> Dear Toni
Since you seem to be repeatedly misspelling and femininizing my name, I'll
assume you're looking for a flame. If so, you'll need to look else where.
I'm here to take advantage of the good advice from doctors like you, and
I'm grateful for it.
> As a practicing dentist when I have an overly cautious patient say what
> you have said regarding radiographs
[quoted text clipped - 5 lines]
> This may result in root canal, crowning, extractions or surgery in the
> future to correct problems left untreated at this time."
Sure, I'd sign that. If you in turn would sign something like: "As a DMD,
I realize there is no such thing as a completely safe exposure of ionizing
radiation. Therefore, all such exposes are a very carefully considered for
risk versus benefit. No x-rays will be given for the purpose of generating
revenue, or to enhance my legal position in the event of a malpractice
suit."
> Do you refuse radiographs when a physician suggests them to diagnose
> problems? I was just curious.
Once. I had a salivary stone. It was exquisitely painful. I was scheduled
for a CAT scan, until I learned exactly how may x-rays that involved. I
bailed on the CAT scan. I took some prescription pills, and I eventually
passed the stone without surgery.
Another time I quit a new job (the very day I was hired) because the
employer wanted a full set of spinal x-rays. The job involved heavy
lifting, but the x-rays were not for my benefit. It was so I could not
come in with a damaged back, and then claim I had injured it in their
employ.
Within a day or two of refusing the x-rays, one of my children needed to
go the pediatrician for a minor illness. Frankly, I needed the job I had
just quit, and I was wondering if I had done a reasonable and responsible
thing.
So after my child was examined, I told the doctor I had a question for
her. I explained the circumstances of the x-rays, and the fact that I had
quit the job. She pretty much blew up. Her exact words were, and I shall
never forget them, was "The days of x-raying healthy people are OVER" (her
emphasis, not mine).
She offer to help me sue my would be employer and force them the hire me
without the x-rays. She was confident I could do so. I thanked her
sincerely, but told that it didn't seem that such a course would make for
a happy employment situation.
I went on to find a better job. Since then I always felt justified in
questioning if x-rays are necessary. And occasionally, in refusing them.
> And if you say that those are medical problems--you obviously have never
> seen an abscessed tooth drain into spaces that cause occlusion of the
> external carotid artery.
>
> What I finally tell patients is "Thats the wonderful thing about this
> country---You have the right to make the wrong decision
Also an informed one.

Signature
Tony Sivori
letsconnect - 18 Jan 2006 05:20 GMT
> > Dear Toni
>
> Since you seem to be repeatedly misspelling and femininizing my name, I'll
> assume you're looking for a flame. If so, you'll need to look else where.
I reckon it was a typo.
drharry - 19 Jan 2006 02:21 GMT
To Tony (with a Y)
Obviously long standing scientific investigation of the safety vs risk of
radiographs can be thrown out the window due to your anecdotal reference of
your childs pediatrician. She obviously knows better than all of the
research done over the last quarter century.
As for my signing your radiograph warning I'd happily sign all except for
the last part about enhancing my legal position. The type of patient who
would require that part is the same one who will turn around and happily use
my lack of a preoperative radiograph to sue me.
Are you aware Tony with a Y , that many insurance companies (Aetna
Prudential etc) REQUIRE a pre operative radiograpgh before you, the patient
,are entitled to any benefits? Why aren't you complaining to your benefit
manager about that procedure? Are you willing to pay for a procedure fully
without insurance benefits because you won't let the dentist take a
radiograph beforehand. Basically I'm asking you (no pun intended) to put
your money where your mouth is.
Obviously your salivary calcification disappearing by prescription proves
that radiographs and surgery is useless in all cases.
And your desire to sue immediately your potential employer shows that you
will always seem to go for the legal remedy to correct situations you find
not acceptible to your opinions. To be honest I feel better for that
potential lost employer because I have a feeling your desire for legal
remedy would have eventually found him in a courtroom defending himself
against one of your frivolous lawsuits.
By the way being informed is good for all patients. However one who is
constantly questioning everything because their Aunt Fanny (or their childs
pediatrician) told them the opposite is nothing but a pain in the a.s who
belongs in the dentist across town's record base. I will happily refer you
there so I can take care of patients who appreciate my hard work
drHarry
>> Dear Toni
>
[quoted text clipped - 61 lines]
>
> Also an informed one.
Good advice!
My only suggestion is to change the wording a bit .....
> "You have refused my suggestion to take radiographs and that any caries
> (cavities) that can only be diagnosed by x rays , may be left causing future
> pain swelling or infection.
to
> "I acknowedge that the doctor has recommended x-rays as an aid to diagnosis.
> I refuse to allow <the doctor/staff> to utilize radiographs for this purpose.
> Any <carious lesions>
> (cavities) that can only be diagnosed by x rays may be left <untreated>.
> This may result in pain, swelling, infection, and/or premature tooth loss.
Joely
> Dear Toni
>
[quoted text clipped - 17 lines]
>
> dr harry