[Telephone rings] Rachel: Dr. McAllister's office.
How can I help you?
David: Hi, my name is David.
I'm calling to refer a patient on behalf
of Dr. Samantha Johnston.
Can I give you the patient's information?
Rachel: Sure, but I am still going to need you
to fax the form to us.
David: Okay.
The patient's name is Todd Wright.
He is 11 years old.
He has impacted teeth and requires the removal
of two upper first premolars.
Is there any other information you need now?
Rachel: Todd Wright, 11 years old, has impacted teeth,
requires the removal of upper first premolars.
That's all the information I need.
You can fax the rest with the patient's record.
Please fax it to us at 555-819-2207.
David: Thank you.
Rachel: Thank you.
Dr. McAllister: Hi,Todd.
Todd: Hi
Dr. McAllister: Hi,
Mrs. Wright.
Mrs. Wright: Hi.
Dr. McAllister: I'm Dr. McAllister,
and I'll be Todd's surgeon today.
I just wanted to come out and introduce myself.
Just to confirm, can you just point to the teeth
that we'll be working on today?
Mrs. Wright: It's these upper teeth.
We've traveled a long way,
so please make sure you take good care of him.
Dr. McAllister: Of course.
And thank you for the confirmation.
We're going to go get everything ready and then Pam, our nurse,
will be out to bring you in in a minute.
Dr. McAllister: The patient's name is Todd.
He's 11 years old.
Robert, I know this is your first time removing premolar
teeth so let's walk through everything, and let me know
if you have questions.
We're going to be removing the upper first premolar teeth.
They need to be removed to make room for the eruption
of impacted canine teeth.
Any questions?
Robert:No, no questions.
Dr. McAllister: Let me have the surgical setup.
Set up the hall drill for me,
4-0 chromic gut sutures, number 15 blades.
I'll need two of those because we've got two sites.
And lots of normal saline irrigation for this
because it's a difficult procedure.
At least four carpules of 2 percent lidocaine
with epinephrine 1/100,000.
Robert: That's 2 percent lidocaine
with epinephrine 1/100,000.
Dr. McAllister: Correct.
Got it?
All right.
Pam: Okay Todd, we're going to get you ready
for Dr. McAllister, okay?
Just going to put you back.
Watch your eyes.
Dr. McAllister: All right.
Todd, how are we doing?
Todd: Good.
Dr. McAllister: Good.
I'm going to put on a little topical anesthetic on here
to make things a little numb.
Robert:Dr. McAllister,
I'm concerned.
Is this the correct location?
Can we check the chart?
Dr. McAllister: Yeah, Pam do you want
to check that chart, please?
Pam: Here it is.
Dr. McAllister: Well, the teeth to be removed are marked
as 14 and 24, so that's the remove the upper left first
molar and lower left central incisor.
But that's not right.
Would you do me a favor?
Have Rachel call Dr. Johnston and let's get clarity
on the teeth we're removing here.
Todd, you doing all right?
Todd: Yes, sir.
Dr. McAllister: All right.
We'll be right back.
Okay?
Pam: Hey, Rachel, can you call Dr. Johnston?
We need to clarify something.
Rachel: Sure.
Here you go.
Pam: Thank you.
Hi, Dr. Johnston?
Hey, we have Todd Wright here.
We're getting ready to do the surgery on his premolar teeth.
There's been some confusion.
Which teeth are we supposed to be removing?
Could you please name them as well as numbering them.
Dr. Johnston: Todd Wright?
Let's see.
It's the upper right first premolar, number 5,
and the upper left first premolar, number 12.
Did you double check that it isn't another Wright?
We have a few at my office.
Anyway, I will fax these over to you immediately.
What is your number there?
Pam: It's 555-819-2207.
Thanks.
Thank you.
Pam: I just spoke with Dr. Johnston.
She said that the teeth
to be removed are the upper right first premolar, 5,
and the upper left first premolar, 12.
I think we may have pulled the wrong chart,
maybe for another Wright that we have on file?
Anyway, she is going to fax us a confirmation
so we can double check everything.
Dr. McAllister: Thanks for checking, Pam.
It looks like you're right.
We pulled the chart for Tom Wright not Todd Wright.
Let's definitely wait for the fax
and we'll double check everything,
and then go from there.
Robert, just hang on a second.
Rachel: Dr. Johnston
just sent in the fax.
Here it is.
And here's Todd Wright's correct chart as well.
By looking at the two patient identifiers, the name
and the date of birth do match up.
Dr. McAllister: Yep, everything matches up.
Good catch.
Well, let's start the procedure.
We now know what the appropriate teeth are.
Robert, would you prepare and locate the anesthetic,
2 percent lidocaine with epinephrine 1/100,000
and let's get that on the correct teeth.
Robert: That's 2 percent lidocaine
with epinephrine 1/100,000.
Dr. McAllister: That's it.