The first practice I was at in the US was a 2 doctor office. I worked in one half with 2 assistants and the other dentist in the other half.

One of my assistants had been in the business for over 30 years. She knew her s**t. When my colleague relocated, I asked the
office manager to have him assist the new guy because he was very fresh and inexperienced.

One day, I was in the middle of a tough root canal when she came running and said "Dr.G stat" and ran back.

I literally stopped what I was doing, told the assistant to stay with my
patient and ran over to the other side. One look at the patient and I knew he was having a heart attack.

I yelled out "911" which is the emergency helpline, asked them to say "suspected heart attack" which would get the paramedics on their way.

We got the patient on
Nitroglycerin 0.5 mg sub lingual and on Oxygen. I got one assistant to get the blood pressure continuously monitored but I could literally hear his heart pounding away.

The other dentist looked like he was going to have a heart attack so we got him away from the scene clearing
chairs and other patients in the reception area so the paramedics could come in asap.

I got one more Nitro in by the time the paramedics came. He had already started improving by then. They did their thing and took him to the Emergency Room which happened to be across the
street fortunately.

As two of them wheeled him out, the chief turned around and asked me "Well done!. You saved his life"

I said to him "Actually I work on the other side. She called me over so technically she did."

I narrated the story to him and he said "You are damn right
she did. Now if only the doctors listened to the nurses the way you do to your assistant."

Listen to your nurses doctors!

Well said @EM_RESUS!

#nurses #doctors #Emergency #stat

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More from @Gautaamm

6 Dec
Someone I know will soon become a F1 parent! (F1=student visa in the US).

So I offered to share a few pointers I had put together year ago for students moving to the US for higher studies.

Figured why not share it here.

#F1visa #America #Masters #students #India #Pune
Before you leave:
1.Scan every single certificate (mark sheet degree cert, birth, aadhar, Pan etc) and save in a secure place. Easiest is to open an email address only for documents. Make 4 sets of copies, 2 with your parents 2 with you.
2.Spend AS MUCH time with your parents as possible. It still will feel inadequate once you are there.
3.Buy multiple sweaters, jackets, scarves, wollen caps, gloves, wollen socks etc.
Read 14 tweets
5 Dec
One of the main reasons we moved back was the deteriorating health care system in the US.

Everyone needs to understand there is a HUGE difference between "health care system" and "Medical Treatment".

"Medical Treatment" is what doctors do. Be doctors.

Diagnose. Treat. Cure
"Health care system" involves the huge mess surrounding the doctors under which they have to operate.

The layers and layers of bureacracy, third party payments, MBA bosses, pharma companies, medical malpractice, corporate work culture, VC partners etc.
Needless to say, the layers keep on increasing and move the patient further and further away from the doctor.

So now, the diagnosis happens only if the insurance company approves the check up or the tests or imaging.

The diagnosis has to happen within a stipulated time
Read 9 tweets
3 Dec

One of the BIGGEST advantages of having studied in the US, specially at an Ivy League school in a city like Philadelphia is the exposure I received to 2 ethnicities:

Judaism and African Americans.
The FIRST thing I was educated on by my friends at Penn Dental was what NOT to say to and about them. And I wish to share that here as I saw a tweet recently break one of the rules.

Judaism: Any one who has studied history knows who Hitler, also known as "The Fuhrer" was.
He basically is responsible for massacre for millions of people purely because they belonged to the Jewish faith.

What he has done, rather had done, is TERRIBLE and almost nothing can come close to it in terms of cruelty, insensitivity, racial bias and inhumanity.
Read 10 tweets
23 Oct
#Thread on Calcium defficiency, osteoporosis and dental treatment:

In the last one month, I have treated at least 4 females in their 60's, who have had serious Calcium defficiency. One of them is being treated for osteoporosis while two of them are borderline cases.
"Osteoporosis causes bones to become weak and brittle — so brittle that a fall or even mild stresses such as bending over or coughing can cause a fracture. Osteoporosis-related fractures most commonly occur in the hip, wrist or spine.
Bone is living tissue that is constantly being broken down and replaced. Osteoporosis occurs when the creation of new bone doesn't keep up with the loss of old bone."

Read 10 tweets
22 Oct
#thread on dentists and X-rays....

Patients often are resistant to dentists taking xrays.

More than anything, they benefit directly from appropriate and adequate X-rays.

For starters, here’s how safe digital dental X-rays are: Image
Next they help reveal a lot of information.

Eg.anytime I take a tooth out, I take an X-ray AFTER to ensure it’s all out.

This patient came in yesterday for an infected tooth. It was so damaged it came out in 6 pieces literally! Image
There was no way to know if it was all out! Except taking an X-ray!

And look what it showed!

A small sliver had lodged itself in the socket!

This would have gotten reinfected and would not have healed for a long time.

It also would have caused a loss of trust. Image
Read 5 tweets
14 Aug
Getting a lot of questions about kids and brushing so a quick thread:

Children have 20 primary teeth which start erupting at age 6 months and continue till around the 5 year mark. (see image)

The need for "brushing' starts at birth but is done on the gums initially.
After the baby is fed, either via breast feeding or the bottle, use a clean cotton handkerchief and room temp boiled water to gently clean the gums.

The teeth are forming under the gums and if the milk is left behind it can see through and cause cavities.

The same is done
for teeth when they erupt.

Around the 1 years mark, it is a good idea to start the process of brushing the teeth. There are many wonderful types of infant brushes available which can be used for the same. This is a popular one but can sometimes be too big and hence a challenge.
Read 9 tweets

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