!0-7-10

I want to cry. I am crying in side. i am so stressed, but I shouldn't be. I feel like I am stressing because I am stressing. Live is not that bad and I have many blessings. Things do not go smooth all the time. I need to learn to take the bad with the good. Breath!!! I also need to learn to let the water roll off my back. My pt had hbp but he was nice and understood. I was still able to take x-rays. I need to sit down and make sure everything will work out.

Thursday 9-30

I was not able to do any cleaning on my pt this morning, but I am ok with that. I feel that due to her medical history I needed to go through it with her and be through. I was also able to get 4bwx and a pano, which is going to come in handy. I did have time to do one quad but I did not what you rush or go over the time and keep her longer.
I decided that I am going to share my patient, due to the fact that I believe it is unethical of me to keep her to my self. I am not able to see her again for four weeks, which will prolong her treatment. I also know that I will not be able to get her all done that day too. I am also helping a peer (or two) with providing a pt for mock boards. I hope all goes well.
Unfortunately I had to bring my pt back again the next day to take more x-rays :( in order for her to be a patient for mock boards.
My afternoon pt I felt like I was not very sympathetic. I was told she was a drama queen (she was) and that she talks a lot (she did). I was more focused on the treatment and getting things done. Now looking back and reevaluating I do not think I would change. I think some times it is needed.

I love going to the VA

I was able to use Oraqix today, which I think every Pt should have. My Pt was very sensitive, but after I placed Oraqiz (which all you have to do is place the anesthetic into the pockets like a probe, No shots!) she was numb enough that I felt that I was able to do a thorough job. By the time I was done my Pt was not numb anymore. She loved it and kept thanking me for using it. It made me feel great.

I really enjoy going to the VA because I do not feel like I have to sell any Tx. What ever is best for the Pt is done and the government pays for it. I know that it is my tax money that is paying for it, but it does not bug me. What bugs me is when a Pt needs Tx and will not do it because they have no dental ins. or ins. will not pay for it. What ever is best for the Pt is the best Tx.

9-23-10

Not bad today. I had a translator come in which was a dream, he even helped me chart. I really enjoyed having him here when I had to go get print offs and get the room ready for x-rays because I did not have to leave my pt by her self.
I was able to take 4bwx and 5 pa's ;) and I am going to use her for my mock board pt. :) !!!

PM N/S but I had a feeling that would happen. Had a walk in pt Only had 8 teeth. but it was a class three. The pt had a really old filling and I popped it off with my ultrasonic. I felt so bad. I was able to practice my graces.

9-16

I tried to screen pts, but many of them fall through. So I gave a pt to Jenny and screened the other. HBP and a lot of meds so it took me a while to get that all squared a way.
PM went smooth. rough teeth, but no calculus.
I really need to see harder classifications to get better.

9/15/09 VA

First full day at the VA. I ended up with the fifth room, but it was not bad. I ask Prof. Bossenberger to check on me a lot/ not to forget about me.
I think it went really smooth.
Other then the instrument being dull. I fill like every instrument issue as a completely different set of instruments and I have to use what I got. It is like playing a game, you got a box of stuff and you have to build or do something with it. I need to work on sharping and feel comfortable about it.
I really like Dr Durham, he was very nice and acknowledge me. Kristen was amazing CA, always willing to help.
By going to the VA I feel that I am learning a lot about medical history and different medications. One of my patients was on warfarin, I need to be extra careful not to cause any trauma to the tissues because the patient will have a hard time clogging and will not stop bleeding. And many more different conditions.
I really enjoy when I can talk to my patient. Some are more talkative then others. It makes me relax.
AM: Class II,
PM: Class V

9-9-10

today started off on rocky foot. Told Pt to be here Ten minutes early, she was 15 minutes late. Pt mom said that she would pay for FM but then change her mind. :( Bummer. Lucky I was able to talk her into a pano.
Afternoon Pt started off rocky too. Looked for 90 minutes for a chart and could not find it. Nick found in within few minutes in the same place I was looking. Talk about swallowing my pride. Then I try to take my Pt's Blood Sugar, but it would not work right. It read 48 then 55. About this time I was thinking there is no way I am going to get this Pt done (FYI My Pt is also a talker and wanted to talk about everything) My Pt had heavy Calculus on the Mandibular lingual which I thought would take the rest of the time just to do these six teeth. I do not know how, but the grace of God I finish him and had no errors!!!!!
Also on the bright side I got a Pt from Mid-town that I am really excited for.