I mean, money always comes up and even wealthy people get, you know, live beyond their means and, you know, they don’t have tons of money either, so we just try to make it a way that we could help afford treatment. So, you know, everybody’s got CareCredit but there’s also three or four other companies out there. Sometimes I’ll have to use three or four companies just to finance the dental treatment. You know, they’ll get a bill from four different financing companies. Madow: But as I always say when I talk about CareCredit, it’s not your problem at that point; you’re leaving the financing to the financing professionals and you’re doing what you do. So you do some things that a lot of dentists don’t do. One of them is blood screening. What’s your, what kind of blood screening are you doing? What’s your protocol? Schefdore: Well, that’s, you know, you mentioned on the cover of Dentistry Today, that was about seven, eight years ago. What I did, I discovered about eight or ten years ago is that when I started my perio, you know, years and years ago, actually it was way more than this, let me go back how this even came into effect. When I started a lot of the perio programs, right, you’d refer somebody thirty years ago, you had to refer someone to a periodontist. So I started doing that. When they came back, if the patient ever came back to me, they were really upset, you know, going through a full-mouth of surgery; it was just torturous. I mean, they were really angry or they just left the practice and probably never went back to any dentist. So I said, well, that wasn’t working so good. So then I think, like, the Rotadent came out and then after that the CloSYS came out. It was a periodontist that developed a mouthwash and toothpaste that we still use today; it works great. It’s CloSYS. I really recommend you carry it in your office. Madow: Yeah, that’s really good stuff. Schefdore: Ah, it’s worked tremendous. So we tried the Rotadent and then the CloSYS and then, like, the RotaPoints came out because they weren’t flossing, and that’s just the stupidest thing in the world to teach someone to floss. Yeah, it’s just the stupidest thing. Ok, think about this. We did a survey when I had three practices. What did we have, like, eight thousand patients in the practices, and we took a survey. Out of all those patients, you know, five percent of ’em actually floss correctly every day. Madow: Wow, and those, and some of them were lying. Schefdore: Right, and so, how, why would we teach somebody when ninety-five percent of ’em aren’t gonna do it? Well, that’s just dumb training, in my opinion. So I said, look, we’ve gotta think of something else to do. So, you know, we tell the patients, look, you’ve gotta get in between the teeth and clean it out. I know you’re not gonna floss. Here’s floss, just in case you ever get something stuck, but we’ve gotta do something on a daily basis. So, you know, they came up with the RotaPoints, which people love. Those are just little plastic toothpicks to go in between their teeth, they’re Soft-Picks, there’s Waterpiks, a hydrofloss; I lay out all the options and say, just pick your weapon, but you’re gonna use one of these daily to get in between your teeth, and so most of the time they just pick the plastic tooth picks just ’cause they’re so easy to use, and so now we have the Rotadent and then we use the CloSYS. We have ’em brush the mouthwash in first and then use the toothpaste, make sure the tongue and roof of the mouth ’cause there’s more bacteria there than there is on their teeth, and nobody’s ever told ’em that before. But we get ’em to do that and then clean in between their teeth and then there was still, you know, my perio results were still ok but there was still a lot of people that just still had bleeding. So it occurred to me that nutrition was a big deal and that was definitely part of the perio. So I had ’em taking vitamins and I’d learned that vitamins didn’t work well; they’re synthetic and they’re poorly absorbed, and so we started to go into natural vitamins. We got a little bit better result and then we did more research, and so we figured out which supplements my patients needed and we really got better results. Well, at the same time, unknowingly to me, a company called Pharmaden, pharmaden.net, Pharmaden came up with almost exactly the same ingredients that I came up with except they put ’em in one pill, and then they went to Loma Linda and double-blind tested it on sixty perio patients. So we know the efficacy, we know it works to reduce pocket depth, bleeding, and plaque. Well, we included those with our treatment and that helped tremendously. That was definitely a big piece of the puzzle, and so about eight years ago there was still a small percentage of people that I couldn’t get well. It just drove me nuts when they’re not perfect, you know? So I said, there’s something else, so I said, you know, just for kicks, I want to send to their physician or go have ’em get a blood test. I want to see if there’s something medically going on. And I’ll be darned; twenty-five percent of those patients were diagnosed were diabetics that were never diagnosed. I go, that’s just crazy. I go, and then it occurred to me that the dentist is the perfect person to catch up, to catch on early medical issues. We’re the perfect ones, especially diabetes. Diabetes is going off the graphs. If you read the current research, and in fact, I just read a study the other day that they randomly took a bunch of dental patients and they got the same results that I’ve been talking about ten years now, that about twenty percent of your patients are gonna be a diabetic or darn near it, and nobody knows it. So I started coming up, I said, ok, that’s nice, now Dr. Ridker in Harvard at the same time wrote a book on high sensitivity Creactive protein being an inflammatory marker. Now we all know that inflammation is the basis of all disease; that’s just the basis, that’s just the way it is. So it occurred to me what if I at least give ’em a diabetes test and give ’em an inflammatory marker A1c, HbA1c, inflammatory marker and one if they are high on the glucose, send ’em over to their physician for a diagnosis and treatment; I would never diagnose that. I just want to screen ’em and then the inflammatory level, I would treat their periodontal condition, include the nutraceuticals, and then in thirty days retest the inflammation level. Do you know we consistently got a reduction of the inflammatory blood markers fifty to ninety percent, fifty to ninety percent within thirty days? There is no drug on this planet that can do that and dentistry is perfectly positioned to help people reduce their inflammatory markers, which is the basis of all disease. Madow: Wow, now do you test every patient this way or just your patients who have perio that you’re not happy with? Schefdore: Well, at first, you know, I started doing my patients inside the office and for those of you saying that dentists can’t do this, I was actually the first dentist that had a license to actually do this inside my office. Now since I have gotten that license, the government says, oops, we thought you were an MD ’cause I’m a DMD, we made a mistake, so we’re not gonna allow any other dentists to do this. Like, oh great, so then what we did was I teamed up with some guys and developed a finger stick, lab accurate test. So all the dentists had to do was test on the strip, send it in and, you know, we would send ’em a report and it was totally legal because you’re just transporting one drop of blood and inside the mouth we deal with a lot more blood than that. So I really, really tried when I was on the front page of Dentistry Today, trying to get dentistry involved and hygienists involved in this movement. We only ended up with about two hundred and fifty dentists and I needed five hundred dentists just to break even ’cause, in our blood testing facility, ’cause it was the first one in the world, you know, and we had an overhead and, you know, a medical director and everything. So about two years ago I had to close it down. I was just bleeding money for like four years. So today I’m back to sending ’em to Quest, getting a blood test. The problem with that is that half the patients that you send over to Quest aren’t gonna go, and so it’s really, really frustrating, so, you know, we’re back to, back to the old ages, but blood screening in a dental office just makes all the sense to me. I send everybody over to their physician if they need a, you know, I tell ’em, look, the first sign of diabetes is poor perio, and along with other medical conditions, I just want to make sure there’s no underlying medical conditions, so I need you to go to your physician, get a physical, and just make sure everything is ok. Madow: Interesting. Hey, let me as you something too, ’cause I know you just mentioned a whole bunch of things but maybe to just kind of simplify or clarify ’cause you’re obviously really, really knowledgeable about perio and systemic and all this kind of stuff. Let’s just take the typical patient, they come into your practice, you know, you do your ten-dollar consult, whatever… Schefdore: Yeah. Madow: …then you do your exam and you do your full set of X-rays and you see some, you know, mild to moderate bone loss and they’ve got, you know, some fours and fives and maybe a six millimeter pocket here and there, a little bit of bleeding, you know, the typical adult perio case that, as you said, you’re not gonna refer to a periodontist. Do you, what’s kind of your routine at that point? Where do you start, where do you go, how do you, what’s your whole perio program all about? Schefdore: Ok, the perio program is, and you know, I’ve got this ADD, so I’ll go all over the place; how much longer do we have left? Madow: Oh, we’ve got five to ten minutes. Schefdore: Ok, good. Madow: Let’s say we’ll give you ten cause the information’s so good. Schefdore: Ok, so how is our perio program? Ok, the most important thing is, in my opinion, is getting the patient to own they have the disease because all the rest is easy if you, ’cause you just do treatment and that’s easy, we could explain that. The hardest problem is getting the patient to own they have it so then they’ll pay for it and they’ll do something at home and that’s the big thing. So how do you do that? Well, most people are visual learners. I mean, just ask Playboy, right? We got a whole industry based on visual effects. So you have to give ’em a visual effect, the patient. So I would rather have an intraoral camera before a handpiece because what we do, ok, the first step, for example in the perio. You tell the patient the expectation before you do anything. So, ok, Mary, today we’re gonna go ahead and I just want to do a gum exam on you so I’m gonna be, you know, just touching the gums going just a little underneath the gums to see where the bone levels are, and when I do this on these upper right-hand side we should see no blood, no pus, and you should have no pain. And use the word pus; they don’t understand exudate. So I go ahead and probe, you know, from the distal, buccal, mesial, and I go; I don’t add a lot of pressure but it’s the right amount of pressure that we’re taught, right? You don’t want to bury it in there but on most, almost all new patients you’ll get a ton of pus, blood, exudate, just ugliness. Well, I have to hurry up and get that right on that intraoral camera and right on TV. I’ve got a thirty-two inch TV right in front of ’em, right, mounted on the ceiling, that comes down, and so I snap the picture and I go, ok, Mary, go ahead and rinse out that pus and that blood. Madow: Oh, gross. Schefdore: Exactly, they go, oh, you’ll never have to sell ’em another thing. Madow: You know, it’s interesting because intraoral cameras, they’ve been around forever, that some people say they’re like a loaded gun, you know, but you always picture, you know, the big ugly MODBLXYZPDQ broken-down amalgam on the screen but I don’t think too many people really would put a perio exam on the screen; that’s really interesting. Schefdore: Do you know when I train doctors how to do this and how to present this, I’ve increased fifty, sixty thousand dollars a month, a month, in their practice, just off this training? Madow: Yeah, it’s easy to believe because, you know, a great perio program is such an essential part of the practice that most people neglect. Schefdore: Oh, well, just imagine, just imagine getting one more patient to say yes to go into a two thousand dollar perio program, right? That’s just two thousand dollars a day more. Add it up at the end of the month, I mean, and that’s just one more patient a day just because you’re learning to present this properly and say the right words. Madow: Not bad. Ok, so we’ve got, we did the exam, we’ve got the ugly, bloody, pus-filled gums blown up on the big screen. Ok, now they’re convinced they own the perio disease, so where do we go from there? Schefdore: Ok, so now I have this custom brochure that I have, I give this to anybody, you know, got my name on it but what it talks about in just a couple of pages is all the connections that perio has to overall health. So I go, Mary, you know what, obviously there’s blood and here’s the pus and you’re not supposed to get any of the pain, obviously you’ve got gum disease. I’m gonna give you some information about it and I’ll be back in five minutes cause when I come back, we’re gonna be on the same page. This is the best way to have a cup of coffee, put your feet up and look out the window for five minutes. That’s the hardest thing for dentists to do. They think they gotta always keep talking and they gotta rush to the next patient. I’m sitting in my office with my feet up and looking at the birds out the window. Madow: Sounds great. Schefdore: It is fantastic. Go take a break for five minutes. The patient’s gonna look at that screen, the intraoral picture, and be reading this at the same time, and they’re gonna go, holy Christ, I’m in deep stuff here, oh my gosh. When I walk back into the room I say, Mary, there’s two ways to treat this disease. I could refer you to a periodontist and they focus on surgery or we have a nonsurgical method here. What would you like to hear about? Madow: 99.999999 repeating, I don’t want surgery. Schefdore: So they say, Doc, what do ya got? Now instead of me selling them, which is like a forward motion, it’s the opposite, the patient asks me, it’s they’re asking me, so I don’t ever have to sell anything. They’ve asked me to tell them about my program. You see how that flow is kind of different than trying to sell them? Madow: Absolutely. It’s fantastic. Schefdore: So when the flow is the patient to the doctor, then all I am doing is showing and telling. I go through the mouthwash, toothpaste, the nutraceuticals and why they’re important, and then I go, now, Mary, is this something you think you can do at home? ’Cause I’ll show it to ’em, it takes me about five minutes, and they go, oh yeah, I could do that. She goes, you’ve got this written down, right? I go, yeah, the first couple times we’ve got it written down it’ll be a little bit, you know, dicey, the first couple times ’cause you don’t quite understand, but within a day, you’ve got this down. They go, ok. I say, Mary, can you afford a hundred dollars a month with no interest or a hundred and fifty dollars a month with no interest, and it’s either yes or no. If it’s no, then we go down a little bit and I say, Mary, what’s comfortable for you so we can get this done? Just tell me what’s comfortable monthly payments. And whatever they say, my finance person comes in and works it out. So if they don’t qualify for CareCredit, then we, if they got a Visa card, we’ll do some in-house financing, we’ll do something, we’ll work it out while they’re there. So does that answer your question? Madow: Yeah, so then, let’s just, can you kind of summarize then the clinical steps they kind of go through? I mean, is it what you would call a traditional scaling and root planing program, so you have a little kind of Ron Schefdore twist you put to it, what happens then? Schefdore: Oh man, I’m gonna get more hate mail, but all right. Madow: Oh no. Schefdore: But here it comes. Madow: We better make sure we give your email address like ten times at the end for all the hate mail you’re gonna get. Schefdore: Oh my, oh, I’m gonna get spears in the back on this one. Well, to scrape teeth I think is silly; there’s gentle, warm-water ultrasonic cleaners that you can put some bacteria, I put CloSYS in there, and when you do a warm-water ultrasonic cleaning, it’s so thorough and it’s so good and I know there’s gonna be arguments saying you’ve gotta scrape teeth. But just hold on there, just listen to me. The first appointment, oh, and here’s the other one that just drives me crazy; they gotta scrape teeth one quadrant at a time each appointment, and to me, ok, let’s say that they do half the mouth and they gotta scrape half the mouth and then, you know, get you back two weeks later and scrape the other half of the mouth. To me, that’s like wiping half your butt. Why would you do that? You gotta get the bacterial load down throughout the whole mouth. So what I found better, and there’s tons of hygienists I’ve trained that now have converted to my way, and if you read the research, the researchers are agreeing with me now too. Go through the mouth with an ultrasonic cleaner, the entire mouth, and don’t really, you know, the gums are so inflamed that first session you really can’t do a whole lot anyway. I use Oraqix, you know, let that set for a few minutes, and then gentle, warm-water ultrasonic cleaning with CloSYS, and then we go in and just knock off all the big stuff, give ’em a really, really good hygiene program to work at home that I described plus the nutraceuticals, get ’em back in two weeks, completely go through the whole mouth again, and then, you know, adjust any of their hygiene, and then go through it a third time. Well, I can guarantee you at their third appointment, all that tartar is off. You don’t have to hand scrape and brutalize the mouth so much. Just take your time, ultrasonic cleaning, that third session, if you got some little tartar hanging around, then you can go ahead and maybe hand scrape some areas. If you got a few deep pockets hanging around, go ahead and use your laser and it just works so much better. And then if you do that scraping and laser that third session, those tissues are so noninflamed that it’s just so much easier to do; it’s not painful to the patient; it’s just a nicer system. Madow: Wow, you continue to make me drop off the chair here but it does make sense. Schefdore: Well, it does to me. In my world it makes sense and I can get some offices to duplicate it, but we just weren’t taught that way and it’s, this is kind of like pushing a boulder up a hill. I really wish we would have been taught this way. Madow: Yeah, but I would imagine that you’ve done everything kind of the old traditional way in your, during your path of discovery and just kind of figured out what way to make things better. Schefdore: Well, that’s the exciting thing about dentistry, and I think if all dentists just every day went to the office and said, how can I do this better, how can I do it more convenient for the patient, how can I just improve? That’s kind of the challenge that I have every day. That way we don’t get bored, you know, sit there and do crowns all day long; it can get boring, but if you say, you know, how can I do it better, what’s the new material, how can I do it quicker and better, you know, that’s a real challenge. You know, do you remember the guy that did the five-minute crown prep? Madow: Was that Omer Reed? He was like ninety seconds, I think, wasn’t he? Schefdore: Ok, and he really didn’t do it in ninety seconds; it was the time the bur was on the tooth, but it really got me thinking years ago. Wait, just because you do something fast doesn’t mean it’s gotta be poor quality, you just gotta be really, really good if you want to do it fast and good. Madow: And the patient should love fast. Schefdore: Oh, patients love fast. Madow; Hey, a couple things before we wrap here because I think everybody’s heads are spinning. I don’t know if I’m using the right tense there. Everybody’s heads are spinning after hearing this stuff, including mine, so really just to use a cliché, you think way outside the box, but it seems to work fantastically. Now again, you’re in the western suburbs of Chicago, pretty nice area, high income, I’m sure you have patients of all income levels but that’s generally a highly populated, high-income area. Schefdore: I’ve got a few billionaires in the practice. Madow: Not bad, wow. Schefdore: And here’s the interesting thing. I’ve got homeless people, honest to God’s truth, call my front desk and talk. I got a homeless person that we treated six months ago, a homeless person that came in, did my ten-dollar interview, which I gave him for free. He managed to get ten thousand dollars to get his mouth done. Madow: I don’t even see how that’s possible but… Schefdore: I’m still shocked that he got it. He knew relatives, he says, forget having a home, I don’t really care about that; I want my teeth healthy. Madow: Wow, amazing, but anyway, my question was can the things that you talk about be done anywhere, small town, big city, high income, low income, diverse patient population, all that stuff? Have you trained doctors in all these different situations? Schefdore: Well, let me ask you a question. Does every person on the planet want to be healthy? Madow: I would say just about. Schefdore: Just about, if, you’re right, there’s some people that don’t care. Poor people, it doesn’t matter what their income level is, all of us are the same. We want to be healthy, have a good life, not be stressed out, we’re looking for love. There’s things that people do that we all generally want to do and one of them’s being healthy, and that’s what I’m selling; that’s what I’m educating people. My, the challenge is, for the people that don’t have the funds is help them find a way to afford it. Even if you have to do it in phases over several years. Madow: Yeah, I’m a big believer in that too, as you know, so… I hate to end the interview but we’re coming close to the end but I think it’s really important for the people that either want to find out more about what you do, maybe learn more, maybe even be trained by you or contact you in some way, or the people that want to send you hate mail, cause I think we got two groups here. Schefdore: Oh, I’ll get some. Madow: Or just a question, you know, about something, whatever. How can people reach you? Schefdore: Probably the easiest one is my email address; it’s celebritysmiles@aol.com. Madow: AOL’s still in business? Schefdore: Yeah, can you believe I’m still on AOL? Madow: Oh, I won’t give you a hard time about it cause everything else you do is so progressive, so we’ll let that one slide. Schefdore: Thanks. Madow: So it’s celebritysmiles@aol.com. Schefdore: Yeah, and then if they want to be, like, on the first page of Google in the next few weeks, I mean, I could do that. It’s our video company and if they went to nutraceuticals, I could train ’em on that. If they just want to increase their production on just perio, which is everywhere, I don’t care if you’re rich, poor neighborhood, what practice you have, you got perio in that practice and you need a higher patient acceptance so you need to learn the words and the techniques to get there. Madow: You know, it’s funny, Dave and I used to do quite a few in-office consults, we really don’t do too many anymore, they’re just too demanding on the schedule and pretty expensive also for the dentists, so for whatever reason, but I swear, every single office I stepped into I felt there was so much undiagnosed and/or untreated perio. Schefdore: Yep. Madow: It’s amazing. Schefdore: Yep. Madow: Yep, so wow, you just mentioned a bunch of cool things. Your whole perio program, your fantastic nutraceuticals, the Top Search video to get people high up on Google rankings, or just any kind of questions, hate mail, whatever they want, you can reach Dr. Ron Schefdore at celebritysmiles@aol.com. Schefdore: Oh, one last thing. If you got the hate mail, just save it because this is what works in my world; what you’re doing is ok, you’re right for your world. So just, you know, don’t get your prejudices on me and I won’t send you my prejudices. You’re right, whatever you’re doing; I’m not trying to convince anybody to do anything different. Madow: Nah, but it’s good to expand your world too. There’s a lot of great stuff out there and that’s one of the reasons we love doing the audio series to, you know, present some of the things that great dentists like you are doing and hopefully people get inspired. Schefdore: Well, it’ll keep ’em interested, it’ll keep ’em excited, you know, it’s a good income, I mean, it’s a great, we’re well-paid slaves, let’s put it that way. Madow: I love the people that hug you and hand you money, that’s… Schefdore: Yeah, I do too. Madow: …always good. It’s like one step above a prostitute, so… Schefdore: It is. It’s a wonderful thing but, you know, the true appreciation when somebody really appreciates your hard work, it’s just, there’s no feeling like it in the world; it’s so addicting. Madow: No question about it. Well, unfortunately, we do have to wrap but I’ll thank you one more time. I know our listeners would do the same if they had a direct line to our interview here. It’s Dr. Ron Schefdore, you practice outside of Chicago, you’ve done so many great things teaching other dentists, writing articles, developing all these fantastic systems, so thanks for taking some time out of your busy day to be with us. Schefdore: Yeah, I’m looking at the palm trees, but… Madow: I should rephrase that because you are a big believer in relaxing and taking time off and doing it your own way, which is a great lesson within itself. Schefdore: One last thing? Madow: Please. Schefdore: I encourage all dentists to take six to eight weeks off a year and you’re gonna say, oh my God, I can’t, and almost every dentist I talk to takes one or two vacation weeks a year, and I’m like, dude, I’m tripling your income, trust me, start with a month; if you can’t handle more than that, but you’ve gotta have time off to rest your mind, rest your muscles in your back, spend time with your family and go laugh. Madow: I totally agree. Well, thanks for the great advice, all the good tips; you’ve been very inspiring. Dr. Ron Schefdore, it’s been a pleasure speaking with you. Schefdore: Oh, thanks, it’s been fun. Madow: You got it, man. For more information on this interview, be sure to visit madow.com. 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