Re: tackling a difficult case

From: Joel M. Eichen (joeleichen_at_yahoo.com)
Date: 11/14/04 

Date: Sun, 14 Nov 2004 08:14:09 -0500

On 14 Nov 2004 02:06:15 -0800, chpetros@hotmail.com (G Xpetros) wrote:

>Dr. Steve <drsteve@no-spam.com> wrote in message news:
>> >George
>> You do not have to agree with me, but that seems to be a poor plan.
>> How will you ever learn to do quality work under NHS?And, you are not
>> making enough money to ever got ahead of your bills.
>> ..
>
>Steve, Stovie,
>
>It's not impossible to do decent work under the NHS. If you have
>learnt to divide your time among patients effectively and don't worry
>too much about your income, you can maintain a good level of quality,
>at least for most restorative and prostho procedures.

The U.S. worked for years under the same system. Any city in the
country had its Medicaid population (welfare, or assistance as we call
it).

So the young dentist could always call and say, "Put me on the list."

Pretty soon, lots of patients came over at your idle hours and
HOPEFULLY, you got referrals from them for better patients.

So you recouped money for your materials, expenses, plus sometimes a
tiny profit, other times not. When you got busy you dumped Medicaid.
We also had (and have) medicaid mills set-up to exploit that system
entirely.

All in all, it worked.

Today, GONE.

Joel

 Right now I
>don't get crazy money but I don't care. This is my first year in work
>and the money I get is enough to lead a relatively comfortable life.
>And I'm not afraid to invest in my abilities. When I asked you about
>posterior composites, I went ahead and bought flowables and packables
>out of my pocket instead of waiting to hear another one of my boss'
>lectures ("we always used these and we didnt have any problems, blah
>blah blah). I don't regret it a bit, and I actually think it turned
>into a profit for me.
> I know that I'm not staying forever in the NHS, but... I just don't
>feel ready. I still do terrible mistakes (well, I at least think
>they're terrible) and have to improve my skills in areas that may seem
>simple to you, like diagnosis, treatment planning and manual
>dexterity.
> I'm probably going to start my own practice next year with a friend
>of mine who has 12 years of experience under his belt. It's going to
>be NHS but under a new system that promises toreduce bureaucracy and
>paperwork significantly, so at least you'll get more time sorting out
>the patient. The money isn't bad; with some scheduling and good
>management I can achieve a very respectable income, but the main thing
>is trying to develop a relationship of trust with a patient base so
>that I can move to private after a few years. I already have an idea
>about that, that sounds like too crazy.
> Oh, and London isn't that bad Stovie. The centre is colourful I
>think!
>
>Thanks for all the interest and the advice,
>George

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