Tag Archives : catharine goodson dds


What will it take for you to go that extra degree?

Water boils at 212 degrees: it steams at 211…What difference does a degree make? The difference between steam and boil is accomplished with a one degree difference! What would an increase in one degree help you do? Could you accomplish your goal with one degree more effort? I’ve watched this video many times in the last few days and the conclusion for me is simple: one degree more effort is the pinpoint focus necessary to take my efforts over the top! You can visualize a goal, meditate on its outcome and project what your life will be like when its met. But when you take your effort, direct it specifically on the end result and take the ONE step necessary to make it happen, you can make your life boil!!!


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How is an asthma attack induced?

Does this scenario sound familiar? Your patient checks the appropriate box on your medical history that says “asthma”. Now what to do with the information. The most important information you will need to extract from this positive response is the level of the patient’s knowledge about their asthma, the degree of control of asthma attacks […]


A few days ago, I was watching my favorite network, “The Food Network” and I saw an amazing commercial that was both educational and frightening. What I observed was a commercial for a drug called Xarelto. The drug is purported to be a suitable pharmaceutical treatment  used to reduce the risk of stroke and blood clots in patients with atrial fibrillation that is not caused by a heart valve problem. My concern is the commercial sounded more like an infomercial, designed to entice those patients that are currently taking Warfarin. The reality is that there is a limited amount of information on how Xarelto compares to warfarin in reducing the risk of stroke. Xarelto is also used to treat deep vein thrombosis and pulmonary embolism. It has been found helpful in the prevention of future occurrences of deep vein thrombosis and pulmonary embolism. An additional indication for its use is a reduction of  the risk of clot formation in the legs and lungs of patients that have recently had hip or knee replacement surgery.

After having seen the commercial a few times, I realized that commercial advertisement of this drug is designed for two purposes: the first is to educate consumers that are currently taking Warfarin that a suitable replacement may be suitable for them. A second purpose is begin the grass-roots level of education that must occur as a new drug is being introduced and prescribed.

My concern is that as dental providers we must remain abreast of introduction of new medications that may affect our dental treatment. It remains our responsibility to be knowledgable in the uses, indications and contra-indications of this drug. It should also be understood that new drugs are continuously introduced that will affect our dental treatment.

Please take a look at the prescribing information for Xarelto. To stay abreast of constantly changing medications, consider the addition of an app like Micro-Medix or Medscape. They are both free and can be downloaded to your smart phone, iPad, tablet and P.C. I consider both of these as wonderful resources, each has benefits and disadvantages, but they are wonderful adjuncts.


When your patient says “Yes” to Asthma..

When your patient states on their medical history that they have asthma,some logical questions should include: at what age was your asthma diagnosed? do you know what type of asthma you have? what causes your asthma attacks? have you been hospitalized due to your asthma? when was your last asthma attack? do you carry a […]


Have you thought about your end of the year spending?

When we think about the holidays, most often we are deciding about gifts for our family and friends. Then, the difficult decisions arise concerning our staff. Do we have a party, provide them a bonus or a gift. Whichever suits your style, this year give your practice a gift. We all know what our tax […]


Dental appliances used to treat Sleep Apnea

Dental appliances are designed to treat mild to moderate sleep apnea. They prevent the collapse of the tongue and soft tissues in he back of th throat. This assists in maintaining an adequate airway during sleep. They may be used alone or in combination with a CPAP appliance. Some of he advantages of oral appliances […]


What can your role as a Dentist be in diagnosing Sleep Apnea?

How many times have we examined patients that fit the same physical profile: high blood pressure, overweight, apparent lack of good quality saliva, readily visible periodontal disease and obstructed airway? Then upon further questioning when you ask them if they have experienced morning headaches, irritability throughout the day, heartburn, insomnia and rapid weight, they will […]


What do you think about your Medical History Form?

When you think about your Medical History form what comes to mind? Are the questions on your intake questionnaire designed to extract information about the presence of chronic illnesses, allergies and unusual reactions or negative dental experiences? How much credence do you actually give to that information? Do you use the information as a reason […]