Pain to be expected with dentists?
Bill
anymore?
I had a root canal and the dentist did not want to prescribe pain medicine.
If I had known in advance he thought pain medicine was unnecessary, I would
not have had the root canal done.
So ask before they pull a tooth or do a root canal if the dentist intends to
prescribe pain medicine or not. If not, go elsewhere!
Dentists should at least warn you ahead of time that they don't intend to
prescribe pain medicine.
What is the problem with this anyway? It used to be dentists were trying to
promote a "pain free" image and would prescribe pain medicine without you
having to ask for it. Is this a legal/lawyer thing?
Who or what government agency is making dentists reluctant to prescribe pain
medicine? (I hope those people need a bunch of root canals and don't get any
pain medicine!)
Pin
wrote:
> Why is it like "pulling teeth" to get pain medicine prescribed by a
> dentist
> anymore?
>
> I had a root canal and the dentist did not want to prescribe pain
> medicine.
> If I had known in advance he thought pain medicine was unnecessary, I
> would
> not have had the root canal done.
>
> So ask before they pull a tooth or do a root canal if the dentist
> intends to
> prescribe pain medicine or not. If not, go elsewhere!
>
Hmm. I had my first ever root canal done few months back.
All the pain I had was before I went to the dentist.
I didn't have any pain afterwards, so I didn't need any
pain medication.
Steven Bornfeld
> Why is it like "pulling teeth" to get pain medicine prescribed by a dentist
> anymore?
It shouldn't be. While root canals are not always painful afterward,
such an occurrence is far from rare. I will usually discharge a patient
with a prescription if I think there is a reasonable possibility there
will be significant pain.
I hope you called your dentist to tell him you were in pain. Did you?
Did he still refuse to prescribe pain medication? If so, I believe it
shows poor judgment.
Steve
--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
SMS
> Why is it like "pulling teeth" to get pain medicine prescribed by a dentist
> anymore?
>
> I had a root canal and the dentist did not want to prescribe pain medicine.
> If I had known in advance he thought pain medicine was unnecessary, I would
> not have had the root canal done.
>
> So ask before they pull a tooth or do a root canal if the dentist intends to
> prescribe pain medicine or not. If not, go elsewhere!
I've had a few root canals and the dentist (three different ones) always
prescribed Vicodin without asking. It's rarely necessary though,
Ibuprofen is sufficient.
InfoSeeker
<billnoma...@yahoo.com> wrote:
>Why is it like "pulling teeth" to get pain medicine prescribed by a dentist
>anymore?
A nice (invalid) generalization based on ONE experience. Simple
answer, it's not. You need to look for a new dentist.
Mrs Irish Mike
> On Wed, 14 Jul 2010 22:27:55 -0700, "Bill"
>
> >Why is it like "pulling teeth" to get pain medicine prescribed by a dentist
> >anymore?
>
> A nice (invalid) generalization based on ONE experience. Simple
> answer, it's not. You need to look for a new dentist.
A lot of doctors judge the patient's chances of abusing the drug and
prescribe accordingly. The doctor might be over his limit, too many
opiate RXs mean Feds invistigate. Addicted people have been known to
go to great lenghts to get their fix.
Steven Bornfeld
While this is no doubt true, someone having a potentially painful
dental procedure has a right to expect competent pain control. I have
on rare occasions encountered patients who I thought wanted drugs. They
often do have a bad tooth, which they tend to want to show me in the
waiting room. They never have the tooth treated. They also tend to
tell me what drug they want.
You see where I'm heading--you don't have to be a genius to detect a
drug-seeker. They aren't going to sit for that root canal, and they
certainly aren't going to pay for it!
If doctors have problems with the DEA, it's probably because their
prescribing practices deviated significantly from the norm. I've never
heard of one of my colleagues being questioned for writing too many
prescriptions.
Disclaimer: I personally don't prescribe Schedule II narcotics (by
choice) because they have the greatest abuse potential, are most likely
to draw the attention of the authorities, and I just don't want all of
that paperwork. Oh, and I don't think they should be necessary for the
vast majority of dental treatment.
Steve
Bill
> A lot of doctors judge the patient's chances of abusing the drug and
> prescribe accordingly. The doctor might be over his limit, too many
> opiate RXs mean Feds invistigate. Addicted people have been known
> to go to great lenghts to get their fix.
>
Bingo! This is the problem as I understand it to be with doctors, I didn't
know this also was a problem with dentists (druggies wanting drugs). I can't
imagine someone going to a dentist if they don't have to. I like you folks,
but not my idea of fun!
FYI - The Vicodin 5mg (lower dose) works for me. And after the pain has
lessened, 1/2 pill will do the trick. But I might need to take 2 pills after
I get home and have a lot of pain. (In my experience, Ibuprofen works pretty
good for tooth pain, but not good enough for the pain the first couple of
days after a root canal or tooth extraction.)
Back to the problem of druggies, can't there be some way to distinguish us
"regular people" from the druggies? I don't drink alcohol and am retired so
I have no need to drive when taking pain medicine. Why punish everybody for
the misdeeds of a few?
I don't know what schedule II is? I just looked that up and this looks to me
like stuff they would give you in a hospital after an operation. I don't see
any need for anything that strong for any of the times I have gone to a
dentist.
So I guess this "doctor's/dentist's limit on opiate prescriptions" is where
the problem lies. Perhaps a letter to my federal elected officials might
help? Say they need to distinguish people in legitimate need for pain
medicine from the druggies? And if a doctor/dentist is only prescribing to
these people, to not bother him/her with an "investigation"? Is this what
needs to be done?
To be honest with you, now that I understand the situation, I would do the
same thing if I was a dentist. I would not be prescribing any pain medicine
unless I had to. I would not want a federal investigation! "Walk a mile in
my shoes" they say...)
Mrs Irish Mike
> "Mrs Irish Mike" wrote in message
>
> > A lot of doctors judge the patient's chances of abusing the drug and
> > prescribe accordingly. The doctor might be over his limit, too many
> > opiate RXs mean Feds invistigate. Addicted people have been known
> > to go to great lenghts to get their fix.
>
> Bingo! This is the problem as I understand it to be with doctors, I didn't
> know this also was a problem with dentists (druggies wanting drugs). I can't
> imagine someone going to a dentist if they don't have to. I like you folks,
> but not my idea of fun!
>
> FYI - The Vicodin 5mg (lower dose) works for me. And after the pain has
> lessened, 1/2 pill will do the trick. But I might need to take 2 pills after
> I get home and have a lot of pain. (In my experience, Ibuprofen works pretty
> good for tooth pain, but not good enough for the pain the first couple of
> days after a root canal or tooth extraction.)
>
> Back to the problem of druggies, can't there be some way to distinguish us
> "regular people" from the druggies? I don't drink alcohol and am retired so
> I have no need to drive when taking pain medicine. Why punish everybody for
> the misdeeds of a few?
>
much more rather go with some tooth pain for a day or two than a
lifelong addiction to narcotics. If the dentist's office was clean,
his skill were good and he isn't a sadist (ala Little Shop of Horrors)
then he did a good job and you're not a druggy.
SMS
> A lot of doctors judge the patient's chances of abusing the drug and
> prescribe accordingly. The doctor might be over his limit, too many
> opiate RXs mean Feds invistigate. Addicted people have been known to
> go to great lenghts to get their fix.
In my area, most dentists don't do root canals themselves--they send
them out to an endodontist. Endodontists are expected to be prescribing
a lot of vicodin, and the feds must realize this.
My dentist is willing to do root canals, and she charges a lot less than
an endodontist (one root canal at an endodontist is more than my whole
year's dental benefit, but she charges about half what they charge. She
always asks me if I want vicodin. I probably use it for one day then
stop. I don't like the side-effects.
M.L.
>FYI - The Vicodin 5mg (lower dose) works for me. And after the pain has
>lessened, 1/2 pill will do the trick. But I might need to take 2 pills after
>I get home and have a lot of pain. (In my experience, Ibuprofen works pretty
>good for tooth pain, but not good enough for the pain the first couple of
>days after a root canal or tooth extraction.)
Root canals and tooth extractions don't cause unbearable or long-term
pain needing prescription medication. You'd probably be less sensitive
to pain if you had never taken the prescriptions in the first place.
Bill
> pain needing prescription medication. You'd probably be less sensitive
> to pain if you had never taken the prescriptions in the first place.
>
I think different people experience different levels of pain. I am quite
sensitive to pain and really hurt with a tooth extraction or a root canal.
I've only had one tooth removed for which I did not need to take pain
medicine. That tooth was loose and ready to fall out though.
However my neighbor had *all* of his teeth removed to get dentures, they
gave him strong pain medicine, and he did not take one pill! (I would have
been screaming for pain medicine if I did not have any!)
Then there is my dog who ran into my head with her head. I was dying from
pain in my head and she was just looking around like what's the big deal?
Rod Speed
>> FYI - The Vicodin 5mg (lower dose) works for me. And after the pain
>> has lessened, 1/2 pill will do the trick. But I might need to take 2
>> pills after I get home and have a lot of pain. (In my experience,
>> Ibuprofen works pretty good for tooth pain, but not good enough for
>> the pain the first couple of days after a root canal or tooth extraction.)
> Root canals and tooth extractions don't cause unbearable
> or long-term pain needing prescription medication.
Yes, fools just pull their teeth themselves using pliers etc too.
> You'd probably be less sensitive to pain if you had
> never taken the prescriptions in the first place.
Wrong. They arent used enough to get that effect with other than addicts.
Gordon Burditt
>sensitive to pain and really hurt with a tooth extraction or a root canal.
>I've only had one tooth removed for which I did not need to take pain
>medicine. That tooth was loose and ready to fall out though.
I've had several root canals. The amount of pain I experienced
seems to be more related to how much of a problem the tooth is
*before* the root canal. If you complain of a toothache, the dentist
takes X-rays, and you're then in agony a week later when you finally
get an appointment with a specialist, it's likely to hurt even more
for a day or so afterwards.
I had one root canal because an X-ray showed a cracked tooth around
a large filling. I didn't suspect a problem *there*, it was another
tooth that just turned out to have a cavity. I had no pain at all
beforehand, almost no pain during (with novocaine or whatever they
inject around the tooth), and almost none afterwards. Even aspirin
was unnecessary. Since it wasn't inflamed beforehand, there wasn't
much pain.
My dentist always offered painkiller for stuff more serious than
fillings and crowns, even "just in case", but usually only for a
couple of days. Some of those prescriptions never got filled.
Fillings and crowns don't need painkiller afterwards, not that I
have observed, anyway.
If dentists want to avoid drug-seekers, there are a couple of easy
things to do:
- Examine the tooth to see if it really needs a root canal. I think
this is generally visible on X-rays. As I understand it, a dentist
needs an X-ray of the root of the tooth to do a root canal anyway.
Then they take one during the procedure to make sure they got the
whole root.
- Don't give them the prescription until they actually have the root
canal done.
- Get at least partial payment ahead of time.
- For gum surgery, the doctor got me a particularly strong dose
(singular) for after I woke up (along with some IV drugs for
during the operation to keep me asleep) and handed it to me after
the operation was done and watched me take it. Then he handed
me a prescription for something weaker, which the guy driving me
home had filled while I struggled to stay standing and awake.
Bill
>
> ...If dentists want to avoid drug-seekers, there are a couple of easy
> things to do:
> - Examine the tooth to see if it really needs a root canal. I think
>
You're not saying that a druggie would go into a dentist and "tell them"
they needed a root canal are you?
I can't imagine intentionally *wanting* a root canal if you don't need it!
And yes each time I've had a root canal, it was inflamed and they gave me
antibiotics prior to having it done, and they told me I needed to have it
done. (I would rather have NOT had it done...) They also took x-rays before
and after.
Gordon Burditt
>> things to do:
>> - Examine the tooth to see if it really needs a root canal. I think
>> this is generally visible on X-rays...
>>
>
>You're not saying that a druggie would go into a dentist and "tell them"
>they needed a root canal are you?
Yes, or at least they'd fake symptoms. They hope to get the
prescription before actually going through with the root canal.
They wouldn't specifically mention a root canal, but just describe
a lot of pain, and point at a particular tooth.
>I can't imagine intentionally *wanting* a root canal if you don't need it!
Pretending to need one is more like it.
>And yes each time I've had a root canal, it was inflamed and they gave me
>antibiotics prior to having it done, and they told me I needed to have it
>done. (I would rather have NOT had it done...) They also took x-rays before
>and after.
The druggies really want painkillers, not antibiotics, before the
appointment for the root canal which they have no intention of
showing up for anyway.
Amatus Cremona
dislodge the temporary filling, so that it looks bad. Then they visit every
dental office in the phone book for a 50 mile radius collecting as many Rx's
as they can. You would be amazed how good they get at keeping a tooth from
healing 100% so that it always looks like they could have pain.
--
::::
Amatus Cremona
;;;;;;
"Gordon Burditt" <gordon...@burditt.org> wrote in message
news:nICdnZymQOWdlN_R...@posted.internetamerica...
Amatus Cremona
First time pain patient who we do not previously know (or who is not
referred by a known patient), is not seen without $120 up front to cover
exam and radiograph fees. True "Druggies" will not pay for their
prescriptions. Once you tell them they will need cash up front to be seen,
they never show up. If they put real cash on the counter, they are real
patients who have real needs and are taken care of with as much compassion
as possible. They usually end up with part of their cash being returned to
them as they leave.
As always, there are exceptions to every rule. Sometimes, we treat pain
patients for free or next to nothing if we are truly convinced they are in
pain and cannot afford treatment. They do NOT walk out with a script for
Vicodin, though.
--
::::
Amatus Cremona
;;;;;;
"New B." <new...@bix.nex> wrote in message
news:ar1746t3k79s79cst...@4ax.com...
> On Sun, 18 Jul 2010 14:25:13 -0500, gordon...@burditt.org (Gordon
> Burditt) wrote:
>
>>The druggies really want painkillers, not antibiotics, before the
>>appointment for the root canal which they have no intention of
>>showing up for anyway.
>
> That's why I use "must fill both"...
>
> Druggies may come once, but they don't come back...
Simplicio
> Druggies used to be "regular people", then they became druggies.
(Because a doctor or dentist gave them a prescription, so who is
really to blame?)
> If the dentist's office was clean,
> his skill were good and he isn't a sadist (ala Little Shop of Horrors)
> then he did a good job and you're not a druggy.- Hide quoted text -
And if two dentists are business partners how do you know that the
"neat one" doesn't clean the office, ever see the odd
couple? I believe one dentist on this list is in business with a twin?
You think Felix would let Oscar run a dirty office, hate
to be the patient though?
Simplicio
> drug-seeker.
If you have watched Dr. Phil lately you'd know that this is not true.
Simplicio
> > A lot of doctors judge the patient's chances of abusing the drug and
> > prescribe accordingly. The doctor might be over his limit, too many
> > opiate RXs mean Feds invistigate. Addicted people have been known to
> > go to great lenghts to get their fix.
>
> prescribing practices deviated significantly from the norm. I've never
> heard of one of my colleagues being questioned for writing too many
> prescriptions.
Then its still not clear why the dentist would not prescribe the pain
killer. So what if the patient abuses the drug, unless you think they
will keep coming
back, which then might lead to a government investigation or practice
audit by the ADA.
Brian
<clin...@prodigy.net> wrote:
>Then its still not clear why the dentist would not prescribe the pain
>killer. So what if the patient abuses the drug, unless you think they
>will keep coming
>back, which then might lead to a government investigation or practice
>audit by the ADA.
Word gets out. When a dentist prescribes drugs for someone who didn't
need them, many others will call. When I first started in practice, I
was naive and gave out prescriptions. I would get a number of calls
from people with good stories.
When I wised up, there were many fewer calls.
Amatus Cremona
practice, we will call it directly to the pharmacist. that way, the Rx
cannot be tampered with. I give just barely enough pills to get them to the
next appointment. If they call wanting more pills, they get half the
previous quantity. If they call again, they only get 3-4 pills. Sometimes,
you suspect a patient is a "seeker", but you are not sure and want to cover
them just in case they are legitimate.
--
::::
Amatus Cremona
;;;;;;
"Brian" <drmorri...@comcast.net> wrote in message
news:fupc469f2av89okd7...@4ax.com...
Brian
<Nic...@sottovoce.com> wrote:
>If I am writing narcotics to a patient without a long history at our
>practice, we will call it directly to the pharmacist. that way, the Rx
>cannot be tampered with. I give just barely enough pills to get them to the
>next appointment. If they call wanting more pills, they get half the
>previous quantity. If they call again, they only get 3-4 pills. Sometimes,
>you suspect a patient is a "seeker", but you are not sure and want to cover
>them just in case they are legitimate.
The ones I wrote about were usually either patients who called with
some story about why they couldn't come in immediately or emergency
patients who were there for the first time.
Stormin Mormon
lidocaine, instead of writing pills?
The one time my Dad had a late night tooth ache. He went to Emergency.
They called in a dentist, who applied a couple syringes. Back then
(late seventies) probably procaine epi. Sent him also home with a
scrip for a couple tylenol #3. When my Dad got to see the usual
dentist, the dentist offered him a scrip for ty #3. Dad remarked the
dentist at the hospital had written some, and so the dentist just said
to get that one filled. As you can figure, my Dad's not a druggie.
I'd have accepted the second script, just cause I believe in having
"something stronger" at home. I use one a year, if even that. But,
sure is nice to have available. As you can figure....
--
Christopher A. Young
Learn more about Jesus
www.lds.org
.
"Brian" <drmorri...@comcast.net> wrote in message
news:124f465aqi95ee6mm...@4ax.com...
Stormin Mormon
something magical about Rx that can't be found in OTC ibuprophen.
Me, I find ibuprophen works better than hydrocodone. And naprosyn
sodium (quality name brands) are excellent.
You likely have a good phone relationship with your local pharmacist.
First name basis, most likely? Hmm. Folks call a dentist "Doctor
Cremona". But what do you call a pharmacist?
--
Christopher A. Young
Learn more about Jesus
www.lds.org
.
"Amatus Cremona" <Nic...@sottovoce.com> wrote in message
news:X8Cdnc0HFJ1c4trR...@wow.com...
Bill
> something magical about Rx that can't be found in OTC ibuprophen.
>
Yes ibuprophen works good for tooth pain, but some people (like with high
blood pressure) are told by their medical doctors to NOT take ibuprophen
(NSAIDs).
So the medical doctor says don't take ibuprophen, then the dentist says to
take ibuprophen (even though high blood pressure is checked off on the
patient form for the dentist).
I guess you need to get the dentist to call the medical doctor and have a
little chat?
k...@att.bizzzzzzzzzzzz
wrote:
>> Sometimes they are pain cowards. Or, they figure that there is
>> something magical about Rx that can't be found in OTC ibuprophen.
>>
>
>Yes ibuprophen works good for tooth pain, but some people (like with high
>blood pressure) are told by their medical doctors to NOT take ibuprophen
>(NSAIDs).
Doctors will prescribe NSAIDs even for patients with high blood pressure. It
may be some risk, but it is done.
>So the medical doctor says don't take ibuprophen, then the dentist says to
>take ibuprophen (even though high blood pressure is checked off on the
>patient form for the dentist).
So, you're not to trust any doctor?
>I guess you need to get the dentist to call the medical doctor and have a
>little chat?
Worth a suggestion, or at least worth questioning the dentist.
DrTeeth
herb, Brian <drmorri...@comcast.net> disturbed my reverie and
wrote:
>The ones I wrote about were usually either patients who called with
>some story about why they couldn't come in immediately or emergency
>patients who were there for the first time.
is it common to prescribe opiates for dental (inflammatory) pain in
the USA? For dental pain it is much more common here in the UK to
prescribe non-steroidal anti-inflammatories.
As to prescribing? They can be bought over the counter and I will not
prescribe an OTC medicine even if the patient is on welfare and does
not pay for prescriptions. The reason being that if they can buy
cigarettes, makeup, booze and have a foreign holiday, they can spare a
$1 for some ibuprofen.
I have no problem in prescribing for pain, but I do not do it ahead of
time as a routine.
--
Cheers,
DrT
** Stress - the condition brought about by having to
** resist the temptation to beat the living daylights
** out of someone who richly deserves it.
DrTeeth
herb, "Bill" <billnoma...@yahoo.com> disturbed my reverie and
wrote:
>So the medical doctor says don't take ibuprophen, then the dentist says to
>take ibuprophen (even though high blood pressure is checked off on the
>patient form for the dentist).
High blood pressure is not a contra-indication to prescribing
anti-inflammatories in Europe.
DrTeeth
a herb, Mrs Irish Mike <BeaF...@msn.com> disturbed my reverie and
wrote:
>. I
>much more rather go with some tooth pain for a day or two than a
>lifelong addiction to narcotics.
Taking a few tabs will not get you addicted. It is possible to
prescribe opiates for YEARS without the patient becoming addicted
DrTeeth
herb, "Bill" <billnoma...@yahoo.com> disturbed my reverie and
wrote:
>I think different people experience different levels of pain.
You are bang on with that one. Pain has a VERY high psychological
element to it - this is not intended to be a disrespectful comment to
you personally, it is true for all of us.
DrTeeth
herb, gordon...@burditt.org (Gordon Burditt) disturbed my reverie
and wrote:
> The amount of pain I experienced
>seems to be more related to how much of a problem the tooth is
>*before* the root canal.
It is all in the technique. In the past 15 months, doing at least 30
root canal teeth a week, week in week out, I have *5-10* acute pain
episodes that necessitated patients contacting me for help/advice.
Patients invariably feel better with the more problematic teeth, often
experiencing immediate post-LA freedom from pain.
vaughn
"DrTeeth" <no-e...@tardis.com> wrote in message
news:aavm46l6kc9l1tl3i...@4ax.com...
> Patients invariably feel better with the more problematic teeth, often
> experiencing immediate post-LA freedom from pain.
The one time that I had an emergency RTC, that was exactly my experience. The
acute pain was gone, replaced by a bit of post-op tenderness for a couple days.
It was the and only time I *couldn't wait* to get my butt in a dentist chair!
Vaughn
Bill
> prescribe non-steroidal anti-inflammatories.
>
>
It is my understanding and it also says at the following link you can buy
pain relievers containing codeine (for mild pain) in the U.K and Canada. So
if I lived there, I would not need to request a prescription!
http://www.painrelieffoundation.org.uk/docs/painseries%20-%20overthecountermedicines.pdf
Brian
<billnoma...@yahoo.com> wrote:
>
>Yes ibuprophen works good for tooth pain, but some people (like with high
>blood pressure) are told by their medical doctors to NOT take ibuprophen
>(NSAIDs).
>
>So the medical doctor says don't take ibuprophen, then the dentist says to
>take ibuprophen (even though high blood pressure is checked off on the
>patient form for the dentist).
>
>I guess you need to get the dentist to call the medical doctor and have a
>little chat?
>
i have had a heart attack, stents and a pacemaker so I am on Plavix
and aspirin. I also have HB. I can't take ibuprofen for an extended
period of time but can take it for a short time.
Brian
wrote:
>is it common to prescribe opiates for dental (inflammatory) pain in
>the USA? For dental pain it is much more common here in the UK to
>prescribe non-steroidal anti-inflammatories.
>
>As to prescribing? They can be bought over the counter and I will not
>prescribe an OTC medicine even if the patient is on welfare and does
>not pay for prescriptions. The reason being that if they can buy
>cigarettes, makeup, booze and have a foreign holiday, they can spare a
>$1 for some ibuprofen.
>
>I have no problem in prescribing for pain, but I do not do it ahead of
>time as a routine.
Generally OTC medications work well. However, I can remember having an
endodontically treated tooth that abscessed after many years. Nothing
touched the pain except for a narcotic.
Brian
wrote:
>Taking a few tabs will not get you addicted. It is possible to
>prescribe opiates for YEARS without the patient becoming addicted
Some people can smoke all their lives without ill effects but I
wouldn't recommend it.
DrTeeth
herb, "Bill" <billnoma...@yahoo.com> disturbed my reverie and
wrote:
> So
>if I lived there, I would not need to request a prescription!
Only tabs containing 8mg of codeine are available OTC. 30 mg tabs
require and prescription.
DrTeeth
> Nothing
>touched the pain except for a narcotic.
You probable did not get diclofenac 75mg SR...better blood levels than
50 mg qds.
DrTeeth
herb, Brian <drmorri...@comcast.net> disturbed my reverie and
wrote:
>Some people can smoke all their lives without ill effects but I
>wouldn't recommend it.
Two completely different things which are not comparable at all. You
do yourself no favours, sir.
Brian
wrote:
>Two completely different things which are not comparable at all. You
>do yourself no favours, sir.
They are very similar.
Familiar with the Bell curve?
And you do yourself no favors with gratuitous demeaning remarks.
DrTeeth
>They are very similar.
Rubbish
>Familiar with the Bell curve?
Nowt to do with it.
>And you do yourself no favors with gratuitous demeaning remarks.
It is to distract myself from the smell of flatulence coming from your
direction.
Stormin Mormon
qualified to comment on anything professional.
--
Christopher A. Young
Learn more about Jesus
www.lds.org
.
"DrTeeth" <no-e...@tardis.com> wrote in message
news:rnuq46hlalhap7pek...@4ax.com...
On Sun, 25 Jul 2010 19:38:23 -0400, just as I was about to take a
herb, Brian <drmorri...@comcast.net> disturbed my reverie and
wrote:
Bill
> require and prescription.
>
Well I don't know if that is that is slightly more powerful than the weakest
Vicodin which requires a prescription in the U.S. (Has 5 mg. of
"hydrocodone")?
But the 5 mg. Vicodin works for me. I'll take one, then another soon if
needed when I first get home. Maybe a 3rd after about 3 hours. The next few
days maybe one every 6 hours or so does the trick...
Stormin Mormon
medical pills mentioned here are also very similar.
In the US, hydrocodone typically comes with 500 MG of acetaminophen,
which the UK folks also call paracetamol.
Anyhow, wish we could get codeine without RX in the USA. I find it
effective, both for pain and for coughing.
--
Christopher A. Young
Learn more about Jesus
www.lds.org
.
"Bill" <billnoma...@yahoo.com> wrote in message
news:8b5hr2...@mid.individual.net...
Brian
wrote:
>On Sun, 25 Jul 2010 19:38:23 -0400, just as I was about to take a
>herb, Brian <drmorri...@comcast.net> disturbed my reverie and
>wrote:
>
>>They are very similar.
>
>Rubbish
>
>>Familiar with the Bell curve?
>
>Nowt to do with it.
>
>>And you do yourself no favors with gratuitous demeaning remarks.
>
>It is to distract myself from the smell of flatulence coming from your
>direction.
I don't carry on conversation with people who are nasty and crude.
So, bye, bye.
Brian
wrote:
>I don't carry on conversation with people who are nasty and crude.
>
>So, bye, bye.
Incidentally, I have no problems with people who have differing views;
only those who can't express them in a civil manner.
Amatus Cremona
the sender as it is being typed?
--
::::
Amatus Cremona
;;;;;;
"Brian" <drmorri...@comcast.net> wrote in message
news:rguu46l8mrbe77kst...@4ax.com...
Brian
<Nic...@sottovoce.com> wrote:
>Hopefully just the problem of not being able to see a smile on the face of
>the sender as it is being typed?
I'm not sure how a comment like this would apply.
Amatus Cremona
not, but the remark that led up to it,,,,,,,,,,,,,,,,,,
--
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Amatus Cremona
;;;;;;
"Brian" <drmorri...@comcast.net> wrote in message
news:eqi156h2r39kvobj0...@4ax.com...
Brian
<Nic...@sottovoce.com> wrote:
>One would hope it was meant like a friendly punch in the arm. Probably was
>not, but the remark that led up to it,,,,,,,,,,,,,,,,,,
I have strong doubts. A comment was made about there not being a
problem with patients being addicted to opiates even when they take
them for years. When I said that some people could smoke and not have
a problem, the reply was:
"Two completely different things which are not comparable at all. You
do yourself no favours, sir."
When I asked if there was familiarity with the Bell Curve and about
gratuitous demeaning remarks, the reply was:
"Two completely different things which are not comparable at all. You
do yourself no favours, sir."
Frankly, I think the comment about addiction to opiates was both
ignorant and dangerous but I was trying to couch it in a more
professional way.
--
Amatus Cremona
--
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Amatus Cremona
;;;;;;
"Brian" <drmorri...@comcast.net> wrote in message
news:km6456dvqi187gnrk...@4ax.com...
Simplicio
> On Thu, 29 Jul 2010 20:26:39 -0400, Brian <drmorrisnos...@comcast.net>
> wrote:
>
> >Frankly, I think the comment about addiction to opiates was both
> >ignorant and dangerous but I was trying to couch it in a more
> >professional way.
> >--
>
>
> You have to be brutally blunt.
Are you implying that this person is an addict. It would explain the
nonchalance toward this class of drugs. Does the ADA or BDA happen to
keep any statistics
on this matter, is there a link on there website?-% of dentists who
overuse certain substances
Simplicio
> On Wed, 28 Jul 2010 21:29:10 -0400, "Amatus Cremona"
>
> <Nic...@sottovoce.com> wrote:
> >One would hope it was meant like a friendly punch in the arm. Probably was
> >not, but the remark that led up to it,,,,,,,,,,,,,,,,,,
>
> I have strong doubts. A comment was made about there not being a
> problem with patients being addicted to opiates even when they take
> them for years. When I said that some people could smoke and not have
> a problem, the reply was:
> "Two completely different things which are not comparable at all. You
> do yourself no favours, sir."
I agree (with your assessment)
> When I asked if there was familiarity with the Bell Curve and about
> gratuitous demeaning remarks, the reply was:
> "Two completely different things which are not comparable at all. You
> do yourself no favours, sir."
I agree with the dentist, why bring this into it? If this had been
your first comment i would also have agreed (with the dentist) on the
second, but
the smoking comment was made first.....However, because this second
comment was even made by Dr. Teeth, I'm also disinclined to think the
second comment showed any meaningful insight either.
>
> Frankly, I think the comment about addiction to opiates was both
> ignorant and dangerous but I was trying to couch it in a more
> professional way.
> --
There are many things which the dental industry does which are
dangerous, I'm sure you know my #1 objection. However, after spending
time on dental lists
I cannot be shocked that there are professionals out there with strong
opinions but weak scientific justifications. Avoidance is also a
tactic masterfully used
by the ADA on many topics. Therefore I cannot and will not be
surprised or shocked that there are dentists in Britian who hold to
the view that opiate use for
years is "unaddictive" unless proven otherwise.
kunta kinte
wrote:
>On 15/07/10 11:02 AM, Mrs Irish Mike wrote:
>
>> A lot of doctors judge the patient's chances of abusing the drug and
>> prescribe accordingly. The doctor might be over his limit, too many
>> opiate RXs mean Feds invistigate. Addicted people have been known to
>> go to great lenghts to get their fix.
>
>In my area, most dentists don't do root canals themselves--they send
>them out to an endodontist. Endodontists are expected to be prescribing
>a lot of vicodin, and the feds must realize this.
>
>My dentist is willing to do root canals, and she charges a lot less than
>an endodontist (one root canal at an endodontist is more than my whole
>year's dental benefit, but she charges about half what they charge. She
>always asks me if I want vicodin. I probably use it for one day then
>stop. I don't like the side-effects.
@@ YOUR TEETH CAN BE SAVED@@ NEW TREATMENT... AVOID DENTURES,
IMPLANTS, ROOT CANALS
It may not be too late to save your teeth. Don't allow the dentist to
pull all of your teeth or expensive periodonal surgery before
contacting us at: nn...@yahoo.com
YOUR TEETH CAN LAST A LIFETIME
vaughn
"kunta kinte" <j...@beebop.com> wrote in message
news:em8r0751810plo75l...@4ax.com...
> On Fri, 16 Jul 2010 06:30:57 -0700, SMS <scharf...@geemail.com>
> wrote:
>>. She
>>always asks me if I want vicodin. I probably use it for one day then
>>stop. I don't like the side-effects.
I have had three root canals. Never needed any pain meds beyond OTC stuff.
>
> @@ YOUR TEETH CAN BE SAVED@@ NEW TREATMENT... AVOID DENTURES,
> IMPLANTS, ROOT CANALS
>
> It may not be too late to save your teeth. Don't allow the dentist to
> pull all of your teeth or expensive periodonal surgery before
> contacting us at: nn...@yahoo.com
>
>
> YOUR TEETH CAN LAST A LIFETIME
Only stupidest sort of fool would trust his/her teeth, health, and WALLET to a
SPAMMER.
Vaughn