Tuesday, March 13, 2007

SURELY SHE CAN HANDLE A BIT MORE STRAW...

That's it.

In 2 days time, I am handing in my resignation as I can no longer stomach working for Dr Evil.

Knowing this, I feel so incredibly light and carefree, like a huge, massive weight with hair-plugs has been lifted from my shoulders.

I will no longer be called a social worker. I will no longer have Dr Evil sit in on all my appointments with new patients to make sure I am treatment planning them to his liking. I will no longer be victimised and made the scape goat of every practitioner meeting. I will no longer have Bug-Eyed-Stick-Insect-With-Superiority-Complex staring at me with her bug-eyes and a superior smirk on her face, staring at me fixedly throughout these meetings. I will no longer feel evil by association.

Today, I had a new patient attending in pain. She only had 5 lower front teeth left. One had a beautiful root canal treatment that was 15 years old, had always been completely asymptomatic and on x-ray, seemed technically perfect - just like Ameloblast's. Her complaint was on pain in the lower left jaw that "wasn't a dull ache, but a feeling of a heaviness that spreads down the neck, across the chest and left breast and under the left arm". When questioned, the patient said that she had experienced exactly the same pain last November, saw her doctor, who sprayed something under her tongue and then referred her to the hospital for testing, including an angiogram, which apparently, showed no blockages. After taking the spray, her pain disappeared.

I tested all her remaining teeth in every possible way and was sure her pain was from her heart and was being referred. I have seen this before and the previous patient I saw this in ended up with a quadruple bypass and no fillings, even though he was convinced that he was having dental pain.

Dr Evil came in, wanting to check what I was planning for treatment for this new patient, which was namely seeking medical assistance. I explained the situation to him and my reasons behind my provisional diagnosis.

He quite matter of factly took a look at the patient and informed her that I would help her by retreating her root canal, doing a crown and then discussing with her restoration of her upper jaw with implants.

In my pathetic weakness, with Dr Evil watching, I proceeded to remove the old root canal, the whole time terrified my patient was going to go into full cardiac arrest at some point.

I have never felt like such a scumbag in my life.

At the end of the appointment, I quietly stressed to the patient that she urgently seek medical advice, then went into the cafe next door, ordered a soy cappucino, and cried.

I am so glad to be getting out of here. It's just not worth it.

2 Comments:

Blogger Unknown said...

Thanks for the compliment! I'll try not to let it get to my head.

You've done the right thing. It's too bad that you ended up giving into his demands to start the retx though.

And people wonder why I rant about dentists so much...

12:41 AM  
Blogger Dr. Mommy, D.D.S. said...

good for you, SP!

that kind of environment will certainly NOT help you develop as a clinician. don't sweat it, we've all had bosses like that and were put in situations like that and had to play someone's bitch at one point (read one of my october posts about a scrap i had with my old psycho boss about a pedo patient and a pulpectomy). it sucks, but chalk it up to a learning experience - it only makes you stronger. just don't ever let anyone pull rank on you like that again - remember, if something happened to that patient, or any patient for that matter, it's YOUR license on the line not the bosses, and that dickhead and ALL dickhead bosses in the future can and will hang you out to dry. you certainly did the right thing.

good luck with your application process, BTW! slice 'em and dice 'em!

1:53 PM  

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