I think the point is that according to a friend who is a dentist he sees loads
of cockups by GPs treating dental rpoblems without really knwoing what they
are treating. He points out that ABs are only a stop gap until surgery is done
and that he would not treat angina as he does not know what it is in the true
medical sense. He has seen a jaw osteomyelitis from a GP giving repeated
courses of ABs without insisting the pt sees a dentist. Case is going to court
and the pt will win easily-watch next years MPS mag. He says: give them plenty
of analgesics and send them next day to the dentist (or even that day) who is
obliged ethically and contractually to see them in the same way that GPs see
urgent problems even if fully booked. Incidentally, a GP refusing analgesia
for toothache "as It is not my area" is a breach of TOS.
----------
From: [log in to unmask] on behalf of Jel Coward
Sent: 03 September 1998 17:12
To: [log in to unmask]
Subject: Re: Rotters who won't treat dental pain
In article <[log in to unmask]>, [log in to unmask] writes
>
>Well I think you're all rotters. I treat them with amoxycillin. Reserving
>metronidazole as an very occasional option if allergic to penicillin (but it
>makes you feel horrible even without alcohol). The patient is in pain with a
>genuine physical problem which I can help him with. More satisfying than
>plenty of other "emergencies".
>
Good gracious!
Another judgement from on high - how lucky we are ;-) How did we ever
manage before?
When you tell me that you get out of your bed to all emergencies, make a
stand for personal, high level OOH care, do things like pre-hosp
thrombolysis, fight the suggestion of what would be a disastrous (in
terms of pt care) co-op - then you can call me a rotter - and not
before. I havent used my second phrase for a while, now what was it -
ah, I remember - piss off.
Cheers :)
--
Jelly Bean
'When you get fed up surfing....
.....go find some waves'
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|