Perverse Patients

Here at the oral maxfac clinic in Muar, or more commonly known as the oral surgery clinic, we receive all sorts of patients from those with systemic conditions, paediatric patients, special needs and trauma cases. Most patients who come in are eager to receive our treatment be it a simple consultation to a complicated surgery. However, there are these few who makes you feel that they are doing you a HUGE favour by letting you treat them. What the heck?!

I saw this patient today who was involved in an accident (car skidded and hit a tree) yesterday. He sustained a fracture of his mid face, multiple laceration wounds in his mouth and 3 fractured teeth. He was fine when i was performing the examination, but when informed that he needed stitches for the multiple wounds, he made a BIG FUSS over it. He claimed that he already had stitches on other parts of his body and that was enough. Oh ya, I don't really wanna spend an hour suturing your mouth when I have better behaved patients waiting to be seen! And you are not doing me a favour by letting me suture your wounds! Don't give me that dissatisfied look when I ask you to sign the consent form. Really, what the heck is your problem? I don't care if you wanna leave your wounds open, but who will be cleaning up the mess when your wound gets infected and pus comes gushing out??? Well, of course I couldn't say all that. Instead, I had to coax him into getting the treatment with a soft, persuasive tone. BLEK!!!

The other day I had another patient who even refused to be examined. When asked if I could examine him, he turned his face away and mumbled something inaudible. As expected, he refused to be sutured but we ( my superior and I) managed to talk some sense into him. However, throughout the entire procedure, he kept complaining that his body was aching and that we should just stop. OMG I felt like suturing him without any local anaesthetic just to make him stop complaining. I was the one doing all the work with my back bent while he was lying on the hospital bed (these beds cannot be adjusted) doing nothing but whine.

Really cannot tahan these people. Please stop sending them to us!!! Please!! 

I saw a patient on Friday, an elderly gentleman, who needed an extraction. I was shocked when I saw him, as the skin on his face was flaking off all over. On closer examination, his whole body was flaking! When asked, he turned out to suffer from skin cancer ( not sure which type) for over 20 years. Sorry to say but that sight was kinda gross. Every time he moved, bits of his skin will just peel off. And when he left, there were flecks of his skin all over the dental chair! Gross max!

Tooth sensitivity

Took a PA xray of my lower left teeth today. Here it is!

Cool right?? Can even see my impacted wisdom tooth! 

I've been experiencing sentivity on my lower left first molar since a week ago. This sensitivity occurs when I release after biting and lasts only for a few seconds. I suspected it to be cracked tooth syndrome, but my superior thinks it's perio. What say you??