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The DOC Podcast

The DOC Podcast

De: DeLuke Orthodontic Coaching LLC
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The DOC Podcast brings you unique educational content taught by Dr. Mike DeLuke, a Board Certified Orthodontist with over 20 years of clinical and academic experience. Dr. DeLuke built his orthodontic practice from scratch in the early 2000s and grew it into a multimillion-dollar enterprise in less than 10 years. He was able to retire from his private practice at the age of 46 years old, and now devotes his energy to teaching his colleagues how to succeed both personally and professionally. He also provides locum tenens coverage for colleagues in South Florida. Dr. DeLuke has served as a faculty member at numerous hospitals and orthodontic residency programs around the country, including as the cleft craniofacial orthodontist at Albany Medical Center in New York, and as a clinical professor at The University of Connecticut in the Department of Orthodontics. He is presently an adjunct professor in the Department of Pediatric Dentistry at Healthcare Network and a Visiting Professor in the Department of Orthodontics at Montefiore Einstein Hospital in the Bronx. The DOC Podcast will bring you in-depth discussions and interviews with industry leaders and experts on a variety of topics, including clinical excellence, practice management, finance and wealth creation, health and wellness, taxes and accounting, fitness, and much more!2026 DeLuke Orthodontic Coaching, LLC Ciencia Economía
Episodios
  • The Fundamentals of Generational Wealth: Planning, Fiscal Discipline, & Real Estate (w/John Vento Sr.) [Ep.163]

    The Fundamentals of Generational Wealth: Planning, Fiscal Discipline, & Real Estate (w/John Vento Sr.) [Ep.163]
    Jul 2 2026
    OVERVIEWMost high-income professionals work incredibly hard, yet wonder why wealth and financial freedom seem just out of reach. The answer, more often than not, isn't about earning more. It's about understanding the fundamentals that turn a good income into lasting wealth.In this episode, Dr. Mike sits down with John Vento Sr., a CPA, financial advisor, and co-author of The Generational Wealth Code, for a conversation that could genuinely change the financial trajectory of your life. John has spent 40 years helping dentists and other professionals build real, lasting wealth, and in this episode, he lays out the exact framework he uses with every client: start with fiscal discipline and margin, know your numbers cold, minimize your tax burden legally, and then deploy your capital strategically through real estate.Whether you're just starting out and trying to dig out from under student loan debt, or you're well into your career and ready to accelerate your wealth-building, this episode gives you a practical roadmap — one built not on hype or shortcuts, but on proven principles that compound over a lifetime and beyond.TIMESTAMPS3:42 — Episode begins; Introduction to the series and The Generational Wealth Code4:25 — Why "Living Within Your Means" is the most important chapter in the book6:45 — Taxes as your #1 lifetime expense; the importance of tax literacy9:22 — Good debt vs. bad debt; how to approach student loan debt as a young professional13:44 — The 20 questions in the book's introduction and using it as a lifelong financial guide15:00 — Knowing your numbers: the statement of net worth and cash flow analysis18:07 — The cost of waiting; why starting early is critical22:47 — Balancing competing goals: student loans, retirement, college savings, and investing25:56 — Retirement planning; the 12-variable financial calculator and setting realistic goals30:21 — Estate planning: wills, trusts, LLCs, and when to start39:20 — The "live for today" mindset; balancing enjoyment and financial responsibility43:22 — Cash flow statements; where your money is really going47:45 — Transitioning to real estate: creating margin to invest50:01 — Why dentists should own their office space; the phantom deduction of depreciation52:47 — LLCs, liability protection, and entity structure for real estate56:55 — Tax benefits of owning real estate through an LLC; SALT workarounds1:00:49 — The One Big Beautiful Bill Act and accelerated depreciation for capital improvements1:03:45 — Cost segregation studies and maximizing depreciation deductions1:09:46 — The value of a financial coach; the importance of an ongoing, intimate client relationship1:14:14 — Leverage in real estate: using other people's money to multiply returns1:17:10 — Equity recycling: pulling out equity to buy more properties and build wealth1:19:28 — Depreciation, step-up in basis, and passing real estate wealth to the next generation1:24:47 — Passive vs. active real estate investors; IRS classifications and what they mean for your taxes1:28:27 — Passive Income Generators (PIGs) and Delaware Statutory Trusts1:30:25 — Preview of the next episode with Christine Vento: 1031 exchanges, Qualified Opportunity Funds, and advanced real estate strategies1:31:17 — Types of 1031 exchanges: simultaneous, delayed, reverse, and construction/improvement1:37:26 — Closing thoughts: tax planning as a year-round chess match against the IRSIf this episode got you thinking differently about your financial future, please don't keep it to yourself. Share it with a colleague, a friend, or anyone in your life who could benefit from hearing this information. The principles John shares here don't just help people save money; they help people build the kind of financial freedom that lasts for generations.The information discussed in this podcast is intended for informational and educational purposes only and should not be considered individualized financial, investment, legal, or tax advice. Please consult your own professional for advice specific to your individual situation.LINKS:Purchase John’s New Book: https://a.co/d/0cye2LquVento Tax & Wealth Mgmt. Website: https://www.vtwmg.com/Joint Episode w/The Vento Family: https://youtu.be/9sEzEto2mAMRegister for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ Join The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/Link to Balance Sheet on DOC Website: theorthocoach.comYouTube: @theorthocoachEmail: drmike@theorthocoach.comInstagram: @theorthocoach
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    1 h y 40 m
  • The Great Airway Debate: All That's Old is New Again (w/Dr. Duane Grummons) [Ep.162]

    The Great Airway Debate: All That's Old is New Again (w/Dr. Duane Grummons) [Ep.162]
    Jun 25 2026

    Overview:
    In this landmark episode, Dr. Mike sits down with Dr. Duane Grummons - a board-certified orthodontist, educator, and internationally recognized lecturer with over 50 years of clinical experience. Dr. Grummons traces the origins of airway-focused orthodontics from his early training under Ricketts, Bench, and Gugino in the 1970s, through the political and clinical headwinds of the 1990s, to the evidence-based framework he champions today. The conversation covers early facial orthopedics, slow maxillary expansion, mandibular arch development, face mask therapy, cone beam imaging, and the critical importance of treating the whole patient, not just the teeth.

    Timestamps:

    • 0:00 — Welcome
    • 0:23 — Introduction of Dr. Duane Grummons and his 50+ year career in orthodontics
    • 3:16 — Dr. Grummons on his clinical history: Ricketts, Bench, Gugino, and learning to think in 3D from day one
    • 7:03 — "It's a fad" — addressing the critics of airway orthodontics and why this work is decades old
    • 21:03 — The 2026 AAO: only 1 out of 155 lectures addressed early treatment and airway
    • 24:44 — Why orthodontists fear lower arch expansion — and why they shouldn't
    • 30:57 — Advice for colleagues who want to shift toward earlier, airway-focused care
    • 38:26 — Why residency programs are still teaching that mandibular expansion is malpractice
    • 47:30 — The science behind slow maxillary expansion and why RPE may be the wrong tool for young kids
    • 1:01:22 — "Flying the maxillae": face mask therapy, tip/yaw/roll, and 3D orthopedic planning
    • 1:19:32 — CBCT and 3D imaging: why the debate is still happening and why Dr. Grummons can't practice without it
    • 1:28:39 — The power of parent testimonials and capturing outcomes on video
    • 1:33:59 — Facial descriptors, the hyoid complex, and why diagnosis must go beyond the teeth
    • 1:38:36 — Closing thoughts: health span, brain longevity, and rising above the circumstances

    Summary:
    This episode is an essential listen for any clinician serious about comprehensive, patient-centered orthodontic care. Dr. Grummons reminds us that the science has always been there, and that the most powerful thing we can do is go deep on diagnostics, treat early when the face is developing, and never stop learning.

    LINKS:

    • Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/
    • Join The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/
    • Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/
    • Website: theorthocoach.com
    • YouTube: @theorthocoach
    • Email: drmike@theorthocoach.com
    • Instagram: @theorthocoach
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    1 h y 41 m
  • Airway, Wellness, and the Patient-Centered Private Practice (w/Dr. Trevor Nichols) [Ep.161]

    Airway, Wellness, and the Patient-Centered Private Practice (w/Dr. Trevor Nichols) [Ep.161]
    Jun 18 2026

    Episode Summary

    Dr. Trevor Nichols returns to The Doc Podcast for his second appearance, and a lot has changed. Since opening Nichols Orthodontics and Aesthetics in Gilbert, Arizona, in August 2024, Trevor has grown from a two-person operation to a team of 20, with a waitlist. In this rich conversation, Dr. Mike and Dr. Nichols cover the full journey: the leap from corporate/DSO orthodontics to private practice ownership, the vision and systems that fuel their growth, the personal wellness habits that keep them grounded, and, most passionately, the case for early airway-focused, craniofacial orthodontic treatment. This episode is a must-listen for any orthodontist, dentist, or healthcare professional who wants to treat the whole patient, not just the teeth.

    Timestamps

    3:29 — Welcome back: Dr. Nichols returns to the show after ~2 years
    4:33 — "Probably the best two years of my life" — Dr. Nichols reflects on opening his practice
    5:27 — Starting with just two people, leasing space from a general dentist
    6:29 — "Fight for your dreams" — the case for private practice ownership
    6:53 — Why private practice better protects patients and the profession vs. corporate/DSO models
    22:03 — Building the vision: how to define what orthodontics truly fulfills you
    23:29 — "Do a true audit of what in orthodontics brings you happiness"
    29:34 — The three pillars of Nichols Orthodontics: patient experience, culture, and results
    40:24 — Why Dr. Nichols hired a CEO (formerly at Crumbl Cookies) to run the business side
    50:44 — Balancing plates: weekly date nights, gratitude practices, and intentional reflection
    57:32 — Shifting to the clinical: why diagnosis is what separates orthodontists from OTC aligners
    1:00:57 — "We're not just orthodontists — we're craniofacial orthopedists"
    1:02:58 — "I don't really care about the teeth right now" — diagnosing profile, growth, and airway first
    1:11:06 — Treating 3- and 4-year-olds: when early intervention is warranted and how to screen for it
    1:17:44 — 45% of Nichols Orthodontics' practice is now airway-focused treatment
    1:27:43 — The key to phase one braces success: bond ALL the primary teeth + disarticulate
    1:29:00 — The tongue as nature's expander: ~400g of force at swallow — why we don't need more
    1:37:18 — "Early adopters take the most scrutiny — and then we find out they were right all along"

    LINKS

    • Register for the In-person Early Treatment Comprehensive ($1000 off if register by June 30): https://www.earlyorthotreatment.com/
    • Episode 50 w/Dr. Nichols: https://podcasts.apple.com/us/podcast/finding-living-your-purpose-w-dr-trevor-nichols-ep-50/id1689703392?i=1000655038062
    • Connect w/Dr. Nichols: https://www.nicholsortho.com/?utm_source=GBP
    • Instagram: @dr.trevornichols
    • Join The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/
    • Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/
    • Enroll in one-on-one coaching w/Dr. Mike: https://theorthocoach.com/doc-coaching/

    If this episode resonated with you, please take a moment to share it with a colleague, friend, or fellow healthcare professional who would benefit from hearing it. Word of mouth is the single most powerful way to grow this community and spread this message. Leave us a rating and review on Apple Podcasts or Spotify; it makes a huge difference! And if you haven't already, subscribe so you never miss an episode of The Doc Podcast. Thank you for your support! Together, we're changing lives, one conversation at a time.

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    1 h y 39 m
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