I caught her before she got off and asked her if she liked her job with service. She did. I told her I had never had anyone fired or removed from a position as a board member but if she pulled that again on me AND a dentist/physician I would do what I could to have her removed from the service and absolutely from our ER. I spoke to the ER director that day. He apologized and said we should have called him. I told him that she should have had better sense than to at least pull that on a brilliant physician but me and another fellow physician went past arrogance. He will be speaking to her as will the CEO who absolutely respects my knowledge.
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 William Domb
Sent: Sunday, August 25, 2013 1:05 PM
To: gmoor@windstream.net; jchdmd@msn.com
Cc: acesthetics@googlegroups.com
Subject: Re: [ACEsthetics] Cuzin's losin teeth!
Your hospital? Think that idiot nurse needs a bit of comeuppance...
bill domb
From: Guy Moorman
Sent: Sunday, August 25, 2013 5:21 AM
Subject: RE: [ACEsthetics] Cuzin's losin teeth!
Physician called me last night trying to get the kid admitted through the ER. This is the doc who was a dentist and still retains a massive knowledge of general dentistry. Hell, he remembers everything he ever sees or reads. We got the tooth out but he was infected so long before I got called in and the tooth removed that he has some infection that is pocketed outside of the socket. He is a class I diabetic and needs solid IV antibiotics. I called the ER doc and she told me she did not care if I had been doing this for 48 years. I was not an OMFS. We got him admitted through another doc finally. I’ll check on him to day. He is the kind of patient that you would have seen die forty or fifty years ago. Today, they’ll knock out every bug in there and especially monitor his blood sugar better than he does. I know after one night in the hospital that he damn sure won’t sleep any.
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 Jeffrey Hoos DMD
Sent: Saturday, August 24, 2013 11:04 AM
To: gmoor@windstream.net; spikedds@gmail.com; johnhighsmith@mac.com
Cc: drvoller@comcast.net; acesthetics@googlegroups.com
Subject: RE: [ACEsthetics] Cuzin's losin teeth!
THE RULE OF INFECTIONS......
Remove the cause
Establish Drainage
Kill the bugs
IF you do this....YOU WILL WIN.........EVERYTIME
Jeffrey C Hoos DMD FAGD
Balancing: the Art, Science & Business of Dentistry
www.bettersmile.com
http://www.dentalexplorations.com%20/
www.idixray.com
203 397 9139 home
203 378 9500 office
203 494 8544 cell
"Giraffe Society" For people willing to stick their necks out
From: gmoor@windstream.net
To: spikedds@gmail.com; johnhighsmith@mac.com
CC: drvoller@comcast.net; acesthetics@googlegroups.com
Subject: RE: [ACEsthetics] Cuzin's losin teeth!
Date: Sat, 24 Aug 2013 07:19:57 -0400
Thanks, David. As the oral surgeon told me…you are wise beyond your years. I’ve removed them multiple times and probably could have gotten this one but they already had any appointment with the OMFS. I just moved the appointment. I have heard the one about sun setting on undrained pus before so it must be old. The last patient we had die in our hospital many years ago, Thank God, had a severe full blown Ludwig’s from a severely infected 32. The called me, I went and checked him, and I told them to transport him to Valdosta immediately to an OMFS on call at the hospital. A physician contradicted me and they put him on the floor on IV doxycycline and restrained him. He was a mentally challenged black man. He had to be restrained because he could not breathe. One of those dumb ass docs could have saved him with a trach…(I would have done a trach but no privileges for that)…but they let him lay there and suffocate…told him mother that he had a heart attack. I told her the truth and to get a lawyer. She did not follow up. They should have been sued. I took it to MEC for review but they docs refused to review it. After all, it was only a mentally challenged black man…back in the late seventies and I was just a young dentist.
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: David R. Boag DDS [mailto:spikedds@gmail.com]
Sent: Friday, August 23, 2013 12:06 AM
To: johnhighsmith@mac.com
Cc: gmoor@windstream.net; drvoller@comcast.net; acesthetics@googlegroups.com
Subject: Re: [ACEsthetics] Cuzin's losin teeth!
John,
Not true. The solution to infection management is remove the cause. Lower third molars are not an exception to this rule. If odontogenic infection occurs from a lower third, you exact the molar and I&D the infection if it is fluctuant and not draining through the extraction site.
Forget the mediastinum. The next place that gets infected is the submandibular space, and airway compromise (deviation/occlusion) is the risk there. That's life threatening on (sometimes) an acute level. The fascial planes DO go down there, but so long as you access and drain isolated, purulent loculations of pus, and remove the source of the infection and dilute the snot out of these niduses, with IV abx, these are usually managed. Patients are usually either healed, hospitalized or dead before the mediastinum gets involved. I'm not saying the fascial planes don't go down there. They do. But the occurrence of infections that actually make it down that far without already affecting airway requiring management is minute to the point where it is almost just "theory."
The problem is more practical: sometimes in the presence of infection, profound anesthesia is practically impossible. If I can get a patient numb, I get the tooth out barring anatomical issues like mandibular nerve involvement, etc. But sometimes, L/A will not be enough and GA is the way to go, particularly if the submandibular spaces are involved and airway compromise risk is significant. Would want the option of intubation to ensure proper airway during the post-surgical inflammatory phase and subsequent healing time.
I forget the name of the surgeon who said this (thinking he was at UConn, but I could be wrong), "Don't let the sun set on undrained pus." It is a surgical axiom. Gotta get the source ASAP.
DRB
On Aug 21, 2013, at 1:43 PM, John Highsmith <johnhighsmith@mac.com> wrote:
I’ve always been under the impression that lower thirds were the only tooth you could not remove in the presence of swelling. Had to do with position of fascial planes that allows the swelling to go mediastinally or other nasty places. Other areas—if you can get it numb, let ‘er rip.
John Highsmith DDS
Clyde, NC
AACD Accredited Dentist
LVI Clinical Instructor
Diplomate, ICOI
Fellow, Misch Implant Institute
From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Guy Moorman
Sent: Wednesday, August 21, 2013 1:39 PM
To: drvoller@comcast.net; acesthetics@googlegroups.com
Subject: RE: [ACEsthetics] Cuzin's losin teeth!
Supervised neglect. The upper second molars are probably the result of extraction of upper thirds…seen this a couple of times where the thirds lay right up against the seconds and bone does not fill in after thirds are extracted. But in every one of the cases I’ve seen, the extractions were the request of periodontists who I had referred the patient to so they were also all perio patients. Just tell her the truth.
I just got back from seeing a patient in the hospital with severe pericoronitis of 17. He had been to see a local young dentist here who did a pan, exam, and prophy for 320 bucks. I could not understand the receipt. It looks like there was a charge for referring him to an oral surgeon on the 5th of September. They dentist told the young man that nothing could be done to the tooth until the swelling went down and gave him a Z Pack Rx. I’m on staff at the hospital and get called on all of these because the other dentists are not on staff and the few that are will not go to see anyone but their own patients. Mom says she does not want to get the tooth out because the other dentist told her he could die if they did it while the swelling was there. Well the Z Pack was like pissing in the Pacific. He was admitted because he is a class 1 diabetic and his physician said it was horse hockey to say the tooth can’t come out until the swelling goes down but did not use the term “die” in urging them to get the tooth out ASAP. I told the mother the truth. You can remove teeth with swelling is present…even desirable in his case and he could DIE if they let him lay there in the hospital swelling more and more. I told her it was an old wives’ tale that you could not extract teeth with swelling. I guess with the physician and me telling her the same thing she decided to go with as quick and extraction as possible.
It can be confusing to patients when one practitioner tells them one thing and another tells them something totally opposite but I simply always tell them the truth…screw the other guy. Guy
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 Dr. Ray Voller
Sent: Wednesday, August 21, 2013 9:24 AM
To: acesthetics@googlegroups.com
Subject: [ACEsthetics] Cuzin's losin teeth!
Ok I'm pissed off..
This is a new cousin patient of mine.('second opinion')!
She's been going to the same dentist for forty years. He's been cleaning her teeth every three months, and 'deep cleanings' every two years. I don't know how much he's told her about her bone loss but I'm a 'second opinion' here and well, she's going to lose several teeth here and she was told there's not much he can do for it now.
WTH!?!?!
I'm looking at this bone loss and asking myself, is this an insurance driven failure or WHAT!? My cousins dentist I feel has been watching the door of the henhouse but hasn't looked inside much! I told her that she's going to lose several teeth, and that's what her dentist of record had told her too.
I think controlled neglect is going on here but how can I convince my cousin that this is just not normal. I mean, LOOK at her dentition! She's NOT under control!
What would you say?
Ray
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email toacesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics.
For more options, visit https://groups.google.com/groups/opt_out.
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email toacesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics.
For more options, visit https://groups.google.com/groups/opt_out.
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email toacesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics.
For more options, visit https://groups.google.com/groups/opt_out.
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics.
For more options, visit https://groups.google.com/groups/opt_out.
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics.
For more options, visit https://groups.google.com/groups/opt_out.
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics.
For more options, visit https://groups.google.com/groups/opt_out.
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics.
For more options, visit https://groups.google.com/groups/opt_out.
0 comments:
Post a Comment