Uncertainty and Unemployment

Dentistry, Lifestyle

My start to the new year came with an unexpected surprise – the dental office I work at was to be permanently closed come the end of January 2026. The very practice I have worked at for the past 10 years, that one! Apparently the company decided the cost of repairing some structural issues in the building, combined with an unaccommodating (borderline negligent) landlord, made it not worth renewing the lease on. The company’s director came down to the office on Monday, January 5th (our first day back after a brief holiday break) and informed us all that we would be closing our doors at the end of the month and being laid-off in the process. Me personally, I was shocked by the news. Some staff members later confessed they saw it coming months earlier – apparently, the company had my lead assistant doing inventory checks and some other suspicious activity that now makes a lot more sense in hindsight. Regardless, the past month has been filled with uncertainty to say the least.

The company was quick to notify families that another location they own was available to them for continued dental care and hastily tried to funnel them across town. Saying goodbye to the families I did see this past month was really hard. I have enjoyed their trust and loyalty to our office for over a decade – it’s actually quite surreal to think that much time has passed. Many families were kind enough to share their disbelief and dismay when they got the news – after all, I have literally seen their kids grow up. I reciprocated in saying how astonished and sad I was to leave that location and went on to thank them for entrusting me all these years.

I am sitting here trying to harness my emotions from that day when I first heard I’m being let go. I guess if I had to find one word to describe it, it would be ‘bitterness.’ I think when you are corporately owned, there is a detachment and an almost callous indifference to who gets impacted by decisions often made by people high-up and far removed from the operations on the ground. Most of the staff at this location became unemployed, lots of families that enjoyed our service need to find another dental provider; but none of the human element is factored into their decision-making process as we are just seen as insufficient numbers on a spreadsheet to these captains of industry.

This is the third job I’ve lost throughout my life. The first time, I was young (in my 20’s) – lived at home still, and the family support really made that layoff almost seem insignificant (if not welcomed). That was still while I was in my I.T. era, and the job I worked was from the hours of midnight to 8 am doing phone support, sooooo…good riddance? In 2015, I was working part-time at this current practice, when I lost my second job as a (pediatric) dentist with another group – which also helped lighten the burden of being fired. Maybe it is the 10-years of my life I spent here, but this most recent firing stings so much worse than any time before.

Thankfully I consider myself financially stable and responsible. With the help of my wife, we have lived below our means for some time – we’ve saved an adequate emergency fund, possess a diversified retirement portfolio, and suitably control our monthly expenses. Push come to shove, we will have to forfeit some tennis and piano lessons for our kids, eat out a little less, and skip that trip to Hawaii this year – but, thankfully a lot of the sacrificing we have done over the years affords us some peace of mind that we won’t starve or be homeless any time soon.

Another blessing in disguise as it turns out, has been keeping good relations within the community of dental professionals around me. After reaching out to share the news of our closure, to my surprise, so many offices welcomed a chance to meet and discuss employment opportunities or even a partnership collaboration. I was very touched. In some weird turn of events, it is looking like I may be even more busy now then when I worked my full-time job.

“When God closes a door, he opens a window” 

Nearly a month out now – the initial shock has settled and I am feeling quite optimistic about what the future holds. I remember speaking on previous posts about why I favor associateship – and while everyone’s experiences are different and it really is a case-by-case basis – at this point in my career I see more value in ownership, in equity, in doing something for yourself. I still have little to no faith in corporate loyalty towards its employees and I think most individuals are better off investing in themselves. That said, I am grateful that the associate position allowed me ample time to see my kids grow up and freedom from the stressors of running a business.

I am liking the prospects 2026 has in store. My New Year’s resolution is to not be in my head so much about undergoing change, but rather to embrace it and basically let the universe take the wheel. What are your thoughts? My apologies to anyone who reads my posts; it’s been an incredibly big gap – we got a dog – and there is a lot more I probably need to write about! Feel free to comment on your thoughts about change, and I’ll try and write again soon! Thanks for taking the time to read this one!

Hematuria and an Uncertain state of Health

Lifestyle

Every weekday morning I tend to start my day basically the same way. I do my morning routine in the bathroom, and simultaneously peruse through the days headlines in my News apps and check in on the stock market performance. Then, I head downstairs for breakfast, make myself some oatmeal while I Youtube last nights Stephen Colbert monologue. I sort through some left-overs in the refrigerator to take for lunch. I pour the kids a bowl of cereal before I wake them up. And then I am off to work. I love those mundane, predictable, uneventful moments in life.

So on March 1st of this year, imagine my surprise when I am standing over the urinal in the men’s restroom at work and peeing out blood. An hour or so passes, I go again and regrettably have the same outcome. Panicked, I start hydrating like crazy, and fortunately it appears to have resolved.

I told my wife later that afternoon about the concerning occurrence(s) and she immediately forced me to schedule an appointment with a urologist – whose soonest availability was 3 weeks out. Beggars can’t be choosers, I took what I could get.

Two weeks later, however, the horrifying hematuria returned with a vengeance. That day – almost every time I ‘went’ and despite how much water I drank – the toilet bowl appeared like it was filled with blood. My wife encouraged me to go to the Urgent Care.

At the UC, I provided a urine sample and blood to run some diagnostic tests. The physicians assistant (PA) that was examining me wanted to help rule out any sexually transmitted diseases, urinary tract infections, etc. The blood work thankfully all appeared within normal limits and the urine culture results also looked good once they came in a few days later. The PA was impressed (relieved?) to know I had already lined up an appointment with a urologist for the following week, and deferred to him for a more thorough and absolute diagnosis. That was Monday.

As before, a plethora of water consumption seemed to really help eliminate the hematuria. Throughout the week, things appeared again back to normal. However, my wife and I – both with a foot in the medical field – knew the underlying cause of this issue needed to be investigated. We couldn’t help but to Google search causes of visible (non-symptomatic) hematuria, inquire with some close friends and family that are physicians, and honestly just prayed it was not anything too serious.

By Friday of that week – with only a mere 5 days and counting until my scheduled (and long-awaited) urology appointment – to my dismay, the blood came back yet again. This time, my radiologist brother and pharmacist wife insisted I just go to the hospital ER and get some imaging done. The ER doctor ordered a CT scan of my abdomen and pelvis with contrast.

After receiving my CT scan, I must have waited in the ER waiting room for at least a couple of hours before my doctor came out to give me the results. Let me tell you, those couple of hours were daunting. The mind has a cruel way of playing out all the worst-case scenarios in dire detail. However, perhaps those hours were the rude awakening I needed to re-evaluate my life. A time to reconsider the things (and people) I tend to take for granted. A time to count all the blessings that were bestowed on me throughout my life.

I thought about how my wife has been so worried about me; and in that moment truly appreciated what her unconditional love meant to me. I thought about not being able to see my two boys grow up; and wondered to myself what great things they would do in their lives. I wondered how I would break the news to my beloved office staff; how I might phase myself out of my professional career and contemplated if patients would even notice my absence.

The ER doctor eventually came out, and apologized for the long delay and stated she had been called away on a code. She stated that the CT scan did reveal a left-side small kidney stone, but everything else imaging and blood work wise appeared remarkable. As for the blood in the urine, her theory was that I may have already had a small stone pass and that it could have damaged my ureter along its pathway. However, she too was pleased to discover that I had an upcoming urology appointment.

As of this posting, my urologist appointment was two days ago. While they concurred that there does in fact seem to be a small kidney stone present; they want to do additional testing to include a cystoscopy of my bladder and a prostate-specific antigen (PSA) level check.

Knock on wood, the bleeding has stopped since the day of my ER visit last week. Unfortunately, no sign (or really, pain for that matter) of a kidney stone passing. But I wake up every day now feeling different. I have a rejuvenated attitude about my life. I feel genuinely lucky to be here each day. I put my phone away when my kids talk to me; they get my undivided attention. I appreciate and take the time to notice the trees and the sky and the world around me.

I no longer read news headlines and stock reports, now my mornings are spent perusing my photo albums. However, still turn on Stephen Colbert – he’s too wonderful! I wake my kids up before I pour their cereal…just to get a few extra minutes in with them each morning.

I still have a lot of stuff to figure out with my health. I actually try not to think about it too much. I am trying to live in the moment and not worry quite as much about what the future holds. I will surely keep everyone posted. Thank you for taking the time to read this blog post, and please always feel free to share your own experiences! Until next time…