Tag Archives : Medical Emergency mastery


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!!!


Invisalign to the rescue!

Generally my blogs surround topics of interest in areas of medical emergency, preparedness and management of patients with special needs. Today, I digress. I’d like to chat for a minute about my new exciting endeavor! I’ve been practicing traditional orthodontic therapy for almost 20 years. During this time I’ve come to many conclusions. The most […]


What do you know about Oral Cancer?

  Did you know April is Oral Cancer Awareness Month? Most recently I attended an online training course for the Velscope. Velscope is an amazing technology that is designed to provide a detailed assessment of intra oral tissues. The Velscope is used to examine all soft and hard tissues. Oral Cancer detection with the use […]


“We treat our patients with their permission, use this gift wisely”
(Catharine Goodson,DDS)

Have you asked your patients about their use of OTC medications? Many patients would not think to report their use of such common supplements as gingko biloba, ginseng, saw palmetto, green tea and St. John’s Wort. It is vital to know  these “drugs” can interfere with the actions of anti-hypertensives, diabetes medications and certain post stroke and MI meds. Do you need a complete list of drug interactions? Send me a message or sign up for my newsletter..


Do you offer oral cancer screening to your patients?

Most recently I have been utilizing the VelScope for intra oral cancer screenings. I am blown away by this amazing morsel of technology! The ease of use of the scope is exceeded only by the fantastic response to add a screening to a “routine” cleaning appointment. I have also ordered Oral CDX kits to obtain cells from any suspicious lesions!

Please stay tuned from my upcoming video on the proper use of a VelScope and Oral CDX biopsy brush.
If you’re uncertain whether you should include this service in your practice, I can only recommend that you utilize this amazing technology!


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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.


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 […]