Summary: Join us again, if you please, as we enjoy Josh’s hate mail from a real Karen level hygienist….whose name is actually Karen. Who would have guessed?!?!?! Lance talks about his flaccid opening at the office. Advice this week is a simple but perplexing question…should we auto blast our patients happy birthday messages? Maybe we need to sweeten the deal…or SAVORY it! Talk about a killer app! Anyway, enjoy this shit and try not to visit an Outback Steakhouse after this episode. Peace, cheesers.