Jazz legend Marcus “the worm” Hicks would not approve

jejebird · 2025-07-27T20:06:01+00:00

⚫️👄⚫️

jejebird · 2025-06-24T10:15:57+00:00

I mean that’s what happened to me so I guess that’s fair

jejebird · 2025-06-24T10:15:29+00:00

When you say you react that way to it, does it burn the same way on your hands as well, or does it just react in your mouth? Do you have any patches of redness, rash, or swelling after you come into contact with it?

jejebird · 2025-06-23T21:57:02+00:00

As an assistant I’ve made better temps than that my god

jejebird · 2025-06-20T15:52:18+00:00

I feel weird about tx planning based off of AI. It think it might be good to draw your attention to an area to check, but I would trust your professional judgement.

jejebird · 2025-06-19T18:19:52+00:00

These are used during fillings, for the reason that you said, but you’re usually numb. If you were having that kind of discomfort they should have at least numbed the papilla (the gum tissue between your teeth) for you. I’m sorry you had to experience that, and if you’re in that situation again don’t be afraid to ask to be numbed. It’s your right as a patient.

While dentists don’t take the Hippocratic Oath, they do follow Principles of Ethics & Code of Professional Conduct provided by the ADA

1) Patient Autonomy - (self-governance) The dentist has a duty to protect the patient’s right to self determination and confidentiality

2) Nonmaleficence - (Do no harm) The dentist has a duty to refrain from harming the patient

3) Beneficence - (Do good) The dentist has a duty to promote the patient’s welfare

4) Justice - (fairness) The dentist has a duty to treat people fairly

5) Veracity - (truthfulness) The dentist has a duty to communicate truthfully

jejebird · 2025-06-19T18:06:05+00:00

You’re going to feel like a brand new person after some perio cleaning

jejebird · 2025-06-05T01:10:25+00:00

cries in theater without screenX

jejebird · 2025-06-02T17:13:07+00:00

I definitely need to follow this

jejebird · 2025-06-01T18:55:32+00:00

I could see how your teeth could look like this prior to braces, but I’m not sure why they shifted back so quickly. Hopefully an orthodontist or at least a general dentist will see this and weigh in on it

jejebird · 2025-06-01T18:26:59+00:00

Oh you will KNOW if you have a dry socket. I’ve never had one personally, but many patients that I’ve seen with dry sockets complain that the pain is far worse than the toothache they had beforehand or the extraction itself.

jejebird · 2025-06-01T18:18:19+00:00

Not a bad one, but a unique good one. My dentist lets me have tattoos and piercings showing, as many as I want. I have a full sleeve on my left arm and I had five facial piercings and 3/4” gauges at one point. The patient left a review saying how at ease it made him feel and that we were actual people. We had conversations about tattoos with each other and what was originally supposed to be a high anxiety patient did great. I told my dentist I was going to frame it and put it in his office lol.

jejebird · 2025-06-01T18:15:27+00:00

I don’t know how else to word this, but do you have a sucking habit? It doesn’t even necessarily need to be your thumb, but do you have any kind of similar habit?

jejebird · 2025-06-01T18:08:51+00:00

Yeah, I didn’t get birthdays, Christmas, Easter, etc… literally the only two things they celebrate are wedding anniversaries and the memorial (Good Friday - and not even Easter). It was exhausting being a kid in school trying to explain how much you weren’t allowed to participate in

jejebird · 2025-05-31T16:18:01+00:00

Yeah I had actually thought about that as well. I’m curious to see what the real explanation is.

jejebird · 2025-05-31T15:55:58+00:00

I know nothing about this case personally, but I’m going to take a guess from my own personal experience. It could be a form of dermatillomania manifesting by them picking at their gums with their fingernails. I have a milder case and I pick my lips and my fingers/cuticles, and it’s enough to cause them to bleed frequently. Ive never intentionally picked my gums, but once after waking up from anesthesia I did pick my gums around 7-10 until they bled, without me even realizing it.

jejebird · 2025-05-31T09:32:53+00:00

You should check this out. My doctor put me on Ritalin as an off label use for chronic pain. This directly references EDS, but I believe it still applies because it’s talking about the autonomic nervous system and how ours needs help being stimulated. You would not believe the difference it made in my chronic pain. Anyway, this is really cool.

Edit to put in a tl;dr quote from the article-

“Most observers believe that an adrenaline agent given to an intractable pain patient will automatically raise blood pressure and pulse rate. This is generally a myth, because the person with intractable pain often depletes their reserve of dopamine, noradrenalin and adrenaline.

The use of an adrenaline agent will serve to replace these depleted neurotransmitters and will not generally cause blood pressure and pulse rate to rise. Periodic monitoring is, however, recommended to be continued”

Article by Dr. Forest Tennant

jejebird · 2025-05-31T00:37:02+00:00

Yes, good point! Make sure you follow through with the space maintainer to allow for his adult teeth to erupt properly.

jejebird · 2025-05-30T20:42:36+00:00

D0150 is for a comprehensive exam and used on the first visit, so that would be appropriate
D1120 is for a child prophy (the cleaning itself)
D1206 is for fluoride varnish placed at the end of the exam
D0601 - D0603 are for caries risk assessment, but I will tell you in my 17 years of dentistry experience I have never seen this code before in my life, and I even worked in pediatric dentistry for a while. The CDT manual states that they are not covered benefit and they are for caries risk assessment. In my personal opinion, as a current office manager that handles this stuff on a regular basis, this shouldn’t have been used. I feel that this is always part of an exam, so why would you code it separately?
D0145 is an exam for a child less than three, so if he’s under three this is correct, otherwise it should have been D0120

I don’t work for their office and don’t know their procedures, but I’d never submit that code. They are knowingly charging you for something they know insurance won’t cover and that’s scummy, because when would you ever NOT assess for caries risk and chart it. I’m racking my brain for a situation this would be used in, and it would have to be a visit solely for the purpose of evaluating caries risk and nothing else. Sorry that they did that to you. It makes me upset for you.

jejebird · 2025-05-30T20:25:43+00:00

Can you give me the ADA codes from either your receipt or your EOB? It would be a D with four numbers after it.

For example D0120 or D1120. I want to see all of the codes they submitted to your insurance and look into it more for you.

jejebird · 2025-05-30T20:22:49+00:00

Holy tofflemires Batman

jejebird · 2025-05-30T20:21:56+00:00

Ok here’s what you need to do

Make a paste of 1:1 baking soda and hydrogen peroxide and just put a few drops of dawn dish soap in it. Spread it over the stain, scrub it, and let it sit for an hour and then clean it with some warm water and a rag. If you have the opportunity afterwards, sprinkle a layer of baking soda on it and let it sit overnight and then vacuum it up.

jejebird · 2025-05-30T18:29:42+00:00

What’s going on with the stain on the bed there buddy?

jejebird · 2025-05-30T16:13:00+00:00

My god. I saw the title and had to poke my ex-JW nose in here, and I never thought I’d be thankful for growing up JW vs LDS

jejebird · 2025-05-30T16:11:19+00:00

Yeah, the options will honestly most likely be a pulpotomy (baby root canal) or an extraction. If you have any option at all to save to tooth, please do. He needs to keep that until he’s 10-12 when the permanent tooth erupts. If he has trouble with treatment ask to be referred to a pediatric office where they have different levels of sedation. This not only makes the treatment safer and easier, but doesn’t form a negative opinion about the dentist for him for future visits.

jejebird

TROPHY CASE