Tuesday, April 20, 2010

I Mean, This Was a Big Day

Rotations left: Pedo, OMS emergency

Fixed: 3/13 - #4 will be seated on Thursday,#7&8 will be cut on Friday, #5 finished next Monday and #6 is sent to the lab
Operative: 45/50 (8/13 class IIs) - last 5 class IIs on the schedule plus a buildup
------------------------------------------------
Progress Exam Status:

Fixed: 2 in progress/2
DONE - Perio, Operative, Oral Surgery, Endo, Removable
------------------------------------------------
D3 Finishes!

Finished with ENDO! (2/5 to graduate, molar complete)
Finished with DAU! (forever)
Finished with Perio! (2/4 to graduate, 1 tx planned)
Finished with Removable! (4/9 to graduate, 2 in progress)
Finished with Nitrous! (3/6 nitrous to graduate)
Finished with Oral Surgery Extractions! (46/100 ext to graduate)
Finished with Pre-Prosth! (4/6 preprosth cases to graduate) (2 more planned 4/28)
All assisting is complete!

Monday, April 19, 2010

Schedule for the Rest of the Year (Apparently)

I went to school this morning and was surprised to find that all but one of my appointments for the rest of the year are booked.  So here's what I have left to do to finish up.  If all goes according to plan (hehe) I'll be finished with everything but fixed and will have 11/13 crowns cut, 6 seated.

4/20 Tuesday: 10am: endo/non-vital buildup
                       1:30 pm: oral diagnosis/consults
Wednesday: 1pm prophy
                    4pm denture adjustment
Thursday: 10am class II filling
                1pm seat crown
Friday: 10am crown preps 8 and 9
            1pm ???
-----------------------------------------------------------------
4/26 Monday: 10am crown prep #28
                       1pm class II filling
Tuesday: 10am oral diagnosis/consults
               1pm crown prep #4
Wednesday: 1pm full mouth extractions/alveoloplasty
Thursday: 10am crown prep #19
                1pm non-vital buildup and crown prep #14
Friday: 10am class II filling
            1pm class II filling
--------------------------------------------------------------------
5/3 Monday: 1pm class II filling
Pedo rotation
-------------------------------------------------------------------
5/10 Oral Surgery Rotation
Friday: 10 am rest preps and impression for partial
            1pm seat crown

*********************************************************
Rotations left: Pedo, OMS emergency

Endo: 1/2 - I will finish TOMORROW!
Fixed: 3/13 - #4 will be seated on Thursday,#7&8 will be cut on Friday, #5 finished next Monday and #6 is sent to the lab
Operative: 44/50 (8/13 class IIs) - last 5 class IIs on the schedule plus two buildups
------------------------------------------------
Progress Exam Status:

Fixed: 2 in progress/2
DONE - Perio, Operative, Oral Surgery, Endo, Removable
------------------------------------------------
D3 Finishes!

Finished with DAU!
Finished with Perio! (2/4 to graduate, 1 tx planned)
Finished with Removable! (4/9 to graduate, 2 in progress)
Finished with Nitrous! (3/6 nitrous to graduate)
Finished with Oral Surgery Extractions! (46/100 ext to graduate)
Finished with Pre-Prosth! (4/6 preprosth cases to graduate) (2 more planned 4/28)
All assisting is complete!

Thursday, April 15, 2010

Oral Diagnosis: Wannagetfinisheditis

I have a gloriously long weekend as the 4th years have WREB, the licensing exam, Fri-Mon.  Yeah, get ready to get an earful about that this time next year.  Speaking of exams, I did go ahead and buy a study book for National Boards Part II.  I will not ruin another Christmas studying for that exam.  You heard it here.  I'd rather ruin summer.

On to the numbers:

Of course, none of these numbers changed after my week on oral diagnosis rotation, but my schedule has been beefed up to finish out those class IIs and get crowns in to the lab.  I've done a lot of patient trading for my own needs as well as others' and it's paid off so far.  Two of my last five class IIs are Rudy's pt that I've shared before and Ben's wife.  Those are definitely reliable.  The last 3 are, too, but a different level of reliable : )  I'll get 'em done.

Crowns, well, I'll get done what I get done.  6 cut isn't too bad, and I have 3 more on the schedule = 9.  There are 2 more I've requested appointments for = 11.  That's close to 13.

I'm running out of open chairs in the clinic for the few things I have left, so I'm trying to get everything booked NOW.  I already lost out on next Friday, so unless I stay on top of things I may be finishing out my nitrous or maybe some pre-prosth/extractions - then I can start a "D4 Finishes" list. : )
___________________________________________________

Rotations left: Pedo (May), OMS emergency (May)

Endo: 1/2 - I will finish on Tuesday
Fixed: 3/13 - #4 will be seated on Thursday (#7&8 postponed), #5 mostly cut and #6 sent to the lab
Operative: 44/50 (8/13 class IIs) - last 5 class IIs on the schedule plus a buildup
------------------------------------------------
Progress Exam Status:

Fixed: 2 in progress/2
DONE - Perio, Operative, Oral Surgery, Endo, Removable
------------------------------------------------
D3 Finishes!

Finished with DAU!
Finished with Perio! (2/4 to graduate, 1 tx planned)
Finished with Removable! (4/9 to graduate, 2 in progress)
Finished with Nitrous! (3/6 nitrous to graduate)
Finished with Oral Surgery Extractions! (46/100 ext to graduate)
Finished with Pre-Prosth! (4/6 preprosth cases to graduate) (2 more planned 4/28)
All assisting is complete!

Friday, April 09, 2010

Gittin' 'Er Done

I hit it hard this week and got in 3 class IIs, 2 misc. fillings, 2 fixed PEs started, and an endo almost finished : )  Goals for next week include pindexing and die trimming VZ's crown and sending it, booking all my borrowed patients, and resting up for a crazy 2 weeks of clinic when I get back.  2 weeks and 1.5 days of clinic left for poor little ole me.

Rotations left: OD (next week), Pedo (May), OMS emergency (May)

Endo: 1/2 - I obturated 3 canals but have to redo the distal - grrr...
Fixed: 3/13 - #4 sent to the lab, #5 mostly cut and #6 prepped and impressed
Operative: 44/50 (8/13 class IIs)
------------------------------------------------
Progress Exam Status:

Fixed 2 in progress/2
DONE - Perio, Operative, Oral Surgery, Endo, Removable
------------------------------------------------
D3 Finishes!
Finished with DAU!
Finished with Perio! (2/4 to graduate, 1 tx planned)
Finished with Removable! (4/9 to graduate, 2 in progress)
Finished with Nitrous! (3/6 nitrous to graduate)
Finished with Oral Surgery Extractions! (46/100 ext to graduate)
Finished with Pre-Prosth! (4/6 preprosth cases to graduate)
All assisting is complete!

Sunday, April 04, 2010

It's All About the Numbers

Let's be honest.  Right now, you just can't get around it.  We're desperate and cynical and the chalkboard in our lab says it all.  I really just need 8 class II restorations that don't have to be pretty progress exams and finish my root canal and then I can handle whatever fixed I'll need to remediate; I will avoid operative remediation at all costs.

Don't get me wrong, I'm not blowing off any of my patients that need treatment that I don't "need" to do.  I still have a denture patient with a one week recall appointment to do that's been sick, another denture patient ready to start extractions, my Nanna who's ready for her treatment, and a new patient coming in for a prophy.  I'm just being very deliberate about scheduling the appointments that I need to make it to the finish line or as close to it as is humanly possible.

So, this week I'm back in clinic.  Lots to do:

Monday: Fixed PE, perio rotation
Tuesday: class IIs, class III
Wednesday: no clinic
Thursday: class IIs, fixed PE
Friday: class III, finish endo (please, Lord!)

"Get your progress exams done" is the mantra from the head hancho, so that's what I'm aiming at this week.  One crown is a gold survey crown that *will* be seated by the end and the other is a PFM that will most likely be seated - that one I really need to impress that day since I have OD rotation all next week and the porcelain deadline looms upon us.  I would LOVE to impress both of those this week, but I don't have assistants lined up, so who knows.

Rotations left: OD (next week), Pedo (May), OMS emergency (May)
Endo: 1/2 - finish #19 on Friday????
Fixed: 3/13 - #4 sent to the lab, cut 5 and 6 this week
Operative: 39/50 (5/13 class IIs) - 3, maybe 4 class IIs this week?, 2 more class IIIs this week
------------------------------------------------
Progress Exam Status:

Fixed 0/2 (2 this week)
DONE - Perio, Operative, Oral Surgery, Endo, Removable
------------------------------------------------
D3 Finishes!

Finished with DAU!
Finished with Perio! (2/4 to graduate, 1 tx planned)
Finished with Removable! (4/9 to graduate, 2 in progress)
Finished with Nitrous! (3/6 nitrous to graduate)
Finished with Oral Surgery Extractions! (46/100 ext to graduate)
Finished with Pre-Prosth! (4/6 preprosth cases to graduate)
All assisting is complete!

Friday, March 26, 2010

Don't Count Your Chickens Before The Eggs are Laid

So, my potential bridge is gone, class II pt rescheduled, my second endo on a molar is crazy hard, and I lost two more crowns to fillings only.  The best laid plans, right?  So now I'm just on fire to get all of my class IIs done so I don't have to suffer this summer. I just haven't had the pts that need them.  So I've done a little trading, and God is working a minor miracle for me by bringing my favorite patient back!  The only problem is that this is all last minute and we all know that nothing in dental school is set in stone until it's swiped at the end of the treatment.  Patients cancel, reschedule, get sick, treatment changes, and more pressing things arise like root canals or major surgery.  I'm just going to have to do what I can.  In 3 weeks....

Endo: 1/2 - WL in progress on #19 - it's really hard!
Fixed: 3/13 - #4 sent to the lab, 4 on the schedule to cut
Operative: 39/50 (5/13 class IIs)
------------------------------------------------
Progress Exam Status:

Fixed 0/2 (2 scheduled)
DONE - Perio, Operative, Oral Surgery, Endo, Removable
------------------------------------------------
D3 Finishes!

Finished with DAU!
Finished with Perio! (2/4 to graduate, 1 tx planned)
Finished with Removable! (4/9 to graduate, 2 in progress)
Finished with Nitrous! (3/6 nitrous to graduate)
Finished with Oral Surgery Extractions! (46/100 ext to graduate)
Finished with Pre-Prosth! (4/6 preprosth cases to graduate)
All assisting is complete!

Tuesday, March 16, 2010

I'm on Pedo Rotation and the Fillings I do in there DON'T COUNT

Just had to make that clear.  I did a buildup on a pt Monday afternoon when they let us free from pedo (not sure why, but I'll take it!).  Buildup means crown and she's scheduled along with her husband (#8 and 9 = two at once!).  I have another #8 and 9 patient scheduled, too (I'm racking 'em up!)  If you're counting, that equals 5 plus 4 = 9.  That's a pass if I ever saw one.  Just got to fit 2 progress exams in there and I'm not sure if I want to do them on #8 and 9.  Hmmm.

Endo: 0/2 - Accessed #19 and cleaned and shaped #8
Fixed: 3/13 - prepped #4, have some leads for a bridge
Operative: 34/50 (5/13 class IIs)
------------------------------------------------
Progress Exam Status:

Operative - 2/3 (last is scheduled)
Perio -1/2 (last is scheduled)
Fixed 0/2 (1 scheduled)
DONE - Oral Surgery, Endo, Removable
------------------------------------------------
D3 Finishes!

Finished with DAU!
Finished with Perio! (2/4 to graduate, 1 tx planned)
Finished with Removable! (3/9 to graduate, 3 in progress)
Finished with Nitrous! (3/6 nitrous to graduate)
Finished with Oral Surgery Extractions! (46/100 ext to graduate)
Finished with Pre-Prosth! (4/6 preprosth cases to graduate)
All assisting is complete!

Saturday, March 13, 2010

Just Doing What I Can in 4 Weeks

My goals for next week while I'm on pedo rotation:

* do not pulp JW's tooth (please, Lord!) and restore with buildup
* finish MT's denture and send to lab, deliver if pt cancels
* get all crown removals/remakes scheduled to bring up fixed numbers (WH, HJ, MW)
* get all class IIs scheduled and find classmates willing to share (HJ, MB?, WA)
* schedule Nanna in DAU again
* meet Ernesto's patient and get ok to do his bridge
* take impressions for MB's crown

When I get back to clinic, I have:
* My last operative progress exam
* convince JK to do a class II when he's getting a SOAP
* finish RCT on #8
* complete MW's buildups so I can do crowns (maybe both as PE's?)
* deliver denture if didn't do it during pedo
* clean and shape #19
* finish WA's consults and prophy, schedule class II
* impress #5 and send to lab
* last perio PE
* class II or take of crown with HJ

------------------------------------------------
Endo: 0/2 - Accessed #19 and cleaned and shaped #8

Fixed: 3/13 - prepped #4, have some leads for a bridge
Operative: 33/50 (5/13 class IIs)
------------------------------------------------
Progress Exam Status:

Operative - 2/3 (last is scheduled)
Perio -1/2 (last is scheduled)
Fixed 0/2 (1 scheduled)
DONE - Oral Surgery, Endo, Removable
------------------------------------------------
D3 Finishes!

Finished with DAU!
Finished with Perio! (2/4 to graduate, 1 tx planned)
Finished with Removable! (3/9 to graduate, 3 in progress)
Finished with Nitrous! (3/6 nitrous to graduate)
Finished with Oral Surgery Extractions! (46/100 ext to graduate)
Finished with Pre-Prosth! (4/6 preprosth cases to graduate)
All assisting is complete!

Tuesday, March 09, 2010

Great is Thy Faithfulness

The first two days of this week have been huge.  Sunday night was miserable as I realized that the 10 weeks we have left of school was really only 5 weeks for me because I have so many rotations.  You might be thinking, "Didn't you know this was coming and plan accordingly?"  Well, that's true, in a way...but I've had such tunnel vision as I've plugged away on whatever I've had to do, carefully keeping track of my numbers and really just trusting that it would all work out in the end.  A little irresponsible?  Maybe.  So I've been very methodical in my return from Spring Break, making sure that my time is being used to my benefit.  This sounds selfish and not very patient-centric, but within the confines of ethical practice, I have to get done what needs to be done to move on to 4th year.  It has to happen.

He replied, “Because you have so little faith. I tell you the truth, if you have faith as small as a mustard seed, you can say to this mountain, ‘Move from here to there’ and it will move. Nothing will be impossible for you.” Matthew 17:20

So on Sunday, despite my general feelings of hopelessness and demise, I cried out to God with the speck of faith I had left that He could really get me through this.  Faith of a mustard seed, right?  I realized that the phrase "oh, ye of little faith" (a category I found myself very comfortably sitting in) is always such a put down...but all it takes is a little.  A mustard seed.  Maybe that was just a way for Jesus to remind folks that while, yes, they were capable of having more faith than they possessed at the moment, they still had a little faith - enough for God to pull out all the stops and amaze them - at least.  So despite all odds, I told God that yes, it was still possible to pass a progress exam where just about everything (except my actual work) went wrong.  Yes, it is still possible for Him to provide all the right patients and situations to get my requirements taken care of.  Yes, it is still possible for a tooth with a possible hopeless fracture to just need a root canal.

Monday: tooth with possible hopeless fracture is restorable and I start the root canal
Tuesday: passed progress exam - a true miracle
           : get new patient who doesn't need perio and has class IIs (I need them!) and crowns (I need them!)
           : get my Nanna in to fill an opening in my schedule, do 2 fillings, complete my DAU requirements, and get her appointed for my last progress exam

It's not just that things are going my way, when they haven't been in weeks past.  It's not that I'm just more optimistic after some careful planning and swift execution.  It's been a real kick in the pants of how little I trusted that God could do anything about my situation, so much so that I didn't even ask.  Didn't even try.

Lesson learned.
______________________________________________________________

Endo: 0/2 - Accessed #19 on Monday and will start RCT on #8 tomorrow.  Wow, what a blessing! All in one week!  I'll keep praying that everything goes as planned and if not, that another will be provided.


Fixed: 3/13 - prepped #4, have some leads for a bridge

Operative: 31/50 - two more planned this week
------------------------------------------------
Progress Exam Status:
Operative - 2/3 (1 is scheduled for this month)
Perio -1/2 (second one in the works)
Fixed 0/2
DONE - Oral Surgery, Endo, Removable
------------------------------------------------
D3 Finishes!

Finished with DAU!
Finished with Perio! (2/4 to graduate, 1 tx planned)
Finished with Removable! (3/9 to graduate, 3 in progress)
Finished with Nitrous! (3/6 nitrous to graduate)
Finished with Oral Surgery Extractions! (46/100 ext to graduate)
Finished with Pre-Prosth! (4/6 preprosth cases to graduate)
All assisting is complete!

Thursday, March 04, 2010

Spring Break and I'm Freaking Out

When I get back from Spring Break, I have a ton of work to get done, and a lot of rotations that will keep me from getting it done.  I'm going to have to be soooo productive during the time I have available, and have a really good attitude during the weeks when I can't see patients.  I know things usually work out for people by the end of 3rd year, and I know God is in control of all this.  I can't wait to see how He's going to make it happen.  Wow.

I think all I did last week was a perio progress exam and a filling.  Go me!


Endo: 0/2 (First NSRCT on Wednesday.  I just got 2 possible RCTs assigned to me and will SOAP those Tuesday, I'm also pulping a tooth on Monday that I started last Wednesday.  Yikes)


Fixed: 3/13 - prepped #4, have some leads for a bridge

Operative: 29/50

DAU: 9/10 to graduate

------------------------------------------------
Progress Exam Status:

Operative - 1/3 (1 is scheduled for this month)
Perio -1/2 (second one in the works)
Fixed 0/2
Oral Surgery - DONE
Endo - DONE
Removable - DONE

------------------------------------------------
D3 Finishes!

Finished with Perio! (2/4 to graduate, 1 tx planned)
Finished with Removable! (3/9 to graduate, 3 in progress)
Finished with Nitrous! (3/6 nitrous to graduate)
Finished with Oral Surgery Extractions! (46/100 ext to graduate)
Finished with Pre-Prosth! (4/6 preprosth cases to graduate)
All assisting is complete!

Friday, February 19, 2010

Week 5 - Still Alive

In total this week, I did a filling, finished a perio case, delivered a denture and a flipper plus 2 more extractions. Eh, I'll take it.  I actually saw 4 patients in one day (today) and did more than survive.  It actually worked just fine.  Huh.  Next week I have an operative progress exam, I'm still working on another denture, a buildup, some consults, impressing a fixed PE, and a perio PE.  Kevin has a lead on a bridge for me and I *have* to call him on Monday.  I'm also screening another potential bridge patient on Thursday.  I got a new patient today who has 2 possible root canals, so I pray that will pan out and I can get those off my list.  I won't be able to do the other root canal my classmate gave me until after Spring Break.

In other news, I'm finding that some of my patients that I diagnosed early on in my clinic career are coming back to haunt me.  Granted, I am not solely responsible for finding all the cavities and other issues - I'm still learning.  I have licensed dentists checking everything I do and they've missed it, too.  But it sure leaves me in a lurch and makes it hard to *esplain* it to my patients.  2 now.  And they're married.  Double trouble.  They're both getting teeth pulled and not excited about it.  Neither am I.  So far I've lost 2 crowns out of it, and the wife *who was a completed case* is now back on my roll with removable - the last thing I need right now.  I'm going to try to pass her off to a classmate.  I can't afford any more removable.

-----------------------------------------------
Endo: 0/2 (I've been assigned a case and will do it after Spring Break.  I just got 2 possible RCTs assigned to me and will SOAP those soon)

Fixed: 3/13 - prepped #4, have some leads for a bridge

Operative: 28/50 (2, maybe 3 next week - I'd love to be in the 30's by the end of the month)

DAU: 9/10 to graduate (I'm going to schedule Nanna so we can get her finished)
------------------------------------------------
Progress Exam Status (apparently, this is the key to moving on):

Operative - 1/3 (last 2 are scheduled for this month)
Perio -0/2 (one scheduled)
Fixed 0/2 (one in progress)
Oral Surgery - DONE
Endo - DONE
Removable - DONE
------------------------------------------------
D3 Finishes!

Finished with Perio! (2/4 to graduate, 1 tx planned)
Finished with Removable! (3/9 to graduate, 3 in progress)
Finished with Nitrous! (3/6 nitrous to graduate)
Finished with Oral Surgery Extractions! (46/100 ext to graduate)
Finished with Pre-Prosth! (4/6 preprosth cases to graduate)
All assisting is complete!

Workin' 9 to 5

Well, after all of the hullabaloo of graduation, it was time to start looking for work.  I knew being obviously pregnant, it would be pret...