Dentaltown December 2017 - 45

knock you down. You're in trouble either way. In effect, write as much as you can
to CYA in your notes, but these ambulance chasers will always look for what you
didn't write just to hang you with it.
I've been practicing for 16 years and already thought I was cynical. This
thread has made me even more so. ■
9/11/2017

davidpalmer
The problem is that it only makes a difference to a jury
Member Since: 04/14/00
if it gets that far. The weeping widow who lost her husband
Post: 76 of 88
(because that mean ol' dentist didn't give her husband
postop antibiotics) will overwhelm any scientific reasoning or common sense. ■
9/12/2017

UofM DDS
Tough to really decide without all the information,
Member Since: 03/11/15
and agree that a death changes things dramatically.
Post: 84 of 88
In the one that you know of personally, would be nice
to see all the protocols that he followed-patient HH, vitals, notes, follow-up
post-extraction, etc., as those can play a big role in lawsuit outcomes.
One of my concerns with prescribing one for every extraction is the risk of C.
diff, which can cause hospitalization and even death (especially in the elderly).
Don't think a jury would look too fondly at prescribing an antibiotic with no real
indication in that situation.
I think that no matter how we proceed, there could be possible complications
and people looking to take advantage. Makes me feel better to base it off as much
evidence as possible. ■
9/13/2017

tlc_dmd
After reading through this thread, I'm going to
Member Since: 08/18/06
change my ext notes to say either: "infection present,
Post: 85 of 88
Rxed X," or "no visible signs of infection noted during
ext." For diabetic pts or immunocompromised pts, again, I will write: "Pt type
2 diabetic, Rxed x." I'm stating the reason why antibiotics are indicated so if
someone does sue for some crazy outcome (random anaphylaxis or C. diff hospitalization), at least I've got something.
I feel like that's a pretty good compromise to the back-and-forth on this ...
document it one way or the other. ■
9/13/2017

What's your prescribing protocol?
Search: "Severe Submandibular"
It seems there's no exact answer when it comes to prescribing antibiotics after
an extraction-in fact, sometimes patients can take a turn for the worse. Has
this ever happened to you? To read more posts or chime in, go to dentaltown.
com and search the message boards for "severe submandibular"-this
conversation will be one of the top results.

FREE FACTS, circle 9 on card

dentaltown.com \\ DECEMBER 2017

45



http://www.dentaltown.com/SearchResults.aspx?q=Severe+Submandibular&site=dentaltown http://www.drs-360.com http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown December 2017

Dentaltown December 2017 - Intro
Dentaltown December 2017 - Cover1
Dentaltown December 2017 - Cover2
Dentaltown December 2017 - 1
Dentaltown December 2017 - 2
Dentaltown December 2017 - 3
Dentaltown December 2017 - 4
Dentaltown December 2017 - 5
Dentaltown December 2017 - 6
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Dentaltown December 2017 - 40
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Dentaltown December 2017 - 42
Dentaltown December 2017 - 43
Dentaltown December 2017 - 44
Dentaltown December 2017 - 45
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Dentaltown December 2017 - Cover3
Dentaltown December 2017 - Cover4
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