Had a pretty interesting day today at the office. Morning was pretty normal, drill and fill, check hygiene, extract a tooth etc. Nothing too out of the ordinary.
Pretty normal lunch. Trolled around on CP, ate an apple and a handful of wheat thins.
Then the afternoon hit.
I see inmates from the county jail here in town if they have a tooth ache or something, sheriff or deputy will call up and bring them up in shackles and the whole bit. It's not big deal, most of them are just happy to get out of pain and it's not a problem. So dude comes in, my assistant goes in to ask the normal "which tooth is bothering you, let me get an xray, blah blah". I was in the lab doing something so I wasn't really paying attention. She comes in and says "doc, you will need to come look at something" to which I responded "he need a tooth out, which tooth is hurting"?
"All of them". Huh, ok, weird response but lets go check it out. Sure enough, continued meth use pretty much causes things to not go so well intraorally, so he was pretty much decayed out and most teeth were broken off to the gumline (google meth mouth if you want to see it, i'm not messing with photos). Asked if I could extract all 26 teeth he had left in the 30 minute block we had on the schedule for him.
I laughed, said "nah, which one hurts the worst, we'll take that out". He pointed to one, I numbed it up, used an elevator to take it out, about 30 seconds worth of pressure and it was pretty lose. 2 teeth next to it are super mobile and infected (which starts draining as I get this one out, that smelt nice) so I told him he was getting 2 free extractions since he was already numb in that area and they were loose and I was right there, no harm no foul.
It's always fun when we see the inmates, the Sheriff comes up and sits in the room with them all serious, then when I come in the room we talk about hunting or why the Chiefs always break hearts or something.
He breaks down and starts crying thanking me, that he already felt better (if you saw the amount of infection I drained, you'd see why) and asked if he could make an appointment for when he got out. "Sure, how long you think you'll be in this predicament".
"I figure 4 or 5 years, you scheduling ahead that far yet"? Told him nah, just take care of himself and come see me when he gets out.
Next patient is an amish guy (we have a fairly big amish community near us), super nice guy, needs a crown. Asks if he can barter instead of pay, I ask what is in it for me, said he'd bring me a dozen eggs every week for 6 months (they have chicken barns or something) or I could have a quarter of one of the cows they're butchering. Sold, eggs and beef for a crown, sign me up.
Only problem with that is he scheduled an appointment for himself, but brought 4 other family members who all needed work done.
So we had a waiting room full of inmates and Amish this afternoon. Thought that might be a good name of a band or something. [Reply]
Originally Posted by Lzen:
I know I'm going to regret asking buuuutt............how?
Intercourse , I didn’t really want to get into specifics, ruptured his corpus cavernosum and tore his urethra , he was in 2 months prior with a similar incident but just had a hematoma with no ruptures at that time , no sure if he’s getting better or worse at it . 63 year old guy with a big dick-do maybe just clumsy and can’t see where he’s aiming it. [Reply]
Originally Posted by HonestChieffan:
Why does a crown have to be so damn expensive
It's pretty labor intensive on our side. Gotta pay for the lab bill, the material, etc.
But it's getting pretty crazy how much they're getting to be honest. What sucks is that insurances haven't really upped their fees at all.
So say I'm in network with Delta dental. My crown fee is say, 1250. Delta dental will come back and say our allowed crown fee is 795, patient pays half of that, we pay half of that, you write off the rest.
Crowns cost me about 200ish bucks to do all the way around, maybe a bit more, but in the end at that fee, margins start getting a bit tight. [Reply]
My son is getting his wisdom teeth pulled. The dentist we have used for decades recently sold his business and retired. The new dentist wants to charge $300 per tooth for "collagen" which isn't covered by Delta Dental. Is this normal or are they just gouging us? [Reply]
