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re: dentists - the resurgence of wealthy

Posted on 7/6/14 at 12:31 am to
Posted by SmackoverHawg
Member since Oct 2011
27387 posts
Posted on 7/6/14 at 12:31 am to
quote:

They are not subject to variances in government reimbursement, unlike physicians, who (as hospitalist anyway) have to treat indigent patients and Medicaid patients. No EMTALA laws for dentists, obviously. Good for them--I certainly couldn't do it (dealing with teeth all day).

This. Not as bound to the pt's as we are. I've had pt's with terrible abscesses and no on will see then. The oral surgeon? Nope. Instead we have to medicate them until we can get that rotten arse tooth extracted. No compassionate care. At least not around here. And can't pull a tooth? Think again. How do you guys think those teeth get magically pulled? And for no charge most of the time.

And I do envy your organizations. Ours have assraped the profession and sold us down the river. We're legislated by a bunch of academic dipshits that have zero experience in healthcare. Yes, we are jealous of you guys and how your reimbursements are done. But us younger docs got no say and have to deal with the shitass consequneces. Just thought I jump in and bust y'alls balls a bit.

Ruzil...I thought we decided to be friends. Maybe not. Perhaps if I stay out of the dental threads.
Posted by ruzil
Baton Rouge
Member since Feb 2012
16974 posts
Posted on 7/6/14 at 1:00 am to
quote:

Ruzil...I thought we decided to be friends. Maybe not. Perhaps if I stay out of the dental threads.


Of course we did.

If your patients don't mind driving a bit, I'll snag their teeth. Just ask KingRanch, he can vouch for me.

Posted by 911Moto
Member since Sep 2013
5491 posts
Posted on 7/6/14 at 11:20 am to
quote:

This. Not as bound to the pt's as we are. I've had pt's with terrible abscesses and no on will see then. The oral surgeon? Nope. Instead we have to medicate them until we can get that rotten arse tooth extracted. No compassionate care. At least not around here. And can't pull a tooth? Think again. How do you guys think those teeth get magically pulled? And for no charge most of the time.


Are you talking about dentists who won't see their patients in times of emergency, or dentists who won't blow their family time on the weekend to see someone who doesn't have a regular dentist and hasn't been to the dentist in 20 years, who will make you see them on the weekend, bring in your assistant with you since you open yourself up to liability if you see them alone, get a prescription for antibiotics and pain meds, then not show up for their appointment after the swelling goes down, yet call you day and night for weeks trying to refill the pain meds (after they've pretended they were your office and tried calling it in to the pharmacy themselves)? Because those are two different stories. I once saw an emergency patient after 10 pm on Christmas Eve. Her ancient crown came off and her relatives were making fun of her. Of course, it came off because there was nothing left underneath it, so I spent an hour building up her tooth and making a temporary (at no charge). Needless to say, she ended up being one of my best referral sources - and she worked at the bank so she came into contact with half of the parish. Just about every dentist I know will bend over backwards for their patients in times of true emergency. But the irresponsible people and meth-tooth druggies need look elsewhere. Though I've never refused antibiotics to anyone who called my office with swelling.
Posted by wahoocs
Lafayette, LA
Member since Nov 2004
22403 posts
Posted on 7/6/14 at 1:48 pm to
Your experiences are the exception.

You have your community and your state to blame. When I attended dental school, Arkansas didn't have one and had worked out an agreement for LA to accept their applicants.

There wasn't many applicants and the ones I remember had no intention of going back. I'm certain your experiences are similar to those we see in remote areas.

I hope for your sake that your comments in this thread while intoxicated lead to a better understanding of your situation. And I have no desire to bust your balls.
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