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Medical Forum / General / Dentistry / April 2005

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How Many Dentists Here Have Been Sued For Malpractise?

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Shyster - 15 Apr 2005 04:11 GMT
I'd really be interested to know as long as you've been in practise for at
least 5 years, so no beardless boys just out of dental college need answer.
If you've been sued did you win or lose?

I'll assume Joel's been sued since I seem to have touched a nerve :o)
Jorge Bonilla - 15 Apr 2005 04:28 GMT
> I'd really be interested to know as long as you've been in practise for at
> least 5 years, so no beardless boys just out of dental college need answer.
> If you've been sued did you win or lose?
>
> I'll assume Joel's been sued since I seem to have touched a nerve :o)

This year will be my twentyfirst year of practice. Never been sued.
Never even had a complaint filed. I hear that the average here is one
out of every ten get sued.
Jorge Bonilla, DMD
Shyster - 15 Apr 2005 04:34 GMT
> > I'd really be interested to know as long as you've been in practise
> for at
[quoted text clipped - 8 lines]
> out of every ten get sued.
> Jorge Bonilla, DMD

That's quite a high number. The Insurance company usually settles because if
it goes to trial the plantiff wins 80% of the time.
NOYB - 15 Apr 2005 05:23 GMT
>> > I'd really be interested to know as long as you've been in practise
>> for at
[quoted text clipped - 12 lines]
> if
> it goes to trial the plantiff wins 80% of the time.

Typically, a plaintiff's attorney won't go to trial unless the state dental
peer review board thinks that the patient might have a case.  So I'm
surprised that the number is that low.  I figured it would be in the
mid-90's.  I guess there are some dumb attorneys who sue anyhow...even when
it's obvious to any prudent fellow that there's no case.
Joel M. Eichen - 15 Apr 2005 11:40 GMT
Around here, before sueing, one needs a "Cerificate of Merit,"
that is someone outside the issue putting their name on the line!

Joel

> >> > I'd really be interested to know as long as you've been in practise
> >> for at
[quoted text clipped - 18 lines]
> mid-90's.  I guess there are some dumb attorneys who sue anyhow...even when
> it's obvious to any prudent fellow that there's no case.
clintonz@prodigy.net - 15 Apr 2005 05:05 GMT
> > I'd really be interested to know as long as you've been in practise
> for at
[quoted text clipped - 9 lines]
> out of every ten get sued.
> Jorge Bonilla, DMD

10% of all dentists have been sued and they are still using
amalgam? That is unbelievable.
Joel M. Eichen - 15 Apr 2005 11:41 GMT
> > > I'd really be interested to know as long as you've been in practise
> > for at
[quoted text clipped - 12 lines]
> 10% of all dentists have been sued and they are still using
> amalgam? That is unbelievable.

Nope, as amalgam causes no harm.

NEXT QUESTION~!

Joel
carabelli - 15 Apr 2005 05:04 GMT
> I'd really be interested to know as long as you've been in practise for at
> least 5 years, so no beardless boys just out of dental college need
> answer.
> If you've been sued did you win or lose?
>
> I'll assume Joel's been sued since I seem to have touched a nerve :o)

You wish, dumb sh*t, he has at least one progeny that *is* an attorney, not
a wannabe

Thought I had your sorry butt killfiled but it is now - go study for your
next retake.

carabelli
Joel M. Eichen - 15 Apr 2005 11:42 GMT
> > I'd really be interested to know as long as you've been in practise for at
> > least 5 years, so no beardless boys just out of dental college need
[quoted text clipped - 5 lines]
> You wish, dumb sh*t, he has at least one progeny that *is* an attorney, not
> a wannabe

REPLY

Actually two, but fortunately, neither one is on the
firing line with these kinds of cases!

Joel

> Thought I had your sorry butt killfiled but it is now - go study for your
> next retake.
>
> carabelli
carabelli - 15 Apr 2005 05:07 GMT
> I'd really be interested to know as long as you've been in practise for at
> least 5 years, so no beardless boys just out of dental college need
> answer.
> If you've been sued did you win or lose?
>
> I'll assume Joel's been sued since I seem to have touched a nerve :o)

One last comment, I have more than one colleague in general practice that
will not, under any circumstances, accept an attorney, or any of their
family as a new patient.  One wonders why they have come to embrace such a
practice philosophy.

Chew on it

carabelli
Shyster - 15 Apr 2005 05:21 GMT
> > I'd really be interested to know as long as you've been in practise for at
> > least 5 years, so no beardless boys just out of dental college need
[quoted text clipped - 7 lines]
> family as a new patient.  One wonders why they have come to embrace such a
> practice philosophy.

You can really be sued for that! Violation of Civil Rights is even a better
case  haha
NOYB - 15 Apr 2005 05:27 GMT
>> > I'd really be interested to know as long as you've been in practise for
> at
[quoted text clipped - 13 lines]
> better
> case  haha

Unless you're a minority, gay, or have AIDS...good luck with that one.  Of
course, being an attorney is probably considered a handicap under the
Americans with Disabilities Act.  You guys are deficient in ethics...and I'm
sure some industrious attorney could spin that into a handicap.
carabelli - 15 Apr 2005 06:07 GMT
>>> > I'd really be interested to know as long as you've been in practise
>>> > for
[quoted text clipped - 15 lines]
>> better
>> case  haha

As I said, you're blocked on my newsreader.  However, NYOB reposted your
drivel.  That is utter bullshit,  I do not have to accept any patient
walking in the door wanting elective health services.  A piece of advise
shyster, slow down to a walk when you see the brake lights on the ambulance
you're chasing, I would hate to see you lose any teeth running into the
bumper.

carabelli
Joel M. Eichen - 15 Apr 2005 11:46 GMT
> As I said, you're blocked on my newsreader.  However, NYOB reposted your
> drivel.  That is utter bullshit,  I do not have to accept any patient
[quoted text clipped - 4 lines]
>
> carabelli

REPLY

We had a set-up case around here. A guy calls the dentist, makes an
appointment,
calls back 15 minutes later and says, "Oh yeah, forgot to mention I have
AIDS."

Well the dentist did the wrong thing under ADA (disabilities).

Big suit, the dentist went out of practice. End of story.

Joel
Shyster - 15 Apr 2005 12:41 GMT
> > As I said, you're blocked on my newsreader.  However, NYOB reposted your
> > drivel.  That is utter bullshit,  I do not have to accept any patient
[quoted text clipped - 16 lines]
>
> Big suit, the dentist went out of practice. End of story.

That will teach him to discriminate!

> Joel
Roy Brown - 15 Apr 2005 08:22 GMT
| >> > I'd really be interested to know as long as you've been in practise for
| > at
[quoted text clipped - 18 lines]
| Americans with Disabilities Act.  You guys are deficient in ethics...and I'm
| sure some industrious attorney could spin that into a handicap.

Occupational disease?

Signature

Roy
rem NADA to reply

Shyster - 15 Apr 2005 12:45 GMT
"> | >> >
> | >> One last comment, I have more than one colleague in general practice that
> | >> will not, under any circumstances, accept an attorney, or any of their
> | >> family as a new patient.  One wonders why they have come to embrace such
> | >> a
> | >> practice philosophy.

How would he know he's an attorney unless he knew him? I never put down
anything more than my name, address, phone and age.

> | > You can really be sued for that! Violation of Civil Rights is even a
> | > better
> | > case  haha
> |
> | Unless you're a minority, gay, or have AIDS...good luck with that one

What about sex? Aren't females a protected species?  lol

.  Of
> | course, being an attorney is probably considered a handicap under the
> | Americans with Disabilities Act.  You guys are deficient in ethics...and I'm
> | sure some industrious attorney could spin that into a handicap.
>
> Occupational disease?
Joel M. Eichen - 15 Apr 2005 14:33 GMT
> "> | >> >
> > | >> One last comment, I have more than one colleague in general practice
[quoted text clipped - 8 lines]
> How would he know he's an attorney unless he knew him? I never put down
> anything more than my name, address, phone and age.

REPLY

We place shark repellent on the dental chair and we observe if the patient
jumps out.

Joel

> > | > You can really be sued for that! Violation of Civil Rights is even a
> > | > better
[quoted text clipped - 15 lines]
> > Roy
> > rem NADA to reply
carabelli - 15 Apr 2005 15:00 GMT
> > "> | >> >
> > > | >> One last comment, I have more than one colleague in general
[quoted text clipped - 16 lines]
>
> Joel

We hit the alarm system siren and wait to see if they run out.

Seriously,  if a new patient will not completely fill out the health history
and personal/financial info they simply aren't seen at my office.

carabelli
Joel M. Eichen - 15 Apr 2005 20:20 GMT
> We hit the alarm system siren and wait to see if they run out.

REPLY

We check the parking lot for civilian cars with the blue emergency light on
top.

Joel

> Seriously,  if a new patient will not completely fill out the health history
> and personal/financial info they simply aren't seen at my office.
>
> carabelli
StovePipe - 16 Apr 2005 17:30 GMT
> We hit the alarm system siren and wait to see if they run out.
>
> Seriously,  if a new patient will not completely fill out the health history
> and personal/financial info they simply aren't seen at my office.
>
> carabelli

Bravo! That'll keep the bullshitters out very nicely.
SP
Signature

Finally: take out the TRASHH

W_B - 15 Apr 2005 17:45 GMT
>> How would he know he's an attorney unless he knew him? I never put down
>> anything more than my name, address, phone and age.
[quoted text clipped - 5 lines]
>
>Joel

Better yet...

We have a shark's jaw mounted on the wall in the reception area.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Steven Bornfeld - 15 Apr 2005 18:06 GMT
>>>How would he know he's an attorney unless he knew him? I never put down
>>>anything more than my name, address, phone and age.
[quoted text clipped - 9 lines]
>
> We have a shark's jaw mounted on the wall in the reception area.

    I have a varnished pirhana in my treatment room.

Steve

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

Signature

Cut the nonsense to reply

W_B - 15 Apr 2005 18:10 GMT
>> Better yet...
>>
[quoted text clipped - 3 lines]
>
>Steve

We have live ones in a tank.
Feeding time is very popular.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Steven Bornfeld - 15 Apr 2005 18:31 GMT
>>>Better yet...
>>>
[quoted text clipped - 9 lines]
>
> W_B

    Do they insist on live food?

Steve

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

Signature

Cut the nonsense to reply

Roy Brown - 15 Apr 2005 23:23 GMT
| >>>Better yet...
| >>>
[quoted text clipped - 13 lines]
|
| Steve

I heard W_B feeds them bottom feeders, Pisces: legalus arrogantus. Common name:
ambulance chasers frequently known as politicians.

Signature

Roy
rem NADA to reply

W_B - 18 Apr 2005 15:45 GMT
>| > On Fri, 15 Apr 2005 17:06:53 GMT, Steven Bornfeld
><dentaltwinnonsense@earthlink.net> wrote:
[quoted text clipped - 19 lines]
>I heard W_B feeds them bottom feeders, Pisces: legalus arrogantus. Common name:
>ambulance chasers frequently known as politicians.

How did you know ?
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Roy Brown - 19 Apr 2005 06:56 GMT
| >| > On Fri, 15 Apr 2005 17:06:53 GMT, Steven Bornfeld
| ><dentaltwinnonsense@earthlink.net> wrote:
[quoted text clipped - 21 lines]
|
| How did you know ?

Watergate mean anything to you?

Signature

Roy
rem NADA to reply

W_B - 19 Apr 2005 16:24 GMT
>| >I heard W_B feeds them bottom feeders, Pisces: legalus arrogantus. Common
>name:
[quoted text clipped - 3 lines]
>
>Watergate mean anything to you?

Used to be a nice hotel.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
W_B - 18 Apr 2005 15:36 GMT
>>>>Better yet...
>>>>
[quoted text clipped - 13 lines]
>
>Steve

We really don't have pirhana, I was kidding !
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Joel M. Eichen - 15 Apr 2005 20:21 GMT
> >> Better yet...
> >>
[quoted text clipped - 3 lines]
> >
> >Steve

REPLY

How did you get him to hold still while you applied the varnish?

Joel

> We have live ones in a tank.
> Feeding time is very popular.
[quoted text clipped - 3 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
StovePipe - 16 Apr 2005 17:30 GMT
> > > I have a varnished pirhana in my treatment room.
> > >
[quoted text clipped - 5 lines]
>
> Joel

Not hard... Just threaten to Ammmmalgam him into Hell's half acre.
SP
Signature

Finally: take out the TRASHH

StovePipe - 16 Apr 2005 17:30 GMT
> > Better yet...
> >
[quoted text clipped - 3 lines]
>
> Steve

I have a picture of a rabbit playing the piano.
SP
Signature

Finally: take out the TRASHH

Mark & Steven Bornfeld - 16 Apr 2005 17:50 GMT
>>>Better yet...
>>>
[quoted text clipped - 6 lines]
> I have a picture of a rabbit playing the piano.
> SP

    Ya got me there.   The fish only reads treble clef.

Steve

Signature

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

StovePipe - 16 Apr 2005 22:47 GMT
> >>      I have a varnished pirhana in my treatment room.
> >>
[quoted text clipped - 6 lines]
>
> Steve

_You_ got me there: the rabbit only played by her floppy ears...
SP
Signature

Finally: take out the TRASHH

StovePipe - 16 Apr 2005 17:30 GMT
> > | >> One last comment, I have more than one colleague in general practice
> that
[quoted text clipped - 15 lines]
>
> What about sex? Aren't females a protected species?  lol

How many Shysters get sued? Or isn't it better just to break their legs
or shoot them?

SP
Signature

Finally: take out the TRASHH

W_B - 15 Apr 2005 17:14 GMT
>> You can really be sued for that! Violation of Civil Rights is even a
>> better
[quoted text clipped - 4 lines]
>Americans with Disabilities Act.  You guys are deficient in ethics...and I'm
>sure some industrious attorney could spin that into a handicap.

Good one !
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
clintonz@prodigy.net - 15 Apr 2005 17:54 GMT
> >> You can really be sued for that! Violation of Civil Rights is even a
> >> better
[quoted text clipped - 6 lines]
>
> Good one !

What have patient/attorneys have done to get dentists so upset that
other patients haven't done.

It does seem unfair that one group has greater free access to the
legal system. Probably a law should be passed that attorneys
must file all lawsuits using another attorney. On the other hand
why should cost be a factor for anyone in filing a lawsuit to begin
with?
Tony Bad - 15 Apr 2005 18:09 GMT
>  On the other hand
> why should cost be a factor for anyone in filing a lawsuit to begin
> with?

Because it sure costs something to defend yourself. That is the problem with
the present system. There are too many "no cost unless we win" attorney's
that lure in people with cases or marginal merit. If someone figures there
is no risk to them to file a case, they give it a shot. There is no possible
down side for them. That is like a gun fight where only one side gets
bullets.

T
clintonz@prodigy.net - 15 Apr 2005 20:07 GMT
> >  On the other hand
> > why should cost be a factor for anyone in filing a lawsuit to begin
[quoted text clipped - 8 lines]
>
> T

I'm thinking more in terms of getting access to information. If a
company uses a defective product or chronically engages in faulty
practices why should you have to pay thousands simply to find out that
information. It might make sense that if you go ahead with a lawsuit
that takes up court time you have to pay, but why should anyone have to
pay big $$$ just to get information or statements of fact that the
person or company being sued is already aware of.
Tony Bad - 15 Apr 2005 20:50 GMT
> I'm thinking more in terms of getting access to information. If a
> company uses a defective product or chronically engages in faulty
[quoted text clipped - 3 lines]
> pay big $$$ just to get information or statements of fact that the
> person or company being sued is already aware of.

That makes sense...I was thinking of it differently than what you intended.
I think the difficulty in getting information is a product of defensive
behavior. People/Companies are afraid of lawsuits, so they hide, even when
there isn't a reason to hide.

T
StovePipe - 16 Apr 2005 17:30 GMT
> Because it sure costs something to defend yourself. That is the problem with
> the present system. There are too many "no cost unless we win" attorney's
> that lure in people with cases or marginal merit. If someone figures there
> is no risk to them to file a case, they give it a shot. There is no possible
> down side for them. That is like a gun fight where only one side gets
> bullets.

Wait a minute... The accused can always counter sue. If the plaintif
knows that from the start, the playing field would be evened out a bit.
SP
Signature

Finally: take out the TRASHH

Steven Bornfeld - 15 Apr 2005 18:10 GMT
>>>>You can really be sued for that! Violation of Civil Rights is even
>>>
[quoted text clipped - 27 lines]
> why should cost be a factor for anyone in filing a lawsuit to begin
> with?

    Some of the regs here may differ state to state.  Brooklyn's current
borough president Marty Markowitz was reliably said to have been refused
a rental in the building I lived in at the time (late 1970s) because he
was a lawyer (I believe he had recently been elected state senator).  I
think discrimination by occupation may be prohibited--notwithstanding
that conducting a business in a given location can be prohibited.

Steve

Signature

Cut the nonsense to reply

NOYB - 15 Apr 2005 23:52 GMT
>> >> You can really be sued for that! Violation of Civil Rights is even
> a
[quoted text clipped - 19 lines]
> why should cost be a factor for anyone in filing a lawsuit to begin
> with?

It's not.

Attorneys ought to get a mark against them for each unsuccessful suit.
Three losses and they lose their license to practice.
Joel M. Eichen - 15 Apr 2005 11:43 GMT
> You can really be sued for that! Violation of Civil Rights is even a better
> case  haha

I thought lawyers didn't have any civil rights .......
NOYB - 15 Apr 2005 23:53 GMT
>> You can really be sued for that! Violation of Civil Rights is even a
> better
>> case  haha
>
> I thought lawyers didn't have any civil rights .......

They have no civility.
Steven Bornfeld - 15 Apr 2005 17:53 GMT
>>I'd really be interested to know as long as you've been in practise for at
>>least 5 years, so no beardless boys just out of dental college need
[quoted text clipped - 11 lines]
>
> carabelli

    That's unfortunate.
    They're not all shysters.

Steve

Signature

Cut the nonsense to reply

carabelli - 16 Apr 2005 01:04 GMT
>>>I'd really be interested to know as long as you've been in practise for
>>>at
[quoted text clipped - 17 lines]
>
> Steve

Not at all, especially, when you need one .  I had what I considered an
honor to write a recommendation to the Kansas Governor to recommend my
oldest friend to the court.  Our views are exactly 180 degrees apart.  But,
that's OK - he had a pretty big deal dropped in his  lap right of the get go
with the entire metro area watching and handled it quite equitably.

carabelli
Mark & Steven Bornfeld - 16 Apr 2005 14:30 GMT
> Not at all, especially, when you need one .  I had what I considered an
> honor to write a recommendation to the Kansas Governor to recommend my
[quoted text clipped - 3 lines]
>
> carabelli

    Did he get the gig?

Steve

Signature

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

carabelli - 16 Apr 2005 16:26 GMT
>> Not at all, especially, when you need one .  I had what I considered an
>> honor to write a recommendation to the Kansas Governor to recommend my
[quoted text clipped - 8 lines]
>
> Steve

Yeah, he did (despite my letter).  I and a few college buddies that live in
St. Louis went to Topeka (state capital) to watch him being sworn it.  It
was pretty cool.

carabelli
NOYB - 15 Apr 2005 05:20 GMT
> I'd really be interested to know as long as you've been in practise for at
> least 5 years, so no beardless boys just out of dental college need
> answer.
> If you've been sued did you win or lose?

Practicing 6 years.  Never been sued.
Shyster - 15 Apr 2005 05:35 GMT
> > I'd really be interested to know as long as you've been in practise for at
> > least 5 years, so no beardless boys just out of dental college need
> > answer.
> > If you've been sued did you win or lose?
>
> Practicing 6 years.  Never been sued.

  Yet  :o)
NOYB - 15 Apr 2005 05:47 GMT
>> > I'd really be interested to know as long as you've been in practise for
> at
[quoted text clipped - 5 lines]
>>
>   Yet  :o)

Yes, yet. So I'm batting 1000.

Ever lose a case?  I bet my record is better than yours.
StovePipe - 15 Apr 2005 07:11 GMT
> Yes, yet. So I'm batting 1000.
>
> Ever lose a case?  I bet my record is better than yours.

.... and _I_ bet that this a.shole is not worth the time or energy.
Sweep this dirt out the door and get on with your (real) life.
Let him go back to school..... ;-)
SP
Signature

Finally: take out the TRASHH

Steven Fawks - 15 Apr 2005 21:00 GMT
Going on 26 without legal problems to date.

Fawks

> Practicing 6 years.  Never been sued.
carabelli - 16 Apr 2005 01:11 GMT
> Going on 26 without legal problems to date.
>
> Fawks

I thought you were married

carabelli
Fawks - 16 Apr 2005 05:23 GMT
OUCH!

Why did you have to remind me?

Actually, she's been a lot nicer since the kids have all left for
college (and I said 'cool it or I'm outta here').

The Lakers sure suck without Shaq.

<VBG>
Fawks
Roy Brown - 15 Apr 2005 08:52 GMT
| I'd really be interested to know as long as you've been in practise for at
| least 5 years, so no beardless boys just out of dental college need answer.
| If you've been sued did you win or lose?
|
| I'll assume Joel's been sued since I seem to have touched a nerve :o)

Licensed for 15 years.
Never had an official complaint.
Never been sued.
4 cases considered a failure due to patients unrealistic expectations.

1 additional case I considered a failure due to an unidentified physical
abnormality. Radiology could not get a good shot of the TMJ to confirm my
suspicions. The patient was satisfied with what I had done and refused further
diagnostics. History indicated an untreated fracture of the mandible. The
patient had an immediate side shift of over 5mm with multiple CR's. It seemed
that 1 condyle was improperly positioned or resorbed.

Signature

Roy
rem NADA to reply

Bill - 16 Apr 2005 22:15 GMT
Roy wrote:

"The
patient had an immediate side shift of over 5mm with multiple CR's. It
seemed
that 1 condyle was improperly positioned or resorbed."

--
Roy

That reminds me of a local case that was in the legal system for
several years. The lady had a missing condyle. There was NO way to get
a consistent, reproducible CR.

- dentaldoc
Roy Brown - 17 Apr 2005 04:43 GMT
| Roy wrote:
|
[quoted text clipped - 11 lines]
|
| - dentaldoc

How did they treat the case? What were the clinical and legal outcomes?

I was considering putting a second row of posteriors on one side of the upper,
allowing for the shift while keeping the lowers where they belonged. I wanted a
confirmed diagnosis before remaking the case. The patient was satisfied with
what I had done.
Roy
Bill - 17 Apr 2005 20:18 GMT
Bill had written:

| That reminds me of a local case that was in the legal system for
| several years. The lady had a missing condyle. There was NO way to get
| a consistent, reproducible CR.
|
| - dentaldoc

Roy wrote:

>How did they treat the case? What were the clinical and legal outcomes?

The case was treated with implants because the patient refused to
consider any sort of removable prosthetics whatsoever (THAT should have
been something of a warning sign). She went from doctor to doctor until
she found a few willing to follow her own treatment plan (you can see
where this is going). Even then, she shifted from one dentist to
another.

Remarkably, the occlusion was workable, as it was built into a position
that was comfortable for her once she settled into it. However, she
kept requesting alterations for esthetics and thus wore out repeated
sets of temporaries, which constantly changed the occlusion.

All these revisions kept the dentists in cash flow, but the patient
could never be satisfied with the esthetics of ANY treatment. My take
on the situation was that she thought the treatment would make her look
20 years old again -- as you see in those smiling dental ads -- but
after each revision, she still looked like a 70-year-old woman (with
white teeth).

Ironically, the legal case hinged on the fact that one of the surgeons
had placed a mandibular implant that partially impinged upon the
inferior alveolar nerve bundle. So she was offered a full settlement
for those implants, and the restorations built thereon, but not on
other treatment unrelated to those actual problems.

She was upset with the partial victory, so she rejected it. She should
have taken it when it was offered. Both dentists who would have paid
for the problems were now off the hook.

The last I heard, she was back to replacing implant restorations again
and again . . .

>I was considering putting a second row of posteriors on one side of the upper,
>allowing for the shift while keeping the lowers where they belonged. I wanted a
>confirmed diagnosis before remaking the case. The patient was satisfied with
>what I had done.
>Roy

A satisfied patient is the key to the case!!

- dentaldoc
Roy Brown - 18 Apr 2005 02:59 GMT
| Bill had written:
|
[quoted text clipped - 41 lines]
| The last I heard, she was back to replacing implant restorations again
| and again . . .

Thanks Bill

| >I was considering putting a second row of posteriors on one side of
| the upper,
[quoted text clipped - 8 lines]
|
| - dentaldoc

Not necessarily so. The patient's history included a pysch Dx. .  I found it is
troubling knowing something better could be done if the pt. would only follow up
with the diagnostics.

It is as frustrating a situation as the situation you described. One patient
with untreated psyche issues is getting the best dental treatment and doesn't
recognize it. The other patient is getting sub optimal dental treatment because
of psych issues and doesn't recognize it. Damned if you do and damned if you
don't. Both put one at risk to have to deal with the "boards".
Charlie  Oster - 19 Apr 2005 12:32 GMT
"Damned if you do and damned if you don't."....Roy, can I buy you a cup of
coffee next time I'm fishing up North?  I'll bet we'd have a lot to talk
about.  How do you handle it when you think a patient needs a psych
referral?  Is it ethical to contact their PCP without their consent?  I've
attempted to do it with their knowledge....talk about a cold shower on a
relationship.

When I was starting out, I had the naive idea that good dentistry (not that
I had a complete handle on it!) alone would rule the day; patients would
appreciate my efforts, love me and go home.

Har de har.  When my dad died I suddenly gained ownership of a largely-
referral-based, prostho practice that included a lot of end stage,
difficult patients (does this sound familiar, Roy?).  This was the only
period in my career when I didn't enjoy myself professionally.  I had less
stress getting shot at in 'Nam.

Today I love what I do, A-Z (well, some of the AEGD residents give me agita)
the difference being that I can smell trouble coming a long ways off.
Psychodontics, the sub-specialty.

'Course, now that this is in print I'll probably get a letter from an
attorney today.  Where's my garlic....?
Shyster - 20 Apr 2005 03:18 GMT
> "Damned if you do and damned if you don't."....Roy, can I buy you a cup of
> coffee next time I'm fishing up North?  I'll bet we'd have a lot to talk
> about.  How do you handle it when you think a patient needs a psych
> referral?

You think? What would make you think they need a psychiatrist? Anxiety is
normal, especially anxiety about deteriorating health. If you know for sure
that they are not psychotic just give them some xanax.

 Is it ethical to contact their PCP without their consent?  I've
> attempted to do it with their knowledge....talk about a cold shower on a
> relationship.
[quoted text clipped - 6 lines]
> referral-based, prostho practice that included a lot of end stage,
> difficult patients (does this sound familiar, Roy?).

difficult patient: any patient you don't have the skill to treat

This was the only
> period in my career when I didn't enjoy myself professionally.  I had less
> stress getting shot at in 'Nam.

Yes, and those were your own men doing the shooting  haha

> Today I love what I do, A-Z (well, some of the AEGD residents give me agita)
> the difference being that I can smell trouble coming a long ways off.
> Psychodontics, the sub-specialty.

Yes, wouldn't it be nice if we never had any trouble and people just
accepted sub standard treatment and paid up promptly.

> 'Course, now that this is in print I'll probably get a letter from an
> attorney today.  Where's my garlic....?

what's your address?
Joel M. Eichen - 15 Apr 2005 11:38 GMT
> I'd really be interested to know as long as you've been in practise for at
> least 5 years, so no beardless boys just out of dental college need answer.
> If you've been sued did you win or lose?
>
> I'll assume Joel's been sued since I seem to have touched a nerve :o)

No, I practiced for close to 40 years without a single suit.
But I have a little trick for that. Most suits are disgruntled
patients. I make sure that patients do not get to that stage .......

Its easier to catch up with my own work than to hire
lawyers and stuff. Besides, remaking a bridge is tax-deductible!

Joel
Sdores - 15 Apr 2005 12:33 GMT
I'm not a dentist but I have to comment here.  As a consumer I think
ambulance chasers like you should lose the right to represent anyone.  You
have no morals if this is what you do.  Do you also walk up to a victim of a
shooting or a car accident and hand out your cards?!  I had one do that in a
car accident years ago and I turned his butt in for it.  You are a low life
to say the least.  People don't give this person who doesn't even have the
balls to ID himself the joys of responding.  His ID he uses says it all.  UM
MOM Susan
> I'd really be interested to know as long as you've been in practise for at
> least 5 years, so no beardless boys just out of dental college need
> answer.
> If you've been sued did you win or lose?
>
> I'll assume Joel's been sued since I seem to have touched a nerve :o)
Shyster - 15 Apr 2005 12:49 GMT
> I'm not a dentist but I have to comment here.  As a consumer I think
> ambulance chasers like you should lose the right to represent anyone.  You
> have no morals if this is what you do.  Do you also walk up to a victim of a
> shooting or a car accident and hand out your cards?!

No, that would be unethical. But I have attended funerals of people killed
in accidents to hand out my card to the family  lol

I had one do that in a
> car accident years ago and I turned his butt in for it.

For what? Handing you a card?  lol

You are a low life

A rich low life compared to you a poor low life  lol

> to say the least.  People don't give this person who doesn't even have the
> balls to ID himself the joys of responding.  His ID he uses says it all.  UM
[quoted text clipped - 5 lines]
> >
> > I'll assume Joel's been sued since I seem to have touched a nerve :o)
W_B - 15 Apr 2005 17:40 GMT
>I'm not a dentist but I have to comment here.  As a consumer I think
>ambulance chasers like you should lose the right to represent anyone.  You
[quoted text clipped - 4 lines]
>balls to ID himself the joys of responding.  His ID he uses says it all.  UM
>MOM Susan

You've got 'shyster' all wrong, he just likes to stir the SMD pot occaisionally
and knows how to punch the right buttons.

Sometimes he is quite refreshing and entertaining.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
carabelli - 16 Apr 2005 00:55 GMT
>>I'm not a dentist but I have to comment here.  As a consumer I think
>>ambulance chasers like you should lose the right to represent anyone.  You
[quoted text clipped - 12 lines]
> occaisionally
> and knows how to punch the right buttons.

Yep, he and I may have more in common than I want to admit.

That will PO him

carabelli
StovePipe - 16 Apr 2005 05:05 GMT
> You've got 'shyster' all wrong, he just likes to stir the SMD pot
> occaisionally and knows how to punch the right buttons.
>
> Sometimes he is quite refreshing and entertaining.
> --

He is a total j.rkoff. We have ours too, but this is above and beyond
the call.

I am sure he is not even a real shyster.

JMO.......

It never ceases to amaze me how they can wrap a whole person around one
a.shole.
SP
Signature

Finally: take out the TRASHH

 
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