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Medical Forum / General / Dentistry / September 2005

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Policy on friends or partners in operatory?

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letsconnect - 21 Sep 2005 19:48 GMT
In the US, is it acceptable for an adult patient (aged 16+) to have a
friend, spouse, or family member with them in the operatory, if the
patient so wishes? Thanks.
Bill - 21 Sep 2005 19:55 GMT
"In the US, is it acceptable for an adult patient (aged 16+) to have a
friend, spouse, or family member with them in the operatory, if the
patient so wishes? Thanks."
_______________________-

In the US, it's usual for the dentist to own and run the dental office.
So each dentist sets the rules in his own practice.

Just as the dentist is free to allow or disallow "friends" in the
operatory (assuming local governmental regulatory measures allow such a
choice, which isn't always the case), the patient is also equally free
to choose a dentist who practices according to the patient's
preferences.

It's a simple matter of patients and dentists each selecting compatible
folks to work with.

- dentaldoc
letsconnect - 21 Sep 2005 20:03 GMT
I'm just wondering how *common* it would be... as in, is there a
general "mood" among dentists concerning this issue? Would it be quite
common or quite rare to allow friends or relatives in? Or roughly
50:50? Thanks.

> "In the US, is it acceptable for an adult patient (aged 16+) to have a
> friend, spouse, or family member with them in the operatory, if the
[quoted text clipped - 14 lines]
>
> - dentaldoc
Bill - 21 Sep 2005 20:50 GMT
"I'm just wondering how *common* it would be... as in, is there a
general "mood" among dentists concerning this issue? Would it be quite
common or quite rare to allow friends or relatives in? Or roughly
50:50? Thanks."
___________________________-

The "mood" varies all over the map. Different dentists have different
feelings.

That being said, I must add that most dentists prefer as FEW
distractions as possible while trying to provide treatment. For me, it
depends on the treatment.

I don't want anyone else in the room during extractions or surgery. You
never know how they'll react to the sight of blood. The patient and I
don't really need anyone else gasping of muffling a scream at that
point! Not good for the patient's heartrate.

When I'm prepping restorations, I need to concentrate on the exact
shape and I don't want anyone leaning over my shoulder, making comments
or asking more questions, or being any sort of nuisance. That's why we
have waiting rooms.

On the other hand, when I'm conducting exams of small children, I
definitely want the parent right there for proper education in the
necessities of preventive home care. But I don't want the mother
breathing down my neck when I'm trying to perform a pulpotomy.

So it varies.

How often do cardiac or thoracic surgeons allow the patient's friends
or families into THEIR operating rooms?

- dentaldoc
Amatus Cremona - 21 Sep 2005 23:42 GMT
> "In the US, is it acceptable for an adult patient (aged 16+) to have a
> friend, spouse, or family member with them in the operatory, if the
> patient so wishes? Thanks."

I love it when you let a teenager convince you to let their "pal" stay
in the treatment room and watch.  Just as you are about to insert the
anesthetic, they almost scream out "that is the HUGEST needle I have
ever seen".   And, your patent jumps out of the chair almost getting
impaled on the needle.

Amatus

>I'm just wondering how *common* it would be... as in, is there a
>general "mood" among dentists concerning this issue? Would it be quite
[quoted text clipped - 19 lines]
>>
>> - dentaldoc

..

Amatus

.
W_B - 22 Sep 2005 04:52 GMT
>I'm just wondering how *common* it would be... as in, is there a
>general "mood" among dentists concerning this issue? Would it be quite
>common or quite rare to allow friends or relatives in? Or roughly
>50:50? Thanks.

A great research project, apply for a grant immediately ! <g>

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
letsconnect - 22 Sep 2005 18:19 GMT
> >I'm just wondering how *common* it would be... as in, is there a
> >general "mood" among dentists concerning this issue? Would it be quite
> >common or quite rare to allow friends or relatives in? Or roughly
> >50:50? Thanks.
>
> A great research project, apply for a grant immediately ! <g>

You'd be surprised!! They're even basing a research programme on my
message board now, so I suppose anything is possible... actually, I'm
surprised that SMD has never been studied ;-).
Tim Dixon - 22 Sep 2005 18:24 GMT
>> >I'm just wondering how *common* it would be... as in, is there a
>> >general "mood" among dentists concerning this issue? Would it be quite
[quoted text clipped - 6 lines]
> message board now, so I suppose anything is possible... actually, I'm
> surprised that SMD has never been studied ;-).

Oh but it has and the findings have been published.
letsconnect - 22 Sep 2005 19:38 GMT
> Oh but it has and the findings have been published.

Yeah? Could you point me to the journal? (should make for interesting
reading :-))
Tim Dixon - 22 Sep 2005 19:59 GMT
>> Oh but it has and the findings have been published.
>
> Yeah? Could you point me to the journal? (should make for interesting
> reading :-))

Its not in a journal, its published in book form.
letsconnect - 22 Sep 2005 20:41 GMT
> >> Oh but it has and the findings have been published.
> >
> > Yeah? Could you point me to the journal? (should make for interesting
> > reading :-))
>
> Its not in a journal, its published in book form.

Oh, that. Sorry, I thought someone had published some actual research.
Tim Dixon - 22 Sep 2005 20:49 GMT
>> >> Oh but it has and the findings have been published.
>> >
[quoted text clipped - 4 lines]
>
> Oh, that. Sorry, I thought someone had published some actual research.

Like who? and for what reason?  What could someone else possibly obtain that
we didn't?  Do you think the tone and quality of discussions around here
would change if all the regs thought someone was "researching" them?  Well
why don't you apply to some gov agency for a grant and undertake that
project.
Joel M. Eichen - 21 Sep 2005 23:24 GMT
>In the US, is it acceptable for an adult patient (aged 16+) to have a
>friend, spouse, or family member with them in the operatory, if the
>patient so wishes? Thanks.

Depends ......

It always makes me wonder if they have a hidden camera and whether
they work for the CDC or for Allen Funt.
Sue - 22 Sep 2005 02:03 GMT
In the US, is it acceptable for an adult patient (aged 16+) to have a
friend, spouse, or family member with them in the operatory, if the
patient so wishes? Thanks.

"Have them?"

In what way exactly.

Sue
Joel M. Eichen - 22 Sep 2005 02:46 GMT
>In the US, is it acceptable for an adult patient (aged 16+) to have a
>friend, spouse, or family member with them in the operatory, if the
[quoted text clipped - 5 lines]
>
>Sue

This is why the operatory door stays open ..........
Amatus Cremona - 22 Sep 2005 13:02 GMT
> This is why the operatory door stays open ..........

You have operatory doors?

Signature

/

Amatus

/

>
>>In the US, is it acceptable for an adult patient (aged 16+) to have a
[quoted text clipped - 8 lines]
>
> This is why the operatory door stays open ..........
Stovepipe - 22 Sep 2005 03:59 GMT
> In the US, is it acceptable for an adult patient (aged 16+) to have a
> friend, spouse, or family member with them in the operatory, if the
> patient so wishes? Thanks.

When asked this question (and it happens often, as I usually go and
collect the patient _myself_ from the waiting room) I always approach
the subject in the same way:

"Let me think about that..."

And I walk with the patient into the operatory. Usually that is case
closed.

Once in a while, a lost soul just doesn't get the message and they
follow me into the operatory with the patient.

"Well....?"

"Huh?... Oh yes, I told you I'd think about it, didn't I?"

I reach into the top drawer and take out a test tube with a cork stopper
in it. Inside the tube, under the cork stopper, is a cigarette. I remove
the stopper using College pliers and delicately place it on the counter.
I utilize the same College pliers to delicately remove the cigarette,
and, placing the test tube on the counter I turn with an air of
importance to my assistant:

"Loupe..."

She hands me a rather over large magnifying glass, which I examine
intently, and then I take it and the cigarette over to the window. I
locate the sun in the sky, and I attempt to light the cigarette using
the magnifying glass, taking a few test puffs to see if it is burning
yet. After a few tries, I put both down and wash my hands to begin
working.

This _always_ results in a rather heavy silence, especially when the
request happens to come in the evening or at night.

This procedure is useful for conveying three (3) key concepts:

One, that serious things can happen in the dental office, so there'd
better be some respectful silence prevailing.

Two, that the visitor now questions my sanity seriously enough to not
overlook the importance of Concept One.

So there you have it: how I handle this situation.

Thank Youse

SP
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carabelli - 22 Sep 2005 04:30 GMT
Clown makeup usually takes care of these issues.

carabelli
W_B - 22 Sep 2005 06:09 GMT
>Clown makeup usually takes care of these issues.
>
>carabelli

Vlad Tepes is equally effective.

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
Stovepipe - 22 Sep 2005 12:44 GMT
> >Clown makeup usually takes care of these issues.
> >
[quoted text clipped - 7 lines]
> wubbabubbazG@RBAGEyahoo.com
> Take out the G'RBAGE

Vlad Tepes: What is a Vlad Tepes????? I don't watch Tee Vee so I
wouldn't know

SP

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Sue - 22 Sep 2005 14:23 GMT
W_B - 22 Sep 2005 04:49 GMT
>In the US, is it acceptable for an adult patient (aged 16+) to have a
>friend, spouse, or family member with them in the operatory, if the
>patient so wishes? Thanks.

Depends on the individual practitioners' philosophy.
There is no rule set in stone.

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
letsconnect - 22 Sep 2005 18:20 GMT
Thanks for all the great answers - much appreciated :-)!
 
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