10.2.12
This morning I was able to finish my patient who I saw the first day of clinic, I was able to finish three quads of a class five and it was hard work, this patient calculus is very tenacious, but I was able to get it off with the help of my perio files ( love those things). Everything went smoothly I just wish I could of been a little bit faster. Working on my speed is something I need to improve on.
This afternoon was the preview to see how my mockboard patient was going to handle getting his teeth cleaned, and a preview for me to see how tenacious his calculus is... Well I found out my patient is very tough for how deep I was going in his pockets and scaling. He never flinched nor did he want to be numb, which was great for me. The problem with this patient though is his gums bleed like crazy, and I mean crazy!!! I had to hold gauze in his mouth while I scaled so it could absorb the blood so I didn't have to keep using my air/water. The calculus was not very tenacious and all it came right off ( so lucky me!) I lucked out with a good mockboard patient other than the bleeding, but we can work around that. One thing I learned today was how to irrigate his gums with CHX rinse, I had never done this before so it was a new experience for me. All in all today was a great day!
Tuesday, October 23, 2012
Easy Day!
9.25.12
Well today was thankfully an easy day. After last week I needed one. Today I had a patient come in that I have never seen before, which is fun because it means I get to meet someone new. My patient came in and I was able to take her x rays and clean her teeth, she was a 1B so there is nothing really exciting to talk about. She was a very nice lady and she was in the nursing program so I felt like we had a few things in common school wise to talk about, but anyways I don't have much else to say other than it we good and I don't have to see any patients this afternoon because we have a lab.
Well today was thankfully an easy day. After last week I needed one. Today I had a patient come in that I have never seen before, which is fun because it means I get to meet someone new. My patient came in and I was able to take her x rays and clean her teeth, she was a 1B so there is nothing really exciting to talk about. She was a very nice lady and she was in the nursing program so I felt like we had a few things in common school wise to talk about, but anyways I don't have much else to say other than it we good and I don't have to see any patients this afternoon because we have a lab.
Wednesday, October 3, 2012
What a HECK of a Day!!
9.18.12
The stress of today started yesterday as both of my patients who were husband and wife canceled due to so family emergency, which is fine, stuff happens, but that leaves me at 3:30 on Monday afternoon trying to find two patients to come in :( So I go to the resource list and seriously call at least 20 different people to come in. FINALLY I get two people, one girl who said she could come in the morning at 8:30, ( I agreed to that because I was sick of calling people) and the other who said she could come in the afternoon.
Well Tuesday morning 8:30 rolls around and my patient still has not shown up, 8:35, I called my patient and there was NO answer! So, we all know what that means... She is not coming! So go to the resource list again and start calling people... Not having any luck, I text my husband, and tell him I have no patient, so him being the sweet guy that he is, leaves work and comes to be my patient. So it worked out. Its not over yet.... Then as I am walking my husband to check out, guess who is calling on my phone... Yep that's right, my afternoon pt calling to say she can't come in today! UGH! I was so mad! So luckily, my good friend Laken was stuck with me yesterday calling patients as well, and she had someone who really wanted to come in, so I called and asked him if he could come in on short notice and he said he could!! Whew!
This patient had been to the clinic before, so I was looking at his chart and he had a "Fun" health history!! (just what I love ;)), So as I was all prepared for this patient, and going to bring him back, Mr. Salamon, informs me that I am going to be seeing his wife instead! Well, his wife has the same "fun" health history as her husband. Her unlike her husband was suffering from Alzheimer's. I have never had to work on someone suffering from this, so it was a new experience for me. Not only did she have Alzheimer's, she was diabetic, had heart arrhythmia's, and a few other conditions. It was really sad! So, when I went to take her blood glucose, she kind of got mad at me, because I exp. to her that we needed to do this because she was diabetic, but she told me she wasn't because she couldn't remember. Luckily her husband was back in the operatory with us otherwise we wouldn't of got anything accomplished. She was the nicest, and sweetest little old lady, but boy did she tell her husband what was up! Ha ha. I was getting a kick out of the two of them.
She only had enough teeth for three quads, so one of her quads was a 5, and the other quads were 2s. I told my pt, she had the option to get numb, but she did not want too, and she really needed too! She was flinching when I was probing! So as I began to scale her teeth ( which were so decayed and breaking down) I didn't know what to scale, because a lot of it was decay, and she also had a lot of plaque, so it was hard to determine what I should be scaling. My patient was not very happy to be in my chair at all, so wanted to be done so her husband could take her to lunch. ha ha! I didn't know how to approach this, because I didn't want to scale anything I shouldn't... I had my instructor come over to help me and tell me what to scale, and she ended up telling me to just gently go around each tooth, to de-plaque. It was hard (given this specific pt, and the condition of her mouth)! I was trying to go as fast as I could, and I was trying to be very gently because everything I did was hurting her (but she didn't want to be numb). She kept asking me it I was done, and I had to keep telling her it would be a few min longer, then she would get mad at me ha ha.
It was a challenge that was for sure and it really tested my patience, but I turned out good and taught me a lot! I still have to scale one quad! So I will be seeing sweet MaryLoo another day!
The stress of today started yesterday as both of my patients who were husband and wife canceled due to so family emergency, which is fine, stuff happens, but that leaves me at 3:30 on Monday afternoon trying to find two patients to come in :( So I go to the resource list and seriously call at least 20 different people to come in. FINALLY I get two people, one girl who said she could come in the morning at 8:30, ( I agreed to that because I was sick of calling people) and the other who said she could come in the afternoon.
Well Tuesday morning 8:30 rolls around and my patient still has not shown up, 8:35, I called my patient and there was NO answer! So, we all know what that means... She is not coming! So go to the resource list again and start calling people... Not having any luck, I text my husband, and tell him I have no patient, so him being the sweet guy that he is, leaves work and comes to be my patient. So it worked out. Its not over yet.... Then as I am walking my husband to check out, guess who is calling on my phone... Yep that's right, my afternoon pt calling to say she can't come in today! UGH! I was so mad! So luckily, my good friend Laken was stuck with me yesterday calling patients as well, and she had someone who really wanted to come in, so I called and asked him if he could come in on short notice and he said he could!! Whew!
This patient had been to the clinic before, so I was looking at his chart and he had a "Fun" health history!! (just what I love ;)), So as I was all prepared for this patient, and going to bring him back, Mr. Salamon, informs me that I am going to be seeing his wife instead! Well, his wife has the same "fun" health history as her husband. Her unlike her husband was suffering from Alzheimer's. I have never had to work on someone suffering from this, so it was a new experience for me. Not only did she have Alzheimer's, she was diabetic, had heart arrhythmia's, and a few other conditions. It was really sad! So, when I went to take her blood glucose, she kind of got mad at me, because I exp. to her that we needed to do this because she was diabetic, but she told me she wasn't because she couldn't remember. Luckily her husband was back in the operatory with us otherwise we wouldn't of got anything accomplished. She was the nicest, and sweetest little old lady, but boy did she tell her husband what was up! Ha ha. I was getting a kick out of the two of them.
She only had enough teeth for three quads, so one of her quads was a 5, and the other quads were 2s. I told my pt, she had the option to get numb, but she did not want too, and she really needed too! She was flinching when I was probing! So as I began to scale her teeth ( which were so decayed and breaking down) I didn't know what to scale, because a lot of it was decay, and she also had a lot of plaque, so it was hard to determine what I should be scaling. My patient was not very happy to be in my chair at all, so wanted to be done so her husband could take her to lunch. ha ha! I didn't know how to approach this, because I didn't want to scale anything I shouldn't... I had my instructor come over to help me and tell me what to scale, and she ended up telling me to just gently go around each tooth, to de-plaque. It was hard (given this specific pt, and the condition of her mouth)! I was trying to go as fast as I could, and I was trying to be very gently because everything I did was hurting her (but she didn't want to be numb). She kept asking me it I was done, and I had to keep telling her it would be a few min longer, then she would get mad at me ha ha.
It was a challenge that was for sure and it really tested my patience, but I turned out good and taught me a lot! I still have to scale one quad! So I will be seeing sweet MaryLoo another day!
Found a MOCKBOARD!!
9-11-12
Today my morning started out at 4:00 am when I heard my phone ringing, and of course it is my 8:00 patient, I didn't answer because I was still half a sleep and did not know what was going on, so I call him right back when I finally am awake, but he doesn't answer. So immediately am thinking this is not good, he is calling to cancel. So of course I can't go back to sleep, I am to concerned about who am I going to call to come in at 8:00. So when 7:00am came around I called my patient to see if he was coming or canceling, or what the deal was... Well he finally answered and told me he was still coming and that he accidentally called my number trying to call the airport.. Ugh!! I was a little upset because I missed out on a few hours of sleep, but glad he was still coming.
My 8:00 clock patient had in past years been classified as a class 3, which was a good thing for me, because class 3's are kind of tough to find. Anyways, he ended up being one quad a class 3 and two quads a class 2, which was great! I was excited to get cleaning teeth! :) I started with the class 3 quad, my patient had to get numb, so my instructor showed me how to give an injection. It was awesome! She made it look so easy and it definitely eased my nerves for when we have to practice injections in the upcoming weeks. My instructor taught me how to use my Gracey's more, and she taught me how to clean out a furcation. It was a great morning, even though it started out at 4:00am. :)
My afternoon patient was a patient who I had scheduled off the resource list. He had never been to our clinic before and apparently had been trying to get in for a cleaning the whole summer. He was excited to come in because he said it has been awhile since he has been to the dentist...Then it begins, I bring him back for his health history and immediately I could smell perio breath... I'm sure most of you know what that smells like and it's not good! :( So as I go take x-rays on him, and they are showing up on the computer screen as they are going through scanx, I was seeing big chunks of radio graphic calculus, and we all know what that means Wahoo!! Mockboard? So I go tell my instructor and she told me that by the x-rays he looked MOCKBOARD qualified! Wahoo, needless to say I was little excited, but I still had to check probe depths and a few other things to make sure. So I took a few extra PAs on him, and then brought him back to start the OD and to start probing! So as I start probing, blood starts oozing out of the gums... My probe depths were 4s, 5s, and a few 6s, but may be deeper due to calculus! It was very hard to see what my probe depths were because he was bleeding so badly. ( I haven't had a pt bleed this bad EVER)! After my probe depths I had to to go around and fill out a sheet that determined how much calculus was actually there. Then my instructor went around and did the same thing, my findings and her findings, were pretty close to each other, so needless to say... I kind of do know how to find calculus!! ha ha, this is something I have been working on. Anyways, it was a great day and I was EXTREMELY excited to find a mockboard patient.
Today my morning started out at 4:00 am when I heard my phone ringing, and of course it is my 8:00 patient, I didn't answer because I was still half a sleep and did not know what was going on, so I call him right back when I finally am awake, but he doesn't answer. So immediately am thinking this is not good, he is calling to cancel. So of course I can't go back to sleep, I am to concerned about who am I going to call to come in at 8:00. So when 7:00am came around I called my patient to see if he was coming or canceling, or what the deal was... Well he finally answered and told me he was still coming and that he accidentally called my number trying to call the airport.. Ugh!! I was a little upset because I missed out on a few hours of sleep, but glad he was still coming.
My 8:00 clock patient had in past years been classified as a class 3, which was a good thing for me, because class 3's are kind of tough to find. Anyways, he ended up being one quad a class 3 and two quads a class 2, which was great! I was excited to get cleaning teeth! :) I started with the class 3 quad, my patient had to get numb, so my instructor showed me how to give an injection. It was awesome! She made it look so easy and it definitely eased my nerves for when we have to practice injections in the upcoming weeks. My instructor taught me how to use my Gracey's more, and she taught me how to clean out a furcation. It was a great morning, even though it started out at 4:00am. :)
My afternoon patient was a patient who I had scheduled off the resource list. He had never been to our clinic before and apparently had been trying to get in for a cleaning the whole summer. He was excited to come in because he said it has been awhile since he has been to the dentist...Then it begins, I bring him back for his health history and immediately I could smell perio breath... I'm sure most of you know what that smells like and it's not good! :( So as I go take x-rays on him, and they are showing up on the computer screen as they are going through scanx, I was seeing big chunks of radio graphic calculus, and we all know what that means Wahoo!! Mockboard? So I go tell my instructor and she told me that by the x-rays he looked MOCKBOARD qualified! Wahoo, needless to say I was little excited, but I still had to check probe depths and a few other things to make sure. So I took a few extra PAs on him, and then brought him back to start the OD and to start probing! So as I start probing, blood starts oozing out of the gums... My probe depths were 4s, 5s, and a few 6s, but may be deeper due to calculus! It was very hard to see what my probe depths were because he was bleeding so badly. ( I haven't had a pt bleed this bad EVER)! After my probe depths I had to to go around and fill out a sheet that determined how much calculus was actually there. Then my instructor went around and did the same thing, my findings and her findings, were pretty close to each other, so needless to say... I kind of do know how to find calculus!! ha ha, this is something I have been working on. Anyways, it was a great day and I was EXTREMELY excited to find a mockboard patient.
Tuesday, September 4, 2012
Not too bad...Could of done better!!
Today was our first actual day of clinic for our second year (wahoo). I was a little nervous to get started because I wasn't sure if I remembered all the clinic "rules". So I decided to have a patient come in that I have already seen and a patient who I know doesn't have a long health history. :) He was actual my toughest patient last semester (as far as tenacious calculus), and I kind of forgot about that until he came in this morning. Everything went great until it came time for scaling, this was the point when I realized how hard of a time I had last semester at removing his calculus. He was three quads a class five and one quad a class two. So I started with the class two quad. I felt like it was going pretty well on his anterior teeth and I felt as if they were clean ( he had tons and tons of calculus on his lower anteriors) so I decided to go back to the premolars and molars and it was difficult to tell if it was calculus I was feeling or if it was the anatomy of his teeth, but most of what I was feeling was calculus. So I kept working, and at one point I thought I cannot keep scaling this same tooth, so I had my instructor come over and she rec. that I get out and use my perio files, which was all new to me. So she sat by me for a few minutes and taught me to use them, and WOW they sure do help a lot and they were fun to use. So this was a huge learning moment for me. Then a little while later she helped me with my Gracey's, and this was another huge learning moment for me. I was so glad that Liz helped me today with this specific patient. I only scaled this one quad, but I really learned a lot. She also taught me that if a specific area is bleeding a lot that means there is probably calculus.
My afternoon appt. went okay. I wanted to scale at least one quad, but I didn't get to it, due to her extensive health history and I sucked it up on x rays ( I hate it when that happens ) :). I was able to get to OHI, which was okay. I am excited for this patient to come back because she is so excited to get her teeth cleaned and so excited and anxious to take better care of them, which makes my job exciting because I get to help her with those things.
My afternoon appt. went okay. I wanted to scale at least one quad, but I didn't get to it, due to her extensive health history and I sucked it up on x rays ( I hate it when that happens ) :). I was able to get to OHI, which was okay. I am excited for this patient to come back because she is so excited to get her teeth cleaned and so excited and anxious to take better care of them, which makes my job exciting because I get to help her with those things.
Sunday, April 15, 2012
Final Days of Clinic :)
This post it going to be about my final 3 days in clinic that went extremely well and they were really relaxing. One of the days I had my little brother come in and I was able to take 4 PA's on him since I have been a little bit behind on PA's throughout the semester. I was also able to pass off air powder polishing and do a sealant as well. Kole didn't really like the air powder polisher , but that is okay, who does? That is what little brothers are for. Jen was also able to pass off air powder polishing on him as well. I'm glad we could both get our PE's out of the way on him.
My second to last day of clinic I saw my awesome peer pal Karen! She has been so great to me throughout the year and I wish her all the best luck. I was able to take 5 PA's on her. Whew, my last ones. Dang PA's! Then I was able to hurry and clean her teeth. She was a great patient ha ha, I appreciate her coming in for me. My last patient of the semester was my sweet mom. I was grateful I was able to clean her teeth as well. She has quite a bit of recession and I was very grateful to teach her that she should be using an extra soft toothbrush and teach her not to force her floss in and out like she does. It was fun to have her come, and to hear her tell me how good I did and how clean her teeth felt.
I have learned a lot throughout clinic this past semester and I hope that I will be able to remember it all through the summer. I can't wait to have more fun experiences and to learn so much more. It has been a great year and I can't believed I survived my 1st year of dental hygiene school!
My second to last day of clinic I saw my awesome peer pal Karen! She has been so great to me throughout the year and I wish her all the best luck. I was able to take 5 PA's on her. Whew, my last ones. Dang PA's! Then I was able to hurry and clean her teeth. She was a great patient ha ha, I appreciate her coming in for me. My last patient of the semester was my sweet mom. I was grateful I was able to clean her teeth as well. She has quite a bit of recession and I was very grateful to teach her that she should be using an extra soft toothbrush and teach her not to force her floss in and out like she does. It was fun to have her come, and to hear her tell me how good I did and how clean her teeth felt.
I have learned a lot throughout clinic this past semester and I hope that I will be able to remember it all through the summer. I can't wait to have more fun experiences and to learn so much more. It has been a great year and I can't believed I survived my 1st year of dental hygiene school!
Finally!
Today my goals consisted of being able to finish a patient who I finally got to come back by 9:30 and also take a FMX series of Xrays on my mom. So I finally was able to get a hold of a girl who is a student here at WSU that I saw at the very beginning of the semester and only got to OHI. She was extremely busy and I didn't know If I was going to be able to get her to come back. Well she finally responded to a text I sent her and told me she could come any wednesday, but she would just have to be done by 9:30. So I scheduled her and knew it would be a challenge getting her done by 9:30 since she had braces. I ended up getting done right at 9:30 which was awesome and she was very grateful.
I then had my mom come in so I could take a FMX series on her since I am so behind on my PA's it went very well and I only had to do one retake on a BWX, which I thought was great. All in all it was a great clinic session and I got a lot accomplished. A few more steps then I have met my requirements! Wahoo
I then had my mom come in so I could take a FMX series on her since I am so behind on my PA's it went very well and I only had to do one retake on a BWX, which I thought was great. All in all it was a great clinic session and I got a lot accomplished. A few more steps then I have met my requirements! Wahoo
Monday, April 2, 2012
Nephews :)
Today I had my two nephews Jace and Nash come in to get their teeth cleaned. I cleaned Jace's teeth first and he did very well of course! :) I also was able to take a pano on him, which I think he thought it was very cool. I also let him help me develop it, which he thought was even better. He was a great help and I am so glad he came in to help me meet my requirements, ( he even skipped out on going dirt biking to come help me). Then I cleaned Nash's teeth and he did so so good for only being four. He loved the silly straw, I think it was his favorite part. He also had a lot of sugar bugs on his teeth and I told him that the sugar bugs make the cavities. He felt kind of bad that he had some many sugar bugs and he told me that next time he came to get his teeth cleaned he wouldn't have any on his teeth. So needless to say it was a fun relaxing day in clinic for me.
Monday, March 26, 2012
Hopeful!
Well here we go again.. Here goes my second attempt to finish my class 3 and I am hoping today that her blood glucose is in normal range. I had my patient bring her own blood glucose moniter so we didn't have any problems. I wasn't too concerned though because I got her physicians consult back saying that I could see her even with a 306 level. So we took her blood glucose and it was in the high 100's I can't remember exactly ( whew what a relief). So I began to clean her teeth and it went very well, my patient actually fell asleep ( huge compliment to me ha ha). I was able to pass off three PE's as well today. She was such a sweetheart and I was so grateful she came back after we had to reschedule her.
Wednesday, March 21, 2012
An Easy Day!
My goal for today was to finish my class five patient in one visit... My patient for today was given to me by my peer pal. She didn't have room to put him in her schedule. He is one of her perio maintenance patients. He was right on time and he was so so nice and so easy to work with.He had been in 4 months ago and he already had a ton of calculus on his lower anteriors. I was able to finish all 4 quads which was great, because it gave me some extra quads of a class IV.
Monday, March 19, 2012
No if's, ands, or buts!!
Today I have one goal and one goal only and that is to finish my patient in one appointment.... Today started out very well my patient was actually 10 min early. So I was able to give him his health history in the waiting room. Another thing I had going for me is that he was completely healthy, he had nothing I had to write a novel about ( which is extremely awesome). Then I was able to take x rays with out any retakes. Then I was able to do OHI and go right into scaling, Which was awesome and I was able to finish in ONE appointment. It made me so excited. It is a good feeling when you can start a patient and finish in one appointment. My patient was extremely nice and he was very concerned about the health of his teeth. He wanted to know if there was anything he could work on to make them better, which made me very excited as well. Being able to teach patients something about their teeth and them being so concerned and willing to do anything to make them better is so rewarding to me. I love the feeling of me helping my patients.
Wednesday, March 7, 2012
On Time!!
My goal for today was was to finish cleaning cleaning 3 quads and get done two sealants. Today I was having my patient come from last week who was 45 min late. Needless to say I was way worried to see if he was going to be on time today, because I needed to get a lot done and Wednesdays are our shorter days in clinic. My patient ended up coming right at 8:00 which was awesome. I was able to finish cleaning three quads and pass off my ultrasonic PE, the Diagnodent and the Sealant PE. Today was great. I was able to accomplish what I had in mind for the day!
Monday, March 5, 2012
Stressed!!
Today in clinic I had the goal of me being able to scale four quads on my class 3 patient... Well as we all know clinic does not go according to plan. So here it goes, my class three pt came in today and I was going to start scaling, we finished her OD last appointment. My patient is diabetic and has some other health concerns as well. Last appt her blood glucose level was a little bit out of range, and so I tested it again today to make sure everything was normal. Well to our surprise her reading ended up being 306! Well as well all know that is way way out of range. So I show instructor Vinning and he tells me there is no possible way I can see her today and that I am going to have to do a physicians consult ( yeah me), so I took her blood glucose again using a different monitor. It was still way high reading 285. My patient doesn't speak very good English either, so I had to call her daughter and get the name of her physician to see if I can hurry and get a hold of her Dr. Well no such luck at getting a hold of her Dr. they were on lunch, so I decided to reschedule my patient for a different day.
So now I am freaking out because I don't know who I am going to call to come in on such short notice, we lucky for me I have the best pod ever and Sierra happen to have two kids scheduled and let me see one of them. She is so so nice. So I was able to a cute 3 year old girl today and clean her teeth. The day couldn't of turned out better.
So now I am freaking out because I don't know who I am going to call to come in on such short notice, we lucky for me I have the best pod ever and Sierra happen to have two kids scheduled and let me see one of them. She is so so nice. So I was able to a cute 3 year old girl today and clean her teeth. The day couldn't of turned out better.
Sunday, March 4, 2012
Finally found a Patient!
Goals for today:
1. FINISH A 1B IN TODAY'S APPOINTMENT!
Well I learned yesterday, that it is extremely hard to communicate to a spanish speaking patient. Needless to say, I was without a patient last night, and I was extremely stressed. I tried calling everyone I could possibly think of,but no one could come. Needless to say at 9pm last night I found a patient! Kristin was thoughtful enough to give me one of her patients, because she has two! Whew! That was a huge relief, I don't think I have ever been more relieved in my life.
So at 8:30 this morning I am still waiting for my patient who was suppose to be at the clinic by 8:00. I kept trying to call his house and I couldn't get a hold of anyone, finally Kristin tries calling because maybe the patient will recognize her number, and a little kid answers and lets us know my pt lost his wallet this morning, but he is coming. So at 8:45 my patient finally comes. So I was a little stressed. I was able to get through more than I thought. I was able to scale one quad, which made me really happy, and I was able to pass off my ultrasonic PE! So it turned out well, but I think if my patient would of been on time, I could of finished him in one appt! It turned out well though!
1. FINISH A 1B IN TODAY'S APPOINTMENT!
Well I learned yesterday, that it is extremely hard to communicate to a spanish speaking patient. Needless to say, I was without a patient last night, and I was extremely stressed. I tried calling everyone I could possibly think of,but no one could come. Needless to say at 9pm last night I found a patient! Kristin was thoughtful enough to give me one of her patients, because she has two! Whew! That was a huge relief, I don't think I have ever been more relieved in my life.
So at 8:30 this morning I am still waiting for my patient who was suppose to be at the clinic by 8:00. I kept trying to call his house and I couldn't get a hold of anyone, finally Kristin tries calling because maybe the patient will recognize her number, and a little kid answers and lets us know my pt lost his wallet this morning, but he is coming. So at 8:45 my patient finally comes. So I was a little stressed. I was able to get through more than I thought. I was able to scale one quad, which made me really happy, and I was able to pass off my ultrasonic PE! So it turned out well, but I think if my patient would of been on time, I could of finished him in one appt! It turned out well though!
A Class 3 Patient!!
Goals for today:
1. Get through the Health History, and Pass of my Blood Glucose PE
2. Have no retakes on Xrays
3. Pass off intra oral camera
Today I had a lady who came in who had a lot of health problems so I knew her health history was going to take me awhile ( just my luck again another patient who's health history is going to take me forty min). I knew before my patient came in that she had diabetes, so I had my blood glucose test ready so I could pass it off when it was time. So that was lucky on my part! So I can get that out of the way as far as PE's go! Then of course my patient is on like five different medications and she doesn't know what each medication is associated with so she pulls out all five bottles from her purse and leaves it up to me to figure out what medication belongs to what health condition. (Lucky Me, I don't think I would mind if I wasn't on a short time schedule, but every min. counts in clinic). Then it came time to pass off the blood glucose test. I take her blood glucose and it was way high, 238, which is way scary, but she took it earlier in the day and said it wasn't that high, and she told us that her A1c was 7.1. This was a good experience for me, because I haven't worked with anyone who has diabetes yet. Then it came time for x rays, and they turned out perfect, no need for retakes Yahoo! As I was looking at my x rays, I noticed there was a lot of visible calculus, a furcation and bone loss. I just kept thinking this is a good sign keeping my fingers crossed for a class three. Then as I moved onto probing I had a lot of bleeding and a lot of deep probe depths. Then it came time for the OD check. I was able to talk my instructor into a class three, all four quads! Yahoo! That was a big relief for me! My only problem is, is that I felt way bad because someone, had given me this patient a couple weeks before and she doesn't have a class three patient yet :( So I feel awful about that!
1. Get through the Health History, and Pass of my Blood Glucose PE
2. Have no retakes on Xrays
3. Pass off intra oral camera
Today I had a lady who came in who had a lot of health problems so I knew her health history was going to take me awhile ( just my luck again another patient who's health history is going to take me forty min). I knew before my patient came in that she had diabetes, so I had my blood glucose test ready so I could pass it off when it was time. So that was lucky on my part! So I can get that out of the way as far as PE's go! Then of course my patient is on like five different medications and she doesn't know what each medication is associated with so she pulls out all five bottles from her purse and leaves it up to me to figure out what medication belongs to what health condition. (Lucky Me, I don't think I would mind if I wasn't on a short time schedule, but every min. counts in clinic). Then it came time to pass off the blood glucose test. I take her blood glucose and it was way high, 238, which is way scary, but she took it earlier in the day and said it wasn't that high, and she told us that her A1c was 7.1. This was a good experience for me, because I haven't worked with anyone who has diabetes yet. Then it came time for x rays, and they turned out perfect, no need for retakes Yahoo! As I was looking at my x rays, I noticed there was a lot of visible calculus, a furcation and bone loss. I just kept thinking this is a good sign keeping my fingers crossed for a class three. Then as I moved onto probing I had a lot of bleeding and a lot of deep probe depths. Then it came time for the OD check. I was able to talk my instructor into a class three, all four quads! Yahoo! That was a big relief for me! My only problem is, is that I felt way bad because someone, had given me this patient a couple weeks before and she doesn't have a class three patient yet :( So I feel awful about that!
Saturday, February 25, 2012
Hoping for a class 3 Patient!!
Goals for Today:
1. Get to scaling one quad
2. Not have to do a retake on BWX
Today I had a patient coming in who I knew hadn't been to the dentist in a really long time, and who had some health problems. So I knew that health history was going to take a long time, which it did almost 45 min, because he is on so many different medications. As I was going through the HH I noticed he had not been to the dentist in almost 20 years, so I just kept thinking oh this is good he probably is going to be a class three. So it finally comes time for x rays. My BWX were good other than, I didn't get the very distal of one of the 2nd molars, which was okay. Then we went back for the OD check and with the probe depths and everything in the anteriors she recommend that I should go take two anterior PA's, cuz she thought there might be bone loss, which there was, but the anteriors were the only places for bone loss. So my patient ended up being a class 1B on top and a class 2 on the bottom. Dang it! I was really hoping for a class three. You would think if someone hadn't been to the dentist in over 20 years, they we be a higher class. ha ha. Wishful thinking on my part. So I got through OHI and re scheduled the patient to come back the following clinic day to start scaling.
1. Get to scaling one quad
2. Not have to do a retake on BWX
Today I had a patient coming in who I knew hadn't been to the dentist in a really long time, and who had some health problems. So I knew that health history was going to take a long time, which it did almost 45 min, because he is on so many different medications. As I was going through the HH I noticed he had not been to the dentist in almost 20 years, so I just kept thinking oh this is good he probably is going to be a class three. So it finally comes time for x rays. My BWX were good other than, I didn't get the very distal of one of the 2nd molars, which was okay. Then we went back for the OD check and with the probe depths and everything in the anteriors she recommend that I should go take two anterior PA's, cuz she thought there might be bone loss, which there was, but the anteriors were the only places for bone loss. So my patient ended up being a class 1B on top and a class 2 on the bottom. Dang it! I was really hoping for a class three. You would think if someone hadn't been to the dentist in over 20 years, they we be a higher class. ha ha. Wishful thinking on my part. So I got through OHI and re scheduled the patient to come back the following clinic day to start scaling.
CrAzY LaDy!!
Goals for today:
1. Try and clean all 4 quads
Well today I was suppose to have a lady from a couple weeks ago, who had the long health history, who got sick from wearing the glasses, and who didn't stop talking. Oh did I mention that she thought I was her best friend, and we had a big long discussion about how one of the most frustrating things being a student in the DH program is when your patients don't show up, and she said that she would never do that to me!!! Well she did. I called my patient the Friday before her appt. I left her and message and reminded her, then shortly after she called back and left me a message, saying how excited she was to come see me to tell me she got back together with her husband and things were great, and was excited to talk to me while she got her teeth clean. Well things changed Monday morning as she called an hour before and let me know that a dentist in her ward is going to finish her cleaning and fix her cavities for free!! What? Are you kidding me!! I was a little ticked and panicked. Who else was I going to find on such short notice? My husband! So I call my husband to see if he can leave work and come, which he could, but he told me to try calling my patient and tell her that I would pay for her to come, that I needed her for my requirements. So I do just that, I call my patient and tell her that I will pay for her,and that I really need her come. Well that didn't go over so well. She freaked out on me, saying she would never come back again, and that it took to long, and on on about different things. So anyways my husband was able to come in. I was able to finish cleaning off the left side of his mouth and I was able to pass off my selective polish PE. Then I was able to do a sealant on Jen's little brother. So the day turned out really well, just not what I had expected.
1. Try and clean all 4 quads
Well today I was suppose to have a lady from a couple weeks ago, who had the long health history, who got sick from wearing the glasses, and who didn't stop talking. Oh did I mention that she thought I was her best friend, and we had a big long discussion about how one of the most frustrating things being a student in the DH program is when your patients don't show up, and she said that she would never do that to me!!! Well she did. I called my patient the Friday before her appt. I left her and message and reminded her, then shortly after she called back and left me a message, saying how excited she was to come see me to tell me she got back together with her husband and things were great, and was excited to talk to me while she got her teeth clean. Well things changed Monday morning as she called an hour before and let me know that a dentist in her ward is going to finish her cleaning and fix her cavities for free!! What? Are you kidding me!! I was a little ticked and panicked. Who else was I going to find on such short notice? My husband! So I call my husband to see if he can leave work and come, which he could, but he told me to try calling my patient and tell her that I would pay for her to come, that I needed her for my requirements. So I do just that, I call my patient and tell her that I will pay for her,and that I really need her come. Well that didn't go over so well. She freaked out on me, saying she would never come back again, and that it took to long, and on on about different things. So anyways my husband was able to come in. I was able to finish cleaning off the left side of his mouth and I was able to pass off my selective polish PE. Then I was able to do a sealant on Jen's little brother. So the day turned out really well, just not what I had expected.
Goals for today:
1. Get through the OD and scale one quad.
Today was very successful, my patient was so nice and easy going, and best of all he didn't have any health concerns. We made it through the health history, then we were off to take x rays. Well today I decided to use the shick system since I haven't used it yet and I absolutely hate it, I figured i get it out of the way. Then after taking four bwx I had to retake two of them, dang it! We retake the x rays, then we were off to probe his mouth and get an OD check. Well me only seeing patients who have been 1B's, thought my patient today was a 1B as well. I really couldn't see any boneloss on his x rays, or a lot of calculus on they x rays either. So as instructor Wold asks me what class he was I said a 1B, and she told me she would have to disagree she thought he was a class 2 on the lowers and class 5 on the uppers! Well I felt like an idiot. Then she explained to me why he was these specific classes and it made more sense ha ha. Well I was able to get scaling on the upper right, which was a little scary because it was a class five and I didn't know what to do. ha ha I was concerned because I didn't know if you cleaned a class five the same way that you clean a class 1B? Anyways it all work out any was fine. I didn't miss any calculus, which was awesome.
1. Get through the OD and scale one quad.
Today was very successful, my patient was so nice and easy going, and best of all he didn't have any health concerns. We made it through the health history, then we were off to take x rays. Well today I decided to use the shick system since I haven't used it yet and I absolutely hate it, I figured i get it out of the way. Then after taking four bwx I had to retake two of them, dang it! We retake the x rays, then we were off to probe his mouth and get an OD check. Well me only seeing patients who have been 1B's, thought my patient today was a 1B as well. I really couldn't see any boneloss on his x rays, or a lot of calculus on they x rays either. So as instructor Wold asks me what class he was I said a 1B, and she told me she would have to disagree she thought he was a class 2 on the lowers and class 5 on the uppers! Well I felt like an idiot. Then she explained to me why he was these specific classes and it made more sense ha ha. Well I was able to get scaling on the upper right, which was a little scary because it was a class five and I didn't know what to do. ha ha I was concerned because I didn't know if you cleaned a class five the same way that you clean a class 1B? Anyways it all work out any was fine. I didn't miss any calculus, which was awesome.
My Lucky Husband!
Goals for today:
1. To take a pano
2. to pass off anterior and posterior scaling
Wow today was quite the day. First off I went to take the pano, which I was nervous about anyways. Then I finally got the machine set up with film in place, bring my husband back take the pano, then I go to develop the xray and there was no film in it :(. I had checked before the appt to see if there was film in it and I guess I felt the intensifying screen instead of the actual film. Ugh! Talk about frustrating. Then my instructor was behind, so I had to show the pano to Pro. Costly, who found something of concern near tooth # 19 and had me take a PA. So wow, quite the Xray experience today. I finally made it to scaling, and was able to pass off my the two PE's I had wanted to. So I did meet my goals today, but it wasn't easy ha ha. Thanks to my husband who keeps supporting me by always being my back up patient.
1. To take a pano
2. to pass off anterior and posterior scaling
Wow today was quite the day. First off I went to take the pano, which I was nervous about anyways. Then I finally got the machine set up with film in place, bring my husband back take the pano, then I go to develop the xray and there was no film in it :(. I had checked before the appt to see if there was film in it and I guess I felt the intensifying screen instead of the actual film. Ugh! Talk about frustrating. Then my instructor was behind, so I had to show the pano to Pro. Costly, who found something of concern near tooth # 19 and had me take a PA. So wow, quite the Xray experience today. I finally made it to scaling, and was able to pass off my the two PE's I had wanted to. So I did meet my goals today, but it wasn't easy ha ha. Thanks to my husband who keeps supporting me by always being my back up patient.
Monday, January 23, 2012
WOW!! ( this word is exactly how I feel about today's clinic session!)
My goal for clinic today was to get through an OD and scale one quad. I had a patient today who I had never met before. I first of all had to start out by doing a new health history form, which took quite awhile because my patient had so many different medications she was on, and my patient was telling me her whole life story. I began my extra and intra exam everything went well. Then my patient informed me that her main goal for this app. was to get x-rays, which is great because I already had us scheduled in the X-ray room. As we waited for our turn, I started to probe, when all of the sudden my pt flings forward and said she felt nauseous, and explained to me she had never felt like that before, so I let her sit there for a minute, then she said she felt better and that we could continue. Then she informs me that she needs to leave by three, which shortens a half hour of my time ( dang it). So at that moment I realized we weren't going to get to scaling a quad. So then we took x-rays and I had to retake one, then I had just a few minutes left to get an OD check before the patient had to leave.
I feel like a could of accomplished a lot more in this clinic session if my patient would of been a little more cooperative. My patient was really nice, but she really liked to talk a lot. I pretty much heard her life story ( and as a student I don't have time to hear all about life, I don't want to be mean, but that is just how it is)! Then I felt like I had valuable time taken off, when she felt sick (which she found out it was the patient glasses we make them wear that made her sick ;) ). When she had to leave earlier too, it was kind of frustrating. I just felt like a lot of valuable time was wasted.
For my next experience, I don't really think I would change anything, I think everything went smoothly on my end, except the one retake. I just felt there was a lot of wasted time with the patient talking.
I feel like a could of accomplished a lot more in this clinic session if my patient would of been a little more cooperative. My patient was really nice, but she really liked to talk a lot. I pretty much heard her life story ( and as a student I don't have time to hear all about life, I don't want to be mean, but that is just how it is)! Then I felt like I had valuable time taken off, when she felt sick (which she found out it was the patient glasses we make them wear that made her sick ;) ). When she had to leave earlier too, it was kind of frustrating. I just felt like a lot of valuable time was wasted.
For my next experience, I don't really think I would change anything, I think everything went smoothly on my end, except the one retake. I just felt there was a lot of wasted time with the patient talking.
Wednesday, January 4, 2012
Ultrasonic Scaling!
Today was our first day in back in clinic after the holiday break. Today our goal was to learn how to use our ultrasonic scaler and our Gracy's! First Sam showed us how to set up our ultrasonics and showed us the right amount of water that we would to have come out. You want a drip with mist! Then she let us all set up our units. Then she showed us on our typodonts how to use the ultrasonic in the mouth. She made it look very easy. Then it was finally my turn to try. I admit going into it I was pretty nervous because I thought it was going to be hard. Then as I started doing it I realized it was super fun! I am nervous now to do it on a real patient now though, because I have only done it on the typodont. Then we learned how to use our Gracey's instruments. We have a 1/2, 13/14, 15/16. I had no clue how to use these until today. I learned that 1/2 goes with the anteriors, 13/14 for the distal and 15/16 go for the mesial. I just need to remember that now. I had a difficult time with the 13/14, but I think I started to get the hang of it.
The thing that made me feel best about today was, Pro. Costley telling us that one of the goals for this semester was to learn how to feel calculus, which made me feel great because I don't think I have felt it up to this point, and I want to know how it feels! It made me feel great that everyone else felt the same way as well!
The thing that made me feel best about today was, Pro. Costley telling us that one of the goals for this semester was to learn how to feel calculus, which made me feel great because I don't think I have felt it up to this point, and I want to know how it feels! It made me feel great that everyone else felt the same way as well!
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