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Medical Forum / General / Dentistry / April 2005

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Miedvied - 13 Apr 2005 22:20 GMT
Are there any supervisory groups/committees at the ADA that act in a
manner similar to the ethics board of the AMA? How would one go about
finding a mailing address for an ethics board at the ADA?
Mark & Steven Bornfeld - 13 Apr 2005 22:30 GMT
> Are there any supervisory groups/committees at the ADA that act in a
> manner similar to the ethics board of the AMA? How would one go about
> finding a mailing address for an ethics board at the ADA?

    If this is with regard to a specific dentist, call the local dental
society.  If you're in Brooklyn or Staten Island, that would be the
Second District Dental Society--they're in the phone book.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Miedvied - 13 Apr 2005 23:22 GMT
>> Are there any supervisory groups/committees at the ADA that act in a
>> manner similar to the ethics board of the AMA? How would one go about
[quoted text clipped - 5 lines]
>
> Steve

And what are the punitive possibilities?
Mark & Steven Bornfeld - 14 Apr 2005 00:09 GMT
>>> Are there any supervisory groups/committees at the ADA that act in a
>>> manner similar to the ethics board of the AMA? How would one go about
[quoted text clipped - 7 lines]
>
> And what are the punitive possibilities?

    That is for the peer review board to decide.  If the alleged infraction
is a high fee for a root canal, or even scaring your wife, I don't think
they'll be interested.
    What are we talking about here?

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Miedvied - 14 Apr 2005 05:47 GMT
>>>> Are there any supervisory groups/committees at the ADA that act in a
>>>> manner similar to the ethics board of the AMA? How would one go
[quoted text clipped - 12 lines]
> don't think they'll be interested.
>     What are we talking about here?

Mostly he was just scamming her. He insisted on doing the root canal in
two seperate visits instead of in the normal one, and insisted that each
visit charge be well over one thousand dollars - despite the fact that
she was begging him (literally) to do it in one shot; she's deathly
scared of dentists. He didn't even bother to give (or make up) a reason
as to why it must be in two stages,even as she asked why, except insofar
as "Because I like it that way." I saw her come out of his office, pale
as a sheet, sweating, shaking from head to toe like she'd just been
beaten stupid; there was no way this man could not have seen what she
was going through. To disregard it, without even the slightest attempts
at, at the least, courtesy... well, it's a pity that /something/ can't
be done about him, even though I'm well aware that minor things like
that are rather beyond the scope of any ADA ethics board.

Truth be told, she's not going to have him punished in any great
measure, and she knows it - but she wants to make him shake in his boots
some, for being a quite literal sadist towards her. Being an attorney,
she's quite used to clients busting her balls that way, though she
doesn't deserve it.

Frankly, this prick does. There's a certain callousness that should not
be tolerated in any healthcare worker.
Joel M. Eichen - 14 Apr 2005 11:21 GMT
You wrote,

He insisted on doing the root canal in
two seperate visits instead of in the normal one,

REPLY

In some states that is an offense that deserves jail time.

Joel

> >>>> Are there any supervisory groups/committees at the ADA that act in a
> >>>> manner similar to the ethics board of the AMA? How would one go
[quoted text clipped - 35 lines]
> Frankly, this prick does. There's a certain callousness that should not
> be tolerated in any healthcare worker.
Miedvied - 14 Apr 2005 22:22 GMT
> You wrote,
>
[quoted text clipped - 6 lines]
>
> Joel

Your sarcasm in this instance is both unneccasary and inappropriate,
Joel. Your snarkiness is only appropriate taking the statement
completely out of context; which isn't especially helpful to anyone.

>>>>>>Are there any supervisory groups/committees at the ADA that act in a
>>>>>>manner similar to the ethics board of the AMA? How would one go
[quoted text clipped - 35 lines]
>>Frankly, this prick does. There's a certain callousness that should not
>>be tolerated in any healthcare worker.
Joel M. Eichen - 14 Apr 2005 22:39 GMT
> > You wrote,
> >
[quoted text clipped - 10 lines]
> Joel. Your snarkiness is only appropriate taking the statement
> completely out of context; which isn't especially helpful to anyone.

REPLY

No seriously, if the patient demands it be done in one visit,
who would I be to worry about how much the jaw might swell up!

OR HURT LIKE HELL ... no wonder your wife is scared to death!

Get a decent dentist and let him/her fly the plane!

You guys are very misguided.

Joel

> >>>>>>Are there any supervisory groups/committees at the ADA that act in a
> >>>>>>manner similar to the ethics board of the AMA? How would one go
[quoted text clipped - 35 lines]
> >>Frankly, this prick does. There's a certain callousness that should not
> >>be tolerated in any healthcare worker.
Joel M. Eichen - 14 Apr 2005 22:41 GMT
> > You wrote,
> >
[quoted text clipped - 10 lines]
> Joel. Your snarkiness is only appropriate taking the statement
> completely out of context; which isn't especially helpful to anyone.

REPLY

Its helpful to the other fools who think the same as
you do ...... that the onlt concern is HOW FAST,
how easy, how ....... ETC.

My God, no wonder so many mistakes occur.

Joel

> >>>>>>Are there any supervisory groups/committees at the ADA that act in a
> >>>>>>manner similar to the ethics board of the AMA? How would one go
[quoted text clipped - 35 lines]
> >>Frankly, this prick does. There's a certain callousness that should not
> >>be tolerated in any healthcare worker.
Miedvied - 15 Apr 2005 05:04 GMT
>>>You wrote,
>>>
[quoted text clipped - 20 lines]
>
> Joel

Seeing as how I've made it plenty clear in various posts in this thread
that she is very scared of the procedure, very anxious around dentists,
et al. the above statement rather seems to indicate that either A) You
haven't read anything I've written save for the most cursory glance, or
B) You're just aiming at becoming a troll.
Joel M. Eichen - 15 Apr 2005 11:02 GMT
No I have read that you told us she hasn't seen the dentist yet (which was
contradicted in another post) and secondly, you want to report the dentist
to the Ethics Board for not doing the root canal in one visit. Is that
correct so far?

Joel

> >>>You wrote,
> >>>
[quoted text clipped - 26 lines]
> haven't read anything I've written save for the most cursory glance, or
> B) You're just aiming at becoming a troll.
Joel M. Eichen - 15 Apr 2005 11:04 GMT
She most likely will get a crappy, smile-all, feel-good dentist
who will take her money and run (in one visit) Three years
later you may realize I was giving you good advice!

Joel

> >>>You wrote,
> >>>
[quoted text clipped - 26 lines]
> haven't read anything I've written save for the most cursory glance, or
> B) You're just aiming at becoming a troll.
Joel M. Eichen - 14 Apr 2005 11:23 GMT
Being an attorney,
she's quite used to clients
busting her balls that way, though she
doesn't deserve it.

REPLY

OK, I guess he doesn't need the aggrevation!

Choosing to perform a root canal intwo visits
instead of one is grounds for ........ nothing.
Heck, I wanted my attorney to march right
off to Washington and petition the Supreme
Court (in one visit) but my attorney said it
does not work that way.

Joel

> >>>> Are there any supervisory groups/committees at the ADA that act in a
> >>>> manner similar to the ethics board of the AMA? How would one go
[quoted text clipped - 35 lines]
> Frankly, this prick does. There's a certain callousness that should not
> be tolerated in any healthcare worker.
Tony Bad - 14 Apr 2005 14:16 GMT
> Mostly he was just scamming her. He insisted on doing the root canal in
> two seperate visits instead of in the normal one, and insisted that each
[quoted text clipped - 18 lines]
> Frankly, this prick does. There's a certain callousness that should not
> be tolerated in any healthcare worker.

There are very valid clinical reasons for doing root canal therapy over two
instead of one visit. While it may have been the patient's desire for things
to get done as quickly as possible, that isn't always feasible. Sometimes
rushing care can lead to more serious complications that could have led to
far more than 2 visits.

T
Joel M. Eichen - 14 Apr 2005 15:43 GMT
Careful Tony ........ now you are an "accessory" to the crime!

Joel

>  >
> > Mostly he was just scamming her. He insisted on doing the root canal in
[quoted text clipped - 27 lines]
>
> T
Miedvied - 14 Apr 2005 22:21 GMT
>  >
>
[quoted text clipped - 26 lines]
> rushing care can lead to more serious complications that could have led to
> far more than 2 visits.

I can not especially picture that being the case in this instance - he
had decided on the need for a two-stage operation without seeing her, or
her records.
W_B - 14 Apr 2005 22:39 GMT
>While it may have been the patient's desire for things
>> to get done as quickly as possible, that isn't always feasible. Sometimes
[quoted text clipped - 4 lines]
>had decided on the need for a two-stage operation without seeing her, or
>her records.

Funny, you gave the impression that the doctor saw the patient.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Joel M. Eichen - 14 Apr 2005 22:50 GMT
W_B,

> Funny, you gave the impression that the doctor saw the patient.
> --
>
> W_B

CORRECT!

The wife "came out of his office shaking" even though she never saw him!

Oh boy. What a STORY!

quote

I saw her come out of his office, pale
as a sheet, sweating, shaking from head
to toe like she'd just been beaten stupid;
there was no way this man could not have
seen what she was going through.

endquote

Joel

*****************************************************

Mostly he was just scamming her. He insisted on doing the root canal in
two seperate visits instead of in the normal one, and insisted that each
visit charge be well over one thousand dollars - despite the fact that
she was begging him (literally) to do it in one shot; she's deathly
scared of dentists. He didn't even bother to give (or make up) a reason
as to why it must be in two stages,even as she asked why, except insofar
as "Because I like it that way." I saw her come out of his office, pale
as a sheet, sweating, shaking from head to toe like she'd just been
beaten stupid; there was no way this man could not have seen what she
was going through. To disregard it, without even the slightest attempts
at, at the least, courtesy... well, it's a pity that /something/ can't
be done about him, even though I'm well aware that minor things like
that are rather beyond the scope of any ADA ethics board.

Truth be told, she's not going to have him punished in any great
measure, and she knows it - but she wants to make him shake in his boots
some, for being a quite literal sadist towards her. Being an attorney,
she's quite used to clients busting her balls that way, though she
doesn't deserve it.

Frankly, this prick does. There's a certain callousness that should not
be tolerated in any healthcare worker.

**************************************************************

> >While it may have been the patient's desire for things
> >> to get done as quickly as possible, that isn't always feasible. Sometimes
[quoted text clipped - 11 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
Miedvied - 15 Apr 2005 04:51 GMT
> W_B,
>
[quoted text clipped - 65 lines]
>>
>>Funny, you gave the impression that the doctor saw the patient.

There is a difference between "conversation" and "examination". He never
so much as looked in her mouth.

Unless, of course, Joel - you are the sort of dentist that does his
examination from the /outside/ of the patient's mouth?
Joel M. Eichen - 15 Apr 2005 11:05 GMT
> There is a difference between "conversation" and "examination". He never
> so much as looked in her mouth.
>
> Unless, of course, Joel - you are the sort of dentist that does his
> examination from the /outside/ of the patient's mouth?

REPLY

Well there are some dentists doing their bleaching
"ouside the mouth ...." so who knows where dentistry is headed!

Joel
Miedvied - 15 Apr 2005 04:51 GMT
>>While it may have been the patient's desire for things
>>
[quoted text clipped - 7 lines]
>
> Funny, you gave the impression that the doctor saw the patient.

I was unclear; I apologize. He saw her in the sense that they spoke; he
did not, however, examine her mouth and teeth at any point.
Joel M. Eichen - 15 Apr 2005 11:06 GMT
Seriously, have you considered someone who offers Conscious Sedation?

We have thousands of dentists who do.

Joel

> >>While it may have been the patient's desire for things
> >>
[quoted text clipped - 10 lines]
> I was unclear; I apologize. He saw her in the sense that they spoke; he
> did not, however, examine her mouth and teeth at any point.
W_B - 15 Apr 2005 15:55 GMT
>> Funny, you gave the impression that the doctor saw the patient.
>
>I was unclear; I apologize. He saw her in the sense that they spoke; he
>did not, however, examine her mouth and teeth at any point.

Was there a radiograph (x-ray) taken or available for the doc to see ?
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Miedvied - 15 Apr 2005 16:13 GMT
>>>Funny, you gave the impression that the doctor saw the patient.
>>
>>I was unclear; I apologize. He saw her in the sense that they spoke; he
>>did not, however, examine her mouth and teeth at any point.
>
> Was there a radiograph (x-ray) taken or available for the doc to see ?

No, he did not yet take an X-Ray when they spoke.
W_B - 15 Apr 2005 17:46 GMT
>> Was there a radiograph (x-ray) taken or available for the doc to see ?
>
>No, he did not yet take an X-Ray when they spoke.

Was there a radiograph from another dentist brought
with the patient ?

If no radiograph, then who made the diagnosis and
treatment recommendation for RCT ?
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Miedvied - 15 Apr 2005 19:52 GMT
>>>Was there a radiograph (x-ray) taken or available for the doc to see ?
>>
[quoted text clipped - 5 lines]
> If no radiograph, then who made the diagnosis and
> treatment recommendation for RCT ?

Her previous dentist said she'd need a root canal, but she did not bring
the X-ray with her, as the ped. dent. in question said he'd take one
himself.

Giving his pricing practices, I presume this was in order to give him
the opportunity to add another charge to the bill.
Dr. Steve - 17 Apr 2005 23:34 GMT
>>> Was there a radiograph (x-ray) taken or available for the doc to see ?
>>
[quoted text clipped - 5 lines]
>If no radiograph, then who made the diagnosis and
>treatment recommendation for RCT ?

I love one appointment RCT, but if I get a patient as is described
here, I would figure in 2-4 appts to be able to do a god job.
..
Stephen Mancuso, D.D.S.
Troy, Michigan, USA

I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.
W_B - 18 Apr 2005 16:41 GMT
>>>> Was there a radiograph (x-ray) taken or available for the doc to see ?
>>>
[quoted text clipped - 13 lines]
>
>I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.

god job ?
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Joel M. Eichen - 15 Apr 2005 20:51 GMT
> >>>Funny, you gave the impression that the doctor saw the patient.
> >>
[quoted text clipped - 4 lines]
>
> No, he did not yet take an X-Ray when they spoke.

REPLY

OK they "SPOKE" but he did not SEE her as in SEEING her right?

Joel
Joel M. Eichen - 15 Apr 2005 20:50 GMT
> >> Funny, you gave the impression that the doctor saw the patient.
> >
> >I was unclear; I apologize. He saw her in the sense that they spoke; he
> >did not, however, examine her mouth and teeth at any point.
>
> Was there a radiograph (x-ray) taken or available for the doc to see ?

REPLY

The doc took the radiographs while standing in the lab ..... He tiptoed in
blindfolded so he would not be accused to "SEEING" the patient.

Joel

> --
>
> W_B
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
Sdores - 14 Apr 2005 23:45 GMT
You mean she wasn't seen at all yet you said that she was scared to death by
the appt and yelled at and now you say he didn't see her.  Lord, you have
wasted a lot of the nice peoples time here and a lot of bandwidth.  You
should be ashamed of yourself!  UM MOM Susan

> I can not especially picture that being the case in this instance - he had
> decided on the need for a two-stage operation without seeing her, or her
> records.
Miedvied - 15 Apr 2005 04:53 GMT
> You mean she wasn't seen at all yet you said that she was scared to death by
> the appt and yelled at and now you say he didn't see her.  Lord, you have
[quoted text clipped - 4 lines]
>>decided on the need for a two-stage operation without seeing her, or her
>>records.

There are multiple meanings to the word "see." Of course, if you're
looking for the worst possible interpretation, go for it.
Joel M. Eichen - 15 Apr 2005 11:07 GMT
> > You mean she wasn't seen at all yet you said that she was scared to death by
> > the appt and yelled at and now you say he didn't see her.  Lord, you have
[quoted text clipped - 7 lines]
> There are multiple meanings to the word "see." Of course, if you're
> looking for the worst possible interpretation, go for it.

REPLY

Yeah Bill Clinton was telling us that ........

Joel
Sdores - 15 Apr 2005 13:05 GMT
"I was unclear; I apologize. He saw her in the sense that they spoke; he
did not, however, examine her mouth and teeth at any point."
Did you not just post this?  UM MOM Susan

> There are multiple meanings to the word "see." Of course, if you're
> looking for the worst possible interpretation, go for it.
Tony Bad - 15 Apr 2005 01:02 GMT
> > There are very valid clinical reasons for doing root canal therapy over two
> > instead of one visit. While it may have been the patient's desire for things
[quoted text clipped - 5 lines]
> had decided on the need for a two-stage operation without seeing her, or
> her records.

I almost always do root canal therapy over two visits. I find I have less
complications that way. Others handle things differently, but I don't think
either way is more right or wrong.

I don't want to sound uncaring, as I can hate seeing fearful patients
treated in a way that makes their fears worse, but your two big complaints
(as I read them) were about the care being spread over two visits and the
cost. Didn't you know about both of these aspects of care ahead of time? and
if so, why did you or your sister elect to seek care at this office?

T
Joel M. Eichen - 15 Apr 2005 11:08 GMT
Tony,

His wife is his sister?

That's a huge problem in my state.

Joel

In Kentucky its okay though.

> > > There are very valid clinical reasons for doing root canal therapy over
> two
[quoted text clipped - 21 lines]
>
> T
W_B - 15 Apr 2005 17:32 GMT
>Tony,
>
[quoted text clipped - 5 lines]
>
>In Kentucky its okay though.

OK in Arkansas too.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Tony Bad - 15 Apr 2005 17:34 GMT
> >Tony,
> >
[quoted text clipped - 8 lines]
> OK in Arkansas too.
> --

Isn't that part of that guys "You know you are a redneck if..." routine?

T
W_B - 15 Apr 2005 17:48 GMT
>> On Fri, 15 Apr 2005 06:08:32 -0400, "Joel M. Eichen"
><joeleichen@yahoo.com> wrote:
[quoted text clipped - 15 lines]
>
>T

You go to the family reunion to meet chicks....
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
carabelli - 16 Apr 2005 00:53 GMT
>>> On Fri, 15 Apr 2005 06:08:32 -0400, "Joel M. Eichen"
>><joeleichen@yahoo.com> wrote:
[quoted text clipped - 20 lines]
>
> W_B

Too drunk to fish is my fav

carabelli
W_B - 18 Apr 2005 15:49 GMT
>>>Isn't that part of that guys "You know you are a redneck if..." routine?
>>>
[quoted text clipped - 8 lines]
>
>carabelli

Good one !
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
W_B - 14 Apr 2005 16:47 GMT
>Truth be told, she's not going to have him punished in any great
>measure, and she knows it - but she wants to make him shake in his boots
[quoted text clipped - 4 lines]
>Frankly, this prick does. There's a certain callousness that should not
>be tolerated in any healthcare worker.

And the fact that she's an attorney doesn't enter into the equation
in the slightest, right ?

Go see an endodontist.
www.aae.org

--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Miedvied - 14 Apr 2005 22:23 GMT
>>Truth be told, she's not going to have him punished in any great
>>measure, and she knows it - but she wants to make him shake in his boots
[quoted text clipped - 7 lines]
> And the fact that she's an attorney doesn't enter into the equation
> in the slightest, right ?

I believe the fact that she was shaking and ill when she walked out has
a greater bearing on her reaction to the entire event than her status as
 an attorney. It's not as if she makes a habit of these things; she's a
real estate attorney. She finishes up people's house purchases.
W_B - 14 Apr 2005 22:46 GMT
>> And the fact that she's an attorney doesn't enter into the equation
>> in the slightest, right ?
[quoted text clipped - 3 lines]
>  an attorney. It's not as if she makes a habit of these things; she's a
>real estate attorney. She finishes up people's house purchases.

But in your previous posting you indicated:

<clip>
he had decided on the need for a two-stage operation without seeing her, or
her records.

</clip>

So which is it ?

Did the doctor see the patient or not ?

Some people have such a fear of dentists that they can become
physically ill, but what does that have to do with the price of eggs ?

Anxiolytics are readily available and I do not hesitate to use them
when indicated.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Joel M. Eichen - 14 Apr 2005 22:53 GMT
Advice To Wife/Attorney:

Do not let the opposition get your husband
on the stand. He is a terrible liar!

Joel

> >> And the fact that she's an attorney doesn't enter into the equation
> >> in the slightest, right ?
[quoted text clipped - 26 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
Mark & Steven Bornfeld - 14 Apr 2005 23:13 GMT
>>>And the fact that she's an attorney doesn't enter into the equation
>>>in the slightest, right ?
[quoted text clipped - 26 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com

    Come on Counselor, I think this nice man is trying to help his
sister--I'd do the same.
    I assume he assumes the dentist had told her at the outset that he did
root canals in two visits.  This may have been communicated initially,
and he then treated the sister.
    Let's assume, can't we that his motives are sincere?

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Tony Bad - 15 Apr 2005 01:07 GMT
> Come on Counselor, I think this nice man is trying to help his
> sister--I'd do the same.
[quoted text clipped - 4 lines]
>
> Steve

I am not questioning the sincerity of the posters intentions, but am
confused why the two issues that seem to be the cause of the most upset
would seem to be things that were known before hand. I am also confused by
the fact that it was indicated the patient saw a pediatric dentist, but she
appears to be an adult. Perhaps it was an endodntist and not a pedodontist??

T
Tony Bad - 15 Apr 2005 01:08 GMT
>> I am not questioning the sincerity of the posters intentions, but am
> confused why the two issues that seem to be the cause of the most upset
[quoted text clipped - 3 lines]
>
> T

Saw the clarification regarding the pedodontist question...sorry to write
before reading the whole thing.

T
Miedvied - 15 Apr 2005 05:01 GMT
>>Come on Counselor, I think this nice man is trying to help his
>>sister--I'd do the same.
[quoted text clipped - 10 lines]
> the fact that it was indicated the patient saw a pediatric dentist, but she
> appears to be an adult. Perhaps it was an endodntist and not a pedodontist??

She was seeing a pediatric dentist because it was communicated to her
that a pediatric dentist tends to have better bedside manner, pain
killers, sedatives, et al; for how she responds to dentists, this was
important.

The man never treated her. She called him, he said he would see her. She
came in; after being kept waiting for a while, and being informed by the
secretary that the dentist would only do the procedure in two steps, and
would charged exorbitant prices for them (unless anyone else around here
charges a sum total of well over two thousand dollars for a root
canal?). She then requested to see him repeatedly; when he finally came
, he would offer no reason as to why he insisted on doing it in two
steps (she was willing to pay the outrageous fees, even); he would offer
no reason, and was fairly insensitive to her obvious anxiety.

She never made it into the dental chair; he didn't see her X-rays,
didn't examine her, certainly nothing on which a judgement could be made
as to procedures that would be required particular to her condition.

So, yes, when I say he saw her - I meant it. However, I did not mean to
  imply that he actually "saw" her in the sense that he examined her
and so forth. He was quite set on what he was going to do before he got
her into the chair. And... frankly, as I said, she's more concerned with
busting his balls at this point than anything else. Not so much for
anything beyond the fact that... well, if one had seen how she responds
to the prospect of such things, to treat her the way he did would be
difficult to rate as anything less than sadistic.

Then again, perhaps for that aspect one must simply have "been there."
Joel M. Eichen - 15 Apr 2005 11:13 GMT
Unless she is very very young this is the wrong dentist. Try someone who
uses conscious sedation i ntheir practice. By the way, is this your wife or
your sister?

Joel

> >>Come on Counselor, I think this nice man is trying to help his
> >>sister--I'd do the same.
[quoted text clipped - 46 lines]
>
> Then again, perhaps for that aspect one must simply have "been there."
Miedvied - 15 Apr 2005 16:14 GMT
> Unless she is very very young this is the wrong dentist. Try someone who
> uses conscious sedation i ntheir practice. By the way, is this your wife or
> your sister?
>
> Joel

My sister, as I said in my original post.
Sdores - 15 Apr 2005 13:12 GMT
Question for the dentists, do pediatric dentist do pain meds or other meds
prior to tending to a child?  My son was scared to death to have his teeth
tended to, esp. the wisdom teeth that came in and had to be removed and was
told to see family physician for meds to get him through it because the
family dr knew his history.  This was done anytime he had to see the
dentist.  When he got old enough and the dentist knew him he would give him
gas to help but no pain meds.  UM MOM Susan
Joel M. Eichen - 15 Apr 2005 14:31 GMT
> Question for the dentists, do pediatric dentist do pain meds or other meds
> prior to tending to a child?

BETTER!

Anxiolysis.

Joel

>My son was scared to death to have his teeth
> tended to, esp. the wisdom teeth that came in and had to be removed and was
> told to see family physician for meds to get him through it because the
> family dr knew his history.  This was done anytime he had to see the
> dentist.  When he got old enough and the dentist knew him he would give him
> gas to help but no pain meds.  UM MOM Susan
W_B - 15 Apr 2005 16:01 GMT
>She was seeing a pediatric dentist because it was communicated to her
>that a pediatric dentist tends to have better bedside manner, pain
>killers, sedatives, et al; for how she responds to dentists, this was
>important.

Someone gave the wrong impression/information.

Pedo's do kids teeth, they don't routinely do RCT.

Again, I urge you to contact an endodontist.

www.aae.org
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Steven Bornfeld - 15 Apr 2005 18:04 GMT
>>She was seeing a pediatric dentist because it was communicated to her
>>that a pediatric dentist tends to have better bedside manner, pain
[quoted text clipped - 8 lines]
>
> www.aae.org

    I agree.  I wonder about the ethics of a pediatric dentist treating
this patient at all.

Steve

> --
>
> W_B
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com

Signature

Cut the nonsense to reply

W_B - 15 Apr 2005 18:05 GMT
>> Someone gave the wrong impression/information.
>>
[quoted text clipped - 8 lines]
>
>Steve

I would think that it is outside the scope of pediatric practice
except in rare cases.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Joel M. Eichen - 15 Apr 2005 20:54 GMT
> >> Someone gave the wrong impression/information.
> >>
[quoted text clipped - 16 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com

REPLY

Is the pedo dude the guy who SAW her but didn't SEE her?
Joel M. Eichen - 15 Apr 2005 20:53 GMT
> >She was seeing a pediatric dentist because it was communicated to her
> >that a pediatric dentist tends to have better bedside manner, pain
[quoted text clipped - 4 lines]
>
> Pedo's do kids teeth, they don't routinely do RCT.

REPLY

WHO YOU callin' a pedo?

That can get you in trouble if you are in prison.

Joel

> Again, I urge you to contact an endodontist.
>
[quoted text clipped - 4 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
Dr. Steve - 17 Apr 2005 23:40 GMT
>>>Come on Counselor, I think this nice man is trying to help his
>>>sister--I'd do the same.
[quoted text clipped - 40 lines]
>
>Then again, perhaps for that aspect one must simply have "been there."

I doubt they could even make a case that she is a patient of record if
the Doctor never did an exam or a diagnosis. I bet he doubled the
price due to PITA factors. which is legal by the way.
..
Stephen Mancuso, D.D.S.
Troy, Michigan, USA

I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.
Steven Bornfeld - 15 Apr 2005 17:40 GMT
>>Come on Counselor, I think this nice man is trying to help his
>>sister--I'd do the same.
[quoted text clipped - 12 lines]
>
> T

    Yeah, he explained this.  I'd bet the problem in understanding this
case has a lot to do with the fact that we're hearing a second-hand
account (and we already know that the first-hand account was from a
fearful patient).

Steve

Signature

Cut the nonsense to reply

Joel M. Eichen - 15 Apr 2005 11:09 GMT
Plus his wife and his sister now need root canal
therapy. See what delaying treatment can produce?

Joel

> >>>And the fact that she's an attorney doesn't enter into the equation
> >>>in the slightest, right ?
[quoted text clipped - 41 lines]
> Brooklyn, NY
> 718-258-5001
W_B - 15 Apr 2005 15:39 GMT
Though that he said it was his wife.

>    Let's assume, can't we that his motives are sincere?

Um. well, in a word, no.

>Steve

--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Mark & Steven Bornfeld - 14 Apr 2005 23:05 GMT
>>> Truth be told, she's not going to have him punished in any great
>>> measure, and she knows it - but she wants to make him shake in his
[quoted text clipped - 12 lines]
>  an attorney. It's not as if she makes a habit of these things; she's a
> real estate attorney. She finishes up people's house purchases.

    Uh oh.  If you're in Brooklyn, there's a good chance my wife knows
her--she sells real estate in Park Slope.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Miedvied - 15 Apr 2005 04:55 GMT
>>>> Truth be told, she's not going to have him punished in any great
>>>> measure, and she knows it - but she wants to make him shake in his
[quoted text clipped - 18 lines]
>
> Steve

My sister's office is on Coney Island Ave., last I recall. I haven't
visited since she last changed offices.
Steven Bornfeld - 15 Apr 2005 17:51 GMT
>>>>> Truth be told, she's not going to have him punished in any great
>>>>> measure, and she knows it - but she wants to make him shake in his
[quoted text clipped - 21 lines]
> My sister's office is on Coney Island Ave., last I recall. I haven't
> visited since she last changed offices.

    Well, in that case I probably would know the pediatric dentist, but
that's extremely unlikely to change my opinion of what went on.

Steve

Signature

Cut the nonsense to reply

Mark & Steven Bornfeld - 14 Apr 2005 17:44 GMT
>>>>> Are there any supervisory groups/committees at the ADA that act in
>>>>> a manner similar to the ethics board of the AMA? How would one go
[quoted text clipped - 35 lines]
> Frankly, this prick does. There's a certain callousness that should not
> be tolerated in any healthcare worker.

    I agree.  What you describe is probably not actionable, but certainly
insensitive.  Did you say this was a pediatric dentist?
    Many (perhaps most) root canals can be completed in a single visit.
However, this is relatively new thinking.  And there are some that
require more than one visit, although not being able to offer an
explanation why is just wrong.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Miedvied - 14 Apr 2005 22:24 GMT
>>>>>> Are there any supervisory groups/committees at the ADA that act in
>>>>>> a manner similar to the ethics board of the AMA? How would one go
[quoted text clipped - 43 lines]
> require more than one visit, although not being able to offer an
> explanation why is just wrong.

He was a pediatric dentist, yes. My sister went to him specifically
because she was under the impression that a man that specialized in
handling kids would a) have some expertise with pain control, and b)
have a better bedside manner. Both of these things were important at the
time, because to say she's "deathly scared" of dentists is rather an
understatement.
Joel M. Eichen - 14 Apr 2005 22:42 GMT
> >>>>>> Are there any supervisory groups/committees at the ADA that act in
> >>>>
> >>>> And what are the punitive possibilities?

Cat-O-Nine-Tails ......

Joel
W_B - 14 Apr 2005 22:47 GMT
>He was a pediatric dentist, yes. My sister went to him specifically
>because she was under the impression that a man that specialized in
>handling kids would a) have some expertise with pain control, and

All dentists have this.

>b) have a better bedside manner.

Haven't seen many pedo monsters have you ?

>Both of these things were important at the
>time, because to say she's "deathly scared" of dentists is rather an
>understatement.

She needs an endodontist ( a specialist in the treatment of diseases of the pulp )
ie. root canal therapy

www.aae.org
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Joel M. Eichen - 14 Apr 2005 22:53 GMT
> >He was a pediatric dentist, yes. My sister went to him specifically
> >because she was under the impression that a man that specialized in
[quoted text clipped - 3 lines]
>
> >b) have a better bedside manner.

CORRECTION:

Its called, "beside manner."

> Haven't seen many pedo monsters have you ?
>
[quoted text clipped - 11 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
clintonz@prodigy.net - 15 Apr 2005 04:51 GMT
> ?
> >>>>>
> > >> Mostly he was just scamming her. He insisted on doing the root
canal
> >> in two seperate visits instead of in the normal one, and insisted that
> >> each visit charge be well over one thousand dollars - despite the fact
> >> that she was begging him (literally) to do it in one shot; she's
> >> deathly scared of dentists. He didn't even bother to give (or make up)
> >> a reason as to why it must be in two stages,even as she asked why,

> >> except insofar as "Because I like it that way." I saw her come out of
> >> his office, pale as a sheet, sweating, shaking from head to toe like
> >> she'd just been beaten stupid; there was no way this man could not

> >> have
>
[quoted text clipped - 4 lines]
> time, because to say she's "deathly scared" of dentists is rather an
> understatement.

It sounds like your sister has a real Dental Phobia. In that case
(I would guess) she is more than apprehensive, but almost physically
unable to sit in the chair, much like someone who is agrophobic would
have difficulty going outside. In fact my great uncle had "dental
Phobia" and almost never saw a dentist (lived a healthy life and died
in his 80's after being a heavy smoker, which tells you a lot about
modern dentistry).

This thread would make more sense if the question was
asked the following way: If a patient has a dental phobia, by law what
allowances is the dentist required to make for treatment?

I'm guessing (I'm not a dentist) that the standard for treatment is
probably 3 referral. In other words if one dentist doesn't schedule the
appointment in one session it is incumbent on you to find another
dentist but if you contacted three or more dentists, and none of them
would be willing to do the treatment in one session, (given that your
sister has a very real fear of the
dentist) that could be considered malpractice.
Joel M. Eichen - 15 Apr 2005 11:19 GMT
> I'm guessing (I'm not a dentist) that the standard for treatment is
> probably 3 referral. In other words if one dentist doesn't schedule the
[quoted text clipped - 3 lines]
> sister has a very real fear of the
> dentist) that could be considered malpractice.

Good advice ... Did I mention conscoius sedation ....?

Joel
Jeffrey Krantz - 19 Apr 2005 01:44 GMT
There is a simple answer:
doing RCT in two visits is probably the CORRECT THING TO DO, and is the way
it is taught at every dental school. Admittedly you CAN do it in one visit,
but it is clinically MORE APPROPRIATE IN ALMOST but not all situations to do
it in multiple visits.
There is NOTHING, and I MEAN NOTHING that can even remotely be brought to
OPD [office professional discipline] in this one. They will not get involved
with a fee, and you would be telling them that the doctor did a job in two
visits that he could have done in one, and if he did it in one visit he
would have made more money but did it in two visits.
If you dont like him, change dentists.

>>>>>>> Are there any supervisory groups/committees at the ADA that act in a
>>>>>>> manner similar to the ethics board of the AMA? How would one go
[quoted text clipped - 49 lines]
> because to say she's "deathly scared" of dentists is rather an
> understatement.
Steven Fawks - 19 Apr 2005 14:21 GMT
Totally disagree.

Multiple visits don't hurt anything (except more treatment time and
anesthesia for the patient), but doing endo in 2 visits is not more
appropriate in the vast majority of cases.

Fawks

> but it is clinically MORE APPROPRIATE IN ALMOST but not all situations to do
> it in multiple visits.
W_B - 19 Apr 2005 16:31 GMT
Endodontists disagree too.

>Totally disagree.
>
[quoted text clipped - 6 lines]
>> but it is clinically MORE APPROPRIATE IN ALMOST but not all situations to do
>> it in multiple visits.

--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Jeffrey Krantz - 20 Apr 2005 05:12 GMT
Steve: we agree on this one clinically. I WAS trying to explain to the
person that did the original post that the dentist did the clinically
appropriate thing: multiple visit endo is absolutely NOT a deviation from
any known standard of care.

> Totally disagree.
>
[quoted text clipped - 6 lines]
>> but it is clinically MORE APPROPRIATE IN ALMOST but not all situations to
>> do it in multiple visits.
Steven Fawks - 20 Apr 2005 14:04 GMT
Just 'pickin nits' I guess.

:-)
Fawks

> Steve: we agree on this one clinically. I WAS trying to explain to the
> person that did the original post that the dentist did the clinically
[quoted text clipped - 11 lines]
>>>but it is clinically MORE APPROPRIATE IN ALMOST but not all situations to
>>>do it in multiple visits.
W_B - 20 Apr 2005 15:42 GMT
>Just 'pickin nits' I guess.
>
>:-)
>Fawks

Got lice ?
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
ouch! - 20 Apr 2005 18:12 GMT
Shame on all of you! Except for Drs Mark & Steven, Tony and Fawks - I
apologize if I missed someone. The rest of you trolls know who you are!
Why does it matter if the patient was Miedvied's wife, sister, wife and
sister or sister's dog? What's wrong with him defending her? That's
what you do when you feel that someone you love as been harmed or
mistreated! As you will recall, he only offered details on this after
being questioned - it started out solely as a request for information.
If you had to say anything why couldn't you say "Here's the info you
were looking for, but IMHO, this sounds more like a personality
conflict, or an insensitive dentist, or the moons were not aligned,
whatever, I would suggest that you find a different dentist. I can
direct you to a few sites that could help" Now, what's wrong with that?
But, no...most of you had to do your usual pond-scum routine. You
turned a simple question into a bashing session and a hoax, and your
behavior was shameful. I have news for you - you are not superior to
your patients! You have been highly educated in a particular field and
that's the extent of it!When the dentist saw her and when he examined
her teeth are not the points of this post! The point is how she was
treated and the neccessity for 2 appointments - it seems very simple to
me.Why should anyone accept poor treatment? Remember, we are talking
about real people here..not you or your ideal patient. Real people with
quirks and feelings and fears and different personalities - all things
that as a professional in health care, you should be educated on and
sensitive to! I sure hope that you are a lot kinder and more
compassionate during the day when you are practicing real dentistry
than when you are here. I would hope that you use this board to vent
all of the snippy, snotty, horrible things that you want to say during
the day, but can't. That being said, why are you here? You don't care
about people - that much is obvious. This board should be re-named
"Nasty dentists, diligent in their eternal pursuit of
superiority,one-upping each and patting their own backs" That would
more aptly describe this board - with the exeption of the true
professionals here that I have already excluded from this rant. What a
bunch of trolls.....you discredit your profession by this type of
behavior.You all have a lot to say and a lot of time and research
available to play games with Jan, but when a real question or concern
comes up, you don't step up to the plate. You just dish out ridicule
and contempt. By the way Miedvied, look up your state's Dental Quality
Assurance Board or it's equivalent. Any complaint will be investigated
and the dentist will have to answer the allegations and even if nothing
comes of it, there will always be a record of a complaint having been
filed against him.Check with a local well-regarded hospital in your
area for a referral. Often the hopsital has a referral line and you can
get some names of dentists that they use.Thank you to all of the true
dentists here whose advice is very much appreciated.
W_B - 14 Apr 2005 16:31 GMT
>>> Are there any supervisory groups/committees at the ADA that act in a
>>> manner similar to the ethics board of the AMA? How would one go about
[quoted text clipped - 7 lines]
>
>And what are the punitive possibilities?

For what ?
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Miedvied - 15 Apr 2005 05:27 GMT
>> Are there any supervisory groups/committees at the ADA that act in a
>> manner similar to the ethics board of the AMA? How would one go about
[quoted text clipped - 5 lines]
>
> Steve

On an aside: Thank you for being more-or-less the only poster here to
give me the benefit of the doubt, and actually answer my questions, as
opposed to assuming I'm attempting some sort of super-stealth trolling
or the like.
Joel M. Eichen - 15 Apr 2005 11:21 GMT
> >> Are there any supervisory groups/committees at the ADA that act in a
> >> manner similar to the ethics board of the AMA? How would one go about
[quoted text clipped - 10 lines]
> opposed to assuming I'm attempting some sort of super-stealth trolling
> or the like.

REPLY

True. Just do not mention getting amalgams to CZ. Now back to our story. It
was the "reporting to the ethics board" that got everyone annoyed. The guy
may or may not be a jerk but please do not bother him or yourself with the
reporting. It will waste everyone's time.

Joel
Steven Bornfeld - 15 Apr 2005 17:56 GMT
>>> Are there any supervisory groups/committees at the ADA that act in a
>>> manner similar to the ethics board of the AMA? How would one go about
[quoted text clipped - 10 lines]
> opposed to assuming I'm attempting some sort of super-stealth trolling
> or the like.

    My office is on Ocean Ave., only 10 blocks from Coney Island Avenue.  I
don't need no lawyer wantin' to do a tapdance on my head.

Steve

Signature

Cut the nonsense to reply

Bill - 14 Apr 2005 06:06 GMT
>Are there any supervisory groups/committees at the ADA that act in a
manner similar to the ethics board of the AMA? How would one go about
finding a mailing address for an ethics board at the ADA?

As Steve mentioned, that is handled through the local dental society,
which can be found in your local phone book. Where are you? And what
was the ethical infraction?

Regards,
- dentaldoc
Joel M. Eichen - 14 Apr 2005 11:24 GMT
"Incidious failure to perform root canal in
one visit as opposed to two with reckless
endangerment to the pulp."

Joel

> >Are there any supervisory groups/committees at the ADA that act in a
> manner similar to the ethics board of the AMA? How would one go about
[quoted text clipped - 6 lines]
> Regards,
> - dentaldoc
W_B - 14 Apr 2005 16:28 GMT
>Are there any supervisory groups/committees at the ADA that act in a
>manner similar to the ethics board of the AMA? How would one go about
>finding a mailing address for an ethics board at the ADA?

Why ?
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
 
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