39. Ryan’s Sedation Nightmare and What He Learned

07/07/2025 27 min
39. Ryan’s Sedation Nightmare and What He Learned

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Episode Synopsis

In this raw and relatable episode of The Dentists Show, Ryan opens up about one of the most stressful sedation cases he’s ever faced—a situation that pushed him to his edge as a dentist and leader. What started as a routine All-On-X procedure under IV sedation turned into a chaotic and dangerous experience when the patient became combative mid-surgery. Ryan walks us through the moment-by-moment decisions he had to make—balancing patient safety, team confidence, and the legal and emotional weight of it all. Chase jumps in with his own stories, and together they unpack the wild world of sedation dentistry, sharing lessons on teamwork, emotional resilience, and knowing when to laugh so you don’t cry.  If you've ever thought, Why do I do this? — this episode is for you. 🎧 Loved this episode? If you’ve ever had a day where everything went sideways in the operatory, you’re not alone. Share this episode with a fellow dentist who could use a laugh (or a therapy session), and don’t forget to subscribe so you never miss these real, unfiltered convos from the trenches of dentistry.   LINKS: https://www.thedentistsshow.com   Episode Minute By Minute:  0:00 – Sweaty backs, gas station food, and Scottsdale heat 2:00 – Team outings and fine dining in surprising places 3:00 – Burnt wood decor and the irony of fire 3:40 – Ryan’s no-good, very bad sedation day begins 5:00 – When a patient goes from peaceful to combative 6:20 – The mental chaos of making high-stakes calls fast 7:30 – Giving reversal meds and hoping for the best 9:00 – How flumazenil saved the day—after a quick Google 10:30 – Was she over-sedated? Or just hit fight-or-flight? 12:00 – Redheads, weed, and sedation unpredictability 13:40 – When dentistry feels like a combat sport 15:00 – Why sedation stress hits differently 16:20 – Ryan’s go-to coping mantra on bad days 17:30 – The moment you walk past your family and just need a minute 18:30 – Chase’s sedation fails and why weed smokers are the worst 20:00 – Rookie assistants, real-time chaos, and how to train on the fly 21:20 – PSA: Your worst day isn’t your last one 22:15 – Dark dentist humor and the stress of “almost” 23:00 – Pulse ox tricks and unexpected saves 24:30 – What stress actually means for your growth 25:00 – Learning from the frustration and doing it better next time 26:00 – Keep calm, finish the case, and go home at 3  

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