I just turned away a patient in pain. I am covering for a local guy who is
on vacation. One of his very nice patients had a tooth go necrotic after
crown prep and temporary (I try not judge my local peers--yea,,,, I'll need
to talk to him about CEREC). Anyway, we snuck this person in to evaluate
the problem. Needs RCT--now. I had a patient scheduled for a long
procedure (2 hours) coming in shortly, so I sent the person in pain off to
the local endodontist for pain relief and RCT. Then, the patient for the 2
hour block does not bother to show up. :-( We could have treated the
person in pain and gotten rid of symptoms sooner for the patient. Instead,
the pain patient had to drive to a different office, go through the
screening process again, wait to get seen between other patients, etc.
Argh!

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Mark & Steven Bornfeld - 06 Sep 2007 16:26 GMT
> I just turned away a patient in pain. I am covering for a local guy who is
> on vacation. One of his very nice patients had a tooth go necrotic after
[quoted text clipped - 9 lines]
>
> Argh!
One of those things. I think it's a corollary of Murphy's law. The
reverse almost never happens, but actually did to me a couple of weeks
ago, when Mark was on vacation. One of his patients (happens to be our
internist) called with a complaint that he had chewed on one of those
"Nips" candies--you know, the candy that's really a Richwill crown
remover--and something came off his lower incisors. I told him to come
right in, even though I was booked solidly. The next patient cancelled
at the last minute, and I was able to see the doc with no problems. It
was a freebee, but what the heck.
Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
Newbie - 06 Sep 2007 20:39 GMT
>> I just turned away a patient in pain. I am covering for a local guy who is
>> on vacation. One of his very nice patients had a tooth go necrotic after
[quoted text clipped - 21 lines]
>
>Steve
Usually treat the patient that is already there.
Besides an RCT overlapped with a crown prep
ain't that big a deal to handle. You can do both.