By David MH Lambert, DDS Half of dentists say patients show up to appointments high. In an ADA survey, 52 percent reported it, 56 percent said they limited treatment because of it, and 46 percent had to increase anesthesia to get through the visit. And more dentists report it every year. So where is the […]
The cannabis patient is already in your chair. Does your office have a policy? Read More »
By David M. Haas Lambert Pick up one of the hemp THC seltzers now sitting in grocery coolers and you’re holding a pharmaceutical drug-delivery system in consumer packaging. I mean that as a formulation claim, not a rhetorical one. And once you see how it’s built, the chairside implications for a dental practice follow directly.
A drug in a can: the pharmaceutics of the THC seltzer, and why it matters chairside Read More »
By David M. Haas Lambert There’s a drug on the grocery shelf right now, sold as a beverage, and it’s worth three minutes of a clinician’s attention before the rules change this November. Not because it’s exotic. Because the gap between how it’s marketed and what it actually is tells you something about how a
The THC seltzer on the grocery shelf: what a clinician should know before it sunsets Read More »
A CE Dojo clinical note A claim keeps circulating in dental circles: clindamycin has no role in dentistry anymore, it’s been pulled from the formulary, there’s no reason to use it. It gets repeated with confidence, usually pointing at the 2021 AHA and ADA update. The confidence is the problem, because the claim folds two
What the 2021 Guidelines Actually Changed About Clindamycin Read More »
Not all information in a system flows equally. And what gets reported is not always what happened. What Do We Mean by “Reporting”? In clinical environments, “reporting” is often assumed to mean documentation. Charts. Notes. Records. But in practice, reporting is something else. It is the continuous, informal flow of information within a system: This
Structural Wellness Part 4: Asymmetric Reporting Read More »
Why support systems in healthcare may stabilize pressure rather than reduce it Over the past several years, “wellness” has become a central focus in healthcare. Resilience training, mindfulness programs, coaching, and institutional support initiatives have all expanded in response to rising concerns about burnout, fatigue, and clinician dissatisfaction. At face value, this makes sense. The
When Wellness Becomes a Structural Response Read More »
In clinical practice, responsibility is clear. Clinicians are accountable for outcomes. Less clear—and often unexamined—is the degree to which they control the inputs that shape those outcomes. This distinction may seem subtle. In practice, it is not. Control and Accountability In many healthcare environments, clinicians operate within systems where key elements are determined externally: At
Structural Wellness Part 3: Control, Accountability, and the Emergence of Wellness Read More »
From Capacity Expansion to Cognitive Compression in Clinical Practice The current conversation around AI in healthcare has largely focused on documentation. AI scribes reduce charting time, improve workflow efficiency, and allow clinicians to spend more time with patients. These are meaningful improvements. But they also introduce a less obvious dynamic: capacity. When documentation friction is
When AI Solves Documentation, What Happens to Cognition? Read More »
AI doesn’t reduce work. It redistributes control. Most dentists are still documenting the same way they did a decade ago. Typing. Clicking. Finishing notes after hours. AI scribes are starting to change that. But the real story isn’t about documentation. It’s about what happens to the time that gets freed up. AI Doesn’t Reduce Work
AI Scribes in Dentistry: Who Controls the Gain? Read More »
The rapid adoption of AI-driven documentation tools is often framed as a solution to clinician burnout. On the surface, the logic is straightforward: Reduce documentation burden → free up clinician time → improve well-being However, this framing may overlook an important second-order effect. The Constraint Doesn’t Disappear—It Moves In most healthcare systems, efficiency gains are
AI, Throughput, and the Cognitive Bottleneck in Healthcare Read More »
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