Terrified and need advice please

[Lady Quicksilver]

OK got it x

 

[Lady Quicksilver]

What is wrong with me.......l had 2 appointments today, one with the dentist to begin impressions and one to see the hygienist. Wee buns and it's not as if any invasive treatment was in the offing. Well, up all night, physically sick. Phoned and cancelled. So very disappointed with myself but this uninvited and irrational fear just swept in like the tide! Panic is subsiding but l feel so foolish to have this reaction at this stage.
They rescheduled the appointments for 2 weeks time and l meekly agreed. Will contact again to make 2 different appointments to see if l can cope better. Thanks for listening.

 

[krlovesherkids777]

Ladyquicksilver,

I so understand this sick feeling and how overwhelming anxiety can be really both mentally and physically and a bit unpredictable.. and sometimes its just like this. You took care of yourself, you know it wasn't the best time so you called and cancelled and then rescheduled. and you can try again.. I hope you will give yourself alot of grace . This fear is very real and we can have it at any stage.. You now have a few other appts and we can support you through this!!

 

[Lady Quicksilver]

krlovesherkids,

Thank you so much for this and your support, it means a great deal. l'm sure l will be snivelling here in the days to come and what an amazing bunch of folk give up their time to help others. bless you all.

 

[Lady Quicksilver]

Yes, it's a risk, it's not particularly dangerous but it could be an issue.
Since there is no clinical benefit to the patient in using it in the circumstances described, there's no justification for taking the risk... it's also been reported that having the sedation abruptly reversed is quite an unpleasant "shock" for the patient, bit like being wakened up by a fire alarm going off in the room.

When the GDC get involved in a case, they tend to go into the practice in massive detail, they will find the slightest errors in somebody's clinical practice and add them to the list of charges. If they've been recording the use of Flumazenil in the notes then they'll pick that up, especially if the dentist hasn't made appropriate notes as to why it was used and what steps they took to prevent it being used again, they're in deep trouble.

Apologies for my absence, I just want to update to say that D1 is being investigated by the GDC and is now being referred to the Case Examiners at stage 2. I had so wished it had not come to this as he has probably worked hard to get where he is and I really feel for him. However needs must as I am finding it increasingly difficult to finance the ongoing remedial treatment and hope that the GDC findings support my case. Although I had my final restoration in October, which I am quite pleased with....I can talk and eat and smile with confidence!!, I am now having problems with a lower implant, which was already compromised, and am probably facing a replacement of the same soon. Back to square one after over 2 1/2 years.
Amongst the documents sent to me by the GDC was a copy of the consent form I signed for conscious sedation by D2. Handwritten on the top was Flumazenil used at patient's request!!!??? In his notes he said it was used as there was delayed recovery. ( overdose of midazolam? ) As I have not yet complained to the GDC about D2, I assume they are targeting D1 on this but I have advised them differently. He has enough to contend with regarding surgery without my consent, poor implant technique, placing implants in infected sockets and failure to treat gum disease first.
On the legal front, I was pleased to find a local, competent dentist who specialises in legal dental reports and was willing to do so but disaster. He wrote a report without examining me, had DICOM files but no reader for them, no pre-operative radiographs available to him, had no evidence that the sites were infected despite the fact that on my treatment plan pockets of infection were highlighted but a photograph of the poor state of my gums was not available to him either, he argues that the upper bar, which was not a passive fit as per D3, was verified as accurate on the jig and therefore was a good standard of care! It did not fit my implants, Even D1 recognised this eventually and a new bar was to be made. He wrote he was unable to comment on the fit of the bar as he had not examined me also that the overdenture appears technically acceptable but he had not seen it in my mouth. Actually reading this back it seems farcical and that you couldn't make this up, then I realise I paid £450 for it. He is probably D1's cousin and D2's best man!! My solicitor has warned me about conspiracy theories lol.
Thanks again for the rant and may all here have a happy christmas and healthy new year.

 

[Gordon]

Just 2 comments:

Handwritten on the top was Flumazenil used at patient's request!!!??? In his notes he said it was used as there was delayed recovery. ( overdose of midazolam? )

2 different things. No 1 is a very silly thing to have written down. Delayed recovery would be a justifiable thing to use Flumazenil for, it doesn't suggest an OD of the Midazolam, it's just normal for some sedations to last longer than others. All humans react differently to drugs.

I was pleased to find a local, competent dentist who specialises in legal dental reports

Going by your later comments, that's a definition of competent I'm not familiar with

I hope you get things sorted out to your satisfaction eventually.

I wouldn't lose sleep over dentist 1 and the GDC, it's unlikely they will be erased from the register over this, so look on it as a chance for them to reflect on their practice, get some mentoring and further training and make sure that no other patient of theirs in the future has to go through what you went through.

 

[Lady Quicksilver]

Just 2 comments:


2 different things. No 1 is a very silly thing to have written down. Delayed recovery would be a justifiable thing to use Flumazenil for, it doesn't suggest an OD of the Midazolam, it's just normal for some sedations to last longer than others. All humans react differently to drugs.



Going by your later comments, that's a definition of competent I'm not familiar with

I hope you get things sorted out to your satisfaction eventually.

I wouldn't lose sleep over dentist 1 and the GDC, it's unlikely they will be erased from the register over this, so look on it as a chance for them to reflect on their practice, get some mentoring and further training and make sure that no other patient of theirs in the future has to go through what you went through.

Gordon, thank you so much for your comments and support throughout this horrible journey.
I didn't think D1 would be penalised with removal from the register ( probably would never had complained to GDC if l thought this was a possibility) but it must be an awful worrying time for him.
On the positive side, Santa's on his way and l will, after many years, be able to enjoy my christmas dinner.
Enjoy your festivities and know the gifts you give on this site all year round are invaluable to so many.

 

[krlovesherkids777]

"On the positive side, Santa's on his way and l will, after many years, be able to enjoy my christmas dinner. "

Love this!! Hope you have the very best Christmas meal ever!! So glad for you!!

 

[Lady Quicksilver]

I have been absent here for quite a while now, have been in some very dark places.
On reading my posts about my journey, it is a blessing to read all your supportive and encouraging replies and I thank you all for them.
The GDC hearing has now completed it's findings saying D1's current fitness to practice is not impaired and no sanctions are applied. D1 had admitted some of the charges but has undertaken remedial courses, changed his record keeping, no longer uses sedation, has a better understanding of dental fear and has apologised. All vey laudable but that highlights to me that his previous fitness to practise was impaired? I trust my legal team can make something of it....round 2! Despite the fact that the GDC had a copy of a form written on the day of a surgery, with, hand written on top, that I had requested the use of Flumazenil (a reversal drug to sedation) and yet in the notes it said it was used due to delayed recovery, this was not even mentioned by the GDC! So which was it? Had I asked for a bottle of wine would it have been supplied?!! Failure to treat gum disease or refer me a hygienist? They found that this would have been discussed with me, if discussed, why no action? Failure to gain consent...proven as were 6 other charges.
Overall, the outcome was fair as he has done much to address his failings but it has left me with a bitter taste. I feel totally deflated, sick and disillusioned. Being a witness for the GDC was horrific and stressful. Had I been asked if I had killed J F Kennedy, I would gladly have said yes!
The usual ranting but thank you for listening, it means so much to me to be able to vent here.

 

[Gordon]

TBH it sounds like a fair result for you (and the dentist), you'll be able to get compensation without much of a fight now, and the dentist has had the swift kick up the arse they clearly needed. Hopefully they'll learn from this and be a more useful member of the profession as a result. Their card will be firmly marked with the GDC though and any further transgressions will be career ending.

 

[Lady Quicksilver]

Gordon, thank you for your reply and support throughout this ordeal. I agree it's a fair result to all parties and I hope now he can become the competent, holistic dentist he can be. I wish him well.

 

[letsconnect]

I agree it's a fair result to all parties and I hope now he can become the competent, holistic dentist he can be.

Don't give him ideas !

https://quackwatch.org/related/holisticdent/

Thanks a lot for the update, wishing you the best of luck for round 2 ?

 

[Lady Quicksilver]

letsconnect, thanks for the laugh.......don't give him ideas!!!! I was amazed to read the link and imagined all sorts of scenarios.....him with his wizard's hat doing twirls and feeding me potions and lotions, "I'll cure your phobia, just put your head in the lion's mouth and let it nibble there before it bites your arms off....you will forget your dental fear" Actually, that seems preferable to what I endured!! ? I appreciate your good wishes for round 2, I am seeing my barrister tomorrow. Just lets hope he's not an holistic lawyer!! I hope Gordon is right in thinking I should get compensation without much of a fight, my finances are fading faster than my confidence! Smiles. Patient A v Carl Frampton, now where is that lion? Thanks again for being there for all here.

 

[Gordon]

The defence unions are usually pretty pragmatic, if somebody has been "tried" and convicted by the GDC then there's no point in fighting over compensation, they may negotiate over the amount, but not the principle, no point in running up legal fees for no good reason.

Carl Frampton? Wasn't he a boxer? No wonder his dentistry wasn't great working with those big gloves on

 

[Lady Quicksilver]

Gordon, yes he was a great boxer.....thus the comment about patient A v Frampton ( dentist 1's legal team ) Good comment about Framptom's dentistry but all is not lost, I know of two dentists who might be of assistance and if he is not happy with the work, he can take his gloves off!! Bless you for the much needed humour.