A really interesting question

[TSDentSurg]

---

Members don't see this ad.

Just something I've been pondering for a while.

Unlike probably all of you here, I am a) trans, and b) independently wealthy.

No, I did not inherit it. I worked for it. When I came out as trans, my parents freaked out, and stopped my degree funding. I eventually trained and found work as a paralegal, which paid enough to live on. I also had a part-time job as a high-end ($1000/hr+) escort. Unlike most of the tgirls who escort, who spend their money as fast as they make it, I invested the majority of mine. I did that for 10 years until I got burned out, and decided to pursue my calling.

So, I'm doing dentistry because I truly enjoy it. I don't need the money at all.

I have a net worth of $8.2M+, and I earn an 8.5% yield on my portfolio. I sell 0.5% every month for income. So I basically have $500,000/year for life.

Here's my questions (concerning after I get my IDP DDS/DMD):

1. I really want to do OMS, as it has everything I want (cool anatomy, trauma, infections, cancer, cosmetics), but I know its fiendishly competitive because of limited spots and the high costs involved. Would it be possible to offer to pay all the costs the program would incur, plus provide research funding, in exchange for a spot? They need the money, and I need the training.

2. Is it possible to have an OMS practice and not charge patients? Just use my passive income to pay for my staff, supplies, insurance, etc.? Or at least charge them very little? Hmmm...become the low-cost leader in OMS, capture the market share, and then slowly raise prices...

Thanks so much,
Lexi

 

[Contach]

Yeah, pretty interesting.
If I were in your situation, I would go to school for life - just saying. After medical school I'd re-enroll myself in an undergraduate program.

1. Dentistry is very different than OMFS. Sounds like you like both of them... it's possible... I guess.. Are you willing to take call at a hospital every second to every fourth day for several years? Easier said than done... maybe externships will help you decide?

If you paid to get in, you'd be in a strange spot. Likely, attendings and residents would treat you different, probably respect you less, and you wouldn't get the same experience. But maybe you can pay for a 7th or 8th year to learn the stuff you missed out on? Its not like you're in a rush to make money?

Side note: The community is small - so be careful what you post online and who you tell about your desire to buy your way in. But I'm sure you could find some ''less than stellar programs'' that would gladly take your money. Heck.. I'd take you under my wing for $250k/year and teach you everything I know... Sounds like you're interested in many different areas of OMFS - very few OMFS do things like cosmetics.. and those that do likely limit their scope to only cosmetics. Same for cancer.

2. Yeah, you can give anyone free stuff. Why would anyone stop you? Will GPs continue referring to you once you start charging their patients? At that time they'd probably re-evaluate and see if they still like you more than the other OMFS in the area.

 

[TSDentSurg]

Why would I be looked down upon if I paid to get in? It's not like I'm trying to use my cash as a substitute for a quality application, i.e. high NBDEs, grades, research, LORs, etc., just as a bargaining chip. If a program is trying to decide between two applicants, both who have excellent CVs, and they'd have to pay to train one, but the other they'd profit from training, why wouldn't they accept the latter? In fact, they could accept both, using the latter to fund the former.

And I know OMS is crazy. I'd enjoy the variety, urgency, and saving someone's life, functionality, and/or appearance. Doing everything from resecting a dipper's SCC to restoring an old lady's ability to eat and smile to making a young lady look beautiful would really put me over the moon.

I guess I could operate a paying cosmetic clinic, and use that to fund a free academic cancer clinic or ICS/ICD international medical missions.

Or just do a OMS cancer fellowship residency, and be a full-time academic surgeon-researcher, and not charge my patients a dime. Or at most 10% of what another surgeon would charge. A SCC patient needing a $50,000 resection and reconstruction getting it for only $5000. What I lose on per-patient revenue I can make up on volume.

Can OMSs supervise PAs? I could hire one to be my FA and do daily inpatient post-op rounds.

 

[Tufts R Us]

I need some of w/e you're smoking

 

[TSDentSurg]

I need some of w/e you're smoking

You want vanilla pipe tobacco?

 

[Screwtape]

In regard to point #2, you could probably get into trouble for predatory pricing. (Squeezing out the competition with sub fair market prices, and then raising the price after eliminating the competition).

I would never charge for my sound advice, but I do take donations... 🙂

 

[TSDentSurg]

In regard to point #2, you could probably get into trouble for predatory pricing. (Squeezing out the competition with sub fair market prices, and then raising the price after eliminating the competition).

I would never charge for my sound advice, but I do take donations... 🙂

Unless you raise prices slowly enough, and just say it's the effects of inflation.

 

[Screwtape]

You could probably just set yourself up as a nonprofit organization, which should eliminate most legal issues pertaining to predatory pricing and a few other things relating to not charging people.

If you are indeed serious about this, I would consult legal advice when establishing your business (or whenever). I am sure they would know all the answers and loopholes.

 

[TSDentSurg]

You could probably just set yourself up as a nonprofit organization, which should eliminate most legal issues pertaining to predatory pricing and a few other things relating to not charging people.

If you are indeed serious about this, I would consult legal advice when establishing your business (or whenever). I am sure they would know all the answers and loopholes.

Great advice! I'll contact one of the attorneys I used to work with when I do go into practice.

Tell me, what is the average revenue and earnings for an OMS?

 

[Contach]

I give up.

Let's talk about something more interesting - ie. Your life as an escort. There must be some good stuff there...

 

[TSDentSurg]

Why not train where you are in Europe? I'd imagine it'd be easier to get set up there.

Well, I'm a US citizen, not an EU citizen, I have family in the US, and stuff.

Eastern European OMS training isn't great (which is why most go to England, Germany, Italy, France)...getting into OMS training in Western Europe also requires a medical degree, save for Germany...I don't speak German.

I'm just going to get into an IDP DDS/DMD, and do a GPR followed by an OMS internship. If I truly enjoy my internship, I'll apply for OMS residency. If not, I'll do periodontics. If I get into OMS, I'll follow it up with an oral-maxillofacial surgical oncology fellowship, and go into academics. If I go into periodontics instead, I'll use my wealth to provide outstanding state of the art full mouth rehab to the poor and destitute and cheap.

 

[Silent Cool]

 

[TSDentSurg]

Very cute. I'm not a troll. Is anyone who has an unusual situation a troll?

 

[Katzen7]

Very cute. I'm not a troll. Is anyone who has an unusual situation a troll?

This isn't an unusual situation - this is over the top and what started out as odd has become downright ridiculous.

 

[7 Iron]

Even $8 million can disappear really fast when you provide free surgery to people.

 

[TSDentSurg]

Even $8 million can disappear really fast when you provide free surgery to people.

Ok, I'm beginning to realize that. I'll probably just provide surgery at normal rates, and use my wealth to fund research and ICS/ICD missions.

Endow a professorship at my local medical/dental school, and use it to research new oral cancer treatments, like chemoembolization, intratumoral injection of radionuclides, cancer vaccines, etc.

If people would stop smoking and Gardasil was included in the mandatory immunizations, I suspect the incidence of oral cancer would diminish sharply.

 

[Shunwei]

Even $8 million can disappear really fast when you provide free surgery to people.

8 million is nothing when it comes to research funding.

 

[UCSFx2017]

0.41% of Europeans are millionaires.
0.002% of people are transgender.
0.0005% of Europeans are dentists.

0.0000004% chance that you exist. 😵

 

[TSDentSurg]

0.41% of Europeans are millionaires.
0.002% of people are transgender.
0.0005% of Europeans are dentists.

0.0000004% chance that you exist. 😵

I'm not European! I'm American! So there goes that.

Just because I'm studying in Europe doesn't mean I'm European.

 

[gethscout]

why did you choose dental school abroad? if you need a medical degree to do oral maxfax surgery in europe then switch to medical school. i heard that polish and czech medical schools will take and pass anyone with a pulse and a certified cashiers check. lots a valuemd-types go there.

btw, is that you in your avatar?

 

[TSDentSurg]

why did you choose dental school abroad? if you need a medical degree to do oral maxfax surgery in europe then switch to medical school. i heard that polish and czech medical schools will take and pass anyone with a pulse and a certified cashiers check. lots a valuemd-types go there.

btw, is that you in your avatar?

Well, actually you need BOTH a medical and dental degree. Prospective OMSs in Europe go to dental school, then do their dental internship, and then enter med school while working as an OMS registrar.

Also, I'm far more interested in dentistry than general medicine...doing prostate exams and managing DM and HTN would drive me crazy.

No, its not me, but I look pretty similar...my piercings are different, and I don't make-up like that.

I'd be happy being a periodontist and doing LANAP and bone grafts and implants, or an OMS and doing cancer resections and reducing facial fractures.

There is this one guy who did periodontics, and then after a few years did OMS. He practices both. He does LANAP, implants, extractions, biopsies, cancer resections, fractures, etc.

And can anyone answer this question: can a single degree OMS supervise a PA? Other than lacking an MD, they're fully-qualified surgeons (being able to get FACS), and being able to have a PA assist on their big in-hospital surgeries and do rounds would be valuable

 

[Katzen7]

Well, actually you need BOTH a medical and dental degree. Prospective OMSs in Europe go to dental school, then do their dental internship, and then enter med school while working as an OMS registrar.

Also, I'm far more interested in dentistry than general medicine...doing prostate exams and managing DM and HTN would drive me crazy.

No, its not me, but I look pretty similar...my piercings are different, and I don't make-up like that.

I'd be happy being a periodontist and doing LANAP and bone grafts and implants, or an OMS and doing cancer resections and reducing facial fractures.

There is this one guy who did periodontics, and then after a few years did OMS. He practices both. He does LANAP, implants, extractions, biopsies, cancer resections, fractures, etc.

And can anyone answer this question: can a single degree OMS supervise a PA? Other than lacking an MD, they're fully-qualified surgeons (being able to get FACS), and being able to have a PA assist on their big in-hospital surgeries and do rounds would be valuable

No, to the best of my knowledge, a single degree OMS can not supervise a physician's assistant. One must have an M.D. (and active medical license) to do this. For that matter, I am almost sure that a single degree OMS cannot become a member of the American College of Surgeons, an M.D. is required.