Thoughts of a caring dentist

Lawrenceville Ga, Dentist Dr. Sandlin | Your Aspirations are your possibilities

Dr. James Sandlin - Tuesday, August 26, 2014

Your Aspirations Are Your Possibilities

  Here's a blog entry from one of my mentors, Dr Michael Schuster. He quotes a study I found fascinating and worth sharing. As Pogo said, " We have met the enemy and he is us." What would be different in your life if you got out of the way and lived your dreams?


Until next time,

Dr Sandlin


 Rules for Practice Success # 10

By Dr. Michael Schuster



A CODE for a better, more fulfilling, rewarding, and profitable practice and life.


A study of business school graduates (could have been professionals) tracked the careers of 1,500 people from 1960-1980. From the beginning, the graduates were grouped into two categories. Category A consisted of people who said they wanted to make money first so that they could do what they really wanted to do later—after they had taken care of their financial concerns.  Those in Category B pursued their true interests first, sure that money eventually would follow.

 Of the 1,500 graduates in the survey, the money-now Category A’s comprised 83%, or 1,245 graduates.  Category B risk takers made up 17%, or 255 graduates. After 20 years there were 101 millionaires…..1 came form Group A, and 100 from group B.

 The study’s author Srully Blotnick, concluded that ‘the overwhelming majority of people who have become Wealthy have become so thanks to work they found profoundly absorbing…Their ‘luck’ arose from the accidental dedication to something they loved doing.

 “No heart has ever suffered when it goes in search of its dreams.” Where are you in relationship to following your dreams rather than following the money?

Dr. James Sandlin | Sandlin DDS Lawrenceville, Ga

Dr Sandlin of Sandlin DDS Lawrenceville, GA | The Systemic Connection

Dr. James Sandlin - Tuesday, August 12, 2014

Sandlin DDS; The Systemic Connection

Heart Attack, Stroke, and Gum Disease - The Systemic Connection

Two years ago, medical research proved that swollen and bleeding gums are closely related to heart disease and stroke. That may seem strange at first, but a better understanding of illness has led to a breakthrough in Health Care and Disease Prevention.


Inflammation is the root cause of all degenerative diseases.


When it occurs anywhere in your body, inflammation triggers the release of strong chemicals. These compounds will not only create ulcerated and bleeding gums, they can also trigger similar ulceration and bleeding within the arteries of your heart and brain. When you bleed, your blood clots. Clots around your gums pose no threat. Clots in the arteries of your heart and brain can kill you.


Are you at risk for a heart attack if you don’t brush and floss? The answer is both “Yes” and “No”. The chemicals which cause your gums to bleed, and eventually can cause damage in other areas of your body, usually take weeks to develop. Depending upon your overall health and the stability of your chewing system, you could go months and not see damage in your mouth. Similarly, a good diet and plenty of exercise have been shown to reduce the damage these chemicals create throughout your body. In the end though, if you don’t take care of yourself, you will wear out prematurely.


A thorough examination of your mouth can help reveal if you’re at risk for these deadly conditions. More than your beautiful smile is at stake!


Important Facts


* People who floss their teeth live an average of 3 years longer

* Gum inflammation is directly linked to heart disease and stroke

* Bleeding gums and bone loss around your teeth are signs of inflammation

* People who keep their natural teeth live an average of 10 years longer

* Inflammation triggers the release of Free Radicals into your bloodstream.

* Inflammation has been linked to increased risk of diabetes, Parkinson’s, and cancer.


Ask us how we're helping you fight Gum Disease and protecting your health in the process.

Dr. Sandlin | Sandlin DDS Lawrenceville, GA

New Cancer Study Results - recommendations that are doable for anyone

Reformation Productions Agency - Tuesday, July 29, 2014

New Cancer Study Results - recommendations that are doable for anyone

Though it's at the other end of the gut, recent studies in the prevention of colon cancer have shown a direct link with weight (BMI) plus moderate exercise (walking). Here's an article that appeared in MedScape. There's some technical parts, but I think you'll get the gist of it. More evidence of the link between cancer and inflammation.


Dr S




Walking Improves Cancer Outcomes

John L. Marshall, MD

Mar 15, 2013


Hello, everyone. This is John Marshall for Medscape. Let me ask you a question: How much exercise did you get this week? I am in training with a team for a big, long race. We are exercising to get ready for that, so last week I ran almost 14 miles total. I was quite proud of myself. (I am hurting so much this week that I can't run at all, but that's another story.)

What do you think about running, exercise, and physical activity and your risk of developing cancer? A lot of data is emerging on this subject. Just in the last few months, 2 very interesting studies have been published on the relationship between exercise, physical activity, body mass index, and colorectal cancer. I thought it would be useful to pause and think about this a bit.

The data from the larger of these studies[1] come from Harvard's Nurses' Health Study and the Health Professionals Follow-Up Study. It includes roughly 150,000 people. Every year these participants receive a long survey asking, for example, "How much broccoli do you eat? How much exercise do you get?" In essence, the answers provide a snapshot of participants' nutrition and exercise for the whole year. Of course, we assume that these people are pretty good reporters and give us pretty good data, although if you asked me today how much exercise I get I would say a lot, whereas if you had asked me a few months ago, I might have answered differently. So, there is an innate problem with this kind of survey data but they overcome that with size. Around 150,000 people were involved in the larger study, and 2300 people were involved in the other.

The Beta-catenin Connection

Let me focus on the one from the Harvard group first. Of the 150,000 people surveyed, 861 patients developed colon cancer. This group of 861 patients with colon cancer has been studied several times, but in this analysis, investigators looked at the Wnt/beta-catenin pathway that was measured within their tumors and then cross-referenced that with physical activity and body mass index.

They found that body mass index and physical activity correlated with the kind of cancer you got. If you did not have this Wnt/beta-catenin pathway upregulated and you had a high body mass index, you were at higher risk for the tumor being beta-catenin-negative.

[This suggests the possibility of] a metabolic reason or a gene pathway linking overweight and inactivity with the kind of colon cancer a person develops. This is great science and great for hypothesis generation. Would I start testing everyone's tumor for this? No. It is more of a mechanistic kind of study.

Walking Improves Outcomes

The second study[2] is "ready for prime time" and applicable in your clinic if you are not doing it already. In this study, published in the Journal of Clinical Oncology in January, investigators identified 2300 people [with invasive, nonmetastatic colorectal cancer] and measured how much exercise they got before and after their diagnosis. This is fascinating data, showing that those people who were more physically active both before and after their diagnosis of colon cancer had much better outcomes.

These patients needed only a minimum 8.75 MET (metabolic equivalent) hours of recreational exercise per week, or the equivalent of 150 minutes a week of physical activity -- basically, walking. So, I often prescribe a dog for patients because they will have to walk their dog. Insurance won't cover that, by the way. We have tried.

If you engage in that much physical activity before and after [a colon cancer diagnosis] the risk reduction [in all-cause mortality] is 0.58. That is better than any chemotherapy we have ever given to anyone. Physical activity after diagnosis, and certainly pre- and post-, is better, but even if you just pick it up afterwards, you will have a significant improvement in outcome. If you are a couch potato and do not exercise, your risk goes the other way, to risk escalation, with a 1.36 hazard ratio [for all-cause mortality].

Exercise should be an important part of every discussion that we have with patients with colorectal cancer. I think the same type of data is available in breast cancer. Whenever I have finished with adjutant therapy in a patient, I give them this talk. I prescribe the dog and make sure they exercise. I know my colleagues around the country do this as well. You need to harp on patients: "Now is the time for intensive physical activity. You always said that you wanted to get in shape. Well, now is a good time to do it, and with good reason, because the magnitude of benefit of the physical activity may be, in fact, greater than the magnitude of chemotherapy."

The next time you find yourself in one of those difficult conversations with patients who have stage 2 colon cancer and want chemotherapy or something additional, perhaps recommend exercise instead. Better benefit, maybe, than chemotherapy.

This is John Marshall for Medscape. Go and get yourselves some Nikes instead of chemotherapy.


  1. Morikawa T, Kuchibal A, Lochhead P, et al. Prospective analysis of body mass index, physical activity, and colorectal cancer risk associated with â-Catenin (CTNNB1) status. Cancer Res. 2013;73:1600-1610. Abstract

  2. Campbell PT, Patel AV, Newton CC, et al. Associations of recreational physical activity and leisure time spent sitting with colorectal cancer survival. J Clin Oncol. 2013;31:876-885. Abstract


Medscape Oncology © 2013  WebMD, LLC

Enduring Value

Reformation Productions Agency - Wednesday, July 02, 2014

Here's a piece written by one of my mentors, Dr Michael Schuster. As our system of "disease care" continues to shape the pursuit of health into a list of managed commodities, consider what's important to you. Relief of symptoms is easy. As our Chief Executive said, "Just give Grandma a pill." If you value your quality of life, if you truly want to live a life free of pain, disease, and disfigurement, consider your priorities. What do you value? What's important to you?


Dr Sandlin



Enduring Value


          Commodities and transactions are easy to find on price lists.  True value - the kind that exists and endures beyond the boundaries of ‘the deal’- is somewhat ambiguous and thus cannot be printed on some generic list of services or transactions (or insurance codes.) Integrity, technical competency, relevant experience, and creativity combined with wisdom are the professional values for which intelligent, successful patients hunger. 


          True value is often a subtle thing, best determined by each project or desired outcome.  The wisest clients know that competent, caring, creative vision, sound execution, and the principle of win/win for everyone involved.


          When I want an important project accomplished brilliantly, I find the best professionals and compensate them so that they have a stake in the endeavor. Great people are hard to find and worth their weight in gold. They do not work off a price list. They are not commodities. 


          Great professionals produce results of enduring value.


Bruce Wright/Dr.Michael Schuster

Health is a gift that you give yourself. What future do you prefer?

Reformation Productions Agency - Tuesday, June 17, 2014

One of my mentors, Dr Michael Schuster, assembled this list of quotes. All are in context, and all speak to the same issue: Our health care system is fundamentally broken.


  Today's medicine and dentistry don't provide or promote "health". They aren't sustainable either. No matter if the government or an insurance company helps you manage your doctor bills, availability and quality of care influence less than 20% of your health outcomes. Take a look at the facts and ask us how we offer an alternative.


Dr Sandlin




“The time has come to abandon disease as the focus of medical care…Medical care that is centered on the diagnosis and treatment of disease is at best out of date and worst, harmful.”


“The End of the Disease Era.”

The American Journal of Medicine. Feb. 1, 2004


“Treating an illness before it happens, or at least before it progresses, is not how American medicine works. It is not the way insurance works. It is not how Medicare works.”


Daniel Bergman, M.D. President American Association of Clinical Endocrinologists


“The hope that we have in geriatrics is that the length and quality of life could be expanded by DECREASING the period of disability at the end of life. Unfortunately, population studies show that we have increased the length of life, but have made no progress in decreasing the length of disability at the end of life.

We have actually prolonged the period of dying.”


Richard DeShazo, M.D.

Chairman and Professor, Dept. of Medicine

University of Mississippi Medical Center


“Over the next decade, America’s unhealthy lifestyle is expected to cause more premature deaths than smoking.”  “Diet, inactivity, and obesity---that constellation—will be the leading cause of death if things don’t change.”


James S. Marks, M.D., M.P.H.

A CDC Epidmiologist, JAMA March 10, 2004. Vol 293: pp 1238-1245