13791 pts · August 13, 2016
Mostly a lurker. I come here to pass the time while on the toilet. In OMFS. I like building things, making things, etc. I like brewing beer and making alcohol of sorts.
I’ll tell you as a guy that operates on peoples faces - I’ve seen some bad infections from teeth that have resulted in much worse defects than this. So yeah - teeth y’all.
Yup. I went to a dinky little Christian private school maybe about 15 kids a grade but damn, got a great education. Transferred to a good public school and a magnet STEM and still outperformed most of the class. Not to brag. Just to say I think my silly private school made my life better even if I did have to study biblical history and apologetics and other crap like that.
I think it’s great that people can get their art out there much easier, but as a consumer, it is way easier to have products vetted so you don’t waste time reading trash. When it comes to books, best to avoid usersub.
But I’m going to go ahead and say the situations where this would be the scenario are slim. Most of the time you’d have a way to get out of the way or you are in no position to pull a weapon out to shoot.I don’t think most farmers are just rootin and tootin about with a gun on this hip. More likely to shoot yourself on accident than actually need it.
This is all besides the main point but I’m gonna bet if a farmer felt that their life or limb was at stake they would shoot a cow no problem. I grew up in a farming family and it’s not really that valuable of an asset to risk your life or long term disability over.
Ah!! Now I still have 16 months to go. 7 yrs total for residency/training
I perform those surgeries. It’s sad to see the amount of damage it takes to get rid of shit that’s often preventable.
They let their dog on the bed. As someone who does the same with two dogs I can promise you that this is the cleanest thing that dog can do on the bed.
I do not disagree with you.
I generally do not treat my patients/clients/other adults like toddlers while listening talk about an area of expertise not their own. Clarify, of course! but to call someone an idiot or believe them stupid bc they don’t know the difference between WiFi and internet (or any example of such) is absurd, as it is to expect others to gain anything meaningful from my pedantry. Trust me, I get the importance of correct words, but it’s a waste of energy to get annoyed at another’s ignorance of jargon
Yeah. I mean I get being at a level where among other professionals it’s important to use the right words. But when you know a layperson is using an incorrect term commonly used incorrectly, then just make your life easier and move on… I guess if they are being a dick about it, then sure, be a dick back.
I’m skeptical these have enough sensitivity and specificity to detect an infection in a manner that would be clinically relevant. (Am doctor/surgeon). The idea is cool though
If someone says “I work in industry” I’m thinking like machinery/factory. If someone same “the” industry I’d have to assume there was a reference to said industry that I must have missed.
I mean, if we want ED drs doing extractions bedside, why don’t we ask them to just do everything? Mole removal, heart catheterizations, cancer work ups, he list goes on. I work in a hospital as a dentist who also has an MD, I do trauma and infection treatment as part of a team that’s available 24/7. I’m all for socialized medicine to include dentistry even if it meant a cut to my pay. It’d be worth it.
Emergency dentistry is a thing and if someone were to seek help at an ED it would be best to call ahead to ensure that the ED staffs an appropriate specialist to manage that. The ED however isn’t the place where extractions can be done, just like how it’s not a place where ENT removes infected tonsils nor Ortho fixates broken bones. If it’s life threatening it gets an OR/bedside management and if it’s not, it gets appropriate measures to prevent it from being so along with urgent follow-up
Screen shot the image. Open and photos and press on the code. Works for iPhone so it probably works on an android phone too.
It just shifts from the upper deck filming to the guy on the lower deck who is filming with the slow mo camera. It uses fade to go between. The timing of it just crosses at a “good” time so the shift is subtle but noticeable enough to feel weird.
I think the video just shifts to the guy that is filming on the lower deck so the view is closer. Sure, it’s edited but I don’t think with any intent to deceive…
Dang. Thats awful and I’m sorry that happened to you and your son.
Can’t force people to work there and apparently not paying the dentists well enough to entice them to cover call. I’m sure many that don’t have dentists won’t pay for them to cover call due to dental “emergencies” not really ever being a true emergency and when there is a life threatening scenario, the surgeon (ENT or general if no OMFS) on call should be able to handle.
We have that here in the US too. Maybe not every small hospital but any high level center will have an OMFS or at least a dentist on call to manage urgent dental care.
Just an FYI. At least in USA, many OMFS operate under their DDS and do surgery residency and may not have an MD but are more than capable of doing TMJ treatment and surgery. I say this as an OMFS that did get an MD. The OMFS community is a little weird in credentialing but if board certified, *should* be capable
Any surgery requires special training to be able to perform a surgery competently. You don’t want a neurosurgeon to do hand surgery and you don’t ask a internal med doc to remove tonsils and you don’t actually want ED docs trying to remove infected impacted teeth.
It’s not that easy. If you take out teeth you need to have the equipment to manage the scenario for going after fragments (and the knowledge to do so). Also, if you’ve gotten to a point that the tooth is killing you, it’s not really the tooth that needs emergency surgery. It’s semantics but it’s important when discussing this and scope of practice. ED can stabilize your airway, keep you alive (or should, lol) but they’ll still call specialists to operate if needed.
Your ED did you dirty and at the very least should have given you antiobiotics, and likely should have drained the abscess (and if it was really bad - CT scan and OR).
Just curious, bc I’m a dentist/OMFS and I’ve never run into an orthodontic emergency. Like a loose wire?
Yeah, I think it comes to understanding the tooth is never an emergency (although sure, it can be a massive pain). And if there is an abscess that concerning for an airway that’s code 1 to the OR anyways and there are several types of surgeons that’s should be capable of managing that. Do you do your own small I&D in ED or do you have an ENT/OMFS you call?
I’ll tell you as a guy that operates on peoples faces - I’ve seen some bad infections from teeth that have resulted in much worse defects than this. So yeah - teeth y’all.
Yup. I went to a dinky little Christian private school maybe about 15 kids a grade but damn, got a great education. Transferred to a good public school and a magnet STEM and still outperformed most of the class.
Not to brag. Just to say I think my silly private school made my life better even if I did have to study biblical history and apologetics and other crap like that.
I think it’s great that people can get their art out there much easier, but as a consumer, it is way easier to have products vetted so you don’t waste time reading trash. When it comes to books, best to avoid usersub.
But I’m going to go ahead and say the situations where this would be the scenario are slim. Most of the time you’d have a way to get out of the way or you are in no position to pull a weapon out to shoot.
I don’t think most farmers are just rootin and tootin about with a gun on this hip. More likely to shoot yourself on accident than actually need it.
This is all besides the main point but I’m gonna bet if a farmer felt that their life or limb was at stake they would shoot a cow no problem. I grew up in a farming family and it’s not really that valuable of an asset to risk your life or long term disability over.
Ah!! Now I still have 16 months to go. 7 yrs total for residency/training
I perform those surgeries. It’s sad to see the amount of damage it takes to get rid of shit that’s often preventable.
They let their dog on the bed. As someone who does the same with two dogs I can promise you that this is the cleanest thing that dog can do on the bed.
I do not disagree with you.
I generally do not treat my patients/clients/other adults like toddlers while listening talk about an area of expertise not their own. Clarify, of course! but to call someone an idiot or believe them stupid bc they don’t know the difference between WiFi and internet (or any example of such) is absurd, as it is to expect others to gain anything meaningful from my pedantry. Trust me, I get the importance of correct words, but it’s a waste of energy to get annoyed at another’s ignorance of jargon
Yeah. I mean I get being at a level where among other professionals it’s important to use the right words. But when you know a layperson is using an incorrect term commonly used incorrectly, then just make your life easier and move on… I guess if they are being a dick about it, then sure, be a dick back.
I’m skeptical these have enough sensitivity and specificity to detect an infection in a manner that would be clinically relevant. (Am doctor/surgeon). The idea is cool though
If someone says “I work in industry” I’m thinking like machinery/factory. If someone same “the” industry I’d have to assume there was a reference to said industry that I must have missed.
I mean, if we want ED drs doing extractions bedside, why don’t we ask them to just do everything? Mole removal, heart catheterizations, cancer work ups, he list goes on. I work in a hospital as a dentist who also has an MD, I do trauma and infection treatment as part of a team that’s available 24/7. I’m all for socialized medicine to include dentistry even if it meant a cut to my pay. It’d be worth it.
Emergency dentistry is a thing and if someone were to seek help at an ED it would be best to call ahead to ensure that the ED staffs an appropriate specialist to manage that. The ED however isn’t the place where extractions can be done, just like how it’s not a place where ENT removes infected tonsils nor Ortho fixates broken bones. If it’s life threatening it gets an OR/bedside management and if it’s not, it gets appropriate measures to prevent it from being so along with urgent follow-up
Screen shot the image. Open and photos and press on the code. Works for iPhone so it probably works on an android phone too.
It just shifts from the upper deck filming to the guy on the lower deck who is filming with the slow mo camera. It uses fade to go between. The timing of it just crosses at a “good” time so the shift is subtle but noticeable enough to feel weird.
I think the video just shifts to the guy that is filming on the lower deck so the view is closer. Sure, it’s edited but I don’t think with any intent to deceive…
Dang. Thats awful and I’m sorry that happened to you and your son.
Can’t force people to work there and apparently not paying the dentists well enough to entice them to cover call. I’m sure many that don’t have dentists won’t pay for them to cover call due to dental “emergencies” not really ever being a true emergency and when there is a life threatening scenario, the surgeon (ENT or general if no OMFS) on call should be able to handle.
We have that here in the US too. Maybe not every small hospital but any high level center will have an OMFS or at least a dentist on call to manage urgent dental care.
Just an FYI. At least in USA, many OMFS operate under their DDS and do surgery residency and may not have an MD but are more than capable of doing TMJ treatment and surgery. I say this as an OMFS that did get an MD. The OMFS community is a little weird in credentialing but if board certified, *should* be capable
Any surgery requires special training to be able to perform a surgery competently. You don’t want a neurosurgeon to do hand surgery and you don’t ask a internal med doc to remove tonsils and you don’t actually want ED docs trying to remove infected impacted teeth.
It’s not that easy. If you take out teeth you need to have the equipment to manage the scenario for going after fragments (and the knowledge to do so). Also, if you’ve gotten to a point that the tooth is killing you, it’s not really the tooth that needs emergency surgery. It’s semantics but it’s important when discussing this and scope of practice. ED can stabilize your airway, keep you alive (or should, lol) but they’ll still call specialists to operate if needed.
Your ED did you dirty and at the very least should have given you antiobiotics, and likely should have drained the abscess (and if it was really bad - CT scan and OR).
Just curious, bc I’m a dentist/OMFS and I’ve never run into an orthodontic emergency. Like a loose wire?
Yeah, I think it comes to understanding the tooth is never an emergency (although sure, it can be a massive pain). And if there is an abscess that concerning for an airway that’s code 1 to the OR anyways and there are several types of surgeons that’s should be capable of managing that. Do you do your own small I&D in ED or do you have an ENT/OMFS you call?