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Medical Forum / General / Dentistry / September 2007

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referring patients to specialists

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dacconverter - 16 Sep 2007 02:48 GMT
To those here that are practicing general dentistry, don't you feel
that you're losing out on experience and revenue from having to refer
out certain procedures? Patients often seem to dislike the hassle of
seeing specialists, as they charge even higher fees. And I rarely even
get appreciation from specialists.

Recently, through much CE-hunting in dental magazines, I've learned of
some sources that can train general dentists to do orthodontics and
implant placements. There are even mini-residencies on IV sedation and
treatment of bony impactions.

Altogether, with weekly traveling and lodging expenses added onto
tuition, these courses will cost me over $50k.

Any feedback? Any experienced dentists here want to comment?
Steven Fawks - 16 Sep 2007 03:22 GMT
> Any feedback? Any experienced dentists here want to comment?

After reading your first post....no.

Steve
Simplicio - 16 Sep 2007 05:48 GMT
> > Any feedback? Any experienced dentists here want to comment?
>
> After reading your first post....no.
>
> Steve

because he's not part of the buddy system? Because he dared to mention
dangers in the dental office? Because he thinks for himself? The
hubris... Why not just say nothing at all if you don't want to reply.
You sir, have/are  saving  American Dentistry from this nonconformist.
Amatus Cremona - 16 Sep 2007 15:19 GMT
Because he sounds like a person hunting for information to support a law
suit. If he/she is hunting for background on a law suit, let him/her pay for
the professional opinion.  If the OP is a fresh dentist asking legitimate
questions,,,,,,,,,,, let him/her explain and we will be happy to help.

>> > Any feedback? Any experienced dentists here want to comment?
>>
[quoted text clipped - 6 lines]
> hubris... Why not just say nothing at all if you don't want to reply.
> You sir, have/are  saving  American Dentistry from this nonconformist.
Steven Bornfeld - 16 Sep 2007 17:18 GMT
> Because he sounds like a person hunting for information to support a law
> suit. If he/she is hunting for background on a law suit, let him/her pay for
> the professional opinion.  If the OP is a fresh dentist asking legitimate
> questions,,,,,,,,,,, let him/her explain and we will be happy to help.

    I figure this is a dental student or young dentist.  If it's a
malpractice attorney, well, he/she isn't ready.

Steve

>>>> Any feedback? Any experienced dentists here want to comment?
>>> After reading your first post....no.
[quoted text clipped - 4 lines]
>> hubris... Why not just say nothing at all if you don't want to reply.
>> You sir, have/are  saving  American Dentistry from this nonconformist.
Simplicio - 16 Sep 2007 20:51 GMT
> Because he sounds like a person hunting for information to support a law
> suit. If he/she is hunting for background on a law suit, let him/her pay for
> the professional opinion.  If the OP is a fresh dentist asking legitimate
> questions,,,,,,,,,,, let him/her explain and we will be happy to help.

I thought Fawks meant "first post" as in the post about medicaid
patients.
I could be wrong, but as a non-dentist I do not get that impression. I
believe
any medical opinions in a lawsuit would have to given by a court
recognized expert witness.
dacconverter - 17 Sep 2007 01:00 GMT
> Because he sounds like a person hunting for information to support a law
> suit. If he/she is hunting for background on a law suit, let him/her pay for
> the professional opinion.  If the OP is a fresh dentist asking legitimate
> questions,,,,,,,,,,, let him/her explain and we will be happy to help.

What is it that makes me sound like a legal worker?

I'm a general dentist practicing in the mid-atlantic region of the US.
Like I mentioned earlier, there seems to be a plethora of CE courses
( I recall an ortho series that is worth up to 80 credit hours ) that
appear to offer GPs the ability to do specialty procedures.

Most of you here appear to be generalists as well, and I'm sure you
can sympathize with one's loss in revenue in procedure referrals and
stigma from dental specialists.

Some of these CE courses are very expensive and require regular
traveling/lodging. I just wanted to solicit some feedback on these
types of CE.
The Webby - 17 Sep 2007 02:54 GMT
> > Because he sounds like a person hunting for information to support a law
> > suit. If he/she is hunting for background on a law suit, let him/her pay for
[quoted text clipped - 15 lines]
> traveling/lodging. I just wanted to solicit some feedback on these
> types of CE.

Most of the regulars, if not all, know who each other is and how to
reach each other offline.  Is this a good thing, in your opinion?  

Webby
The Webby - 17 Sep 2007 06:34 GMT
In article
<tmjiatroepidemic-A5369D.18543916092007@news.phx.highwinds-media.com>,

> Most of the regulars, if not all, know who each other is and how to
> reach each other offline.  Is this a good thing, in your opinion?  
>
> Webby

... how to reach each other offline *or* by email.  And there are some
who have been around for a long time who are simply unavailable to most,
if not all.

That is a more complete thought along the lines of what I intended.

Webby
Simplicio - 17 Sep 2007 08:06 GMT
>  And there are some
> who have been around for a long time who are simply unavailable to most,
> if not all.

> Webby

Interesting, that meets the official definition of a ghost. Remember
ghosts are
available to some, like psychics and people with those special meters,
but not
all....
Amatus Cremona - 17 Sep 2007 15:18 GMT
I have even been to Webby's house (as well as Henry's)    :-)

Signature

/

Amatus

/

> In article
> <tmjiatroepidemic-A5369D.18543916092007@news.phx.highwinds-media.com>,
[quoted text clipped - 11 lines]
>
> Webby
The Webby - 17 Sep 2007 16:28 GMT
> I have even been to Webby's house (as well as Henry's)    :-)

Indeed you have!!!!  :-)))

Webby

> > In article
> > <tmjiatroepidemic-A5369D.18543916092007@news.phx.highwinds-media.com>,
[quoted text clipped - 11 lines]
> >
> > Webby
Newbie - 17 Sep 2007 16:45 GMT
>I have even been to Webby's house (as well as Henry's)    :-)

And I have been to AC's cabin in Montana !
Amatus Cremona - 17 Sep 2007 15:17 GMT
Dear Dac....

I refer out implant surgery (I will restore them once the OMFS says they are
ready), any patient who needs to be sedated and most orthodontics (99.9%).
I do not wish to stock the variety of implant fixtures, tools and
attachments,,,,, plus the variety of grafting materials and equipment for
concentrated platelet rich plasma.  In order to do as good a job as the
local OMFS does, I would have a fortune invested in "stuff" sitting around
here that would not get used much.  Much easier on the entire world for me
to let the local OMFS do it.  I have three OMFS (same office) who do my
implant surgery.  They do a "perfect" job for me.  These cases go in GREAT.
Why would I want to sacrifice quality on these?

Ortho???????????  There is one guy local to me who is so good that I would
have to return to school for 2-3 years to do cases at the same level of
quality as he does.  If I cannot do a procedure as well as the specialist, I
do not deserve to do the procedure.

Sedation?????????/ I don't want the hassle.

Signature

/

Amatus

/

>> Because he sounds like a person hunting for information to support a law
>> suit. If he/she is hunting for background on a law suit, let him/her pay
[quoted text clipped - 16 lines]
> traveling/lodging. I just wanted to solicit some feedback on these
> types of CE.
 
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