cold sores!!!!!!!

well last night my 8:00 patient canceled so scrambling all night to find a patient we finally found somebody to come in. I thought she would be a class 2 and had gotten her name and number from the health connection. Meanwhile, her name was also on the recall list and so to of us thought they were our patient. Turns out she was a four! so we were going to split the quads but then after we got her laid back in the chair there was a tiny little cold sore on her lip. So there went my morning patient once again! No quads. I've about had it with cold sore's, premedications, and patients that don't show up.

Easy day

I had my mom come in today who is a 1b. Its funny how they seemed so challenging last semester and now I feel like I don't do anything to even clean hardly on 1b's. There's just not much to it compared to 2's and 3's. I wish they were all this easy and fast. One day I guess.

wow!

Today I had a patient who had a kidney transplant. He had not premedicated and said he was told last time he was in the clinic that he no longer had to. Well I couldn't start anything on him until we had contacted a dr for the go ahead. The patient wasn't happy about this at all and was getting really frustrated with us wasting his time. he couldn't understand why it was such a big deal and wanted to sign a waiver saying he didn't care and to go ahead with treatment. The nurse I talked to was not overly helpful in the least and we had to try about 3 different doctors before we got the right one, with the not so helpful nurse. We then had to wait for a call back but then they would not tell me anything until i walked back into clinic and had him use my cell phone i was on to confirm who i was and that he was there. In the end it turns out he absolutely DID need to be pre-medicated they said. After that he was much calmer and appreciative but this took the entire clinic time and once again....NO QUADS!!!!!

not the best day

Today my patient came that I planned on using as a mock board pt. we were going to take her x rays and clean the rest of her teeth. Well it turned out she had a tiny tiny little cold sore on her lower lip. She wanted us to do it anyways because she said it was healed but the scab kept coming of. so... we got to accomplish absolutely nothing. But she still sat in the seat for a long time taking up clinic time trying to decide whether we could in fact work on her or not and having Mr. Solomon come in and out trying to explain to her why we had to have her leave. Mock boards are in only a week so I wasn't real confident about having her come back with it healed and as luck would have it I screened a patient after her that day and she is now my new patient for that day. But I still got no quads in or anything overly effective. But I'm glad I at least have a good patient for that day.

I finally did my class 2 exam today. I thought it went pretty well. I was hoping she would be a good mockboard pt because she had enough clicks but I guess they were not big enough. Everything else was perfect for it. Her probe depths, no restorations like crowns or anything, then just the perfect bone loss. just not my luck I guess. She was a good one to work on. She didn't speak english but brought her daughter who could translate. She had good calculus evenly spread, heavier on the lower linguals and she had some in the mesial groove of the first premolar that we were taught about. That was the first time I had ever felt that so that was kinda cool.

My patient today was a class two. She really needed more dental work done then anything. Obviously she needed a cleaning, but she had sooo much decay and areas that needed to be filled that had just chipped off. She knew before she came in that she needs a rt canal and has lots of cavities but has no money to take care of it. It made the cleaning a lot harder because there were so many sensitive areas where the ultrasonic could not be used and places that had chipped right down only buccally by the gingiva. She was a little harder because of those things but not bad.

Today i saw another class 5. she wasn't bad at all, the hardest part was that she didn't speak a lick of english. So anything I saw or wanted to mention, she had absolutely no idea what I was saying. We had her OD done from a time before though so she was pretty quick other than coming 20 minutes late. She had a lot of build up on the lower linguals but it was not real tenacious. Pretty good patient over all.