Tuesday, September 28, 2010

P.M

a little disappointing...
OH well.. it all works out right!
So the patient I was overwhelmed with last tues doing her OD in less then an hour-- class III localized IV, well she was my afternoon today... wobbly anterior lower centrals.... well she didn't show.. Mr. Salomon called her 15 to 1... talked for 10 mins.. guess she was confused and hung up... well she showed up after I had a pt from the lobby in the chair. What to do. Not the right thing to dismiss my patient..whom I just started..didn't feel right. He was only a 1B who had never had his teeth cleaned in his whole entire life.. he was 20 with practically no calculus.
Anyway my original patient went with another student... missed out on a really interesting patient...good experience... and a pano. Something good always comes to those who share, right? Hope so. I can't think about the work that goes into an OD --lack of being able to clean them. Oh and the fact that I am down a few clinic sessions from lack of VA scheduling me a patient one day and me being sick..
Just hope I get all that I am supposed to.. just don't have many quads.

A.M.

late pt. difficult 6 yr old. never seen a dentist/hygienist. Biggest tongue I have seen on a little person.. wouldn't open.. OH for the LOVE. And they were late. Put me behind.
HHX wasn't given to my second pt although it clearly said NEW PATIENT NEEDS HHX and Chart... hmm.. So pt came early like I asked to fill form out. So I was running late he sat out there for 40 mins... 25 past his appointment time and then when I brought him back he needed to still fill out form! SERIOUSLY... so after doing the OD.. I only had 15 mins.. Prof didn't want me to start. Bummed. I could have gotten a quad done. OH well.
Lets see how the afternoon goes... :)

Wednesday, September 22, 2010

Better day...

Total confusion with Patients... My morning and afternoon cancelled. Had my neighbor and husband coming in the afternoon to fill that..but my neighbor came up by 830 when my pt cancelled at 745 in the morning.... Then my hubby had to take my son in to Dr. ...both ears have bad ear infections. So he wasn't going to be able to come...
Ended up seeing 1B, new pt OD classIII, class II, and a Ia. Good day... :() )

Last tuesday! WOWZERS

NP- Class III!
I have never seen so much calculus in my life! He had lingual tori calculus... no probing could be done on lower lingual. And every area had interproximal and facial calculus.
SuPER DooPER nice Patient! It was so hard...one quad after all that.
LUNCHEON for scholarships and running late
Can it get harder!!!
YESSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS
My afternoon Patient ClassIV with most probing depths were higher then 7 and several spots were above 10 and a couple above 12+ . Patient didn't want to get numb... what the? So yes I went ahead with the upper right. Slowly-- gently. He was fine till the scale check...after the instructor... he said. I am done. We have to reschedule. I tried several times to tell him we can make him so much more convertable with anesthetic. I only had two spots to readdress... but he wasn't letting anyone back in there. OHHHHHHHHH and I was getting sicker by the second. I had so much pressure in my head... I thought it was just the stress of the day... but nope
I went to bed by 6. Got up and no way was I going anywhere..dropped phone in tub of water... went to dr.. had a Eustachean tube infections... and better yet they were blocked or pinched off and that was the pressure building behind the ear but above my throat! HORRIBLE.... Stress of not being able to go to school wed. thurs. and friday... I should have just showed up.. I couldn't rest anyway.
OH WELL-- better now.

Tuesday, September 14, 2010

HOLY

I am tired.
My class III this morning had so much calculus I couldn't probe the lowers. And couldn't see the teeth from the lingual aspect at all. He was a great learning experience and got to use the area specific ultrasonic tips... and I really think they were on my side!!! I was only able to do one quad..had to spend time cleaning up the lower bridge of calculus so I could probe at his next appointment. He was such a great patient and so kind.
My afternoon IV was crazy hard to probe. I had a 12+ area along with the many many 8, 9, and 10 readings. He didnt want xrays... or anesthetic. I tried to convince him otherwise. I had my instructor come over to show me how to access the areas I felt I was missing and after that he was done. He didn't want me to even touch up the two spots she found.. I just hope he really comes back and lets us use anesthetic and I talked to him about nitrous as well.
OH what a day! Only two quads in 8 hours... not feeling so efficient or productive.
oh well... good good good experience and by far the hardest patients I have seen thus far.

Tuesday, September 7, 2010

hmmm

Not sure what to write about.
That I don't know all that I need to? Or that I did okay in some areas.. but still feel so lost in others. I hope that I can figure all the dots of the i's and crossing the t's. Like remembering to have the tx plans printed and signed before I start scaling. I know that I am suppose to but for some reason I finish the OD w the instructor and can't think of anything but scaling :)
Was confused today when I had a pt at the front desk for me and I had a pt in the chair already.
I didn't realize Mr. Salomon did reach my spanish speaking pt and confirmed the appointment and I had already scheduled a screening and 2nd patient for their cleaning. Eric didn't have a patient and went ahead and saw mine, a class III. I have no doubt I will be blessed other ways and have plenty of my classifications I need! right! :)
I have had the greatest patients. I am enjoying myself aTON!!! Not sure how I will ever get it all done in an hour though! :O)