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Old 02-12-2013, 03:15 PM  
tooge tooge is offline
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my healthcare soapbox

Ok, I really don't care what your political offiliations are, this isn't about that. I just saw a very sad situation this morning, and wanted to vent. This story is typical of what is wrong with our health care system.

As many of you know, I'm a dentist. I've been out of school for 20 years, so I've seen quite a bit in my profession.

This morning, a lady brought her son in for a consult. He is in his late 40's, has a dilapidated state oral health, including 8 or 9 non restorable teeth, advanced periodontal disease, and tooth decay in many of the teeth that are still salvagable.

He has a mental disorder and lives in a group home. His mother has recently moved her blind uncle into her home, and her husband has dementia. I'm not sure of the exact "diagnosis" they gave the guy that landed him in the group home, but I'm guessing its some sort of social behavioral disorder.

He was very pleasant, shook my hand, and asked alot of questions. It was like talking to a 9 year old.

Anyhow, so I give the consult, recomment removal of many of his teeth and replacement with a partial denture, some fillings, and a deep cleaning. His mom gives me a huge hug and tells me how pleasant I have been and how good I was with him. She tells me that medicaid will only pay for him to be in the group home and receive "psycological therapy", but no dental care because they are maxing out on the "psycological therapy".

So, I decide to do it all for half the cost. Yeah, I know, it makes me feel good, so there is something in it for me I suppose. But I'm pissed. How can we let the government pay to have a man get psycotropic drugs and "therapy", and yet his "therapist" don't even bother to see that he's a complete dental cripple. The guy can't even chew food. Our system is broken.

This guys overall health is suffering, he's in pain, he's unable to eat solid foods, and yet they gork him out on all sorts of drugs and pay some "therapist" to watch him interact with others. Gimme a break.

Thanks for listening. I'm done now.
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Old 02-13-2013, 07:34 AM   #31
KILLER_CLOWN KILLER_CLOWN is offline
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It's all about pharmaceuticals, Dentists don't hand enough out and can't really get anyone on a maintenance schedule. I agree 100% with this btw, it's the most retarded bullshit going.
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Old 02-13-2013, 08:07 AM   #32
mr. tegu mr. tegu is offline
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Quote:
Originally Posted by tooge View Post
I stated that incorrectly. It's not that they are maxed out with medicaid, it's that medicaid simply doesn't cover any significant dental expenses. The whole point is that the guy has two major issues, a mental disorder, and a dental disorder. The dental disorders are more likely to lead to serious problems, and even the possibility of death if untreated, and yet medicaid ignores them. thats all I was trying to say. It's sad.
That is nuts they wouldn't cover anything period. So in reality the issue is with the system not the fact that he has a therapist giving him help. You probably didn't mean it but your OP with the " " around therapy made it sound otherwise. And even though they likely see he has oral health issues there is nothing they can do about it either. The guy seems to clearly need help with both issues.
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Old 02-13-2013, 08:17 AM   #33
Cephalic Trauma Cephalic Trauma is offline
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His WBC's would be slightly elevated,but not much. The infections are chronic and have been draining for quite some time. It would actually depend on when the labs were done.
Gotcha thanks.
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