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Medical Forum / General / Dentistry / January 2007

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Help, please, to make patient comfortable

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tempgal - 14 Jan 2007 16:49 GMT
Hi, Folks --

The day after tomorrow I have agreed to accompany a young man who is having
every single remnant of whatever teeth he has removed, which sounds like
absolute hell, to me.  The procedure is supposed to take 5-6 hours.

I'm not the best person to accompany him, because I'm not that comfortable
in medical environments, but apparently, there is no one else.

Can anyone suggest what I might be prepared to do or bring to make him as
comfortable as possible?

Thanks.
Steven Bornfeld - 14 Jan 2007 17:43 GMT
> Hi, Folks --
>
[quoted text clipped - 9 lines]
>
> Thanks.

    If general anesthesia is involved, your availability to accompany your
friend to and from surgery is a generous offer.  The doctors really are
responsible for the management of pain and anxiety at the procedure.
You can also help by being careful to note all postop instructions, and
seeing that they are followed?
    5-6 hours???  What in the world are they doing that would take that long?

Steve
tempgal - 14 Jan 2007 17:59 GMT
His mouth is a real mess.  Every single tooth is decayed to the gumline.
The cause was years of meth abuse.

After he's home, I wanted to make sure there was a supply of things there
that he could comfortably eat or drink.  (Would that be juices?  ... Maybe
that Ensure product?)

Thanks again.

>> Hi, Folks --
>>
[quoted text clipped - 20 lines]
>
> Steve
Steven Bornfeld - 14 Jan 2007 18:04 GMT
> His mouth is a real mess.  Every single tooth is decayed to the gumline.
> The cause was years of meth abuse.
[quoted text clipped - 4 lines]
>
> Thanks again.

    Obviously soft stuff--protein drinks, yogurt.  Are there plans for
dentures to be made soon?

Steve

>>> Hi, Folks --
>>>
[quoted text clipped - 20 lines]
>>
>> Steve
tempgal - 14 Jan 2007 21:44 GMT
Yes.  I believe the dentures will be made as soon as possible after the
healing process.

>> His mouth is a real mess.  Every single tooth is decayed to the gumline.
>> The cause was years of meth abuse.
[quoted text clipped - 37 lines]
>>>
>>> Steve
Stormin Mormon - 16 Jan 2007 18:12 GMT
Dr. Bornfeld is right -- also bring a pad and pen, write down all
the after care (post op) instructions. He's not likely to
rememer.

Please call the dentist office, and ask them the same question.
Most of the time I've had dentistry, they have suggested that I
take the pain pills immediately after the work, so the pills have
a chance to get started before the novocaine wears off. Maybe
bring a bottle of water, so he can get the pills at the pharmacy,
and take em in the car on the way home.

Dr. Bornfeld can correct me on this, but I think it's illegal to
give someone else your own prescription meds. So, it's not legal
for you to bring a couple pills you had left over from your last
dentistry and give to him. Though, it would be a really nice
thing to do.

Please ask the dentist office before giving him any pills before
the procedure. Some pills affect the dentistry.

They will very likely send him home with a prescription for pain
pills, and another one for antibiotic. Please gently encourage
him to take the first one of each of these in the car right
outside the pharmacy. So he's got at least the first dose
started.

I am not a medical person, but I've had a bunch of dentistry
done. So, all this advice is from a dental patient. I always have
Slimfast, Boost, Ensure. Something like that in the car with me
when I go to the dentist. Those are slightly nutitious, and a lot
easier to eat than real food.

You are obviously a caring person, and he is very lucky to have
you as a friend.

Signature

Christopher A. Young
 You can't shout down a troll.
 You have to starve them.
.

> His mouth is a real mess.  Every single tooth is decayed to the gumline.
> The cause was years of meth abuse.
[quoted text clipped - 4 lines]
>
> Thanks again.
Mark & Steven Bornfeld - 16 Jan 2007 19:07 GMT
> Dr. Bornfeld is right -- also bring a pad and pen, write down all
> the after care (post op) instructions. He's not likely to
[quoted text clipped - 12 lines]
> dentistry and give to him. Though, it would be a really nice
> thing to do.

    It probably is illegal (technically it puts you in the position of
prescribing medication without a license), but while probably
unenforceable, it's bad practice.  The surgeon has a right to know (and
it's better for the patient) what medications the patient is taking.
Yes, it's generally better to take pain medication before the local
anesthetic wears off if significant pain is anticipated.

Steve

> Please ask the dentist office before giving him any pills before
> the procedure. Some pills affect the dentistry.
[quoted text clipped - 13 lines]
> You are obviously a caring person, and he is very lucky to have
> you as a friend.

Signature

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

 
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