The gloves are actually to protect us in our profession as told to me by a brilliant pathologist/epidemiologist. He said even with small abrasions in our hands we are not likely to even contract Hep C. Of course we don't know how about 30% of the people who get Hep C get it. Hep B and C are our biggest threats and they are threats to us. Now if someone is dumb enough to use needles over there is treats to everyone they treat. Our problems are needle sticks and puncture wounds. I am super careful with known cases but have little concern about taking off a glove to feel and endo file. The charge nurse who kept pressure on my blow femoral artery when a tech removed a heart cath from a torn vessel did not put on gloves. She told me later they had tested me for everything to Ebola. It certainly is a cleanliness issue and I use a potent hand disinfectant when doing endo with one glove off.
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
912-384-7400
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From: Bob Perkins [mailto:bperkinsdds@gmail.com]
Sent: Sunday, March 31, 2013 9:49 PM
To: gmoor@windstream.net
Cc: <riccoker@gmail.com>; Steve Markus; ACE 23; Jeff rosenberg; Joe Cohen; Joe Robertsq; Joe Yablonicky; Joseph R Greenberg DMD, FAGD; Lenny Cherkas; Leonard Fishman; mario canal; medford stu; Sandy White; Steve Moshen; Steve Rasner
Subject: Re: [ACEsthetics] Get ready to respond to this one
HIV is almost impossible to contract in a dental office in the absence of injecting the virus directly into someone's veins.
The HIV virus is so fragile that it dies almost instantly if placed in the open air.
I wasn't around years and years ago but I don't remember the dental offices to be a place where hepatitis was being transmitted.
More FEAR FACTOR techniques on display from CNN, etc..
Sent from my iPhone
On Mar 30, 2013, at 4:45 AM, "Guy Moorman" <gmoor@windstream.net> wrote:
Sort of funny that we worked without gloves up until about 85 when the HIV scare hit. Hell, most of us had three or four handpieces…suddenly I needed a dozen and you could not buy one. You could not find decent gloves. But when we get down to it, the gloves are to protect us with proper hand washing policy. There is almost a zero chance of passing on HIV and minute chance of passing on Hep B or C with your hands. It is the proper care of instruments. I do not let my staff clean instruments until they have gone through the ultrasonic with a disinfecting solution in the ultrasonic. After that they wash, open the cassette and clean any instrument. Then it is wrapped and put into the autoclave. Every needle stick but two has been cleaning an instrument or removing a needle to put the syringe in the cassette.
If it is a known HIV or Hep patient I personally remove the needle with a needle holder (in every cassette), put it in the "sharps" container. I put everything that should go into the sharps on those patients myself. But I will admit to snatching off my right glove doing endo when working with the smaller handfiles looking for a canal orifice…feel is 90% of the game. A charge nurse ripped off her glove to start and IV on me for fluids and packed cells after my femoral artery catheter blew out when they tried to remove it. The tech removing it screamed HELLLLLLLLLLLLLLP. I told the charge nurse that didn't give patients confidence but did it with a smile. It took two hours of pressure until she noticed my bladder about to explode and did the procedure I hate the worst…had anesthesia paralysis. I did not realize that an over full bladder will raise blood pressure tremendously so if you have BP risk patients, make sure they use the rest room before taking their BP.
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
912-384-7400
This email message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. This communication may contain material protected by patient rights, work product, or other privileges. If you are not an intended recipient, you have received this communication in error and any review, use, dissemination, forwarding, printing, copying, or other distribution of this email message and any attached files is strictly prohibited. If you have received the confidential message in error, please notify the sender immediately by reply email message and permanently delete the original message.
From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Rick Coker
Sent: Thursday, March 28, 2013 8:53 PM
To: Steve Markus
Cc: ACE 23; Jeff rosenberg; Joe Cohen; Joe Robertsq; Joe Yablonicky; Joseph R Greenberg DMD, FAGD; Lenny Cherkas; Leonard Fishman; mario canal; medford stu; Sandy White; Steve Moshen; Steve Rasner
Subject: Re: [ACEsthetics] Get ready to respond to this one
I don't know if that is a good idea, why compound the issue with more bad news? Most of us just whistle past the graveyard when we hear bad stuff, why bring it up? I am sure your patients assume you are doing it right, and I expect to get a few questions, but I wouldn't send a newsletter out any more than a letter to announce a fee increase!
Rick
On Thu, Mar 28, 2013 at 7:46 PM, Steve Markus <smarkus147545@comcast.net> wrote:
Rogue Dentist Potentially Exposes >7000 to HIV, Hepatits B&C – unsanitary conditions sited. Time to shed light on cost-cutting due to insurance contracts?
I'll be putting a newsletter out to my patients over the weekend.
Steve Markus
The Centre for Dentistry at Haddon
209 White Horse Pike
Haddon Heights, NJ 08035
www.SmileSouthJersey.com
856 SMILE S J--
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Director, Academy of Comprehensive Esthetics
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