Tuesday, July 13, 2010
Small Smiles Dentist Pay To Be Production Based Only by January 2011-No Vacation-No Holidays-No Paid Time Off
ATTN- Current and Future Small Smiles Dentists. This is a News Alert!
You are about to get your chance to get the hell out of this corrupt company. If I were you, I'd take it and run like the wind. I'm telling you this so you will have time to start looking for work elsewhere. I also expect you to leave your bad training and treatment habits behind and never touch a papoose board again, unless its an emergency. I have a very large database and will be checking for complaints for years to come.
In the next few months you are going to be presented with an ultimatum. Either sign a new contract or you have 90 days to move on to greener pastures.
For those of you who are seeing new ads on the Internet for dentists, BEWARE, it's a bait and switch, read on for clarification.
For all 'sponsored' foreign dentists who are here and enslaved to FORBA, it's time to decide, stay or move back to your mother country. I would go home. If you stay with FORBA chances are you will be in deep doo doo with the government before too long. You won't be able to open your own practice and the market is about to be flooded with out of work dentists. The dental mills are on their way out… and that leaves you no where to go… A 'Dentist Without A Country' so to speak.
Those of you who are locked in because of student loans, here is your chance to change your ways and find another job and if it were me, I would have done it yesterday. It's only my opinion, but it's an informed opinion.
Here is what is about to happen:
Currently FORBA VIP's are making the rounds to each clinic with their power-point presentation. First thing you want to realize is they are going to make this sound fantastic for you, but it is NOT. They are about to sell you a bag of bullshit, just as they've sold their services to all those poor children and their parents. FORBA speaks with forked tongue, not sometimes, but always. You surely know by now you are not working for the most above board company in the world.
In this presentation they are going to tell you it's all on you from now on. You probably already know this, since FORBA forced you to sign the Corporate Integrity Agreement, they chose to sign with Health and Human Services.
You are going to have no base salary, no holiday pay, no paid time off, no weekend pay, and NO vacations. You are about to be paid only a percentage of your production, somewhere between 17 and 24 percent.
This is FORBA's way of washing their hands clean and hanging you out to dry. Not to worry, Dr. Stephen Adair will hang you out to dry in a New York minute or quicker if FORBA needs him to do so. He will say whatever they tell him to say to hang any problems or issues that come up on Y.O.U.
(remember, Dr. Stephen Adair is a NON-practicing dentist, put a drill in his hands and he wouldn't know what to do with it, but he, like me, can sure write or talk about it. The only people who are impressed with him are other nonpracticing dentists, and they are as useless as screen door on a submarine.)
Remember why FORBA and its Small Smiles clinics have been able to make a billions by it's quantity, not quality care.
FORBA is going to tell you that they are having to do this because of the Compliance Agreement they signed with the government. That is not true and I suggest you read the agreement, here.
If patients don't show up, you don't make any money. If FORBA fails to bill correctly or fraudulently you get screwed. Who do you think they are going to say submitted the fraudulent billing, yes, Y.O.U.
If you think they are breathing down your neck now for production, imagine what is about to come your way.
You will be required to stay at the clinic whether patients show or not. You will only get paid once a month and that will be what FORBA says you made. You will also be 'on call' at all times. Just as if you owned your own private practice.
They are going to tell you they are being forced to do this because of all the expenses they are incurring from having to hire so many public relations companies and law firms. What they won't tell you is how much they pay various lobbyist. Remember they are incurring these expenses because they have stolen millions and millions and millions of dollars of our tax dollars, that includes your tax dollars! Nothing like getting screwed twice and not even a kiss.
These changes are going to hit Colorado and Indiana first in a 15 clinic startup plan. FORBA will roll it out for the rest of the company this fall and be completely in place at all clinics by January 2011.
When they come to visit you, ask questions and lots of them. They are shifting all the responsibility on your shoulders while they call you daily and demand more production.
You will no longer be able to treat per your education and medical judgment. You will be required to apply statistical treatment methods on ALL patients. Other than knowing how to use the equipment in the facility, you won't need to know a thing about dentistry. They will tell you exactly what you can do and what you can't do, no judgment or patient evaluation needed. Just follow the flow chart treatment.
Of course they are going to paint a wonderful picture with visions of sugar plums dancing in their heads, and make no mistake sugar plums are all that are in any of their heads…
If they can't sell this to you, they go belly up. Be on guard! Be job hunting and save your soul from damnation and nullify your contract when asked and do it with glee!
Friday, July 09, 2010
Report of Fayetteville Smile Starters Abusing Another Child
Yesterday, another child was abused and traumatized at Smile Starters in Fayetteville, North Carolina. This child's father is a member of our military serving our country with pride.
The abusers were dental assistants Sonya and Christy and the dentist Dr. Rafael (Raf) Rivera, Michael DeRose and Tish Ballance's hand picked successor to run their Smile Starter clinics.
Until yesterday this was a bright and energetic 29 month old little boy, today he's bruised, scratched, withdrawn, not eating and having other intestinal track issues.
I called the Fayetteville office – 910-864-9884 to see if they had any comment, Debbie at the office, said they did not.
Tricare contracts with this house of horrors to provide dental services to our military families. SHAME on TriCare, SHAME of The Department Of Defense, but most of all SHAME on The North Carolina Dental Board for not closing the doors on these places. The board knows full well what happens to children here.
The abusers were dental assistants Sonya and Christy and the dentist Dr. Rafael (Raf) Rivera, Michael DeRose and Tish Ballance's hand picked successor to run their Smile Starter clinics.
Until yesterday this was a bright and energetic 29 month old little boy, today he's bruised, scratched, withdrawn, not eating and having other intestinal track issues.
I called the Fayetteville office – 910-864-9884 to see if they had any comment, Debbie at the office, said they did not.
Tricare contracts with this house of horrors to provide dental services to our military families. SHAME on TriCare, SHAME of The Department Of Defense, but most of all SHAME on The North Carolina Dental Board for not closing the doors on these places. The board knows full well what happens to children here.
Still on it…
It's been a few days since I've posted anything. I injured my wrist. But make no mistake, I'm still on this issue. If the doors of these places are still open you can count on the fact I'm still on it.
Friday, July 02, 2010
DeRose Backed Facility Kills A Man - Cardiolory Now to be Renamed Flatline Now?
Cardiology Now
A DeRose backed medical facility in Pueblo kills a man on Thursday July 1, 2010.
A gentlemen who should have had further testing BEFORE any stress testing, was put through a stress test today and killed. Dead. Thanks to the DeRose family and Dr. James Sbarbaro, a family is shredded, Mike, Dan and Dr. James are sleeping peacefully at home.
When is someone going to put these people behind bars and keep them from abusing and killing people!??
This DeRose style drive thru medicine is KILLING PEOPLE!!!!
Flatline Now
A DeRose backed medical facility in Pueblo kills a man on Thursday July 1, 2010.
A gentlemen who should have had further testing BEFORE any stress testing, was put through a stress test today and killed. Dead. Thanks to the DeRose family and Dr. James Sbarbaro, a family is shredded, Mike, Dan and Dr. James are sleeping peacefully at home.
When is someone going to put these people behind bars and keep them from abusing and killing people!??
This DeRose style drive thru medicine is KILLING PEOPLE!!!!
Flatline Now
Thursday, June 24, 2010
OHSA Whistleblower Contact Info
Just in case anyone needs this... (wink) here is the OSHA whistlerblower information:
http://www.osha.gov/dep/oia/whistleblower/index.html
http://www.osha.gov/dep/oia/whistleblower/index.html
Wednesday, June 23, 2010
FORBA Holding, requesting donations from employees due to hard times. Passing On The Smiles
This is a great one! Ya just gotta love some of the cool things FORBA comes up with…
So far turnover in 2010 is at a record high is some of it's clinics…and now we have the "Hardship Contribution Fund". Its official name is "Pass The Smiles" .
I'm told FORBA is asking their employees to contribute a percentage of their paychecks to a 'fund' that will go to employees who suffer hardships and it will be at FORBA's discretion on who gets it and when.
Of course not a soul is buying that this 'fund' is for anything other than to help FORBA with fines, legal expenses and keep money in the bank.
So far FORBA has not crossed the line in 'forcing' employees to contribute, but I'm hearing those who decided not to participate are being frowned and seen as not being a team player in their respective offices. Sounds like duress to me.
FORBA doesn't care about employees having hard times! They don't care if children are abused and mistreated, tied up and chocked so they sure as hell don't care about Jenny in Macon whose house is flooded.
Who is tracking all these donations? How are employees supposed to trust you…75% hate going to work everyday! How many have quite in the last month, this week? A crap load!
Do you honestly think they believe you want to help out employees, noooooooooooo they think you want to steal money from them as you did Medicaid!
C'mom!
Tuesday, June 22, 2010
Dead Children In Dental Chair Preventable? Talking Points Memo From AAPD
The aftermath of yesterday’s post, that was supposed to be in your face shocking, has generated some of the longest emails I’ve received in a long time. All from people who are frustrated nothing is being done to stop these needless deaths. Some believe there is a cover-up by the American Academy of Pediatric Dentistry. Probably more like "turn that light off", don't shine it over this way. Many expect the number to rise because of the Medicaid dental mills spreading faster than I can list them across the US.
The carelessness that caused these deaths happens in just about every operatory room all day every day, with each child that is separated from their parent and taken back to that dreaded room and the dreaded papoose board.
Sunday, June 20, 2010
Five Dead in Two Years
This is to every dentist who continues to over treat, mistreat and abuse children in the name of a dollar and to meet production goals.
This is to every support staff that quietly sits back day by day and says nothing.
This is to every office manager, corporate fat head, and investment banker behind any and all corporate dental mills and Medicaid dental facilities.
This is to each and every person along the chain from top to bottom; Patient coordinators, IT staff, recruiters, etc.
This is to every member of any state's dental board who are turning their heads, some even in collusion with the criminals who call themselves dentist. Your chosen profession is being disgraced.
If you are paid directly or indirectly from these substandard dental facilities you are just as guilty of killing the next child as the dentist in the seat next to you, in my opinion.
I understand the need to hang on to a job. But you can refuse to participate in these acts…things you know are just wrong.
Imagine the number of children sitting in waiting rooms right this second in all the dental mills such as Small Smiles, Kool Smiles, Smile Starters, Dream Dental and others.
Which child will die or almost die today...what about tomorrow?
Now, on with today's programming.
Deaths In Dental Chair On The Rise
This is to every dentist who continues to over treat, mistreat and abuse children in the name of a dollar and to meet production goals.
This is to every support staff who quietly sits back day by day and says nothing.
This is to every office manager, corporate fat head, and investment banker behind any and all corporate dental mills and medicaid dental facilities.
This is to each and every person along the chain from top to bottom. Patient coordinators, IT staff, recruiters, etc.
This is to every member of any state's dental board who are turning their heads, some even in collusion with the criminals who call themselves dentist. You are disgracing your chosen profession.
If you are paid directly or indirectly from these substandard dental facilities you are just as guilty of killing the next child as the dentist in the seat next to you, in my opinion.
Imagine the number of children sitting in waiting rooms right this second in all the dental mills such as Small Smiles, Kool Smiles, Smile Starters, Dream Dental and others. Which child will die or almost die today...what about tomorrow?
The next time you see or hear the word, underserved I want to to think about each one of these dead children who were killed by overserving the so called underserved.
Now, on with today's programming.
This is Dylan Shane Stewart, he was five years old. At least take the time to read his obituary, the next Dylan may be an obit of a child you had a hand in killing, whether it be directly or indirectly.
Those who knew and loved him called him "Dilli Man". He died April, 22, 2010 in the care of Dr. Ronnie Lynn Grundset a dentist in Gainesville, Florida.
Dilli Man was there to have four fillings and eight caps put on his teeth. Sounding eerily familiar to you. What about you, Dr. DeRose?
His parents stayed with him as he fell asleep. They took him from the room, and like each of you do many times a day, they reassured his parents, that Dilli Man would be ok. Dilli Man was NOT ok.
They stepped outside. Jennifer, his mom heard sirens. They kept getting closer to Dr. Grundset's office. That is when the instinct all mothers have kicked in and Dilli Man's mom knew something was very wrong.
Dilli Man's parent ran inside and watched the staff perform CPR. When the ambulance arrived, they took Dylan to Shands at the University of Florida, his dad rode in the ambulance with him. Close your eyes and imagine being Dylan's father.
Now, you females, who are to damn scared to step you and report these incompetent and careless dentists, take another minute and close your eyes. Imagine being Jennifer, Dilli Man's mom, following behind the ambulance as it raced to the hospital with your 5 years old child's life hanging by a thread. If you don't feel the unbelievable pain and panic in your gut, you should be ashamed, but most of all you should be scared. Tomorrow you will get up, put on those scrubs and walk in that dental clinic and each child you take back, may be the one you kill today.
About 45 minutes after arriving at the hospital, Dilli Man was dead. He was 5 and he was dead! Why?
Dr. John Rutkauskas, chief executive officer of the American Academy of Pediatric Dentistry said that among the possible causes of death of anyone who received a sedative was anaphylactic shock. "Anaphylaxis shock is the body's allergic reaction to a drug."
"Hundreds of thousands of sedatives are used in pediatric dentistry on an annual basis, and you almost never hear of a fatality." he said. This is the AAPD's talking points. More on that later in this article.
I'm sorry Dr. Rutkauskas, ALMOST is not good enough.
Dr. Rutkauskas should have been asked about the procedure Dylan was to receive that day. Wasn't it excessive, what about how necessary? Was it really a life or death matter? Did they put him to sleep and strap him in a papoose board and not be able to tell he was in distress? This happens a hell of a lot more than "almost never". This happens thousands of times a month and some dentists and assistants just get lucky.
(Dr. Grundset's dental license are marked "Clear/Active". Qualifications "Pediatric Conscious Sedation and there are no discipline actions or complaints listed in the online file)
Even though the autopsy report is not back, in my opinion Jacobi Hill was killed by Dr. Robert E. Primosch, in Richmond, Virginia just one month after Dylan. Look at this little boy. What a bright beautiful smile. How much dental work could this 6 year old little boy need? Blip.fm
The dental profession is killing our children and the state dental boards are doing little to stop this madness. It is just another example of "agency capture phenomena."
In a May 15, 2010 story at the Richmond Times-Dispatch, Tammy Smith wrote: Dr. Indru Punwani said, "untreated decay causes pain and suffering and can lead to infection. Simply pulling the tooth is not always the best option." He mentions there could be speech problems if the two front teeth are missing as a child is learning to speak.
REALLY?! Exactly how many children have rotten front teeth at 18 months old?
On February 19, 2009 Cory Moore, Jr. age 9 was killed by dentist Dr. R. Andrew Powless. Dr. Powless did business under the name "Florida Special Care Dentistry". Powless sedated little Cory even though he and his staff were completely aware that Cory had eaten prior to the dental procedure. Cory coked to death on his own vomit. Cory's family have filed suit against Dr. Powless, but currently Dr. Robert Andrew Powless's license in Florida are marked "Clear and Active" for Conscious Sedation. Amazingly, (eyes rolling) when you check to see what discipline has been taken against Dr. Powless, it will result in nada. The online file will tell you discipline has been take but in order to view the details, you must write to the Division of Medical Quality Assurance in Tallahassee, Florida. There is also a link on his online license verification that links to actual complaints. These two must be requested. However, there are two case numbers listed, both in 1997. Add to this headache to check on Dr. Powless, Florida's professional licenses lookup/verification is hidden deep within the website. Clearly they don't make it easy to check.
Children are vomiting daily in these dental mills. The employees simply flips the child over and suction. It's easier to flip the child while strapped to "The Board"!
Quoted from South Tampa News Tribune in connection to Cory Moore's death:
Well that would be because they are the AAPD talking points sent out in a recent memo. They call it "we have finalized a media holding statement" Dr. Houpt says these deaths are extremely rare, however he also said no one keeps records. So which is it. If he's doing this study, it shouldn't take him but a week or so, if he knows about "google". Supposedly this is a 25 year study and should be available soon. REALLY? C'mom 25 years! Sounds more like keeping it under wraps for 25 years to me!
The Academy does not keep such statistics because it is not required to and, given the litigation that frequently shrouds the cases, it is difficult to do, according to Academy spokesman Dr. Stephen Wilson in a scathing article in Health News Florida by Mary Jo Malone.
In the same article Mary reports Dr. Stephen Wilson says, "Such cases are handled by dentistry boards as individual disciplinary complaints, if substandard care was involved."
Are you kidding me??????????????!!!!!!!!!!!! There are statistics on how many people are struck by lightening each year, there are stats on how many birds live in any particular area, and no one is keeping track of how many innocent children die at the hands of a dentist! Honesty, this is just crazy. My guess is it's the "A Few Good Men Syndrome" as to why no one is tracking this. The profession can't handle the truth and they don't want the general public to know the truth.
This is what I've been saying about the inadequacy of those very boards. Board members are appointed and serve a short term of 2 years or so. At that point those same board members are back into private practice and could well find themselves on the carpet being judged and sentenced by someone who has an ax to grind. And taking a phrase from a reader, Turkey's don't usually vote for Thanksgiving. So the chances of rules and regulations to curtail this is not likely.
The memo from the AAPD has links to several deaths but leaves out many as well. As with Javier Villa, who was killed by Dr. Gabriella Pham in 1997. Javier was only 4 years old.
There is Jonathan Barrera who died from an overdose of anesthetic while strapped to a papoose board. He was killed by Dr. Mathew Nolen (deceased) and worked under the direction of Dr. Edward DeRose, Dr. Michael DeRose and Dr. William Mueller in one of the Small Smiles clinics in Phoenix. Jonathan was 4 years old! Jonathan is dead.
Maddoux Cordova was 22 months old when he was killed in December 2009 while having crowns on his teeth. Dr. Cynthia Banker was in charge of this one. I want each of you to look at his distraught mother's face. See the pain. Can't you feel her agony? I know I can.
Look at this sweet little boy. Maddox was on 22 months old!!! Less than 2 years old!!! How many teeth could he have had? Crowns? Really? That answer would be a big fat NO.
Every time these dental mills try and defend their outrageous behavior with all the stainless steal crowns and baby root canals, the very first thing they will tell you is about Deamonte Driver, a 12 year old homeless child. An infection started with an abscessed tooth and spread to his brain.
In fact, this case has been used by "Senator Benjamin L. Cardin (D-MD) and Senator Jeff Bingaman (D-NM) to put more children who lack insurance or who rely on state aid into a dentist's chair."
First, even families who have medical insurance, even some very good medical insurance may not have dental coverage! Even if you do, other than free cleanings it covers very little. If I took the cost of our dental insurance and put in the bank, I'd be money ahead.
But the most important thing I have to say on this is this:
"It is outrageous today that in America, a young boy can die because his family can find a dentist, Senator Cardin. Are you as concerned about all the deaths discussed here, which far out number one who died of an infection. Why are you not on the Senate floor wailing about this issue." And you can quote me on that!
These dental mills and other dental facilities use dentists who are substandard at best, the C- to D- students. The poor quality of dental care is killing children! Has anyone looked at how many of these deaths in just the past 18 months are children on medicaid? Most, if not all! Doesn't that say something! You are not helping them, you are killing them!
Some will argue the children must be treated aggressively, root canals, caps/crowns are the best way to achieve good dental health. I say your are full of it.
In March 2008 Jacqueline Martinez coked to death at New Smile Dental Office. Jacqueline was 7 years old. The child died from choking on a tooth that was dropped and became stuck in her throat. The dentist who killed Jacqueline was Dr. Thien Luong of Riverside, California.
October 2006 5 year old Diamond Brownridge was killed by Dr. Hicham Riba. She too was receiving crowns. She went to sleep and never woke up. Four days later she was dead. Another mother, another father suffering the worst thing a parent could ever experience. What happened to Dr. Hicham Riba? Dr. Riba was fined a measly $10,000. That was the maximum under Illinois state law. The state board of Professional Regulations suspended Dr. Riba's licenses to sedate patients but only suspended his dental licenses for 18 months. Originally the Illinois Board of Dentistry only recommended his general dentistry license be suspended for 6 months!!!!!!
October 12, 2006 was when baby Jessenia Valles was killed at the dentist office. Jessenia was two years old. She was killed by an overdose of Mepivicaine at Good Sheperd Dental Clinic in Houston by Dr. Robert Choy. The name of the clinic sounds so "Biblical" and safe doesn't it.
Jessenia was alone when she died. Her mother wasn't allowed into the exam room with her baby daughter. Alone in the waiting room, her mother heard her precious daughter crying. The other staff reassured Jessenia's mom everything was ok, as they always do. But again, everything wasn't ok.
Dr. Robert Kim Choy was supposed to repair cracks in her teeth, not kill her. After Dr. Choy did his repair they left little Jessenia alone in a room to recover, not letting her mother back there. The child was in there, alone for nearly an hour. The comforting nurse told little Jessenia's mom, she (Jessenia) needed time to recover.
As the mother waited patiently in the waiting area, Jessenia died, alone. SHE WAS TWO YEARS OLD!
Dr. Choy had been warned by the State Board of Dental examiners in August 2004 that was not to keeping adequate records and the complaint was settled.
Links to the story:
Toddler Dies After Trip To Dentist
Child's Death At Dentist Ruled Accidental by Overdose
Heart wrenching video report
(Dr. Robert Kim Choy has surrendered his Texas dental licenses in 2009)
This is to every support staff who quietly sits back day by day and says nothing.
This is to every office manager, corporate fat head, and investment banker behind any and all corporate dental mills and medicaid dental facilities.
This is to each and every person along the chain from top to bottom. Patient coordinators, IT staff, recruiters, etc.
This is to every member of any state's dental board who are turning their heads, some even in collusion with the criminals who call themselves dentist. You are disgracing your chosen profession.
If you are paid directly or indirectly from these substandard dental facilities you are just as guilty of killing the next child as the dentist in the seat next to you, in my opinion.
Imagine the number of children sitting in waiting rooms right this second in all the dental mills such as Small Smiles, Kool Smiles, Smile Starters, Dream Dental and others. Which child will die or almost die today...what about tomorrow?
The next time you see or hear the word, underserved I want to to think about each one of these dead children who were killed by overserving the so called underserved.
Now, on with today's programming.
Those who knew and loved him called him "Dilli Man". He died April, 22, 2010 in the care of Dr. Ronnie Lynn Grundset a dentist in Gainesville, Florida.
Dilli Man was there to have four fillings and eight caps put on his teeth. Sounding eerily familiar to you. What about you, Dr. DeRose?
His parents stayed with him as he fell asleep. They took him from the room, and like each of you do many times a day, they reassured his parents, that Dilli Man would be ok. Dilli Man was NOT ok.
They stepped outside. Jennifer, his mom heard sirens. They kept getting closer to Dr. Grundset's office. That is when the instinct all mothers have kicked in and Dilli Man's mom knew something was very wrong.
Dilli Man's parent ran inside and watched the staff perform CPR. When the ambulance arrived, they took Dylan to Shands at the University of Florida, his dad rode in the ambulance with him. Close your eyes and imagine being Dylan's father.
Now, you females, who are to damn scared to step you and report these incompetent and careless dentists, take another minute and close your eyes. Imagine being Jennifer, Dilli Man's mom, following behind the ambulance as it raced to the hospital with your 5 years old child's life hanging by a thread. If you don't feel the unbelievable pain and panic in your gut, you should be ashamed, but most of all you should be scared. Tomorrow you will get up, put on those scrubs and walk in that dental clinic and each child you take back, may be the one you kill today.
About 45 minutes after arriving at the hospital, Dilli Man was dead. He was 5 and he was dead! Why?
Dr. John Rutkauskas, chief executive officer of the American Academy of Pediatric Dentistry said that among the possible causes of death of anyone who received a sedative was anaphylactic shock. "Anaphylaxis shock is the body's allergic reaction to a drug."
"Hundreds of thousands of sedatives are used in pediatric dentistry on an annual basis, and you almost never hear of a fatality." he said. This is the AAPD's talking points. More on that later in this article.
I'm sorry Dr. Rutkauskas, ALMOST is not good enough.
Dr. Rutkauskas should have been asked about the procedure Dylan was to receive that day. Wasn't it excessive, what about how necessary? Was it really a life or death matter? Did they put him to sleep and strap him in a papoose board and not be able to tell he was in distress? This happens a hell of a lot more than "almost never". This happens thousands of times a month and some dentists and assistants just get lucky.
(Dr. Grundset's dental license are marked "Clear/Active". Qualifications "Pediatric Conscious Sedation and there are no discipline actions or complaints listed in the online file)
The dental profession is killing our children and the state dental boards are doing little to stop this madness. It is just another example of "agency capture phenomena."
"It's used thousands of times every day," dentist Indru Punwani, a spokesman for the American Academy of Pediatric Dentistry and head of the pediatric dentistry department at the University of Illinois at Chicago, told the Times-Dispatch.
Please note the response by the AAPD spokesman.
Dr. Robert Campbell, a pediatric oral surgeon at Virginia Dental and Anesthesia Associates, told the Richmond Times-Dispatch that the most common cause of death in dental offices under anesthesia is related to an airway condition.
According to Campbell, "the most common problem is that the vocal cords go into a spasm and shut down," in the upper airway. He states this upper airway problem could possibly be related to an allergic reaction. The next most common issue would involve the lower airway, in an asthma-like attack. This is referred to as a laryngospasm.
According to Campbell, "the most common problem is that the vocal cords go into a spasm and shut down," in the upper airway. He states this upper airway problem could possibly be related to an allergic reaction. The next most common issue would involve the lower airway, in an asthma-like attack. This is referred to as a laryngospasm.
In a May 15, 2010 story at the Richmond Times-Dispatch, Tammy Smith wrote: Dr. Indru Punwani said, "untreated decay causes pain and suffering and can lead to infection. Simply pulling the tooth is not always the best option." He mentions there could be speech problems if the two front teeth are missing as a child is learning to speak.
REALLY?! Exactly how many children have rotten front teeth at 18 months old?
On February 19, 2009 Cory Moore, Jr. age 9 was killed by dentist Dr. R. Andrew Powless. Dr. Powless did business under the name "Florida Special Care Dentistry". Powless sedated little Cory even though he and his staff were completely aware that Cory had eaten prior to the dental procedure. Cory coked to death on his own vomit. Cory's family have filed suit against Dr. Powless, but currently Dr. Robert Andrew Powless's license in Florida are marked "Clear and Active" for Conscious Sedation. Amazingly, (eyes rolling) when you check to see what discipline has been taken against Dr. Powless, it will result in nada. The online file will tell you discipline has been take but in order to view the details, you must write to the Division of Medical Quality Assurance in Tallahassee, Florida. There is also a link on his online license verification that links to actual complaints. These two must be requested. However, there are two case numbers listed, both in 1997. Add to this headache to check on Dr. Powless, Florida's professional licenses lookup/verification is hidden deep within the website. Clearly they don't make it easy to check.
Children are vomiting daily in these dental mills. The employees simply flips the child over and suction. It's easier to flip the child while strapped to "The Board"!
Quoted from South Tampa News Tribune in connection to Cory Moore's death:
"It's a rare event, but when it occurs it's a tragic event and we certainly don't want it to Inoccur," said Dr. Milton Houpt, chairman of pediatric dentistry at the New Jersey Dental School, who says he has been studying the issue.I have serious doubt in some of Houpt's statements. Didn't that last sentence sound familiar? Almost word for word from Dr. John Rutkauskas'.
Dr. Houpt said there are no national statistics on the number of children who die while being sedated in dental offices. The available information is anecdotal, said Houpt, who is conducting a survey with a colleague that includes questions about whether dentists have experienced deaths in their offices.
"In a sample of 2,000 practitioners, you may have one or two" deaths, Houpt said. But that estimate also is anecdotal.
"There has, over the years, been increasing attention to this issue in order to make sedation as safe as possible," he said. "That attention led to the development of guidelines and the review of those guidelines on an ongoing basis.
"I think it's important to recognize there are literally hundreds of thousands of sedations each year and they're almost always performed in a safe fashion," Houpt said.
Well that would be because they are the AAPD talking points sent out in a recent memo. They call it "we have finalized a media holding statement" Dr. Houpt says these deaths are extremely rare, however he also said no one keeps records. So which is it. If he's doing this study, it shouldn't take him but a week or so, if he knows about "google". Supposedly this is a 25 year study and should be available soon. REALLY? C'mom 25 years! Sounds more like keeping it under wraps for 25 years to me!
The Academy does not keep such statistics because it is not required to and, given the litigation that frequently shrouds the cases, it is difficult to do, according to Academy spokesman Dr. Stephen Wilson in a scathing article in Health News Florida by Mary Jo Malone.
In the same article Mary reports Dr. Stephen Wilson says, "Such cases are handled by dentistry boards as individual disciplinary complaints, if substandard care was involved."
Are you kidding me??????????????!!!!!!!!!!!! There are statistics on how many people are struck by lightening each year, there are stats on how many birds live in any particular area, and no one is keeping track of how many innocent children die at the hands of a dentist! Honesty, this is just crazy. My guess is it's the "A Few Good Men Syndrome" as to why no one is tracking this. The profession can't handle the truth and they don't want the general public to know the truth.
This is what I've been saying about the inadequacy of those very boards. Board members are appointed and serve a short term of 2 years or so. At that point those same board members are back into private practice and could well find themselves on the carpet being judged and sentenced by someone who has an ax to grind. And taking a phrase from a reader, Turkey's don't usually vote for Thanksgiving. So the chances of rules and regulations to curtail this is not likely.
A 22-page statement released by the court tells of what happened in the clinic through the eyes of the two dentists and two unlicensed assistants who cared for Javier. Dental assistant Claudia Briseno told investigators that dentist Dr. Gabriella Pham had filled three of Javier's cavities and worked on a fourth when they noticed mucus coming from the boy's nose. While (dental assistant) Alejandra Juarez was wiping the nose, she noticed that the chest was not rising. ... Alejandra put the mouth mirror up to his nose and it did not fog up. She checked for a pulse and could not locate one.
Dasia Washington, was 10. She lived in Pompano Beach. She was killed in 2006 by Dr. Edward R. Walters and Dr. Abbe Silverberg-Aroshas. The state records show she was given nitrous oxide, lidocaine and epinephrine and strapped to a papoose board. She too was suffocated to death in a dentist chair. When interviewed, Walters said, “I walked away from about a $3 million practice and closed it." He gave up his license, he said, because “I couldn’t deal with it anymore.”
Well, bless his poor heart! He sounds much like the British Petroleum guy who just wants to get back to his life.
In Boca Raton a 10 year old died in 2006 from aspiration complications at a dentist office.
In Boca Raton a 10 year old died in 2006 from aspiration complications at a dentist office.
There is Jonathan Barrera who died from an overdose of anesthetic while strapped to a papoose board. He was killed by Dr. Mathew Nolen (deceased) and worked under the direction of Dr. Edward DeRose, Dr. Michael DeRose and Dr. William Mueller in one of the Small Smiles clinics in Phoenix. Jonathan was 4 years old! Jonathan is dead.
Every time these dental mills try and defend their outrageous behavior with all the stainless steal crowns and baby root canals, the very first thing they will tell you is about Deamonte Driver, a 12 year old homeless child. An infection started with an abscessed tooth and spread to his brain.
In fact, this case has been used by "Senator Benjamin L. Cardin (D-MD) and Senator Jeff Bingaman (D-NM) to put more children who lack insurance or who rely on state aid into a dentist's chair."
"It is outrageous today that in America, a young boy can die because his family can't find a dentist to remove an infected tooth," Cardin said on the Senate floor Thursday. "Anytime we lose a child, it is a tragedy. But Deamonte Driver's death is particularly devastating because it was easily preventable."
First, even families who have medical insurance, even some very good medical insurance may not have dental coverage! Even if you do, other than free cleanings it covers very little. If I took the cost of our dental insurance and put in the bank, I'd be money ahead.
But the most important thing I have to say on this is this:
"It is outrageous today that in America, a young boy can die because his family can find a dentist, Senator Cardin. Are you as concerned about all the deaths discussed here, which far out number one who died of an infection. Why are you not on the Senate floor wailing about this issue." And you can quote me on that!
These dental mills and other dental facilities use dentists who are substandard at best, the C- to D- students. The poor quality of dental care is killing children! Has anyone looked at how many of these deaths in just the past 18 months are children on medicaid? Most, if not all! Doesn't that say something! You are not helping them, you are killing them!
Some will argue the children must be treated aggressively, root canals, caps/crowns are the best way to achieve good dental health. I say your are full of it.
In March 2008 Jacqueline Martinez coked to death at New Smile Dental Office. Jacqueline was 7 years old. The child died from choking on a tooth that was dropped and became stuck in her throat. The dentist who killed Jacqueline was Dr. Thien Luong of Riverside, California.
Riba intravenously gave Diamond diazepam or Valium twice -- a 1.3-milliliter dose followed up with a 1.2-milliliter dose -- within a five-minute period, the complaint said. He also gave her "7.5 milligram of an oral Valium, nitrous oxide-oxygen 3:3; .25 milliliter of IV atropine; .25 milliliter IV Talwin; 1.3 milliliter Midazolam and 2 carpules of 2 percent lidocaine with 1:100,000 epinephrine" within a 90-minute time frame, the complaint said.
Dr. Riba's insurance company settled with Diamond's parents for $1millon.
(Currently, Dr. Riba is still holds a dental licenses in Illinois. He is on probation until September 30, 2012.)
(Currently, Dr. Riba is still holds a dental licenses in Illinois. He is on probation until September 30, 2012.)
October 12, 2006 was when baby Jessenia Valles was killed at the dentist office. Jessenia was two years old. She was killed by an overdose of Mepivicaine at Good Sheperd Dental Clinic in Houston by Dr. Robert Choy. The name of the clinic sounds so "Biblical" and safe doesn't it.
Jessenia was alone when she died. Her mother wasn't allowed into the exam room with her baby daughter. Alone in the waiting room, her mother heard her precious daughter crying. The other staff reassured Jessenia's mom everything was ok, as they always do. But again, everything wasn't ok.
Dr. Robert Kim Choy was supposed to repair cracks in her teeth, not kill her. After Dr. Choy did his repair they left little Jessenia alone in a room to recover, not letting her mother back there. The child was in there, alone for nearly an hour. The comforting nurse told little Jessenia's mom, she (Jessenia) needed time to recover.
As the mother waited patiently in the waiting area, Jessenia died, alone. SHE WAS TWO YEARS OLD!
Dr. Choy had been warned by the State Board of Dental examiners in August 2004 that was not to keeping adequate records and the complaint was settled.
Links to the story:
Toddler Dies After Trip To Dentist
Child's Death At Dentist Ruled Accidental by Overdose
Heart wrenching video report
(Dr. Robert Kim Choy has surrendered his Texas dental licenses in 2009)
Finally, when was the last time your office had a mock drill to prepare for the above emergencies. Illinois is the first and only state so far to pass a law requiring dental facilities to have an emergency plan.