What emotional response does this picture evoke in you?
I think we all agree that today's presentation was leaps and bounds better than last years. She has an amazing lip-movement capacity and pronunciation. Extra credit: What muscle of facial expression would make that possible?
It was better on the following fronts. Length. Topic. # and detail of clinical studies. # of times we heard the word "patent". # of head shake/wiggles.
ONE MORE DAY OF SKULL THIS WEEK! wow. mom. that's cool.
Don't get me wrong, it was a good day. It just wasn't the Red Letter Day I was unrealistically hoping for. Last week I really sat down and planned today's schedule though and it turned out quite well.
Mr. "You're going places Gal" who has been "so impressed" got all done in the early morning. 2Q Class II.
Mr. Espanol (again no translator, boom baby) was walking out by 11:00am. 2Q Class III.
lunch, BK with MeCh and Karlie. I thought I left my lunch at home, but MeChel found it in the car on our way to BK. So that turned into my after clinic meal.
Here is where it all went pink. My high-high-unrealistic hopes were to see a 12 year old, take bwx and pano, prophylaxis, Diagnodent and PE, and sealant and PE BEFORE my next patient came at 2. :) Don't laugh at me, I was shooting for the stars. Well, it didn't go as planned. I did do bwx, prophylaxis and Diagnodent PE. The sealants would have been great except that she had 30+ readings from the Diagnodent on ALL her 2nd molars. Let's just say she sucks at home care and I don't even feel bad using that verbage for her because she completely sucks at it, her mom is a hygienist, and she KNOWS why she should take better care of her teeth she just doesn't because she is a mental 12 year old who wouldn't hold still during radiographs because she just likes to be irritating and eeew, I could go on! Yucky. Anyway, she had all permanent dentition so that took awhile, plaque everywhere and I didn't ultrasonic her BECAUSE I AM AN IDIOT!! Also, when I told her mom that I couldn't do sealants because of the Diagnodent readings she was not happy. I talked to Alexander who talked to Dr. Anderton who did not want to talk to the Mom, so Alexander talked with the Mom. Anyway, it wasn't good and took TOO LONG!
So, I brought my next 11 year old patient back way too late. 30 minutes after I told them to be there. :( But, she was a really CUTE and NICE 11 year old. She doesn't have great home care, and grows plaque/calculus like CRAZY, but your attitude determines your altitude you know? Anyhoo, couldn't do sealants on her either because of carious lesions. Sad. I DID use the ultrasonic on her and that was practically it. Going through each surface and scaling is what took me 100 years on my first afternoon pt. It was interesting though on my second patient to see the eruption process in REAL LIFE!
She still had one primary tooth hanging on for dear life, and I really tried to "accidentally" get it out, but I couldn't. We encouraged her to wiggle it A LOT and hope it comes out in the next week or two. She had some interesting erythmatic lesions on her gums though and Alexander said it just comes from the tooth erupting. BTW, love Alexander. She is just so laid back and nice.
So all in all, a productive day. If only I could have done a pano and some sealants. Ah well.
Thank you to Heather M for charting for me, Leigh, Kristie, Whitnee for helping me clean up my unit. MeChel for doing my Treatment Plan for my fourth patient, Karen for bagging my instruments, and whoever else did all the rest of the crud I didn't do! Wow, thanks friends.
When class time lends itself to a blog post, you know it was a good one. Today's discussion included Bisphosphonate usage, Drug Use/Abuse and then Oral Art (piercings, etc). Really I think it was that there were SO many unanswerable questions going on, such as, "Why would somebody do meth?" "Why don't they care that their teeth get all yucky from that?" "I knew somebody who . . . why?" that my mind began to wander and entertain itself with Office vids.
After Alexander said that Marijuana looks like Oregano I REALLY wanted to find the clip from Frame Toby of Michael getting "drugs" from the warehouse guys, which is really just their salad toppings or something. Good stuff. The Office will never be the same without Michael Scott.
Anywho, other great things about today.
Kayla finished off my eggs. :) Chris sent me out the door with a whopping bowl of eggs, which I could not finish, and instead of dumping them in the garbage Kayla finished them. Love her more and more.
While talking about clinical signs of methamphetamine use the word "Formication" came up. You want to be careful whilst saying this word, Alexander certainly was. It is the sensation of insects crawling on the skin. FYI.
Hyperactivity is another effect of meth use, such as hair flipping, which caused a short upset as to the origin of MeChel's constant hair flip. However, that suspicion has since been resolved.
My mouth was feeling yucky during class, and all I had in my backpack was a tin of mints that I got on my honeymoon (over 4 years ago) that has been in my bag ever since. I tried to open it, couldn't. MeChel tried to open it, couldn't. I tried again, the tin flipped out of my hands and onto the floor making a ruckus in the process. Karlie Nichols tried to open it, couldn't. Finally Karlie Willard Weeks tried to open it, SUCCESS. So . . . now we all know who has superhuman strength.
Thank you Karlie for the quote of the day and for such a great narrative to listen to for 7 hours today. :) Her adult male patient asked to use the restroom and her reply was, "Yeah, now would be a good time for a potty break." It was pretty great.
MeChie was the CA today so that lent itself to lots of good fun, a perio charting accomplice (asleep or awake works), and a great clean up crew. I was the slow mo today AGAIN. And I was feeling so bad for keeping the whole carpool around that I completely forgot to entire my afternoon patient in TalEval. Oops. MeChel to the rescue again, entered all his info on her iPhone on the way home, but neither of them have been verified so McConaughy probably gave up on me pretty early and went home.
I did place lots of Arestin today, which was great. Saw a #4 with 8mm of recession on the distal lingual, witnessed a 10mm pocket that McConaughy discovered, finished one Tx Plan Rationale for a 1B, ate lots of Rolo's at lunch, enjoyed hearing Emily laugh with her patient about duck hunting. I love Emily's true genuine laugh. It warms my soul. What else can I tell you? Didn't see any 1B's today, what a miracle.
You can't go wrong on a day that you wear your trouser socks. :)
Wowzers, you can just call me Mariรก. I spoke to my Spanish speaking patient this afternoon for 45 minutes without a translator. Boom baby. Tienes preguntas? Class III, 2 quads done. Freaking Brooke got a class III done start to finish this morning. Raising the bar. I used to feel so good about getting 2 quads done, but now it is sub-par. :( Ah, there go my guilt free days.
On a better note, if you need motivation to do PE's I know the gal for you. Her name is Kristie Muhlstein and she resides at Unit 9 on Tuesday between 7:30am - 4:30pm. She is the best. 4 PE's today, in the afternoon. Calculus Removal, Root Rebridement, Local Anesthesia, and Ultrasonic. BUT Jenn specifically told me she did not want to be hounded thinking she was going to do 4 PE's for everyone all the time so . . . tread lightly.
I am kind of doing a flip flop post. My morning man was a class II. Nice guy. Only did half his mouth (You don't have to tell me I suck, because I am WELL aware), but he was so nice. He told me that I was on my way. As in, "Wow Gal. I have just never had someone work so hard and be so thorough. You were so great. Wow, you are on your way Gal." :) It was pretty cute and funny. Onward and upward.
