Did you learn to talk Cajun?
Rick
On Sun, Mar 24, 2013 at 3:56 PM, mchenry lee <drmaclee@gmail.com> wrote:
After spending two days with a great dentist in Lafayette, La, I made the following statement, "Remember Tony when you asked me what is it that we really do when we come to an office and told you I could really put a name on it. We are not consultants or coaches but we get things done. Now that the two days are over, can you put a label on us now?" He admitted that he couldn't.The reason I am posting about the conversation Tony and I had on this thread is because answering questions like this one is exactly what we do. We teach a communication system that is fast and efficient and it doesn't get you into trouble and takes away most of the variables in situations like this one.MacOn Mar 23, 2013, at 6:58 AM, David R. Boag, DDS wrote:I agree with all that's been said. I would add that for every new patient, I ask them to rate, in order of importance to them, five things:Health/functionTimeCostAppearanceFearTheir responses to those questions help frame my answer. It doesn't mean I don't give them the options I would want them to have, but if they put cost as #1 and after further investigation I learn that this is a retiree on a "fixed income," that may mean that my implant option might be less emphasized and the partial might be more emphasized. Implants are often my favorite choice, but the truth is that many people I see can't afford them, and I would rather give them what they want than waste time talking about what I like that they can't have. I might frame the option discussion with: "I know you mentioned that you are on a fixed income. There are some new options which are quite a bit better in cases Ike this. They are more expensive, but most people are happier with them. I'd feel remiss if I didn't mention them to you, but I heard what you said about being on a budget and I respect that. Would you like to hear what I'd REALLY recommend?" Their response to that leads the whole thing. Now you know where you should go with it, and you've done your job. You've also told them that you listened to them and yet you still felt that the advantages of the better plan were still worth bringing up.I'm sure this is similar to what you guys do. Just thought I'd share my 5 things. It is, by far, the most important question on the new patient paperwork.DRB
Sent from my iPadYou know, I have done that in the past, adopted a sort of objectivity attitude, but the last few years I have begun to think that this is a sort of abdication of my own accumulated experienced and what might in another universe be called wisdom. Call it the "Dutch Uncle" way of thinking, perhaps.I will lay out the things you mention briefly, but will suggest that if the patient was my wife or sister, there would only be two choices that I would entertain. I like Kent Smith's thinking here, to always have two choices, instead of the multiple ones that my disordered mind can come up with! (I truly believe I could devise approximately a hundred different treatment options for any single issue!). This forces me to make a value judgement as to what is best, what would really work, what I would want- that sort of thing.I just don't think we can afford uninvolvement, we have to have some skin in the game, some emotional investment in saying that : "Here's your problem, and here is how I would fix it if it was me". Not too much involvement, but just a bit.RickOn Fri, Mar 22, 2013 at 9:12 AM, Jeff Rodgers <drrodgers@drrodgers.com> wrote:
I would tell them the pros and cons of these 4 options….1. Do nothing2. Ext and partial denture (adding that I do not recommend)3. Endo, crown lengthening, buildups and crowns4. ImplantsThen ask them which way they want to go and I would go that way.JeffJeff L. Rodgers, DMD, PCAtlanta, GAOn Mar 20, 2013, at 11:17 AM, Deb Shoemaker <drdebshoemaker@att.net> wrote:<18-20.jpg>I just removed gold crowns 18, 19 and a 40-year old decaying amalgam #20. The PAx shows what I have left. I have a few ideas on the final treatment options, but I want other opinions in case I am missing something. Any thoughts other than extract and place implants? Predictability and longevity of restoration is key here. Would any of you even try to save these teeth?Thanks,Deb--
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Dr. Rick Coker, DDS, FACE
Director, Academy of Comprehensive Esthetics
www.tyler-smiles.com, www.tylersleep.com
http://www.google.com/profiles/riccoker.
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Dr. Rick Coker, DDS, FACE
Director, Academy of Comprehensive Esthetics
www.tyler-smiles.com, www.tylersleep.com
http://www.google.com/profiles/riccoker.
903-581-1777
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