I have finished Jane Eyre. Let me put this into perspective. I read about 15 books a year. It took me 2 months to read this book.
I am sorry all you woman that loved this book. I am sorry all you literature majors but there was not one redeeming thing about this book.
I said it that this book was for smart people. Well I was wrong. It is for people with sleeping issues.
I saw Gran Torino at the theater on Monday (reason I didn't blog). It was FANTASTIC.
I am not kidding. I left the theater wishing the movie was longer.
The characters were endearing (even though the acting was a little weak by the Asian boy) and you couldn't help but like all of them.
I haven't stopped talking about this movie all week.
I have heard good things about this Slum Dog Millionaire movie too.
Maybe next Monday.
Dentistry from the Heart is 9 days away. Things are falling into place.
I was interviewed by the Orlando Sentinel on Monday (another reason I didn't blog).
One of the things I battle with is publicity. I don't really want Dentistry from the Heart to be about John Gammichia. But I want the word to get out that people have need. I want the word to get out that 14 dentists are volunteering to meet this need. I want the word to get out that we are doing this because I want all the people that may have a need to learn about our day.
I went to dinner on Saturday night (with a gift card) to Bahama Breeze. Bahama Breeze is a Darden Restaurant, you know the same company that owns Red Lobster, Olive Garden). Season's 52 is also a high end Darden restaurant. We tried to get reservations there. When I say we tried this means they didn't have any reservations available. Yes you heard me correctly...they were so full they couldn't take our business.
So we went to Bahama Breeze and you know how much I don't want to belabor a point but it was packed. First we had to park in a different lot because their lot was full.
We went with another couple and they had to park farther away.
We took our time eating dinner and they were packed for the 2 and a half hours we were there.
And did you see another comment came in about the new Ferrari dealership that just opened in this person's town. The dealership sold 8, eight, ocho, in the first month it was open.
My boys basketball team won again. 32-30 in overtime.
Try coaching a "Christian" basketball game that is highly contested and very physical and not yell the F-bomb. This is tough for me to do.
I told you how funny my 5 year old boy is.
Well, my wife came in from running errands the other day and he welcomes her with, "Hello, my lady." (like in a British accent).
He is a riot.
Okay Topic de jour,
I am going to come clean. I use Septocaine for everything. Local, blocks, kids, adults, everything.
I know you non-Septocaine users are gasping right now.
But I think over the last 5 years or so a lot of people are doing what I do.
Here is the benefit. It works and it works great. I don't ever have to stick someone more than 15 times anymore. I don't ever use more than 2 carps to get someone comfortable.
It is a deep anesthesia.
It is great for kids because a local works everywhere in the mouth. Drop it by the tooth and the kid is numb.
It is a bit expensive but I am more than happy to pay it.
But the knock on Septocaine is that it has a higher rate of people parasthesia.
Well this has yet to be founded in research papers. I have heard many of "gurus" say that this just isn't true. But what people are seeing in their offices is different than in the the research.
With this being said I got a call this morning that always make my butt sweat.
I had an emergency yesterday and I gave a lower block. He got good and numb. Last night his teeth were un numb and so was his tongue but not his lip.
What a great way to start your morning.
I have been using Septocaine almost exclusively for about 8 years. I think I have had this call 4 times. Two of them got better. The other two I never heard from again.
This morning I called my oral surgeon asking if there was a magic bullet that I might give him to help things along. Maybe a steroid or something.
But I have yet to hear from him. I also wrote to my old friend Michael at Reality to see what he knows about Septocaine and this is the response I got.
Re:Septocaine 1 Hour, 5 Minutes ago
From Editorial Team Member Dr. David Winkler:In Scandinavia and the UK, articaine is no longer to be used for inferior dental alveolar blocks ... great for infiltrations. A number of cases have been reported with permanent problems! So, we're using it extensively for inflitrations but not for blocks.
From Editorial Team Member Dr. Stepen Poss:I use a lot of Septocaine (70%) for everything EXCEPT mandibular blocks because the manufacture did not recommend it because of problems with the mandibular nerve. This warning came about a year after I have been using it. No problems here. I love it and get profound anesthetic.
From Editorial Team Member Dr. David Hornbrook:I think it is personally one of top things I could not live without. I have not given mandibular blocks for close to 10 years. I infiltrate usually using ½ -3/4 of a carpule on the buccal on the mandibular teeth and sometimes ¼ carpule on the lingual for those second molars where there is a shallow buccal vestibule. I would not give mandibular blocks using Septocaine 4% due to reports of parasthesia. It is also great for the ASA in injection in the maxillary palate for anterior smile designs.
From Editorial Team Member Dr. Lori Trost:I have been using Septocaine for almost everything the past 2 years and have no experienced no problems. I find patients do very well with it.
From Editorial Team Member Dr. Gary Radz:Use it 100% of the time for lowers premolar and forward. Will use on lower 1st molars on smaller patients.Still use lidocaine for all uppers and all lower blocks, but "out there", there seems to be a lot of DDSs going to Septo.
From Editorial Team Member Dr. Nathan Birnbaum:While Septocaine is unique among local anesthetics in its ability to achieve excellent anesthesia of the mandibular first molars and second premolars by injecting it in the buccal and lingual vestibules in the approximate vicinity of the root apices, it does not work for mandibular second or third molars. Further, its administration is contraindicated for mandibular block injections, where the undesired effect of permanent paresthesia may occur. Septocaine is otherwise an excellent local anesthetic.... but not for "everything".
From Editorial Team Member Dr. Edward Lynch:I use this as my first choice for infiltrations. It is faster acting and seems to be more powerful than alternatives. The JIDA journal has recommended not using it for blocks. Serious complications have been associated with Septocaine. Long-term or transient paresthesia is among the worst of the reported side effects of Septocaine which occurs much more frequently than with lidocaine. It should be noted that almost all recorded cases of long term numbness or parasthesia in a dental setting are associated with a mandibular nerve block type injection and simple infiltration injections are generally thought to be immune from such complications. For this reason many dentists have abandoned using articaine for mandibular nerve blocks.
From Editorial Team Member Dr. Timothy Kosinski:I love Septacaine. Cannot use for blocks, NO BLOCKS! I use it routinely for maxillary cases. I infiltrate individual teeth even for implant procedures. No more blocks. Very nice anesthesia. Even SOME patients who have had a negative reaction to epinephrine in the past have shown no adverse affects, speeding heartrate, shaking. Cannot use on pediatrics, so still need traditional anesthetics.
I guess...no more blocks for me.
I would like to know what you guys do?
Do you use it?
Do you have issues?
Remember you can comment anonymously.
Let me know,