This is as close to a diary as I have ever had. Mrs. Hill would tell you that even in High School I wasn't good at keeping the required "journal" for English class.
That said, I have nothing on my mind today that the voices are telling me to share, so I am simply sitting here while waiting on a patient to get numb and writing what comes to mind - stream '0 consciousness-like.
I used Lidocaine on the patient I am waiting on. That is remarkable only in that I switched back from using Septocaine about 2 weeks ago after rereading Dr. G's blog posts from last year. I know the whole debate and have ignored it for the past couple of years because Septocaine works so unbelievably well on blocks but, finally, took the scary stories to heart and changed.
Since changing, I have had to reinject about every 4th patient. I don't care what the studies may show. With Septocaine I may have had to reinject every 30th patient, and then it was most likely due to me being in a hurry and trying to start the procedure to soon after injecting. With Lidocaine, I'll wait 10 minutes go in, start drilling and the patient will jump and I have to reinject. Sure, they won't have permanent numbness, but it takes 10 more minutes of my time and an additional $3 carpule of Lido (please read sarcasm here). I miss my Septocaine, but I will not go back to it for blocks until I get the all clear from the researchers.
And since we are talking about anesthesia, anyone using that reversal agent? I initially laughed at the idea, but now am thinking it could be a great service to offer my businessmen/women clients who have early morning appointments - they can get back to work without numbness. If I did that, though, I'm thinking I should charge for the reversal. The CDT codes state that anesthesia is included in the procedure code but nothing is said about reversal agents.
Anyone doing this? Do you charge? How effective is it really?
Final thought before I go back and see how ineffective the Lidocaine was on this patient - I am speaking to the Mississippi AGD/ADA in 2 weeks on malpractice issues in the dental practice. Now, after you get over your shock at people being gullible enough to invite me to speak at a Continuing Education meeting, I am soliciting your help. Since I am an attorney I tend to overlook some basic legal issues that non-attorneys may want to learn about. Anything that you would like to hear more about as a practicing dentist in regard to malpractice/legal issues? If we get some good questions/responses I will blog the answers in future posts.
And if you are from Mississippi and are going to the meeting (and happen to have internet access/indoor plumbing/literacy - so joking, I married a woman from Arkansas to grant them some genetic diversity) any topics you want me to talk about in particular?
That's it for now, the voices want to argue about what direction to stressout today. Plus I need to go see if this patient is numb.
Have a great day!