Not a Very Good Day

I have to admit that today was a little rough.  First of all, my AM patient was pretty foul and kept telling dirty jokes and swearing a lot.  Honestly, the guy wouldn't shut up!  I kept thinking to myself, "just be patient with him."  But deep inside I wanted to tell him to SHUT UP!  I felt like things went ok on him.  I probably could have utilized my time a little better on him (I would have finished more if he hadn't been talking so much).  I only finished two quads of a class 2.  He did have some areas that were tenacious, so they were hard to remove.  I got all but one spot, so I was pleased.

Next, my PM patient was a nightmare.  The poor guy is needing a cleaning to get on the liver transplant list.  Because of his liver failure, I needed to get a Physician's Consult to find out about premedication.  Well, I got a hold of his dr.'s office and they gave me the fax number.  I told them the patient was in my chair, waiting for treatment.  I thought that would have sped things up, but oh no!  They were taking their sweet time.  As a matter of fact, they never got it faxed back to me.  While we waited, I charted existing dental problems in his mouth, but I couldn't do anything subgingivally.  I did get a Scan-X pano taken on him though.  So, 1 pano down and 5 to go.  I had to reschedule this patient for next week, so that we can hopefully complete the cleaning so that when he meets with his doctor next Friday, he can be put on the transplant list.  The whites of his eyes were completely yellow and so was the gingiva of his mouth.  I had no idea that liver failure could cause yellow gingiva.  Now I know.  Here's hoping to a better week next week.