Dental TRAUMA

1more week of dental school, before we go on a study break :)

this week has been pretty eventful, with bits of unexpected things happening, patient wise..

tuesday in Ashton was traumatising, to say the least. I had a 6year old girl on my chair whom was inconsolable.

this was the little girl, who in her first visit refused to look at neither me or my nurse, when she came into my surgery. She hid her face in her dad's shirt, the whole time.. and when we tried showing her how to brush her teeth on the tooth model, she wouldn't even look at us.

Talked, coaxed, persuaded her just to look at us brush the 'tooth model' for an hour.

2nd visit, managed to get her on the chair. also managed to get her to show us how she brushes her teeth, and did a quick polish with our 'special electric toothbrush'. *big WHOOP*

3rd visit, she came in with a broken E, so I had to do a pulpotomy. My tutor doesnt have a clue how difficult this child can potentially be, so she said to me '' Give her LA, open the pulp up and dress it.''

But I KNEW IT WOULD BE AN UPHIILL CLIMB, to say the least. Gave my nurse a 'look', and decided in my head that I would try to very slowly excavate and remove caries with the hand excavator, then slow handpiece if she'll let me.

So off i went, this is probably the SLOWEST i ever went with removing decay from a tooth.

After awhile the child got very impatient, and we had to coax her to open her mouth, over and over again.

Finally did it without anaesthetic, and I was RELIEVED. I thought, OK the difficult part is done. 2minutes, stick the filling in, MISSION ACCOMPLISHED. LITTLE DID I KNOW, HELL AWAITS.

little miss SPOILT KID decided she doesnt want a filling in her OPEN CAVITY, so my nurse, her dad and I started our HELL-LIKE journey to coax her to open her mouth for me to put the filling in. 30minutes passed, she was getting more and more upset by the moment, REFUSING EVERY SINGLE THING that we tried to reason her into opening her mouth. 45minutes, my tutor came in and tried, by force whilst dad and my nurse held her down, but she went ABSOLUTELY MAD. KICKED SCREAMED, did the WHOLE SPOILT KID DRAMA THING -_-

I WAS SO FLIPPING TRAUMATISED.

4pm, the child was still on the chair, still refusing to open her mouth. I decided OK u know wad i'm not going to go anywhere with this. the CHILD IS A WALKING NIGHTMARE. She manipulates her dad, crying and crying.. and her dad is SO FLIPPING USELESS. tried and tried to persuade her, trying to bribe her.. new pet la, new toy la etc etc.

OMG I WANTED TO TEAR MY HAIR OUT. SLAP THE FLIPPING KID, and you get sued for 'child abuse'. This is ENGLAND for u.

So yes we gave dad 'Cavit', a temporary filling material so mum can stick it in back home bcoz mum is the stricter one. Put it in a bag, gave her some instructions, and I left the room coz i was getting a serious headache from all that screaming and crying.

Then out of nowhere the conversation about macdonalds came up, and my nurse said ''what do you like from macdonalds''

''chicken mcnuggets''

''well if you let pei stick that filling in I'll get you a mcnugget meal from MCD on the way home''

''OK''

-_- O.M.G. AFTER ALL THAT TIME SPENT. A QUICK OK after a MCD BRIBE.

I. wanted. to. die. I. was. so. freaking. traumatised. by. all. that drama. that on the way back home on the bus, when I saw a little blonde girl holding a balloon, I CRINGED inwardly, and I just felt this shiver of FEAR.

-_- CHILDREN= NOT CUTE= NOT FUN. Sorry suffering from post traumatic disorder now. SUPER.

''ACCLIMATISATION'' is like a ''religion'' in ASHTON. so much so that EVERY extraction feels like a PROPER VICTORY, deserving a huge celebration -_- mannnn how many spoilt kids are there in this part of the world? -_-


Today whilst I was nursing for Ayesha, Steve came in and said ''there's this man who knocked his front teeth and is in pain now, can someone see him''

I decided I'll help, since Ayesha was delivering a denture.. brought the man in, and did a quick H&E. Poor man, he fell on his face when running after a bus outside the MRI yesterday. Knocked 3 of his teeth, his front tooth is excruciatingly painful, and he can't eat.

Took radiographs, saw a cervical fracture.. but wasn't really sure how to proceed bcoz I've never treated a trauma case before. Discussed with a tutor, we decided to splint all his front 4 teeth together with an acid etch composite splint, and extirpate the pulp of his central incisor.

I felt so sorry for him, he looked abit traumatised after the fall, and had bruises and scratches all over his face and limbs.

Did the treatment, and he was so grateful :) he even said ''my teeth feels so comfortable now i think i can have sth better to eat tonight!'' from a miserable looking patient that came into the chair, to a smiling patient who left the chair :) ahh the joys helping someone and making a difference :)

So much to take away, from 5years of dental school, and more and much more to learn.

today is the day i chopped off my 8months worth of super duper long 'hair'

..now its just at my shoulders, hmmm. STILL CAN't DECIDE if i like it or not

All i know is after the lady was done cutting i was like ''errrrr. I feel like a lion. My hair looks super thick.''

hahaha mann its so different, angmors and asian hairstylists! Now I feel like an asian girl 'with an angmor hairstyle' but 'tak jadi' kind -_-

then again, yet another thing I'll miss when I leave England! :(

36 days to FINALS...

...and I REALLY SHOULD START launching into a PANIC ATTACK with the rate I am going at in revision -_-

PEILIAN, it all COMES DOWN TO THIS. 5YEARS of DENTAL SCHOOL ALL COMES DOWN TO THIS.. so PLEASE START STUDYING! PLEAAAAAAAAASE -_-

''I have low tolerance to ANY sort of sedative agents''

Ok I know these pictures are totally unrelated to the title of my post but wad the heck I have a NEW CAMERAA so I have to demonstrate its photo abilities! :) and what better way than to show the world my lenglui friends/housemates :):):)

I should stop going on about my 'camera' I know plenty of people are getting absolutely sick of it :)

So. In relation to the title above. Today in Ashton I had to sedate this 8yearold girl with Nitrous Oxide, to extract her lower 6. In Ashton extracting permanent teeth for kiddies is a BIGGIE (no kidding how big of a deal they make it seem there.. bcoz most of the kids we deal with are referred by GDP's who can't deal with the kiddies who have some sort of dental phobia.. great. send the difficult ones to US STUDENTS -_-) so when the mum insisted little Megan had the tooth out today my tutor said to her, ''You realise you're asking alot out of her you know. Its not a small thing, extraction. ETC.'' And I was getting more and more nervous about having to do it due to all the 'pre-talk' that was given!

Anyway. I shud cut the rambling and get to the point. I gave her 'the gas', and Megan was a mouth breather so she was exhaling some of it through her mouth.. which I had to continuously remind her to close! After doing the usual relaxing exercises with her I felt abit woozy.

Light headed...

..like I had just a 'drink or two'.

Mann. I started pep talking to my brain then.. STOP feeling this way, and took REALLY deep breaths. Gave Megan the IDblock ( luckily she didnt even flinch..) and struggled hard to grab hold of the tooth with my forceps, all the while telling myself I WAS NOT FEELING LIKE I WAS FLOATING AWAY IN A CLOUD.


MANNNN and I THOUGHT I WAS LACKING IN ONLY ALCOHOL DEHYDROGENASE. :)


OK end of story.

On an unrelated note, HAPPY BIRTHDAY APRIL BABIESSS!!!!!!

WANIIIII


PARAN NITHIANANTHANTHANTHANTHANTHANTHAN

AND RACHHHH!!!!!!! :)
Heh I hope the card I made filled with pictures of your 'drunken birthday night out' will remind you of the wonderful crazy student days we shared in Manchester!!! :) :) :)

I is so very going to miss my life over here when I leave.

Mine! Mine! MINEEEE!!!!!

Thanks to OLI I am a proud owner of a brand new CANON IXY 200IS!! :)
IXY coz my camera is made in Japan :) hehh.

Hahaha okaylah oli I promise I wont call you 'sei oli' or 'oli is oily' etc for the next TWO times i see you. :) THANKYOUUUUU I AM EVER SO GRATEFULL :) :) :)

Your view on yourself:

You are down-to-earth and people like you because you are so straightforward. You are an efficient problem solver because you will listen to both sides of an argument before making a decision that usually appeals to both parties.

The type of girlfriend/boyfriend you are looking for:

You like serious, smart and determined people. You don't judge a book by its cover, so good-looking people aren't necessarily your style. This makes you an attractive person in many people's eyes.

Your readiness to commit to a relationship:

You are ready to commit as soon as you meet the right person. And you believe you will pretty much know as soon as you might that person.

The seriousness of your love:

You are very serious about relationships and aren't interested in wasting time with people you don't really like. If you meet the right person, you will fall deeply and beautifully in love.

Your views on education

Education is less important than the real world out there, away from the classroom. Deep inside you want to start working, earning money and living on your own.

The right job for you:

You're a practical person and will choose a secure job with a steady income. Knowing what you like to do is important. Find a regular job doing just that and you'll be set for life.

How do you view success:

You are afraid of failure and scared to have a go at the career you would like to have in case you don't succeed. Don't give up when you haven't yet even started! Be courageous.

What are you most afraid of:

You are concerned about your image and the way others see you. This means that you try very hard to be accepted by other people. It's time for you to believe in who you are, not what you wear.

Who is your true self:

You are mature, reasonable, honest and give good advice. People ask for your comments on all sorts of different issues. Sometimes you might find yourself in a dilemma when trapped with a problem, which your heart rather than your head needs to solve.



Hmmm. Can you really know so much about a person just by answering a few questions in a personality test?

happy easter :)

here's to hope for a brand new beginning :) filled with God's grace and love

Good Friday

''And as Jesus was going up to Jerusalem,
he took the twelve disciples aside,
and on the way he said to them,
''Behold, we are going up to Jerusalem;
and the Son of man will be delivered
to the chief priests and scribes, and they will condemn him to death,
and deliver him to the Gentiles to be mocked and scourged and crucified,
and he will be raised on the third day.''

(Gospel of Matthew)


Oh Lord, if in falsehood I've lived,
running away from myself and from thee.
Have mercy, oh Lord; have mercy.

Oh Lord, if I've forsaken my friend,
and didn't love him nor open my heart.
Have mercy, oh Lord; have mercy.

Oh Lord, if I have rejected your Love
and through the evil paths wandered astray.
Have mercy,oh Lord; have mercy.

'the curious incident of the dog in the night-time'

by Mark Haddon which portrays an 'emotionally dissociated mind' of a 15year old boy with Aspergers syndrome.. was a very interesting read.

Sometimes I wish I was emotionally dissociated myself too. Then everything in life would make total sense. Just like maths. Lists, Patterns. And of course, the 'truth'.