Saturday, September 25, 2010

Injections!

So we were able to give each other a PSA, MSA, ASA, nasopalantine, and greater palantine injections. I think all of us were nervous, but we weren't all shaky like we thought we would be:) I was in Karlie and Brooke's group. We played rock-paper-scissors to see who was the first patient and clinician. Brooke was the first clinician and I was the first patient. She was the first one in the pod to do it and everyone was watching her. She wasn't even shaky until she got a positive aspiration, then she started getting a little shaky, but no too bad:) It actually went really well and wasn't bad at all. I don't think anyone caused any hematoma's:) It was really fun! I hope I get really good at giving injections. I want to do them for my doctor so I can keep in practice!

VA good day!

So at the VA I was able to see two class V's. I was also able to get my exam done on one of them too! I'm glad I got those patients, so I was able to get eight quads and an exam! I really need to catch up to everyone after not being able to see some patients because of medical problems. I was also able to take bitewings on both too. All of my Weber patients haven't wanted x-rays. I need to be more pushy I guess.

Another stressful one

So I've had a diabetic patient that can't control her blood sugar. I've had to send her away three times. This time her blood sugar was really low and I had to do a physician's consult. I felt so bad because she felt fine and really wanted her cleaning done. I did end up cleaning her teeth finally:) After working on a physician's consult and taking her blood sugar twice and waiting for the consult to come back, after and hour and forty-five minutes I started the cleaning. I'm so glad I was able to get all four quads done so she's done yay!! I don't think I can afford getting any more medical problems and sending people away. I've had to do that with another patient, so I am behind everyone else. But, hopefully I will be able to catch up at the VA when we start seeing four patients a day. I hope I can even do that?!

Thursday, September 16, 2010

What a day

Today started out with a sweet older lady that came in previously and I had to send her away for her low blood sugar. Today I had to send her away again because this time her blood sugar was too high. DANG IT! I have had three clinic times ruined because of health issues. I felt really bad because she felt fine and wanted to get done and I couldn't do anything about it:( I feel bad.
This afternoon my patient would be really good for board except she has recession and I can't scale the enormous amount of calculus on it without her flinching and moving everywhere. I kept on asking her if she would like to have some anesthetic but she kept saying, no, we're good girlfriend. What the? I can't get work done without hurting her and she tells me to skip that part. What? I can't just skip calculus. Ah, I was very frustrated. But I did use oraquix on her and was also able to put in a site of arestin. The oraquix didn't help her though. Pro. Perry told me that she would be too hard to work with for mock boards. Dang it again. I thought I was getting lucky seeing her, but then I realized how difficult she is. Oh well, I just get four quads of a hard class II. Good experience I guess.

Wednesday, September 15, 2010

VA CA

Today I went to the VA to be the CA. It was nice to be able to explore there and learn where things are, and use the computer and chart for multiple people. Now I understand how to chart faster and I know what exactly I'm supposed to chart and where the buttons are so I can do it faster. I almost was able to see a class III patient in the afternoon because they overbooked, but right before the appointment, Diane wanted to do his cleaning because she worked with him last time and he was a harder case. DANG IT! Oh well. I did help her with the cleaning and there was a TON of stain everywhere. But I don't get any credit for it. Oh well I guess. But being CA isn't so bad down at the VA.

Thursday, September 9, 2010

Class III Finished!

Yay! I finished the last two quads of my class III patient. I wish I would have declared an exam on this patient because I'm not sure how many more I'm going to run in to. Oh well, it was a good experience though! I was still apprehensive getting into the larger pocket areas. I could feel calculus with my explorer, but it was really hard to scale it out of there. It took many tries. I asked Pro. Perry to come help me and let me know which instruments work best in these situations. It really helped a lot. I was able to get some good chunks out of those pockets. It's so satisfying when I can actually see the deposits that I'm scaling off!
I also had a blind patient today. He brought his guide dog Comet! I love labs, and he was super cute! I enjoyed playing with the dog more than anything! But it was a good experience working with someone with such a hard disability. He was very nice and helpful. He was a 1B but there was a ton of plaque. It was mostly sub-gingival so I used my ultrasonic to flush it out, but it still took a lot of scaling to get it all. It was kind of hard for a 1B, but it's good to have all sorts of experiences I guess.

Thursday, September 2, 2010

I'm Back!

So today I had a patient with a huge medical history. I feel so bad for her, she's an elderly lady that had pretty much everything in the book. She's constantly at the Dr.'s office and then I made her sit here for 2 1/2 hours. After starting her OD, she started sweating everywhere. She told me her blood sugar is probably dropping. She checked it and it was at 50! WHAT! Dang it! I told her I couldn't see her with it being that low. She ate some cookies and we chatted and waited, and waited. She checked it again and it went up to 86 so I was able to get the OD done and that's it. She is scheduled to come back. She was very nice!
My second patient is a funny man! He was chuckling through his whole appointment. He is a class III and I was able to get two quadrants done! Yay!! He was super cooperative with me and was a very good patient! He is also scheduled to come back and get finished! So today turned out better than it started! I'm just glad I accomplished something today!