Retired On Active Duty. I used to make fun of those guys, now I am one! My official retirement orders have been approved. Now I need to spend my last few months on active duty looking for a new job. 3 interviews so far. One at a hospital in Pennsylvania, one in North Carolina, and a group practice in North Carolina.
Or maybe I'll buy a bait shop.
Thursday, November 5, 2009
Friday, October 16, 2009
Don't Be Dragging Us Down!
M.D.O.D.: I've got it!
ETOTHEPI,
Do you really want to unleash the fury that is a bunch of angry people armed with small, sharp instruments?
ETOTHEPI,
Do you really want to unleash the fury that is a bunch of angry people armed with small, sharp instruments?
Thursday, October 15, 2009
Sunday, October 11, 2009
Dentistry Succumbing to the Mid-Level Craze
You are going to get what you pay for. We're headed back to the Barber-Surgeon days....
A while back I wrote about the emergence of mid level practitioners in my field (dentistry).
http://docv-downinthemouth.blogspot.com/2008/12/more-mid-level-practitioners-emerge.html
Alaska and Minnesota have begun to license such practitioners. In my opinion, the argument for and against is very similar to the controversy that goes on about PAs and NPs. Once again, I see the the problem not being their breadth of knowledge, but their depth.
While very little in my world is life threatening, there are those occasional "Oh @#$%!!!" moments especially with medically compromised patients. The very population that most of these mid level providers will treat is also the population that has problems with uncontrolled diabetes, hypertension, heart disease, and so forth. I can teach just about anyone to pull a tooth or plug a filling but you have to remember that tooth is attached to a human being. You have to be ready to deal with the complications. Not all of dentistry is a mechanical art and that difference is what you pay me for.
Another blog on the subject:
http://www.boingboing.net/2009/10/08/armed-to-the-teeth-t.html
And a really great blog, "The American Way of Dentistry:
http://www.slate.com/id/2229633
A while back I wrote about the emergence of mid level practitioners in my field (dentistry).
http://docv-downinthemouth.blogspot.com/2008/12/more-mid-level-practitioners-emerge.html
Alaska and Minnesota have begun to license such practitioners. In my opinion, the argument for and against is very similar to the controversy that goes on about PAs and NPs. Once again, I see the the problem not being their breadth of knowledge, but their depth.
While very little in my world is life threatening, there are those occasional "Oh @#$%!!!" moments especially with medically compromised patients. The very population that most of these mid level providers will treat is also the population that has problems with uncontrolled diabetes, hypertension, heart disease, and so forth. I can teach just about anyone to pull a tooth or plug a filling but you have to remember that tooth is attached to a human being. You have to be ready to deal with the complications. Not all of dentistry is a mechanical art and that difference is what you pay me for.
Another blog on the subject:
http://www.boingboing.net/2009/10/08/armed-to-the-teeth-t.html
And a really great blog, "The American Way of Dentistry:
http://www.slate.com/id/2229633
Thursday, September 17, 2009
Access Problems
On the Buckeye Surgeon's blog, https://www.blogger.com/comment.g?blogID=2760353953251845523&postID=6887089455401358985 is a discussion about a prisoner that was given a reprieve from his death sentance (lethal injection)because they were unable to get venous access. If that is a problem, why not go the IO route?
My understanding is:
• IO access is a safe and effective route
for accessing the central vascular system
• IO access is similar to central line access and carries
less risk of complications. (At least in theory)
• IO is the first alternative to IV
in adult cardiac arrest patients
Just a thought....
My understanding is:
• IO access is a safe and effective route
for accessing the central vascular system
• IO access is similar to central line access and carries
less risk of complications. (At least in theory)
• IO is the first alternative to IV
in adult cardiac arrest patients
Just a thought....
Monday, September 7, 2009
Blogger's Block
Wow. I didn't realize how challenging it would be to maintain a blog. Is there such a thing a blogger's block? I am in awe of the the folks who write the blogs that I frequent and their ability to come up with interesting stories and observations. I should have stayed in EMS...there's better stories there. Now that I am on shore duty, dentistry is just the same old grind. I had hoped to make a better impression....
Okay, enough of the puns. My retirement papers are in, 9 months to go on active duty. I have to find a real job now. Maybe I ought to renew my EMT-P certs!
Anyway, I'll try to keep plugging away at the blog sphere.
Okay, enough of the puns. My retirement papers are in, 9 months to go on active duty. I have to find a real job now. Maybe I ought to renew my EMT-P certs!
Anyway, I'll try to keep plugging away at the blog sphere.
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