# 532 What We're Missing: An Oral Pathologist on Red Flags, Referrals, and Reality Page: https://stenobird.com/podcast/a-tale-of-two-hygienists-podcast-466582/532-what-we-re-missing-an-oral-pathologist-on-red-flags-referrals-and-reality Text version: https://stenobird.com/podcast/a-tale-of-two-hygienists-podcast-466582/532-what-we-re-missing-an-oral-pathologist-on-red-flags-referrals-and-reality.md Podcast: [A Tale of Two Hygienists Podcast](https://stenobird.com/podcast/a-tale-of-two-hygienists-podcast-466582) Published: 2026-04-01T10:00:00+00:00 Episode link: https://offthecusppodcast.libsyn.com/532-what-were-missing-an-oral-pathologist-on-red-flags-referrals-and-reality Audio file: https://dts.podtrac.com/redirect.mp3/traffic.libsyn.com/secure/offthecusppodcast/Atoth_532_Final.mp3?dest-id=328046 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/a-tale-of-two-hygienists-podcast-466582/episodes/532-what-we-re-missing-an-oral-pathologist-on-red-flags-referrals-and-reality Duration seconds: 2106 ## Resource In this episode of A Tale of Two Hygienists, co-hosts David Torres and Jessica Atkinson sit down with oral pathologist Dr. Bryan Trump to discuss the important role dental professionals play in identifying abnormalities and knowing when to refer patients to a specialist. Dr. Trump shares valuable insight into what clinicians might be missing during routine exams and how to strengthen their confidence when suspicious findings arise. The conversation dives into practical strategies for performing thorough oral cancer screenings, recognizing key red flags, and navigating patient conversations when something concerning is discovered. Dr. Trump also offers guidance on how clinicians can communicate pathology findings in a clear and compassionate way—helping patients understand the situation without causing unnecessary fear. This episode provides practical tips for dental hygienists and dentists who want to improve their screening protocols, referral confidence, and patient communication when dealing with potentially serious diagnoses. What We Talked About: How to confidently refer patients to specialists Essential tips for performing effective oral cancer screenings Recognizing concerning findings and clinical red flags Navigating difficult conversations about the possibility of cancer How to communicate pathology findings without unnecessarily scaring patients If you found this episode helpful, be sure to subscribe to A Tale of Two Hygienists, leave a review, and share the episode with colleagues who are passionate about improving patient care and early detection. Resources: Contact Dr. Bryan Trump: bryan.trump@hsc.utah.edu ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/a-tale-of-two-hygienists-podcast-466582/episodes/532-what-we-re-missing-an-oral-pathologist-on-red-flags-referrals-and-reality/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/a-tale-of-two-hygienists-podcast-466582/532-what-we-re-missing-an-oral-pathologist-on-red-flags-referrals-and-reality.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.