tag:blogger.com,1999:blog-61076662024-03-13T03:01:14.648+00:00Richard Charon BDSRetired (Jan 2021 Dental Sedation Teacher in Inhalation SedationUnknownnoreply@blogger.comBlogger246125tag:blogger.com,1999:blog-6107666.post-27537461510456343722020-05-23T07:14:00.001+00:002020-05-23T07:40:45.512+00:00Is Inhalation Sedation Safe to use during the Covid 19 Pandemic <div class="feed-shared-update-v2__description-wrapper ember-view" id="ember892">
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<span class="ember-view" id="ember898">For my dental colleagues utilising or considering Inhalation Sedation: </span></div>
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<span class="ember-view" id="ember898">Up early this morning with 90 minutes of research for your benefit. </span><br />
<span class="ember-view" id="ember898"><span class="ember-view" id="ember898">This short opinion piece suggest it is indeed safe.</span></span></div>
<div class="feed-shared-text__text-view feed-shared-text-view white-space-pre-wrap break-words ember-view" id="ember895">
<span class="ember-view" id="ember898"><a href="https://lnkd.in/dT6kYfG" target="_blank">Is Inhalation Sedation Safe to use during the Covid 19 Pandemic</a> </span></div>
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<span class="ember-view" id="ember906">This would appear to contradict the statement put out on the SAAD website. </span></div>
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<span class="ember-view" id="ember906">I'm happy to be corrected if anyone sees otherwise.</span><br />
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<span class="ember-view" id="ember906"><span data-offset-key="ei7m5-0-0"><span data-text="true">The authors state: "In the absence of clear evidence with regard to the potential of IHS to generate an aerosol, a decision should be made locally as to its safe use. We have adopted a precautionary approach and provide IHS using level 3 PPE as for an AGP. Further research is urgently needed however."</span></span> </span></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-62920295899679775152020-04-17T15:44:00.003+00:002020-04-17T15:49:20.342+00:00 Scottish Dental Show 2020 <div class="separator" style="clear: both; text-align: center;">
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<span style="color: blue;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">
Inhalation Sedation. </span></span></h2>
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<span style="color: blue;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">A very brief introduction </span></span></h2>
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<span style="color: blue;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">This page is designed for delegates to the </span></span></div>
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<span style="color: blue;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Scottish Dental Show, Glasgow 2020.</span></span></h3>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">In the light of the coronavirus pandemic</span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> and the show's postponement,</span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> the organisers have asked their booked speakers </span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">to provide information, background and reading resources</span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">on the topics they were booked to speak on at the show</span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> on the 24th and 25th April 2020.</span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Please click the link below for my first short video.</span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">More resources will follow</span></div>
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<a href="https://youtu.be/gK-IsJ-YxJk" target="_blank"><img alt=" https://youtu.be/gK-IsJ-YxJk " border="0" data-original-height="633" data-original-width="908" height="222" src="https://1.bp.blogspot.com/-PLCg5UKXZhY/XpnMaU3L9-I/AAAAAAAAB1k/PlOSHEm1NXcBAa4ewZpIuhCksfdQuKWhgCLcBGAsYHQ/s320/Screen%2BShot%2B2020-04-17%2Bat%2B15.49.17.png" width="320" /></a></div>
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<span id="goog_327916106"></span><span id="goog_327916107"></span><br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-89631426583867504232019-11-18T07:06:00.001+00:002019-11-18T23:12:51.443+00:00Dental Therapist updates Inhalation Sedation knowledge<div>
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<b><span style="font-family: "times new roman"; font-size: 10.0pt;">Id like to share </span><span style="font-family: "times new roman"; font-size: 10.0pt;">some interesting and very helpful
feedback from Dental Therapist, </span></b></div>
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<b><span style="font-family: "times new roman"; font-size: 10.0pt;">Alex Middleton Dental Therapist from Sussex.</span></b>
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<span style="font-family: "times new roman"; font-size: 10.0pt;">As an existing operator-sedationist,
utilising Inhalation Sedation, Alex attended our “RA”update day 2 years ago. </span></div>
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<span style="font-family: "times new roman"; font-size: 10.0pt;">These days assume
attendees are currently or have recently utilised the technique having
previously received training and having been signed off as competent already.</span></div>
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<span style="font-family: "times new roman"; font-size: 10.0pt;">Seeking another update recently and
since the date suited her better, Alex chose to attend day 1 of our accredited
3-day “New Starters” course on Nov 2<sup>nd</sup> 2019, designed to take dental
professionals from scratch to a point of readiness to undertake their first 10
cases under supervision.</span></div>
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<span style="font-family: "times new roman"; font-size: 10.0pt;">In doing so, she joined dentists
from England, Ireland and Wales as well as an anaesthetist from Hungary in
Newbury, Berkshire.</span></div>
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<a href="https://1.bp.blogspot.com/-iJruZU3jl6s/XdJBLpsDdgI/AAAAAAAAB1A/W7W10-s6EV0-fyxb5InlOGdoe0yQpH41wCEwYBhgL/s1600/RA%2BUpdate%2BNewbury%2BNov%2B2019.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="512" data-original-width="879" height="232" src="https://1.bp.blogspot.com/-iJruZU3jl6s/XdJBLpsDdgI/AAAAAAAAB1A/W7W10-s6EV0-fyxb5InlOGdoe0yQpH41wCEwYBhgL/s400/RA%2BUpdate%2BNewbury%2BNov%2B2019.jpg" width="400" /></a></div>
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<span style="font-family: "times new roman"; font-size: 10.0pt;">Here are her comments, about which
she said : ” I am happy for you to use anything I have said and happy for you
to reword to suit”. </span>
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<span style="font-family: "times new roman"; font-size: 10.0pt;">No changes have been made in fact.</span></div>
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<span style="font-family: "times new roman"; font-size: 10.0pt;">“<b><span style="color: blue;">After completing the course today
(2.11.19) I feel that everyone should do this as a refresher! </span></b></span></div>
<b><span style="color: blue;">
</span></b><br />
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<b><span style="color: blue;"><span style="font-family: "times new roman"; font-size: 10.0pt;">“ I did the course
again <i> (After 2 years</i>) because I had a short break in practice but
felt today has consolidated </span></span></b></div>
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<b><span style="color: blue;"><span style="font-family: "times new roman"; font-size: 10.0pt;">all of my learning. “</span></span></b></div>
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</span></b><br />
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<b><span style="color: blue;"><span style="font-family: "times new roman"; font-size: 10.0pt;">“I found that I was able
to understand it all completely compared to last time, which boosted my
confidence in my ability to practice safely.”</span></span></b></div>
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</span></b><br />
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<b><span style="color: blue;"><span style="font-family: "times new roman"; font-size: 10.0pt;">Yesterday, Nov 17<sup>th, </sup> she added ...</span></span></b></div>
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<b><span style="color: blue;"><span style="font-family: "times new roman"; font-size: 10.0pt;"></span></span></b></div>
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<b><span style="color: blue;"><span style="font-family: "times new roman"; font-size: 10.0pt;">“I completed a very successful list on Thursday so thank you.” .</span></span></b></div>
<b><span style="color: blue;">
</span></b><br />
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<b><span style="color: blue;"><span style="font-family: "times new roman"; font-size: 10.0pt;">“More people should do
this training, is it the cost of the initial outlay that holds people back?”.</span></span></b></div>
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<div class="yiv6215258465ydp4e1d7eb8MsoNormal">
<span style="font-family: "times new roman"; font-size: 10.0pt;">That last point will be
the subject of an entire opinion piece that I may look to get published.</span></div>
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<span style="font-family: "times new roman"; font-size: 10.0pt;">Thanks so much Alex for
your valuable feedback and your food for thought.</span></div>
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<span style="font-family: "times new roman"; font-size: 10.0pt;">Richard Charon</span></div>
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<a href="https://1.bp.blogspot.com/-bT8fT_5ktXU/VbpKQB_Pu4I/AAAAAAAABfg/edpGAj7wxLsIzHvVWZgT8q9VGHm_f3QEwCPcBGAYYCw/s1600/Richard%2BCharon%2BBDS.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="536" data-original-width="374" height="200" src="https://1.bp.blogspot.com/-bT8fT_5ktXU/VbpKQB_Pu4I/AAAAAAAABfg/edpGAj7wxLsIzHvVWZgT8q9VGHm_f3QEwCPcBGAYYCw/s200/Richard%2BCharon%2BBDS.JPG" width="139" /></a></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-62844078924392995482019-11-16T12:29:00.001+00:002019-11-16T12:29:11.616+00:00The Scottish Dental Show 2020 - and for my next trick!<div style="text-align: center;">
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The Scottish Dental Show 2020. </h2>
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<a href="https://1.bp.blogspot.com/-9DkefhdSGeQ/WQHivXtZpgI/AAAAAAAABoM/fbeup8QUHPQkcN9TUQXOgJFEx5FO5HP9gCPcBGAYYCw/s1600/IMG_1722.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1575" data-original-width="1600" height="392" src="https://1.bp.blogspot.com/-9DkefhdSGeQ/WQHivXtZpgI/AAAAAAAABoM/fbeup8QUHPQkcN9TUQXOgJFEx5FO5HP9gCPcBGAYYCw/s400/IMG_1722.jpg" width="400" /></a></div>
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<span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;">I'm delighted that I can now
confirm that I have been booked for another trip to Glasgow, </span><br />
<span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;">where I
will have 2 slots at the Scottish Dental Show 2020.</span><br />
<span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;"><br /></span>
<span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;"><b>Date</b> </span><br />
<span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;">Friday April 24th.</span><br />
<br />
<span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;"><b>Time</b> </span><br />
<span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;">9.30am and 12.30pm on</span><br />
<br /><span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;">One talk is being designed for those (GDPs/DCPs) who might be considering introducing a new service to their practices.</span><br />
<span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;"><br /></span>
<span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;">The other offers a 1 hour eCPD Update to Dental teams already involved in offering Inhalation Sedation.</span><br />
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<span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;">Come an say hello if you are there!</span><br />
<br />
<span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;"><a href="http://the-ra-coach.co.uk/43.html" target="_blank">The RA Coach Website </a></span><br />
<a href="http://the-ra-coach.co.uk/43.html"><span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;"><br /></span></a>
<span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;"> </span><br />
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-->Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-66033028121514721382019-09-03T19:12:00.001+00:002019-09-03T19:37:12.252+00:00Inhalation Sedation A Golden Nugget: How to improve success with young children and very anxious adults<a href="https://1.bp.blogspot.com/-u3ARI0PvEzc/ViaJEMVUKzI/AAAAAAAABhU/RPRbz2tE8kkC8DDMq50qOEltfScRCw6cgCPcBGAYYCw/s1600/IMG_2462%2B-%2BVersion%2B2.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="536" data-original-width="374" height="320" src="https://1.bp.blogspot.com/-u3ARI0PvEzc/ViaJEMVUKzI/AAAAAAAABhU/RPRbz2tE8kkC8DDMq50qOEltfScRCw6cgCPcBGAYYCw/s320/IMG_2462%2B-%2BVersion%2B2.JPG" width="223" /></a><span style="font-size: small; font-weight: normal;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;"><span style="font-weight: normal;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;">Richard Charon BDS</span></span></span></span></span></span><br />
<div class="MsoNormal">
<h3>
<span style="font-size: small; font-weight: normal;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;">T/A The RA Coach</span></span></span></h3>
<h3>
<span style="font-size: small; font-weight: normal;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;">Inhalation Sedation</span></span></span></h3>
<h3>
<span style="font-size: small; font-weight: normal;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;">Accredited Course Provider and Trainer</span></span></span></h3>
<h4>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: small;"><span style="font-weight: normal;"><span style="color: #444444;">IACSD (2015) RCS(STAC)2106 & 2018</span></span></span></h4>
<h4>
<span style="color: #444444; font-size: small;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-weight: normal;">Approved by The Dental Council of Ireland Dec 2017</span></span></span></h4>
(c)<br />
<br />
<h3>
<span style="font-weight: normal;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span lang="EN-US"> </span></span></span></h3>
<h3>
<span style="font-weight: normal;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span lang="EN-US"> Inhalation Sedation</span></span></span></h3>
</div>
<div class="MsoNormal">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://1.bp.blogspot.com/-5fkElTy8qos/XW66wVg9GNI/AAAAAAAAB0A/rgCaoTtOkcwWAhLlDHMLiHIKlxsN0EmZACLcBGAs/s1600/nugget.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="612" data-original-width="612" height="200" src="https://1.bp.blogspot.com/-5fkElTy8qos/XW66wVg9GNI/AAAAAAAAB0A/rgCaoTtOkcwWAhLlDHMLiHIKlxsN0EmZACLcBGAs/s200/nugget.jpg" width="200" /></a></div>
<h3>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span lang="EN-US">A Golden Nugget !</span></span></h3>
</div>
<div class="MsoNormal">
<h3>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span lang="EN-US">How to improve success with young children and very anxious adults</span></span></h3>
</div>
<div class="MsoNormal">
<span lang="EN-US">Unless the practitioner has already built
rapport with a patient, then it is asking<span style="mso-spacerun: yes;">
</span>a lot, usually too much, to see a patient on referral and get on with a
sedation and treatment session and expect a successful outcome, more particularly for children, though this is
of course possible.</span><br />
<div class="separator" style="clear: both; text-align: center;">
<span lang="EN-US"> </span><a href="https://1.bp.blogspot.com/-T5JgwDh-9hI/XW69rhIVnkI/AAAAAAAAB0M/Ua4rGj73Sv4LL4T-oo6DTIk3kCIb8cQBACLcBGAs/s1600/Rapport.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="247" data-original-width="771" height="203" src="https://1.bp.blogspot.com/-T5JgwDh-9hI/XW69rhIVnkI/AAAAAAAAB0M/Ua4rGj73Sv4LL4T-oo6DTIk3kCIb8cQBACLcBGAs/s640/Rapport.png" width="640" /></a></div>
</div>
<div class="MsoNormal">
<div style="text-align: center;">
<span lang="EN-US">Much can be learned therefore from my
approach with</span></div>
<div style="text-align: center;">
<span lang="EN-US"> <a href="https://theracoach.blogspot.com/2018/03/jhbiu.html" target="_blank">a reluctant dental phobic 13 year old using a 3-stage technique.</a> </span></div>
<br />
<span lang="EN-US">This approach would be my preferred way with very young patients, more
particularly for patients referred to me and<span style="mso-spacerun: yes;">
</span>I believe greatly increases the chance of success and therefore reduce
the risk of creating or exacerbating dental fear/anxiety or even phobia.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Each session can be quite short and would
incorporate the patient assessment, consent process , an acclimatization
session with “RA” and finally treatment.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Good communication, “Tell-Show-Do” and
positivity are all essential. Other strategies may be added according to the
practitioners capabilities, the age and cognitive abilities of the patient</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Never over-promise and under-deliver BUT at
the same time the careful use of language and body language should be used to
suggest if not predict a very likely positive outcome.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">“Let’s give this a try and see if it work”
is <b>not</b> the right approach.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">An approach which is most likely to lead to
success, would be something along these lines. </span></div>
<div class="MsoNormal">
</div>
<div class="MsoNormal">
<span lang="EN-US">“ What we have found is that other
children/people love the happy air, love the relaxation and
comfortable/cosy/floaty (choose your words) that it gives. Just imagine how
nice it would be if … (choose your words).”</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Once the patient responds in a positive
manner then proceed to the next step:</span></div>
<div class="MsoNormal">
<span lang="EN-US">Which would be a "Trial Run" with <b style="mso-bidi-font-weight: normal;">no treatment</b>. This is a promise that
must not be broken.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">More often than not I make another
appointment at this point with the promise of a quick try of the ”happy air”
(used for adults and children!) adding<span style="mso-spacerun: yes;"> </span>“
I don’t even want you to see your teeth next time” or “I’d like you to keep you
mouth closed next time” – is that OK?</span></div>
<div class="MsoNormal">
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://1.bp.blogspot.com/-taNK-3JLkcQ/VElk6e8gfZI/AAAAAAAABSA/1VLYCBCR-8Yb0zZ7RiC0taRDDQdsNiLdQCPcBGAYYCw/s1600/RA%2BCOACH-47.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="665" data-original-width="1000" height="212" src="https://1.bp.blogspot.com/-taNK-3JLkcQ/VElk6e8gfZI/AAAAAAAABSA/1VLYCBCR-8Yb0zZ7RiC0taRDDQdsNiLdQCPcBGAYYCw/s320/RA%2BCOACH-47.jpg" width="320" /></a></div>
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">If in the sedationist’s judgment the
patient’s level of dental anxiety is not too extreme, then ask at this first
visit that “when we have a trial run of the happy air, is it OK if I just count
your teeth just using a dental mirror - (Show them the mirror). If agreed, then
that will give the patient the opportunity to assess their own relaxed mouth,
reduced or absent gag reflex and “not minding a bit” about having a dentist’s
fingers or mirror in their mouth.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Assuming that session proceeds well and the
patient is positive at the end and can give you operator-sedationist the
thumbs-up then go on to book the treatment appointment, reminding them that
they will feel just as relaxed next time, before starting any treatment/ mending
your tooth or whatever is appropriate.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Expect the patient’s level of anxiety
to be lower on arrival for the treatment visit which normally proceeds very
successfully.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">A word of warning. </span></div>
<div class="MsoNormal">
<span lang="EN-US">Providing truly painless local anaesthetic
injections is also a key to success. </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Do
not take liberties</span></b><span lang="EN-US">. The analgesic effects of
Nitrous Oxide can be overplayed. It will help but it will not “mask” a poorly
given LA injection.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span lang="EN-US">I have witnessed GDPs for whom I was sedating
their patients, inflict (of course unintentionally) a painful injection because
they had assumed the patient would feel nothing.</span></div>
<div class="MsoNormal">
<span lang="EN-US">The result on each occasion was a tearful
child, whose nasal secretions quickly prevented the required nasal breathing
and so of course the sedative effects of the nitrous oxide quickly wore off. </span></div>
<div class="MsoNormal">
<span lang="EN-US">I would advise using topical L.A. <span style="mso-spacerun: yes;"> </span>and waiting long enough for it to take effect.
</span></div>
<div class="MsoNormal">
<span lang="EN-US">This can be applied soon after the initial
increments of nitrous oxide are given.</span></div>
<div class="MsoNormal">
<span lang="EN-US">Once the Sedation-end point has bee reached
and the patient indicated they are comfortable, the mucosal surface will have
been anaesthetized or wait a little longer until it is deemed that the topical
will have taken effect.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://1.bp.blogspot.com/-qF_wD260cfA/WtEMhBWrafI/AAAAAAAABuQ/Vxm3hWlqGr4cYBaVgFSEknV7BuIrhi6sACPcBGAYYCw/s1600/Richard%2BCharon%2BBDS%2BWand%2BIDB%2Bre%2Bposture1%2Bcopyright%2Bcopy.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="324" data-original-width="644" height="320" src="https://1.bp.blogspot.com/-qF_wD260cfA/WtEMhBWrafI/AAAAAAAABuQ/Vxm3hWlqGr4cYBaVgFSEknV7BuIrhi6sACPcBGAYYCw/s640/Richard%2BCharon%2BBDS%2BWand%2BIDB%2Bre%2Bposture1%2Bcopyright%2Bcopy.jpg" width="640" /></a></div>
<br />
<div class="MsoNormal">
<span lang="EN-US">Then very slowly inject one or two drops
only of LA and withdraw. </span></div>
<div class="MsoNormal">
<span lang="EN-US">Wait a minute (be patient!) whilst the
patients breathing steadies and their sedation is maintained. Then return to
the injection site to very slowly give the appropriate dose for the patient and
the procedure.</span></div>
<br />
<span lang="EN-US">Then wait an appropriate time again before
proceeding with any operative treatment. If the patient shows any sign of
sensation, stop, reassess and take whatever appropriate action is required to
ensure anaesthesia.</span></div>
<div class="MsoNormal">
<span lang="EN-US">I hope that helps.</span><br />
<br />
<span lang="EN-US">Richard Charon </span></div>
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<br /></div>
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<br /></div>
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-->Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-91921119872933547432019-09-03T17:25:00.003+00:002019-09-03T17:26:51.232+00:00#ISDAM2019 Congress<div class="separator" style="clear: both; text-align: center;">
<a href="https://1.bp.blogspot.com/-u3ARI0PvEzc/ViaJEMVUKzI/AAAAAAAABhU/RPRbz2tE8kkC8DDMq50qOEltfScRCw6cgCPcBGAYYCw/s1600/IMG_2462%2B-%2BVersion%2B2.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="536" data-original-width="374" height="200" src="https://1.bp.blogspot.com/-u3ARI0PvEzc/ViaJEMVUKzI/AAAAAAAABhU/RPRbz2tE8kkC8DDMq50qOEltfScRCw6cgCPcBGAYYCw/s200/IMG_2462%2B-%2BVersion%2B2.JPG" width="138" /></a></div>
<div style="text-align: right;">
<h3>
<span style="font-weight: normal;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;"><br /> </span></span></span></h3>
</div>
<h3>
</h3>
<h3>
<span style="font-weight: normal;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;"><span style="font-weight: normal;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;">Richard Charon BDS</span></span></span></span></span></span></h3>
<h3>
<span style="font-weight: normal;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;">T/A The RA Coach</span></span></span></h3>
<h3>
<span style="font-weight: normal;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;">Inhalation Sedation</span></span></span></h3>
<h3>
<span style="font-weight: normal;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;">Accredited Course Provider and Trainer</span></span></span></h3>
<h4>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-weight: normal;"><span style="color: #444444;">IACSD (2015) RCS(STAC)2106 & 2018</span></span></span></h4>
<h4>
<span style="color: #444444;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-weight: normal;">Approved by The Dental Council of Ireland Dec 2017</span></span></span></h4>
<h3>
<span style="color: #444444;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-weight: normal;"> <div class="separator" style="clear: both; text-align: center;">
<a href="https://1.bp.blogspot.com/-b07Dlnhk3Kw/XW6T2afX32I/AAAAAAAABzU/hMjhmOiU-8Qe60h8blNJASYRbVmSg1e2QCLcBGAs/s1600/RCS%2BGlasgow.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="574" data-original-width="750" height="244" src="https://1.bp.blogspot.com/-b07Dlnhk3Kw/XW6T2afX32I/AAAAAAAABzU/hMjhmOiU-8Qe60h8blNJASYRbVmSg1e2QCLcBGAs/s320/RCS%2BGlasgow.jpg" width="320" /></a></div>
</span></span></span><span style="color: #444444;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-weight: normal;">
</span></span></span></h3>
<h3>
<span style="color: #444444;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-weight: normal;">The #ISDAM2019 Congress held at the royal College of Surgeons in Glasgow on 22nd & 23rd August 2019 is now behind us.</span></span></span></h3>
<h3>
<span style="color: #444444;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-weight: normal;"> </span></span></span><span style="color: #444444;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-weight: normal;"><div class="separator" style="clear: both; text-align: center;">
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><a href="https://1.bp.blogspot.com/-dVx1KWSbTlg/XW6UvJX-VfI/AAAAAAAABzo/gczwThkwXgU_LEI28HcDCONPVljwLSYcwCLcBGAs/s1600/Richard%2Bat%2Blectern.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="960" data-original-width="720" height="320" src="https://1.bp.blogspot.com/-dVx1KWSbTlg/XW6UvJX-VfI/AAAAAAAABzo/gczwThkwXgU_LEI28HcDCONPVljwLSYcwCLcBGAs/s320/Richard%2Bat%2Blectern.jpg" width="240" /></a></span><span style="color: #444444;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-weight: normal;"> </span></span></span></div>
</span></span></span><span style="font-weight: normal;"><span style="font-size: small;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">The speaker line-up and content was impressive but I must let others decide on whether my own contribution was of value.</span></span></span></h3>
<span style="font-size: small;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">I was honoured to be the 2nd speaker at the lectern on the first day following my colleague Roy Bennett (Dip. Sed.)</span></span><span style="color: #444444;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;"></span></span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;"> </span></span></span></span><br />
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big thanks to Dr. Mike Gow </span></span></span></span></span></div>
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<span style="font-weight: normal;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;"><span style="font-size: small;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"></span></span></span></span></span><span style="font-weight: normal;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #444444;"><span style="font-size: small;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">for his sustained hard work in creating this
first and very successful Congress of the International Society for
Dental Anxiety Management and to all the other insprational and
interesting speakers.</span></span></span></span></span></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-89416927714427510842019-08-17T15:45:00.000+00:002019-08-17T15:49:34.915+00:00Speaker at the ISDAM Congress Glasgow 2019<div data-contents="true">
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<div class="_1mf _1mj" data-offset-key="ei62m-0-0">
<span data-offset-key="ei62m-0-0"><span data-text="true">The final I<a href="https://www.isdam.com/isdam-congress-2019-p46" target="_blank">SDAM Congress line-up at the Royal College of Physicians and Surgeons in Glasgow </a>next Thursday and Friday, has been published. 2 days for like-minded colleagues to engage, exchange and for the speakers to deliver content aimed at opening the doors to 21st century dental care for those whose anxiety or phobia holds them back. </span></span></div>
<div class="_1mf _1mj" data-offset-key="ei62m-0-0">
<span data-offset-key="ei62m-0-0"><span data-text="true">My Keynote has winged it's way to the organisers, </span></span></div>
<div class="_1mf _1mj" data-offset-key="ei62m-0-0">
<span data-offset-key="ei62m-0-0"><span data-text="true">so 4 days of rehearsal should hone my 45 min. presentation! </span></span></div>
<div class="_1mf _1mj" data-offset-key="ei62m-0-0">
<span data-offset-key="ei62m-0-0"><span data-text="true">Virgin 1st Class Euston to Glasgow. </span></span></div>
<div class="_1mf _1mj" data-offset-key="ei62m-0-0">
<span data-offset-key="ei62m-0-0"><span data-text="true">Looking forward to it.</span></span></div>
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<span data-offset-key="2vmml-0-0"><span data-text="true">If you have a change of mind, I expect a few places are still available.</span></span></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-70712605866996539652019-07-26T20:30:00.001+00:002019-07-26T20:50:44.555+00:00Welcome to my blog- for ISDAM Congress Delegates from Richard CharonI am delighted to have been invited by Mike Gow to speak at the plenary session of this year's ISDAM Congress in Glasgow on Thursday August 22nd. at the Royal College of Physicians and Surgeons.<br />
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Like all of the speakers, I can but cover a few topics within my subject in the allocated time and I am aware that some in the audience, perhaps many, will have had no experience of providing Inhalation Sedation with titrated Nitrous Oxide and Oxygen or indeed have even witnessed its use.<br />
So coming to any conclusion as to its place or usefulness may well be difficult for them.<br />
For you perhaps.<br />
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So ahead of the Congress, I am providing links here to a number of unedited patient accounts/stories of their experiences, thoughts and feelings, having had the opportunity of benefiting at the receiving end of the "Happy Air".<br />
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I make no excuses but some of these are quite long, so perhaps make yourself a cup of tea of coffee, settle down and perhaps be interested, inspired and or even amazed! <br />
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Apologies if you have read these before but I suspect not.<br />
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<a href="http://the-ra-coach.co.uk/7.html" target="_blank">Matt's story</a><br />
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Patient stories - Inhalation Sedation - Accredited training for Dentists ...</h2>
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Richard Charon BDS</div>
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Patient's stories in their own words</div>
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<a class="yiv2578369814enhancr_card_4593959448" href="http://the-ra-coach.co.uk/8.html" rel="nofollow" shape="rect" target="_blank">Lucy's story </a></div>
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Lucy's story - Inhalation Sedation - Acredited training for Dentists & DCPs</h2>
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Richard Charon BDS</div>
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Accredited Inhalation Sedation training, Accreditation by IACSD in December 2015, verified by RCS STAC June 2016...</div>
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<a class="yiv2578369814enhancr_card_4331454087" href="http://the-ra-coach.co.uk/10.html" rel="nofollow" shape="rect" target="_blank">Marie's Story </a></div>
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Marie's Story - Inhalation Sedation - Acredited training for Dentists & ...</h2>
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Richard Charon BDS</div>
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Accredited Inhalation Sedation training, Accreditation by IACSD in December 2015, verified by RCS STAC June 2016...</div>
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<a class="yiv2578369814enhancr_card_5156122974" href="http://the-ra-coach.co.uk/12.html" rel="nofollow" shape="rect" target="_blank">Sarah's Story</a></div>
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Sarah's Story - Inhalation Sedation - Acredited training for Dentists & ...</h2>
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Richard Charon BDS</div>
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Accredited Inhalation Sedation training, Accreditation by IACSD in December 2015, verified by RCS STAC June 2016...</div>
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<a class="yiv2578369814enhancr_card_4315584822" href="http://the-ra-coach.co.uk/13.html" rel="nofollow" shape="rect" target="_blank">Carolyn's story </a></div>
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Carolyn's story - Inhalation Sedation - Acredited training for Dentists ...</h2>
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Richard Charon BDS</div>
<div class="yiv2578369814ydp35ddb76card-description" style="color: #979ba7; font-size: 12px; line-height: 16px; margin: 0px;">
Accredited Inhalation Sedation training, Accreditation by IACSD in December 2015, verified by RCS STAC June 2016...</div>
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Peter's Story - Inhalation Sedation - Acredited training for Dentists & ...</h2>
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Richard Charon BDS</div>
<div class="yiv2578369814ydp9acdf31fcard-description" style="color: #979ba7; font-size: 12px; line-height: 16px; margin: 0px;">
Accredited Inhalation Sedation training, Accreditation by IACSD in December 2015, verified by RCS STAC June 2016...</div>
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I hope to have the opportunity to meet many of you on the 22nd -23rd of August. <br />
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It
is nice to be reminded that the work we all do has such a positive effect on patient's lives.</div>
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<span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43560" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43559" style="font-size: 16px;">Richard Charon BDS</span></span><br />
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<span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43560" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43559" style="font-size: 16px;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_44780" style="font-size: x-small;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_44779" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_44778" style="font-size: 16px; text-decoration: underline;">RA Coaching and Mentoring since 2003</span></span></span><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: 16px;"></span></span><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_44783" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_44782" style="font-size: 16px;"></span></span><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_44783" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_44782" style="font-size: 16px;"><span class="ydp9d01e16cyiv8487172343yui_3_2_0_2_138281475089173" id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_44781" style="background-color: transparent;"><br /></span></span></span> </span></span><br />
<span style="font-size: small;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43560" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43559"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43574" style="background-color: inherit; color: #440062;"><i id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43573">Accredited Course Provider in Inhalation Sedation </i></span></span></span><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43560" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43559"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43574" style="background-color: inherit; color: #440062;"><i id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43573"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43560" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43559"></span></span><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43569" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43568"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43567" style="background-color: inherit;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43566"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43565"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43564" style="color: #440062;"><i id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43563"><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span></i></span></span></span></span></span></span></i></span></span></span></span><br />
<span style="font-size: small;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43560" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43559"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43574" style="background-color: inherit; color: #440062;"><i id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43573"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43569" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43568"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43567" style="background-color: inherit;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43566"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43565"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43564" style="color: #440062;"><i id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43563"><span style="font-family: "arial" , "helvetica" , sans-serif;">I</span></i></span></span></span></span></span></span></i></span></span></span><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43560" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43559"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43574" style="background-color: inherit; color: #440062;"><i id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43573"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43569" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43568"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43567" style="background-color: inherit;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43566"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43565"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43564" style="color: #440062;"><i id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43563"><span style="font-family: "arial" , "helvetica" , sans-serif;">ACSD </span></i></span></span></span></span></span></span>Dec. </i></span></span></span><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43569" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43568"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43567" style="background-color: inherit;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43566"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43565"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43564" style="color: #440062;"><i id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43563">2015; </i></span></span></span></span></span></span></span><br />
<span style="font-size: small;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43569" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43568"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43567" style="background-color: inherit;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43566"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43565"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43564" style="color: #440062;"><i id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43563">RCS(STAC) 2016 & 2018</i></span></span></span></span></span></span></span></div>
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<span style="font-size: small;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43569" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43568"></span></span><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43569" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43568"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43567" style="background-color: inherit;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43566"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43565"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43564" style="color: #440062;"><i id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_43563">Approved Dental Council of Ireland 2017</i></span></span></span></span></span></span></span><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_44780" style="font-size: x-small;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_44779" style="font-family: "arial" , "helvetica" , sans-serif;"><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_44778" style="font-size: 16px; text-decoration: underline;"></span></span></span><br />
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<span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_44788" style="font-family: "arial" , "helvetica" , sans-serif;"></span><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_44788" style="font-family: "arial" , "helvetica" , sans-serif;"></span><br />
<span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_44788" style="font-family: "arial" , "helvetica" , sans-serif;"></span><span id="ydp9d01e16cyiv8487172343yui_3_16_0_ym19_1_1536336381231_44788" style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background-color: inherit; font-size: medium;"><span style="color: #dd902f;"><a href="https://www.linkedin.com/in/richardcharon/detail/recent-activity/posts/" rel="nofollow" target="_blank">Linkedin</a></span></span></span>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-48755031230415016552019-05-12T18:00:00.002+00:002019-05-12T18:01:19.445+00:00What's new in Inhalation Sedation?<div class="separator" style="clear: both; text-align: center;">
<a href="https://1.bp.blogspot.com/-lN6WtW4ake8/XNheN3thgDI/AAAAAAAAByI/umszFHq2bAQqNXOeP52jJOhU6WKTFTk0gCLcBGAs/s1600/Update%2Bflyer%2BJuly%2B2019.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1237" height="640" src="https://1.bp.blogspot.com/-lN6WtW4ake8/XNheN3thgDI/AAAAAAAAByI/umszFHq2bAQqNXOeP52jJOhU6WKTFTk0gCLcBGAs/s640/Update%2Bflyer%2BJuly%2B2019.jpg" width="492" /></a></div>
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<a href="https://theracoach.blogspot.com/2018/11/inhalation-sedation-testimonial-for-our.html" target="_blank">Outstanding reviews from our last Update Day in Nov. 2018 </a></h3>
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<a href="https://www.facebook.com/photo.php?fbid=10218473242125018&set=gm.10157156437558232&type=3&theater&ifg=1" target="_blank">To book places for you and your team</a></h3>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-40509459392920258042018-11-28T20:48:00.001+00:002018-11-28T21:02:55.010+00:00Inhalation Sedation Testimonial for our eCPD Update Day 24.11.18 <div class="jb_0 X_6MGW N_6Fd5">
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Yesterday I received this testimonial from Dr. Phil Loughnane BDS, DPDS, MJDF, PGCME, DipConSed. (<span class="yiv3783291856" style="font-size: 11pt;">Phil Loughnane BDS, DPDS, MJDF, PGCME, DipConSed</span><br class="yiv3783291856" />
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<span class="yiv3783291856"><span class="yiv3783291856" style="font-size: 15px;"><span class="yiv3783291856">(Foundation Training Advisor),</span></span> </span>from the Stroud area of Gloucester, following his attendance with his 2 dental nurses, on Sat. 24th November at our eCPD Update day in Newbury. </span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">I found this powerful, helpful and I must say gratifying too.</span></div>
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<span style="font-size: small;"><span style="color: blue;"><i>"Dear Richard
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<span style="font-size: small;"><span style="color: blue;"><i>Many thanks for such a stimulating course on
Saturday. The three of us really enjoyed it and we all learnt so much.
Your experience and enthusiasm shone throughout the day and ensured that
we were learning relevant material the whole day. </i></span></span></div>
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<span style="font-size: small;"><span style="color: blue;"><i>You
are a natural educator and this led to a wonderful level of
participation from all delegates.</i></span></span></div>
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<span style="font-size: small;"><span style="color: blue;"><i><br class="yiv7555359558" clear="none" /></i></span></span>
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<span style="font-size: small;"><span style="color: blue;"><i>
Thanks for sending the link to the PowerPoint - again really useful.
</i></span></span><br />
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<span style="font-size: small;"><span style="color: blue;"><i>Please can I also request the audit logs that you mentioned we could adapt.</i></span><span style="color: blue;"><i> ... as you were both so
available to talk before the course started & during breaks. <b> </b></i></span></span></div>
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<span style="font-size: large;"><span style="color: blue;"><i><b>I found
the course one of the best CPD events that I have ever attended.</b></i></span></span></div>
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<span style="font-size: small;"><span style="color: blue;"><i>...</i></span></span><span style="font-size: small;"><span style="color: blue;"><i> Great to meet a fellow Manchester graduate.
</i></span></span></div>
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<span style="font-size: small;"><span style="color: blue;"><i>Phil</i></span></span></div>
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<span style="color: blue;"><i>Phil and his team had to leave just before the "finale" photo - sorry Phil!</i></span></div>
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<a href="https://2.bp.blogspot.com/-_lYlPQMYX20/W_77mpwvLCI/AAAAAAAABw0/q78w8Y1eOA02zRwaS9uYS6GdEpHwUEeKQCLcBGAs/s1600/DSC_1481.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="900" data-original-width="1600" height="180" src="https://2.bp.blogspot.com/-_lYlPQMYX20/W_77mpwvLCI/AAAAAAAABw0/q78w8Y1eOA02zRwaS9uYS6GdEpHwUEeKQCLcBGAs/s320/DSC_1481.jpg" width="320" /></a></div>
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<a href="https://4.bp.blogspot.com/-CweJfM_j0as/W_77nRQ1f8I/AAAAAAAABw4/3dusKGbxeckcevskG6-oY2b7rtx0m6cBACLcBGAs/s1600/IMG_5334.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="962" data-original-width="1600" height="192" src="https://4.bp.blogspot.com/-CweJfM_j0as/W_77nRQ1f8I/AAAAAAAABw4/3dusKGbxeckcevskG6-oY2b7rtx0m6cBACLcBGAs/s320/IMG_5334.jpg" width="320" /></a></div>
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<span style="color: blue;"><i>Do make contact if you and your experienced IHS team are due for an eCPD Update in this sedation technique.</i></span></div>
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<span style="color: blue;"><i><br /></i></span></div>
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<span style="color: blue;"><i>Richard Charon BDS</i></span></div>
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<a href="http://www.the-ra-coach.co.uk/"><span style="color: blue;"><i>www.the-ra-coach.co.uk</i></span></a></div>
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<span style="color: blue;"><i><br /></i></span></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-16994757468150688132018-10-30T20:56:00.004+00:002018-10-30T21:06:50.761+00:00David Craig at The Eastman 25th October 2018<style>
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<div class="MsoNormal">
<span lang="EN-US">On Monday I attended an Advanced Dental
Sedation meeting at the Eastman mainly, it must be said, to hear what David Craig
had to say on his view for dental conscious sedation for the next 5 years.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">David as most will know, was a committee
member for IACSD and a past president of both SAAD & the DSTG and has
always been very supportive of my activities in relation to IHS training.</span></div>
<div class="MsoNormal">
<span lang="EN-US">David was clear to point out that the
points he was about to raise in his talk<span style="mso-spacerun: yes;">
</span>were his personal views only.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">As far as possible these are my verbatim contemporaneous notes. </span></div>
<div class="MsoNormal">
<span lang="EN-US"><i>I have occasionally added a comment of my own in Italics. </i></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">His aim was to cover 4 areas:</span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l1 level1 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Clinical techniques and service</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Training</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Research</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l1 level1 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Guidelines</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">He notes that Guidelines were “Guidelines NOT
“tramlines”!</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Bearing in mind the audience were
anaesthetists or sedationists involved in polypharmacy/advanced techniques,
David re-stated the line that the </span></div>
<div class="MsoListParagraph" style="mso-list: l4 level1 lfo4; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">“vast majority of treatment
under sedation could be achieved with single drug, Midazolam or Nitrous
Oxide/Oxygen using IHS.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Midazolam included, IV, Oral and
Intra-nasal. The latter two in particular for special needs whose management
had been transformed this way.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Nevertheless there was a need for the small
% not adequately covered by these methods to receive additional drugs such as
Fenatnyl with an increase in the use of Propofol for those with dementia and
ambulatory problems.<span style="mso-spacerun: yes;"> </span>The use of these
drugs have given rise to training availability.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">David regretted what he saw as an arbitrary
division or <i style="mso-bidi-font-style: normal;">compartmentalization </i></span></div>
<div class="MsoNormal">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US">(my
term not his</span></i><span lang="EN-US">) into “Basic” and “Advanced”
techniques. </span></div>
<div class="MsoNormal">
<span lang="EN-US">Giving the impression that the former were
ultra-safe whereas the latter were ultra dangerous. The truth is that there is
a continuum.</span></div>
<div class="MsoNormal">
<span lang="EN-US"><a href="http://www.saad.org.uk/Documents/dental_commissioning_guide_service_standards_conscious_sedation.pdf">The
commissioning document</a> (2017) pulls together various guidelines.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l0 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sedation for under 12s could
be/would be limited to Inhalation Sedation within 5 years.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Patient Assessments <b>would/should
include an airway assessment</b> – including for sedation in medical disciplines,
when this was often not done.</span></div>
<ul>
<li><span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"></span></span></span><span lang="EN-US">This needed to be a formal
airway assessment regimen to ensure the possibility of using BVM (bag, valve,mask)
in an emergency rather than intubation in the dental surgery. <i style="mso-bidi-font-style: normal;">The
latter not being normally relevant in general dental practice</i></span></li>
</ul>
<div class="MsoNormal">
<span lang="EN-US">He mentioned in passing the system used by
Australian and NZ anaesthetists and I thought I heard him say “BONES” – in fact
it looks like the mnemonic is M.O.A.N.S.<span style="mso-spacerun: yes;">
</span> </span><br />
<br />
<i><span lang="EN-US">This look to be a very comprehensive review: <a href="http://www.anzca.edu.au/documents/pu-airway-assessment-20160916v1.pdf">63 pages on Airway assessment! ANZCA</a>.</span></i><br />
<span lang="EN-US"><i>My assumption from his comment is that advice on formal airway assessment is likley to be contained within this publication. </i></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l6 level1 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">IACSD Standards are due for
review. Since there is no new evidence nor any new problems, he saw no reason
for any changes to be made.</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l6 level1 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">There is the prospect of a new
Intravenous drug on the horizon which he could not say more about other than
its half life was very short, so suitable for quick interventions with a rapid
recovery.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Capnography</span></b><span lang="EN-US">: Within 5 years in acute Trusts.</span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l6 level1 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">No help for ASA1 & 2 cases <i style="mso-bidi-font-style: normal;">(those sedated with Midazolam in general
practice).</i></span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l6 level1 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">In ASA3 cases, it could be very
useful. Further research was needed but the warning of lowered respiratory function
was very much faster compared to pulse oximetry – in fact a 240 secs faster <i style="mso-bidi-font-style: normal;">response time.</i></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Outcomes
and Audit:</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Keep it simple. The guidelines mention logs
and Audit but he stressed the importance of recoding the outcomes. <i style="mso-bidi-font-style: normal;">Was the sedation a success, was the planned
treatment completed, were there difficulties or problems?</i></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">As far as audit was concerned he mentioned</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l3 level1 lfo5; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">The patient journey <i style="mso-bidi-font-style: normal;">(no more added)</i></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo5; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Did it meet their expectations?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l3 level1 lfo5; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Was the patient satisfied with
the sedation?</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l3 level1 lfo5; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Was the treatment able to be
carried out?</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Training
</span></b><i style="mso-bidi-font-style: normal;"><span lang="EN-US">(A topic
close to my heart!)</span></i></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">The basic techniques were easy to train and
to find trainers.</span></div>
<div class="MsoNormal">
<span lang="EN-US">There were now 50 accredited courses and
about the same number of independent <i style="mso-bidi-font-style: normal;">(RCS
STAC approved</i>) supervisors now.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">There were gaps for training in the use of
Propofol and hands-on supervised clinical experience was very hard to find. So
he felt the use of Propofol would not increase in the next 5 years.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">“Mentors” as listed by SAAD and the DSTG
had been done away with since some may not have been competent.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">David raised the question of<span style="mso-spacerun: yes;"> </span>the “Transitional Arrangements” (put in place
by IACSD in 2015) and how long they would be in pace and that they might to be
“tightened up” but then again unlikely as these were likely to be extended in the
next 5 years. <i style="mso-bidi-font-style: normal;">(I am unsure of what that
might mean, since they were put in place to allow people already using sedation
to continue without further training.</i></span></div>
<div class="MsoNormal">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US">However
by now, anyone returning to sedation I would think would need to be retrained
or mentored again before restarting).</span></i></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">David said that “Thanks to Richard here. We
were able to get things up and running with course accreditations” and …</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l2 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">We were unlikely to see a
register of conscious sedationists</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l2 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">The eCPD requirements <i style="mso-bidi-font-style: normal;">(over the next 5 years)</i> were likely to
remain the same.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Research
Needed</span></b></div>
<div class="MsoNormal">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US"> </span></i>
</div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l5 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US"><b>Fasting:</b> <span style="mso-tab-count: 1;"></span>Evidence needed but not for Nitrous
Oxide or Midazolam</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l5 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> <b>
</b></span></span></span><span lang="EN-US"><b>Capnography:</b> needs to be
studied in a dental setting to be appropriate.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l5 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US"><b>Propofol:</b><span style="mso-spacerun: yes;"> </span>Proven efficacy in dentistry but the
algorithm in special care doesn’t work.</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l5 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US"><b>NEW Short-Acting BDZ</b>: Work underway
– he cannot say what – with a drug with very short alpha and beta half-lives,
allowing rapid recovery and so NO</span><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>ESCORTS!</span>
</div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l5 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> <b>
</b></span></span></span><span lang="EN-US"><b>Ketamine:</b> Introduced to the UK
by Prof. James Roelofse</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l5 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US"><b>Dexmedetomidine:</b> No respiratory
depression but longer recovery <i style="mso-bidi-font-style: normal;">than
Midaz?</i></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l5 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US"><b>Nitrous Oxide/Oxygen with
Midazolam</b>: <i style="mso-bidi-font-style: normal;">(An idea he likes</i>).
Initiate sedation with Midazolam and finish off with N<sub>2</sub>O/O<sub>2. </sub> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l5 level1 lfo7; text-indent: -18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l5 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US">As
an example, at the end of a treatment session with scaling/perio Tx in the last
phase, which the patients often dislike. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l5 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US">A standard technique in Canada. <i style="mso-bidi-font-style: normal;">It avoids adding more Midazolam to the total
dose whilst keeping the patient sufficiently sedated,</i> allowing Midazolam to
“wear off”.</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l5 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">CBT a very useful technique but
not for acute cases. </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">He returned to guidelines etc.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">He thought that NICE might look at under 19s
but there was no new evidence/ nothing new and NICE were only supposed to make
changes with evidence not expert opinion, though they do.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">The Academy of Medical Royal Colleges 2013
guidelines would be reviewed</span></div>
<div class="MsoNormal">
<span lang="EN-US">As well as IACSD. He hoped it would not be
re-opened<span style="mso-spacerun: yes;"> </span>again stating no new evidence,
no new problems.</span></div>
<div class="MsoNormal">
<span lang="EN-US">The Scottish SDCEP guidelnes had been accepted
for all “New Starters”</span></div>
<div class="MsoNormal">
<span lang="EN-US">Wales recently published their own
guidelines.</span></div>
<div class="MsoNormal">
<span lang="EN-US">Northern Ireland are still on the 2013
guidelines <i style="mso-bidi-font-style: normal;">(news to me !)</i></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">All guidance was now aligned including that
from the Royal College of Anaesthetists.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US"><b><span style="color: blue;"><i>That's all Folks </i></span></b></span></div>
<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-9755872067397239442018-10-15T16:39:00.001+00:002018-10-15T17:04:44.244+00:00The RA Coach - Background information<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "arial"; font-size: 18.0pt;">A Little Background for You</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<a href="https://1.bp.blogspot.com/-Ef55v6Vrp3k/Wke-hIo5iLI/AAAAAAAABtI/sjBGsluA_8g9O53Lta51lhcIWe6mRcQDwCPcBGAYYCw/s1600/Screen%2BShot%2B2017-12-30%2Bat%2B16.27.02.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="https://2.bp.blogspot.com/-WAGRAiuTOFY/TO1xtkCOADI/AAAAAAAABfQ/7FzBgpU78UgJmY1jA_9NFRrhkzeA9GhXACPcBGAYYCw/s1600/IMGP0206.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://2.bp.blogspot.com/-WAGRAiuTOFY/TO1xtkCOADI/AAAAAAAABfQ/7FzBgpU78UgJmY1jA_9NFRrhkzeA9GhXACPcBGAYYCw/s320/IMGP0206.JPG" width="320" /></a><img border="0" data-original-height="319" data-original-width="273" height="320" src="https://1.bp.blogspot.com/-Ef55v6Vrp3k/Wke-hIo5iLI/AAAAAAAABtI/sjBGsluA_8g9O53Lta51lhcIWe6mRcQDwCPcBGAYYCw/s320/Screen%2BShot%2B2017-12-30%2Bat%2B16.27.02.png" width="272" /><span lang="EN-US" style="font-family: "arial"; font-size: 18.0pt;"> </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "arial"; font-size: 18.0pt;"> </span></div>
<div class="MsoNormal" style="text-align: justify;">
</div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">I
qualified in Manchester in 1975 and went directly into GDP.<span style="mso-spacerun: yes;"> </span>By 1977 I had undertaken manufacturer’s
training and as an Associate in an NHS practice, introduced a “Relative
Analgesia (RA)” service – having invested in the equipment myself!</span><br />
<br />
<span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">I owned my own practice in Newbury Berkshire from Jan 1989 - October 2012, remaining as a part-time Associate until August 2014.</span>
</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">In 2001
I had a brief conversation with well-known Dental Business Coach<span style="mso-spacerun: yes;"> </span><span class="GramE">-<span style="mso-spacerun: yes;"> </span>Chris</span> Barrow, during an advanced
and very intensive, 1-year dental practice management course.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">The
subject of the conversation was – Why should I come to your dental
practice? What makes you stand out?</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">What is
your USP?</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">Sitting
around a boardroom table with about 6-8 other dental practice owners and being
the last to be asked the question, </span><span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">it soon became clear that I was not the only
one enhancing the standard of my Aesthetic Dentistry – having gained a
“Full Membership” of B.A.A.D. in 1999 and not the only one introducing dental
implants (having started to study the topic in the mid-1980s) – so how
could I differentiate myself from my colleagues at that table?</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">Well I
had been utilising “RA” since 1977 to the great benefit of many patients and
something that possibly only 2-5% of GDPs then were able to offer.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">Chris
asked me whether it was a subject I could teach, dubbed me the “RA Coach” and
gave me permission to pursue this idea.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">By Jan
2003 I had developed a course, sufficiently different from what was then on
offer by SAAD for example was ready to offer this to interested colleagues.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">There has been much water
under the bridge since then. The much <span class="SpellE">favoured</span> US and
UK terminology of “RA” has waned in <span class="SpellE">favour</span> of “<span class="GramE">Inhalation(</span>al) sedation” - shortened to IS or IHS.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">Several iterations of
Dental Sedation guidelines starting in particular in 2003, 2011 then
importantly in 2015 and again in 2017 has changed what and how I have been able
to pass on my experience and the requirements <span class="GramE">of<span style="mso-spacerun: yes;"> </span>Dentists</span>, DCPs and Dental Nurses
involved</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">A
one-day course with practitioners able to self-determine their own competence
in 2003 has changed into a 3-day course to include me supervising candidate’s
first 10 cases around the UK and since 2017 in Ireland too with what has become
a well-tried 2-day structured program – even delivered to one GDP in
Cyprus!</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span class="GramE"><span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">So to the name.</span></span><span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;"> “The RA Coach” has effectively become my
brand. However what I do in fact is not really coaching at all but to act as a
didactic teacher, a one-to-one mentor (before, during and after the 3-day
accredited courses) and finally as an assessor to appraise candidates with the
aim of signing off their competence, feeding back and reporting to them.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">It
remains open to me to decline to sign off a candidate if I am not satisfied
that they have demonstrated their professional approach and that they can
safely and successfully assess and provide inhalation sedation for a range of
patients and complete all of the required clinical governance record keeping.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">So
despite the fact I am not technically coaching I will retain the brand name for
the time being.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "arial"; font-size: 14.0pt;">Richard
Charon</span></div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-554825846351178902018-10-12T20:42:00.003+00:002018-10-16T09:06:08.899+00:00Many congratulations to Samantha Cawsey<br />
<br />
<div style="text-align: center;">
<span style="font-size: large;"> Many <span class="_ezo" id="u_ps_jsonp_6_0_e" style="color: #f1765e; font-weight: 600;">Congratulations</span>
to Samantha Cawsey - Dental Therapist</span></div>
<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://3.bp.blogspot.com/-Y5zQj7ZYJtY/W8EFlCbwNlI/AAAAAAAABwc/o0o-n9RkG4MNUGONli3uGynXHEI1NjtCwCLcBGAs/s1600/IMG_5179.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1200" height="200" src="https://3.bp.blogspot.com/-Y5zQj7ZYJtY/W8EFlCbwNlI/AAAAAAAABwc/o0o-n9RkG4MNUGONli3uGynXHEI1NjtCwCLcBGAs/s200/IMG_5179.jpg" width="149" /></a></div>
<br />
<a href="https://2.bp.blogspot.com/-liVAzbgP4WY/W8EFnZdcV-I/AAAAAAAABwg/NAW96qhUgf4KJdeqTpwSAuARGDXUBmAbgCEwYBhgL/s1600/IMG_5181.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="1600" data-original-width="1067" height="200" src="https://2.bp.blogspot.com/-liVAzbgP4WY/W8EFnZdcV-I/AAAAAAAABwg/NAW96qhUgf4KJdeqTpwSAuARGDXUBmAbgCEwYBhgL/s200/IMG_5181.jpg" width="133" /></a><span style="font-size: x-small;"> </span><br />
<br />
<span style="font-size: x-small;"> ... who today became the third Dental Therapist from
the same Bristol practice, to have completed accredited Inhalation
Sedation training with me very ably assisted by her terrific dental
nurse. Together with practice owner Dr. Neil Gerrard and one of their
Associates, that made 5 Dental professionals from the multi-award
winning practice, <a data-ft="{"tn":"-U"}" href="https://www.facebook.com/CliftonDentalStudio">https://www.facebook.com/CliftonDentalStudio</a> now able to offer this excellent dental sedation technique to their patients. </span><br />
<br />
<span style="font-size: x-small;">Here is some feedback from the Dental Hygienist and Therapist Network on Facebook :</span><br />
<br />
<div style="text-align: left;">
<i><b> <span style="font-size: x-small;"><span class=" UFICommentActorAndBody"><span><span><span data-ft="{"tn":"K"}"><span class="UFICommentBody"><span> </span></span></span></span></span></span></span></b></i></div>
<div style="text-align: left;">
<i><b><span style="font-size: x-small;"><span class=" UFICommentActorAndBody"><span><span><span data-ft="{"tn":"K"}"><span class="UFICommentBody"><span>Thoroughly
enjoyed the course as well as feedback from patients “life changing” an
excellent </span></span></span></span></span></span></span></b></i><i><b><span style="font-size: x-small;"><span class=" UFICommentActorAndBody"><span><span><span data-ft="{"tn":"K"}"><span class="UFICommentBody"><span>dose of job satisfaction! Thank you again Richard <span class="_5mfr"><span class="_6qdm" style="background-image: url("https://static.xx.fbcdn.net/images/emoji.php/v9/fe5/1.5/16/1f389.png"); font-size: 16px; height: 16px; width: 16px;">🎉</span></span> looking forward to treating many more patients with RA sedation, starting with my first patient tomorrow morning!</span></span></span></span></span></span> </span></b></i></div>
<br />
<div style="text-align: center;">
<span style="font-size: x-small;">If you or your practice would like to bring the many benefits of IHS to you patients, </span></div>
<div style="text-align: center;">
<span style="font-size: x-small;">my next accredited course is booking now</span></div>
<div style="text-align: center;">
<br /></div>
<h2 style="text-align: center;">
<a href="http://the-ra-coach.co.uk/" target="_blank"><span style="font-size: large;">Sat. April 6th 2019 in Newbury, Berks</span></a></h2>
<div style="text-align: center;">
<span style="font-size: x-small;"><br /></span></div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-90345153779543023742018-09-06T19:01:00.002+00:002018-09-13T14:14:50.621+00:00Wand Workshops Autumn 2018.<div data-contents="true">
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span data-offset-key="cnc8b-0-0"><span data-text="true">Hope you have all had a great summer. Now the work begins for us all - so are you ready to innovate? Not using the Wand yet? Your patients will thank you and so will your back, shoulders, arms, wrists and finger joints! </span></span></span><br />
<br />
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<a href="https://4.bp.blogspot.com/-NXeLfkOGBrM/WtEJNG555ZI/AAAAAAAABuE/v_Fjz40Mo347UJq0a9oEBD8TTWEf9eskQCPcBGAYYCw/s1600/The%2BWand%2BSTA%2Bqualimage.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="960" data-original-width="919" height="320" src="https://4.bp.blogspot.com/-NXeLfkOGBrM/WtEJNG555ZI/AAAAAAAABuE/v_Fjz40Mo347UJq0a9oEBD8TTWEf9eskQCPcBGAYYCw/s320/The%2BWand%2BSTA%2Bqualimage.jpeg" width="306" /></a></div>
</div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span data-offset-key="d2otd-0-0"><br data-text="true" /></span></span></div>
</div>
<div class="" data-block="true" data-editor="1a7sj" data-offset-key="aqb5f-0-0" style="text-align: center;">
<div class="_1mf _1mj" data-offset-key="aqb5f-0-0">
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span data-offset-key="aqb5f-0-0"><span data-text="true">I'll be running a Wand Workshop day with Daniel Pinder of Dental Sky Ltd at </span></span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span data-offset-key="aqb5f-0-0"><span data-text="true"> C.A.D.E. </span></span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span data-offset-key="aqb5f-0-0"><span data-text="true">( THE CENTRE OF ADVANCED DENTAL EDUCATION)</span></span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span data-offset-key="aqb5f-0-0"><span data-text="true"><span data-offset-key="aqb5f-0-0"><span data-text="true">163 Ashley Rd, Hale WA15 9SD</span></span> </span></span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span data-offset-key="aqb5f-0-0"><span data-text="true">NEAR ALTRINCHAM, CHESHIRE</span></span><span data-offset-key="aqb5f-0-0"><span data-text="true"> </span></span></span><br />
<br />
<h3 style="text-align: center;">
<span style="color: blue;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span data-offset-key="aqb5f-0-0"><span data-text="true">Friday 28th Sept. 2018. </span></span></span></span></h3>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span data-offset-key="10foh-0-0"><span data-text="true"> Just time to book your places!</span></span></span></div>
</div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span data-offset-key="2j8o0-0-0"><br data-text="true" /></span></span></div>
</div>
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<div class="_1mf _1mj" data-offset-key="a2ni8-0-0">
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span data-offset-key="a2ni8-0-0"><span data-text="true">I Have personally used The Wand for LA injections given to all patients for 10 years. </span></span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span data-offset-key="a2ni8-0-0"><span data-text="true">I look forward to sharing my experience and knowledge with you in Hale in September!</span></span></span><br />
<br />
<div style="text-align: center;">
<span data-offset-key="a2ni8-0-0"><span data-text="true"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Otherwise why not come to London<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> and make a weekend of it?</span></span></span></span></div>
<div style="text-align: center;">
<span data-offset-key="a2ni8-0-0"><span data-text="true"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Devonshire Place W1 in October and November </span></span></span></div>
</div>
</div>
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<span data-offset-key="a68e8-0-0"><br data-text="true" /></span></div>
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<div class="_1mf _1mj" data-offset-key="4mci6-0-0">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://1.bp.blogspot.com/-WzAfagKowWM/W5F5ZGBVsWI/AAAAAAAABwE/hyxIEhd2KOMp5YCU6xEBoHAB3SXPYP9QACLcBGAs/s1600/Become%2Ba%2BWizard%2Bwith%2Byour%2BWand.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="800" data-original-width="1600" height="160" src="https://1.bp.blogspot.com/-WzAfagKowWM/W5F5ZGBVsWI/AAAAAAAABwE/hyxIEhd2KOMp5YCU6xEBoHAB3SXPYP9QACLcBGAs/s320/Become%2Ba%2BWizard%2Bwith%2Byour%2BWand.jpeg" width="320" /></a></div>
<h3>
<span style="color: blue;"><span data-offset-key="4mci6-0-0"><span data-text="true"><a href="https://www.eventbrite.co.uk/e/dental-sky-academy-presents-a-reintroduction-to-the-wand-tickets-45440678292" target="_blank">Book your places now in Hale on Friday 28th. Sept 2019!</a></span></span></span></h3>
<h3>
<span style="color: blue;"><span data-offset-key="4mci6-0-0"><span data-text="true"><a href="https://www.eventbrite.co.uk/e/dental-sky-academy-presents-a-reintroduction-to-the-wand-tickets-45441137666" target="_blank">Book your places at 38 Devonshire Pl. on Friday 19th Nov 2019</a> </span></span></span></h3>
<h3>
<a href="https://www.eventbrite.co.uk/e/dental-sky-academy-presents-a-reintroduction-to-the-wand-tickets-45441461635" target="_blank"><span style="color: blue;"><span data-offset-key="4mci6-0-0"><span data-text="true">Book your places at 38 Devonshire Pl. on Friday 7th Dec 2019</span></span></span></a></h3>
<h2>
<span style="color: blue;"><span data-offset-key="4mci6-0-0"><span data-text="true"><a href="https://www.blogger.com/null" target="_blank">Richard Charon BDS</a></span></span></span></h2>
<h4>
<span style="color: blue;"><span data-offset-key="4mci6-0-0"><span data-text="true">The Wand Clinical Consultant for Dental Sky Ltd.</span></span></span></h4>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://3.bp.blogspot.com/-baF9MdGkNGo/W5pufP4aGCI/AAAAAAAABwQ/yJqAmLpTr-QLt_79PwyN05cV42XRKerQgCLcBGAs/s1600/Wand%2BID%2Bblock13.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1549" data-original-width="1544" height="320" src="https://3.bp.blogspot.com/-baF9MdGkNGo/W5pufP4aGCI/AAAAAAAABwQ/yJqAmLpTr-QLt_79PwyN05cV42XRKerQgCLcBGAs/s320/Wand%2BID%2Bblock13.jpg" width="318" /> </a></div>
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<a href="https://1.bp.blogspot.com/-LKxXLRZRJQ8/WtENd9t-1fI/AAAAAAAABuc/UCw8ChuydW4MS5fNMNjDEl0ialTmIjvYACPcBGAYYCw/s1600/dental-sky-logo.png" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="340" data-original-width="340" height="200" src="https://1.bp.blogspot.com/-LKxXLRZRJQ8/WtENd9t-1fI/AAAAAAAABuc/UCw8ChuydW4MS5fNMNjDEl0ialTmIjvYACPcBGAYYCw/s200/dental-sky-logo.png" width="200" /></a></div>
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<h2>
<span style="color: blue;"><span data-offset-key="4mci6-0-0"><span data-text="true"> </span></span></span></h2>
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<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-8638462871888558812018-05-02T14:18:00.003+00:002018-05-02T14:18:47.771+00:00Become a Wizard with your Wand<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-L_nlFVwgfF8/WunIlA1xqLI/AAAAAAAABvc/YRN2mv-bPx4V4RWPOQI4K_qda3R_h7QywCLcBGAs/s1600/DS%2BAcademy%2BWand%2BeCPD%2BA4.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1132" height="640" src="https://4.bp.blogspot.com/-L_nlFVwgfF8/WunIlA1xqLI/AAAAAAAABvc/YRN2mv-bPx4V4RWPOQI4K_qda3R_h7QywCLcBGAs/s640/DS%2BAcademy%2BWand%2BeCPD%2BA4.jpg" width="452" /></a></div>
<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-21175390063721123582018-05-02T13:38:00.000+00:002019-06-04T05:34:14.345+00:00Mother said we had change their lives!<div class="MsoNormal">
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--><span style="font-family: "times"; font-size: 10.0pt;"><span style="color: blue;"> <span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span></span></span><div class="MsoNormal">
<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: blue;"></span>From time to time I look back on some of my facebook posts.</span></span></div>
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<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">You may find this story helpful...</span></span></div>
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<br />
<span style="font-family: "times"; font-size: 10.0pt;"><span style="color: blue;"> </span><a href="https://www.facebook.com/rwcharon/posts/10200974231300684"><span style="color: blue;">From 2 May 2013</span></a></span></div>
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<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;"> "And this, in part, is why I do what I do it...</span></span><span style="font-family: "times"; font-size: 10.0pt;"> </span><span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;"></span></span><br />
<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span></span></div>
<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span><br />
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<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">"Yesterday we saw an 8 year old on referral from
another practice about 8 miles away for the removal of a carious ULd, with inhalation sedation.</span></span></div>
<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span><br />
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<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Her parents were very anxious since their older
daughter had had to have a GA last year for several extractions and the family
found this to be a very traumatic experience.</span></span></div>
<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span><br />
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<br /></div>
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<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">We saw her for a trial run of the "happy air" last week
and she was well behaved and cooperative.</span></span></div>
<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span><br />
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<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">So yesterday she attended for the extraction and as
expected the whole procedure went very smoothly. She did not react at any time
during the procedure including the palatal infiltration using The Wand and the
extraction, despite the tooth having most of it's splayed roots intact.</span></span></div>
<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span><br />
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<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">She recovered beautifully and dad, who was of course
witnessing everything, was bowled over.</span></span></div>
<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span><br />
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<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Her mother was concerned she would need to have a day off
school today. We reassured her that her daughter would be fine.</span></span></div>
<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
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<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">She called the practice just now to say ...That we
were right, her daughter could have gone to school today. She said her daughter
had chatted happily all the way home unlike her sister who had cried for hours
after her general anaesthetic to have teeth removed.</span></span></div>
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<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><b>She went on to say that we had "changed their lives!"</b><br />
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<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">So if you or your practice would like to be able to provide this level of care, please feel free to contact me. </span></span></div>
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<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><a href="http://the-ra-coach.co.uk/2.html" target="_blank">My next IACSD accredited course for Inhalation Sedation; Sat. 12th Nov. 2018</a></span></span></div>
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<span style="font-family: "times"; font-size: 10.0pt;"><span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Learn about or re-visit the benefits of utilising <span lang="EN-US">The Wand</span><b><span lang="EN-US" style="color: black;">® </span></b></span></span> </span></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-18016676263615346292018-04-13T20:58:00.000+00:002018-05-01T16:48:41.710+00:00The Wand® Academy<div style="text-align: center;">
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Dr. Richard Charon BDS commenced work with Dental Sky Ltd </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">as a </span></span></span></div>
<div style="text-align: center;">
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b>Clinical Consultant
for The Wand (STA)</b> local anaesthetic system in Jan. 2018. </span></span></span></div>
<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://3.bp.blogspot.com/-NXeLfkOGBrM/WtEJNG555ZI/AAAAAAAABuE/iAtvWVoewm49RxPFAoaycVCAZztrjx3YgCEwYBhgL/s1600/The%2BWand%2BSTA%2Bqualimage.jpeg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="960" data-original-width="919" height="320" src="https://3.bp.blogspot.com/-NXeLfkOGBrM/WtEJNG555ZI/AAAAAAAABuE/iAtvWVoewm49RxPFAoaycVCAZztrjx3YgCEwYBhgL/s320/The%2BWand%2BSTA%2Bqualimage.jpeg" width="306" /></a></div>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span></span> </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"></span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"></span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"></span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"></span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"></span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"></span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"></span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"></span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><a href="https://3.bp.blogspot.com/-LKxXLRZRJQ8/WtENd9t-1fI/AAAAAAAABuY/wACj6Ysk63kmtDATVM6SIkYWAfHHGwEBQCLcBGAs/s1600/dental-sky-logo.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="text_exposed_show"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">This appointment was
underpinned with 10 years of continuous use of The Wand from 2004 in my
private dental practice in Newbury. I abandoned standard L.A. syringes
within a week of my new acquisition! I used it as a stand-alone
technique for all patients and of course as an an adjunct <span class="text_exposed_show">to
inhalation sedation for anxious dental patients treated with "RA".</span></span> </span></span></span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="text_exposed_show"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="text_exposed_show"><b> "The Wand Academy"</b></span></span> </span></span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="text_exposed_show">He is currently involved in developing this programme with
their Dental Sky team which will focus on<b> </b>new <b>Wand Workshops</b> which are now planned in England and Scotland throughout 2018 to cover the theory and practical to bring this revolution in local anaesthesia.</span></span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="ember-view" id="ember5688">Dates have just been set for WAND training days in London, Manchester(Hale,Cheshire) and Bristol, monthly between now and the end of the year. </span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="text_exposed_show"> <table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://4.bp.blogspot.com/-qF_wD260cfA/WtEMhBWrafI/AAAAAAAABuM/G8ftfnROegQ7Sg5wFYDQ1Mq27gbonUERACLcBGAs/s1600/Richard%2BCharon%2BBDS%2BWand%2BIDB%2Bre%2Bposture1%2Bcopyright%2Bcopy.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="324" data-original-width="644" height="200" src="https://4.bp.blogspot.com/-qF_wD260cfA/WtEMhBWrafI/AAAAAAAABuM/G8ftfnROegQ7Sg5wFYDQ1Mq27gbonUERACLcBGAs/s400/Richard%2BCharon%2BBDS%2BWand%2BIDB%2Bre%2Bposture1%2Bcopyright%2Bcopy.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Relaxed posture using The Wand for an ID Block</td></tr>
</tbody></table>
</span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="ember-view" id="ember5688">Sat. <span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">June</span> 2<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">nd</span> Hale, Cheshire </span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="ember-view" id="ember5688">Sat. June 23rd Bristol </span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="ember-view" id="ember5688">Fri. July 20th Londec centre </span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="ember-view" id="ember5688">Sat. </span><span class="ember-view" id="ember5688"><span class="ember-view" id="ember5688">Sept.</span> 29th Hale, Cheshire </span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="ember-view" id="ember5688">October 5th & 6th London at the ExCeL Centre as part of the Dental
Showcase, onboard The Sunborn yacht-hotel moored alongside the ExCeL. </span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="ember-view" id="ember5688">Thurs. October 18th Devonshire Place</span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="ember-view" id="ember5688">Fri 7th December Londec centre</span></span><br />
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://2.bp.blogspot.com/-ayPFHsmP3eE/WtEVQhlbPGI/AAAAAAAABuo/Dg5teZLKCv8ytVlp5Blns9ASQyCj0QXAgCLcBGAs/s1600/Richard%2BCharon%2BBDS%2BWand%2BIDB1.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="324" data-original-width="644" height="200" src="https://2.bp.blogspot.com/-ayPFHsmP3eE/WtEVQhlbPGI/AAAAAAAABuo/Dg5teZLKCv8ytVlp5Blns9ASQyCj0QXAgCLcBGAs/s400/Richard%2BCharon%2BBDS%2BWand%2BIDB1.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">THE WAND IN USE FOR A STANDARD ID BLOCK</td></tr>
</tbody></table>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="text_exposed_show">Mike Gow is looking after the workshops in Scotland. </span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="text_exposed_show">Please feel free to get in touch if any of these venues and dates are of interest. </span></span><br />
<br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="text_exposed_show">If you have a
Wand unit which is under-utilised or if The Wand might be your next
practice-building acquisition, these dates are not to be missed. </span></span><br />
<br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="text_exposed_show">WARNING: USING OF THE WAND MAY GROW YOUR PRACTICE! </span></span><br />
<br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="text_exposed_show"><span style="color: #333333; font-family: , "blinkmacsystemfont" , "segoe ui" , "roboto" , "helvetica" , "arial" , sans-serif; font-size: xx-small;"><span style="font-size: 13px;"></span></span></span></span><br />
<div style="margin-bottom: 0; margin-top: 0;">
<span style="color: #333333; font-family: , "blinkmacsystemfont" , "segoe ui" , "roboto" , "helvetica" , "arial" , sans-serif; font-size: xx-small;"><span style="font-family: , "blinkmacsystemfont" , "segoe ui" , "roboto" , "helvetica" , "arial" , sans-serif; font-size: xx-small;"><span style="font-size: 13px;"><span style="font-size: x-small;"><span style="font-size: 16px;"><b>Dr Richard Charon BDS </b></span></span>-
Clinical Consultant </span></span><br /><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span class="text_exposed_show">richard.charon@dentalsky.com</span></span><br />
</span></div>
<span style="color: #333333; font-family: , "blinkmacsystemfont" , "segoe ui" , "roboto" , "helvetica" , "arial" , sans-serif; font-size: xx-small;">
<table style="border-collapse: collapse; border-spacing: 0; display: inline-block; margin-right: 5px;">
<tbody>
<tr>
<td valign="middle"><a href="http://www.dentalsky.com/" rel="noopener noreferrer" target="_blank"><img alt="Dental Sky Website" border="0" data-imagetype="External" height="128" src="https://www.dentalsky.com/email_assets/dental-sky-email-logo.gif" width="128" /></a></td>
</tr>
</tbody></table>
<table style="border-collapse: collapse; border-spacing: 0; display: inline-block;">
<tbody>
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<td valign="middle"><a href="https://www.facebook.com/dentalskyltd/" rel="noopener noreferrer" target="_blank"><img alt="Facebook" border="0" data-imagetype="External" height="32" src="https://www.dentalsky.com/email_assets/facebook.gif" width="32" /></a></td>
<td valign="middle"><a href="https://twitter.com/Dental_Sky" rel="noopener noreferrer" target="_blank"><img alt="Twitter" border="0" data-imagetype="External" height="32" src="https://www.dentalsky.com/email_assets/twitter.gif" width="32" /></a></td>
<td valign="middle"><a href="https://plus.google.com/110709321909180929695" rel="noopener noreferrer" target="_blank"><img alt="Google+" border="0" data-imagetype="External" height="32" src="https://www.dentalsky.com/email_assets/googleplus.gif" width="32" /></a></td>
<td valign="middle"><a href="https://www.linkedin.com/company/dental-sky" rel="noopener noreferrer" target="_blank"><img alt="LinkedIn" border="0" data-imagetype="External" height="32" src="https://www.dentalsky.com/email_assets/linkedin.gif" width="32" /></a></td>
<td valign="middle"><a href="https://www.youtube.com/channel/UCXp58lPskz_Q9YzfiB0JwIA" rel="noopener noreferrer" target="_blank"><img alt="YouTube" border="0" data-imagetype="External" height="32" src="https://www.dentalsky.com/email_assets/youtube.gif" width="32" /></a></td>
<td valign="middle"><a href="https://www.instagram.com/dentalsky/" rel="noopener noreferrer" target="_blank"><img alt="Instagram" border="0" data-imagetype="External" height="32" src="https://www.dentalsky.com/email_assets/instagram.gif" width="32" /></a></td>
<td valign="middle"><a href="https://uk.pinterest.com/dentalsky/" rel="noopener noreferrer" target="_blank"><img alt="Pinterest" border="0" data-imagetype="External" height="32" src="https://www.dentalsky.com/email_assets/pinterest.gif" width="32" /></a></td>
<td valign="middle"><a href="https://www.dentalsky.com/blog/" rel="noopener noreferrer" target="_blank"><img alt="Dental Sky Blog" border="0" data-imagetype="External" height="32" src="https://www.dentalsky.com/email_assets/dental-sky-blog.gif" width="32" /></a></td>
</tr>
</tbody></table>
</span><br />
<div style="margin-bottom: 0; margin-top: 0;">
<span style="color: #333333; font-family: , "blinkmacsystemfont" , "segoe ui" , "roboto" , "helvetica" , "arial" , sans-serif; font-size: xx-small;"><span style="font-family: , "blinkmacsystemfont" , "segoe ui" , "roboto" , "helvetica" , "arial" , sans-serif; font-size: xx-small;"><span style="font-size: 13px;"><b>Dental Sky Wholesaler Ltd</b>, Unit A Foster Road, Ashford Business Park, Ashford,
Kent, TN24 0SH<br />
<b>Telephone:</b> 01233 502 605 | <b>Mobile:</b> | <b>Fax: </b>| <b>Website:</b> <a href="http://www.dentalsky.com/" rel="noopener noreferrer" target="_blank"><span style="color: #0099e6;">www.dentalsky.com</span></a></span></span></span></div>
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<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-5215944714003487732018-03-20T16:15:00.003+00:002019-06-04T05:36:17.165+00:00 Dental and Needle Phobia - Managing the situation.<style>
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<br />
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; mso-bidi-font-family: Arial;">Here is a success story from yesterday I feel is worthy of sharing using combining standard Inhalation Sedation with Nitrous
Oxide and Oxygen (IHS) & The Wand STA<span style="color: black;">®</span> to overcome a common problem.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "times"; mso-bidi-font-family: Arial;">I do declare an interest
since I have recently been appointed as a clinical consultant by </span></b></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "times"; mso-bidi-font-family: Arial;"><a href="https://www.dentalsky.com/" target="_blank">Sky Dental</a>, the
UK’s sole distributor/supplier of The Wand<span style="color: black;">® and I do
provide accredited eCPD courses in Inhalation Sedation.</span></span></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; font-family: "times"; mso-bidi-font-family: Arial;">However I would have used the same approach had this not
been the case, since I had been a Wand user for almost 10 years prior to
retiring as a GDP in 2014.</span><span lang="EN-US" style="font-family: "times"; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">Case history </span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">The patient:</span></b><span lang="EN-US" style="font-size: 11.0pt; mso-bidi-font-size: 12.0pt;"> “A difficult 13
year old female patient who was “Dental & Needle phobic”.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">Her background: </span></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">This
is the core of the e-mail I received from a practice manager just before
Christmas:</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #000090; font-family: "times"; font-size: 11.0pt;">“… </span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #000090; font-family: "times"; font-size: 11.0pt;">we have a</span></i><i style="mso-bidi-font-style: normal;"><span style="color: #000090; font-family: "times"; font-size: 11.0pt;"> patient I’m hoping you can help us with. </span></i><i style="mso-bidi-font-style: normal;"><span style="color: #000090; font-family: "times"; font-size: 10.0pt;">She is 13 years old and both dental and
needle phobic, the latter is the worse of the two. She is due to have fixed
orthodontic appliances but requires fillings beforehand.</span></i><i style="mso-bidi-font-style: normal;"><span style="color: #000090; font-family: "times"; font-size: 11.0pt;"></span></i></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<i style="mso-bidi-font-style: normal;"><span style="color: #000090; font-family: "times"; font-size: 10.0pt;">She
has had a session of private hypnotherapy which has not been successful. We
have referred her to the community dental service but she is too old for them
to treat her. A subsequent referral to our local NHS sedation clinic resulted
in an ok consultation but she unfortunately panicked at the treatment
appointment, became hysterical and they have refused to see her again.</span></i></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<i style="mso-bidi-font-style: normal;"><span style="color: #000090; font-family: "times"; font-size: 10.0pt;">Her
mother has had to cancel her brace placement appointment, and is of the belief
inhalation sedation is the way forward, but I have no idea who does this
locally, hence me contacting X. </span></i></div>
<div class="MsoNormal">
<i style="mso-bidi-font-style: normal;"><span style="color: #000090; font-family: "times"; font-size: 10.0pt;">Mother
cannot afford private sedation, which we could have provided, nor a referral to
Toothbeary in Richmond for paediatric dentistry.</span></i></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<i style="mso-bidi-font-style: normal;"><span style="color: #000090; font-family: "times"; font-size: 10.0pt;">I
am now at a loss! Are you able to help or advise in any way? I look
forward to hearing from you, and offer my thanks in advance.”</span></i></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">She
had contacted a highly experienced IV sedationist who generally utilizes polypharmacy
techniques on a peripatetic basis, someone I know well. </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">Knowing
my own area of interest/expertise he gave the PM my name as a possible better
option for the patient.<span style="mso-spacerun: yes;"> </span>So she
approached me to see if IHS could be the solution in Jan. The patient was not
yet having pain with these teeth so we had some time in hand. </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">I
no longer work in practice but I do offer a visiting sedation service from time
to time to local GDPs.<span style="mso-spacerun: yes;"> </span><span style="color: black;">Each appointment involved me in a 1 hour round trip plus
loading and unloading and setting up/breaking down all of the equipment and gas
cylinders. </span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">However
alarm bells rang in this case, as I teach that whilst IHS is excellent for many
cases, if a patient is truly phobic, it is unlikely to work by itself. <span style="mso-spacerun: yes;"> </span>Indeed I would often refer for hypnotherapy,
for example, to be used alone or indeed in combination with sedation for true
phobics.</span></div>
<div class="MsoNormal">
<br /></div>
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"> </span>
<br />
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">My chosen approach:</span></b>
</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">I
can only offer my sedation services on a private basis. I explained this at the
outset and provided a step-by-step quote for the patient with the idea of
proceeding no further at any stage if the patient refused to continue. </span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">Her
mother was happy to accept my private fee quote which included a mileage
allowance.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">I
offered the patient’s mother to refer her daughter for a second attempt at CBT/hypnotherapy
with a different practitioner who might have more success than the first.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">As
an alternative I could try to overcome her anxiety/phobia (not certain which at
that stage) but it would have to be done on my terms.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">The
3-step plan offered was simple enough but would require cooperation of the
mother and daughter.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">Step 1:</span></b><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"> <b style="mso-bidi-font-weight: normal;">Feb 14th:</b> To meet & greet, assess, to explain my idea of how to
move forward utilizing IHS with a full explanation and Q&A session to gain
Montgomery consent to provide an “RA trial” at the next visit.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">If
accepted move to Step 2:</span></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">Outcome:</span></b><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"> Mother was very sensible and the patient,
though evidently anxious was quite sensible too given her history and previous
experiences.<span style="mso-spacerun: yes;"> </span>They were prepared to move
to step 2 of my plan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">Step 2</span></b><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">: <b style="mso-bidi-font-weight: normal;">8th March: </b><span style="mso-spacerun: yes;"> </span>The visit was
designed to assess the patient’s willingness to sit in the dental chair, and
acceptance nasal mask (Porter-Brown) and all being well, to move onto an “RA
trial”-(mouth closed & no Treatment).</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">The
patient was also new to the GDP at this practice and he only had one BW radiograph
and needed to take 2 new BWs for up-to-date information. The patient was quite
cooperative for these and they were taken before we moved ahead with the “RA
trial”. </span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">The
RA trial went very well, she was quite happy with the idea of using this “new
technique” to help her at her next treatment appointment but it was clear that
the patient’s main issue was having a local anaesthetic injection.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">The
rads. showed 2 grossly carious but potentially salvageable 6s at UR6
and LL6. That being the case, I did not want to risk the chance of either:</span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l2 level1 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"><span style="mso-list: Ignore;">1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">Refusing to accept
sedation because she felt it was a cover-up as an injection would be used which
would still upset her or</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"><span style="mso-list: Ignore;">2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">Achieving sedation with
nitrous oxide and oxygen, (which although very effective, does allow patients
some awareness of what is happening) and then just at the point the dentist
raised the syringe to give the LA she might see it and still object/raise her
hand or try to turn away.<span style="mso-list: Ignore;"> </span></span><br />
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"><span style="mso-list: Ignore;">3</span></span><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"> Reacting to a standard LA
injection as it was being carried out because it was given too quickly (as I
have seen more than once before!).</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">So
my decision with agreement from the treating dentist was that</span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"><span style="mso-list: Ignore;">1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">I would give the LA (to
be sure of getting the timing just right too) but </span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"><span style="mso-list: Ignore;">2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">That I would try to
arrange for a one-off loan of The Wand<b style="mso-bidi-font-weight: normal;"><span style="color: black;">® </span></b>for me to use (as I no longer have one of my
own). That way the patient would not see a syringe and the LA could be provided
totally painlessly.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">I
contacted Daniel Pinder of Dental Sky who is their product specialist for The
Wand<b style="mso-bidi-font-weight: normal;"><span style="color: black;">® </span></b><span style="color: black;">and he agreed to help me (and the patient).</span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;">Step 3</span></b><span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;"> The plan was
to treat one tooth under IHS and to assess the patient’s acceptance. </span></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;">The decision was to tackle UR6 first. Yesterday Daniel very
helpfully delivered and set up a unit at the practice shortly before I arrived
and then returned 2 hours later to collect it.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;">Technique details</span></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;">We proceeded to re-gain patient consent and moving to the
treatment room then very smoothly and without any fuss of any kind, proceeded (while
mother quietly watched) to sedate her using IHS. Next as the patient’s sedation
began and with her knowledge a fine brush was used to apply topical anaesthetic
gel into the gingival crevice buccally.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">The
Wand<b style="mso-bidi-font-weight: normal;"><span style="color: black;">® </span></b><span style="color: black;">was used in it’s STA mode and a short “handpiece/wand”. </span></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;">Starting at the <b>disto-buccal</b> aspect of UR6, I obtained a positive
feedback (Green zone LED display) from </span><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">The Wand<b style="mso-bidi-font-weight: normal;"><span style="color: black;">® </span></b><span style="color: black;">Dynamic
Pressure Sensing<b style="mso-bidi-font-weight: normal;">® </b>technology feature,
giving assurance of correct delivery of LA in the correct place (½ cartridge
Lignocaine 2% with adrenaline).</span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;">Moving to the mesio-buccal aspect, the feedback from the Wand was
less positive (indicating operator error!) and so to be certain at this point
of fully anaesthetizing this tooth with a very deep cavity, I chose to change to
the mid-length (Brown colour-coded) Wand, turn off the STA mode and deliver a
standard Bucc. Infiltration over UR6.</span><span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;"> The patient was unaware of any of the above.</span></div>
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<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;"> </span>
</div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;">The initial STA site disto-buccally (possibly in addition to the
analgesic added effect of nitrous oxide) meant that on testing the palatal
gingiva with a BPE probe she reported feeling nothing.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;">I then stepped back and the GDP took over, applying a rubber dam without
hindrance and proceeded to prepping the deep cavity and restoring it very
nicely with composite.</span></div>
<div class="MsoNormal">
<br /></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://1.bp.blogspot.com/-8p4rtf_xsF8/WrEx3lLAOhI/AAAAAAAABts/Q8P0UrYOwV8dPwcXgBN4JfdizICJfvphACLcBGAs/s1600/RA%2BTx.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1600" data-original-width="1197" height="320" src="https://1.bp.blogspot.com/-8p4rtf_xsF8/WrEx3lLAOhI/AAAAAAAABts/Q8P0UrYOwV8dPwcXgBN4JfdizICJfvphACLcBGAs/s320/RA%2BTx.jpg" width="239" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Dr. Hitesh Chandegra of Gipsy Lane Advanced Dental Centre, Reading</td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"><br /></td></tr>
</tbody></table>
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<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;"><br /></span></div>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
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<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">Note the combination of
Inhalation Sedation,, personal music & Dental Dam. </span></i></div>
<div class="MsoNormal">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">Complete relaxation and detachment
from procedures following injection with The Wand</span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: black; font-family: "lucida grande"; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">® </span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: black; font-size: 11.0pt;">for
a "needle and dental phobic" patient. The patient remained responsive
to verbal communication at all times.</span></i></div>
<div class="MsoNormal">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;">Sedationist: Richard Charon BDS</span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 11.0pt; mso-bidi-font-size: 12.0pt;"> </span></i></div>
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<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;"><br /></span></div>
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<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;"></span><span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;"></span><span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;"><b> </b></span></div>
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<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;"><b></b></span></div>
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<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;"><span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;"><b>Patient Feedback </b></span></span></div>
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<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;"><span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;"></span>The Sedation recovery was fast and uneventful and the patient feedback
was excellent. </span></div>
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<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;">The session took 54 mins to complete including sedation & recovery and the patient remained in verbal contact throughout.</span></div>
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<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;">She said "It seemed very quick","... remembered very little,", "... very happy" " .. will do this again next time". She was quite happy to go ahead and book the next appointment which has been done.</span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;">Other equipment</span></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;">I use an MDM RA flowmeter on a mobile stand with Miniscav unit
from RA Medical Services and Porter-Brown active scavenging nasal masks (my
preferred option by a margin).</span></div>
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<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">Discussion:</span></b>
</div>
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<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">There
could of course have been other avenues to explore to overcome this patient’s
needle phobia and indeed my first preference, given her history, was to try
once again with a non-pharmacological method. However this was not acceptable
to the patient/her mother. </span></div>
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<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">As
the potential sedationist at the early stage, it was for me to take over the
full management and not just arrive on the day and go ahead and “gas” the
patient. </span></div>
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<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">This
approach with a patient who has never met me and with whom I have not had a
chance to develop any meaningful rapport or insight, though not doomed to
failure, will increase the chances of failure in my experience.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">Would
it have been possible to achieve the same result using a tell, show, do
approach and the Wand only? Quite possibly/probably but there would always have
been the chance that if the patient had a deep needle-phobia she might have
reacted negatively to any suggestion of an injection, however small the needle
and however<span style="mso-spacerun: yes;"> </span>the method had been
“dressed-up”. There is no knowing for sure but I wanted to avoid any failures
at any step which would then have been more difficult to recover from.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"><br /></span></div>
<div class="MsoNormal" style="text-align: left;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">Concusion</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"></span></b>
</div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">In
this case the combination of</span></div>
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<div class="MsoListParagraphCxSpFirst" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">The promise of doing
everything “quite differently” from her previous dental experiences and </span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">The detachment and
analgesia provided by the inhalation sedation and</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">The absence of a shiny,
threatening metal syringe and ability to provide a totally painless and
non-threatening LA experience using the Wand</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">succeeded
in overcoming all of the patient’s anxiety/phobia and allowing her to receive
the treatment needed in a relaxed and straightforward manner.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">If
you, your practice and your patients might benefit from using either Inhalation
Sedation and/or The Wand<b style="mso-bidi-font-weight: normal;"><span style="color: black;">®</span></b>, please do get in touch to find out more about
the accredited training (for IHS) and practical training for The Wand<b style="mso-bidi-font-weight: normal;"><span style="color: black;">® </span></b><span style="color: black;">that I am able to provide.</span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;"><a href="http://the-ra-coach.co.uk/2.html" target="_blank">Accredited Inhalation Sedation training</a> for “new starters” (GDPs
and DCPs):</span></div>
<div class="MsoNormal">
<span lang="EN-US"><a href="mailto:richard@the-ra-coach.co.uk"><span style="font-family: "times"; font-size: 11.0pt;">richard@the-ra-coach.co.uk</span></a></span><span lang="EN-US" style="color: black; font-family: "times"; font-size: 11.0pt;"> </span></div>
<div class="MsoNormal">
<br /></div>
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<span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">For
</span><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;">The Wand<b style="mso-bidi-font-weight: normal;"><span style="color: black;">® </span></b><span style="color: black;">information and training opportunities:</span></span></div>
<div class="MsoNormal">
<span lang="EN-US"><a href="mailto:richard.charon@dentalsky.com"><span style="font-family: "times"; font-size: 11.0pt;">richard.charon@dentalsky.com</span></a></span><span lang="EN-US" style="font-family: "times"; font-size: 11.0pt;"></span></div>
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<br />
<b>Full consent given to use photos</b></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-77413291489801408782018-01-02T21:18:00.000+00:002018-01-02T21:19:44.653+00:00Inhalation Sedation Update Day <div align="center" id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_24078">
<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26100" style="font-size: x-large;"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26099"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26098" style="color: #5b8828;"> Happy New Year to you All</span></b></span></div>
<div align="center" id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26105">
<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26100" style="font-size: x-large;"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26099"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26098" style="color: #5b8828;"><br /></span></b></span></div>
<div align="center" id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26129">
<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26128" style="color: #5b8828;"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26127" style="font-size: x-large;"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26126">We are now booking our next </b></span></span></div>
<div align="center" id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26133">
<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26128" style="color: #5b8828;"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26127" style="font-size: x-large;"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26126">Inhalation Sedation Update Day </b></span></span></div>
<div align="center" id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_50397">
<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26128" style="color: #5b8828;"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26127" style="font-size: x-large;"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26126">in Newbury </b></span></span></div>
<div align="center" id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_50407">
<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26128" style="color: #5b8828;"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26127" style="font-size: x-large;"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26126">on </b></span></span></div>
<div align="center" id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_27814">
<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26128" style="color: #5b8828;"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26127" style="font-size: x-large;"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26126">Sat. March 17th 2018.</b></span></span></div>
<div align="center" id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_35929">
<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26128" style="color: #5b8828; font-size: large;"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26127"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26126">Fully compatible with new GDC eCPD regs.</b></span></span></div>
<div dir="ltr" id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_54259" style="text-align: center;">
<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26128" style="color: #5b8828; font-size: large;"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26127"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26126"> 7 hours certificated eCPD hours</b></span></span><br />
<br />
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<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26128" style="color: #5b8828;"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26127" style="font-size: x-large;"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26126">4 weeks on Feb.3rd</b></span></span></div>
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<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26128" style="color: #5b8828;"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26127" style="font-size: x-large;"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26126"><a class="yiv7177190235edited-link-editor" href="http://www.donningtonvalley.co.uk/meetings.asp" id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_54130" rel="nofollow" target="_blank">Venue</a></b></span></span></div>
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<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26128" style="color: #5b8828;"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26127" style="font-size: x-large;"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26126">Remember <u id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_137334">ALL members</u> of the team involved</b></span></span></div>
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<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26128" style="color: #5b8828;"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26127" style="font-size: x-large;"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26126">must undertake regular updates.</b></span></span></div>
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<b><u id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_34945"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26128" style="color: #5b8828;"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_26127" style="font-size: x-large;">12 hours every 5 years</span></span>.</u></b></div>
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Whilst writing, don't forget your required annual <b>ILS + PILS training.</b></div>
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This trainer in Banbury is offering a course on January 31st.</div>
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I have no financial interest.</div>
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Please contact Lynn directly if this is of interest</div>
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<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_96668" style="font-family: "verdana" , sans-serif;"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_96669">Lynn Fox <span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_96670" style="font-size: 10pt;">RGN</span> - EPALS/GIC/ALS/ILS (Resuscitation Co.UK Instructor)</b></span></div>
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<b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_96672" style="font-family: verdana, sans-serif; font-size: 12.8px;">First Aid Instructor (FAIB, HSE, SkillBase and OFQUAL)</b></div>
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<b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_96677" style="font-family: verdana, sans-serif; font-size: 12.8px;">ResusPlus Training</b></div>
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<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_96685" style="font-family: "verdana" , sans-serif;"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_96686"><a href="mailto:info@resusplustraining.com" id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_96687" rel="nofollow" style="color: #1155cc;" target="_blank"><span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_96688" style="color: windowtext;">info@resusplustraining.com</span></a></b></span></div>
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<span id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_96690" style="font-family: "verdana" , sans-serif;"><b id="yiv7177190235yui_3_16_0_ym19_1_1514924425947_96691">01280 704014 or 0770 250 9967 </b></span></div>
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I look forward to hearing from you soon to indicate your intentions.</div>
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<h3>
e-mail: richard@the-ra-coach.co.uk</h3>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-65077158456643801652017-12-30T17:03:00.000+00:002017-12-31T05:18:34.698+00:00Training and Introducing an Inhalation Sedation Service with Richard Charon BDS<div dir="ltr" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_59767">
<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_59766">Introducing an Inhalation Sedation (IHS) is a committent both to training, equipping as well ongoing</span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">servicing of the equipment, updating yourself and your team from time to time and undertaking the required ILS + PILS training annually. </span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">In addition<span style="color: blue;"> <b><a href="http://www.saad.org.uk/images/Linked-IACSD-2015.pdf" target="_blank">Standards</a></b> </span>and <b><a href="http://www.sdcep.org.uk/wp-content/uploads/2017/07/SDCEP-Conscious-Sedation-Guidance.pdf" target="_blank">Guidelines</a></b> introduced in 2015 and 2017 respectively require more of us but none of this is impossible - it just takes some organisation and systems to run smoothly whilst complying. All aspects of these requirements are covered in the course but it is the individual's responsibility to read these documents.</span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">I found that the technique and indeed the<span style="font-family: inherit;"> equipment lasted me a l</span>ifetime (let's say 35+years) in GDP, using it on a daily basis. It </span><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">is a question of setting a proper fee level to cover all costs and leaving some over for your trouble!</span><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"> Naturally for those in the NHS salaried services these considerations do not apply.</span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><br /></span></div>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/-8MedpT44NkY/Wke-90aNjYI/AAAAAAAABtE/UIJkETZFCjAl77AFmnf_fD4F-iq_8U7RwCK4BGAYYCw/s1600/Screen%2BShot%2B2017-12-30%2Bat%2B16.27.13.png" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="https://2.bp.blogspot.com/-8MedpT44NkY/Wke-90aNjYI/AAAAAAAABtE/UIJkETZFCjAl77AFmnf_fD4F-iq_8U7RwCK4BGAYYCw/s400/Screen%2BShot%2B2017-12-30%2Bat%2B16.27.13.png" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Almost any treatment can be achieved</td><td class="tr-caption" style="text-align: center;"><br /></td></tr>
</tbody></table>
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<br />
<br />
<a href="http://the-ra-coach.co.uk/2.html" target="_blank"><u><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><b>The Accredited Course for "New Starters"</b></span></u></a></div>
<br />
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-size: small;">This is a 3-day courses for beginners or those returning to this technique </span><span style="font-size: small;">include, </span><span style="font-size: small;">Day 1 of Theory and practical demonstrations followed by 2 days of individual one-to-one "Work-based Assessments" at your own practice.</span></span></div>
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<br />
<br />
<br />
<br />
<span style="font-family: inherit;"><b><span style="font-size: small;">This 3-day course is accepted as being equivalent to a University-based module on this subject.</span></b><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><b><span style="font-size: small;"> </span></b></span></span></div>
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</div>
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</div>
<div dir="ltr" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_59781" style="text-align: center;">
<span style="font-family: inherit;"><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><b>This course is suitable for dentists, including specialists and DCPs in the UK </b></span></span></div>
<div dir="ltr" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_59781" style="text-align: center;">
<span style="font-family: inherit;"><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><b>and for </b></span><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><b>dentists only in the Irish Republic.</b></span></span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><br /></span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><u><b id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_83582">Course Fees</b></u></span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><br /></span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><a class="yiv4222804793edited-link-editor" href="http://the-ra-coach.co.uk/34.html" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_83585" rel="nofollow" target="_blank">The course fees are all published on my website</a>. There is no VAT applicable.</span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">These fees are not being increased during 2018.</span></div>
<div dir="ltr" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_61494">
<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">The final fee must include costs which will vary according to the location of the practice to my home base in Newbury. It is a question of geography.</span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">Once a practitioner decides to commit, I will spend the time needed to
work out the logistics/ costs of travel, hotel stays , taxi transfers or car hire for visits to Scotland or Ireland usually </span><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">plus mileage allowance if applicable and subsistence
allowances.</span></div>
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</div>
<div dir="ltr" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_68624">
<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">These fees do not include your own costs of travel to day 1 of the accredited course which is class-based training
and may involve 1 or 2 nights night hotel stay depending on where you are travelling from and the timing of flights/trains etc.</span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><br /></span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><u id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_83710"><b id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_83709">Application</b></u></span></div>
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</div>
<div dir="ltr" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_68764">
<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">You can <a href="https://issuu.com/richardcharon/docs/ra_3_day-course_application_form_ma" target="_blank"><b>download an application form</b></a> to be printed off, completed, scanned and e-mailed back to me as well as </span><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">the <a href="https://issuu.com/richardcharon/docs/ra_2016_ed_aims__objectives_and_out_033b2861ade077" target="_blank"><b>educational aims and objectives.</b></a></span></div>
<div dir="ltr" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_68783">
<b><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><br /></span></b></div>
<div dir="ltr" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_68784">
<u><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><b id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_68865">My role and ongoing support</b></span></u></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><br /></span></div>
<div dir="ltr" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_68840">
<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">My
role is to teach practitioners with no previous experience to
</span><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">administer </span></span><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">Inhalation Sedation with nitrous
oxide & oxygen, </span>successfully and safely, taking full cognisance of the requirements of the current Standards and Guidelines of the IACSD and SDCEP
respectively in the UK and where these might differ, of the </span><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">Dental Council in Ireland.</span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">In addition I act as a mentor before, during and after your training, as well as having the dual-role as an assessor. </span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><br /></span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><br /></span></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://3.bp.blogspot.com/-Ef55v6Vrp3k/Wke-hIo5iLI/AAAAAAAABs8/xH1X1brT2SYLtP_LgVfRPP27HrBpvpptACK4BGAYYCw/s1600/Screen%2BShot%2B2017-12-30%2Bat%2B16.27.02.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="https://3.bp.blogspot.com/-Ef55v6Vrp3k/Wke-hIo5iLI/AAAAAAAABs8/xH1X1brT2SYLtP_LgVfRPP27HrBpvpptACK4BGAYYCw/s400/Screen%2BShot%2B2017-12-30%2Bat%2B16.27.02.png" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Dr. Suresh Govind, Nottingham receives his competency certificate</td></tr>
</tbody></table>
<div dir="ltr" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_68925">
<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><br /></span></div>
<div dir="ltr" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_68927">
<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"></span><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">This
would mean that IF I felt that after the course and spending 2 full
days with the candidate, overseeing their first 10 cases plus 5 case assessments, I still assess that that person was not yet ready to go it alone, it would be
my duty to say so. </span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">Saying that, this has never happened yet, so hopefully that says something positive about my courses.</span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><br /></span></div>
<div dir="ltr" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_69055">
<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">If
you do decide to book, you will receive further e-mails with
attachments or links to resources well ahead of the course date. Please
remember at least one of your RDNs should attend with you for day 1 to understand how to assist during the 2 days of WBAs.</span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><br /></span></div>
<div dir="ltr" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_90821">
<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">You
will also need to show evidence of having completed both ILS & PILS
training in the previous 12 months before we book days 2 & 3.</span><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"> We can discuss further if you wish.</span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><br /></span></div>
<div dir="ltr" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_69069">
<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">There is a great deal of information if you navigate the left hand column of my website but some of these</span><span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><a class="yiv4222804793edited-link-editor yiv4222804793enhancr2_39b23e04-422f-9b29-601b-e629c7647332" href="http://theracoachcasehistories.blogspot.co.uk/" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_70861" rel="nofollow" target="_blank"> case histories may be of interest</a> which are less easily found!</span></div>
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<div class="yiv4222804793yahoo-link-enhancr-card yiv4222804793yahoo-link-enhancr-not-allow-cover yiv4222804793ymail-preserve-class yiv4222804793ymail-preserve-style" data-category="article" data-embed-url="" data-size="medium" data-type="yenhancr" data-url="http://theracoachcasehistories.blogspot.co.uk/" dir="ltr" id="yiv4222804793enhancr2_39b23e04-422f-9b29-601b-e629c7647332" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; max-width: 400px; overflow-x: auto;">
<a class="yiv4222804793yahoo-enhancr-cardlink" href="http://theracoachcasehistories.blogspot.co.uk/" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_72625" rel="nofollow" style="color: black; text-decoration: none;" target="_blank"> <table border="0" cellpadding="0" cellspacing="0" class="yiv4222804793card-wrapper yiv4222804793yahoo-compose-table-card" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_72624" style="max-width: 400px; overflow-x: auto;"> <tbody id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_72623">
<tr id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_72622"> <td id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_72621" width="400"><table border="0" cellpadding="0" cellspacing="0" class="yiv4222804793card-info yiv4222804793yahoo-compose-table-card" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_72620" style="background: #fff; border-bottom: 3px solid #000000; border: 1px solid #e0e4e9; max-width: 400px; overflow-x: auto; width: 100%px;"> <tbody id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_72619">
<tr id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_72618"> <td id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_72617" style="padding: 16px 0 16px 12px; vertical-align: top;"></td> <td id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_74497" style="padding: 16px 12px; vertical-align: middle; width: 99%;"><h2 class="yiv4222804793card-title" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_90822" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 16px; margin: 0 0 4px 0;">
RA Today Case Histories</h2>
<div class="yiv4222804793card-description" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_76340" style="color: #999999; font-size: 11px; line-height: 15px;">
Why not learn how to use R.A. with confidence, with me, Richard Charon, in Newbury, at one of my One-Day, Hands-...</div>
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</a></div>
<div class="yiv4222804793yahoo-link-enhancr-card yiv4222804793yahoo-link-enhancr-not-allow-cover yiv4222804793ymail-preserve-class yiv4222804793ymail-preserve-style" data-category="article" data-embed-url="" data-size="medium" data-type="yenhancr" data-url="http://theracoachcasehistories.blogspot.co.uk/" dir="ltr" id="yiv4222804793enhancr2_39b23e04-422f-9b29-601b-e629c7647332" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; max-width: 400px; overflow-x: auto;">
<a class="yiv4222804793yahoo-enhancr-cardlink" href="http://theracoachcasehistories.blogspot.co.uk/" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_72625" rel="nofollow" style="color: black; text-decoration: none;" target="_blank"> </a></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">In addition you should find many of my Linkedin articles and posts of interest.</span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><br /></span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">Here are 3 to start with:-</span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113"><br /></span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">1) <a class="yiv4222804793edited-link-editor" href="https://www.linkedin.com/pulse/you-only-good-your-last-richard-charon/" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_74544" rel="nofollow" target="_blank">Excellent feedback from our last course on Dec 2nd</a></span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_74548">2) <a class="yiv4222804793edited-link-editor" href="https://www.linkedin.com/pulse/change-way-i-do-dentistry-forever-richard-charon/" id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_81635" rel="nofollow" target="_blank">"This will change the way I do dentistry forever"!</a></span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">3) <a class="yiv4222804793edited-link-editor" href="https://www.linkedin.com/pulse/i-cant-recommend-your-mentoring-enough-richard-charon/" rel="nofollow" target="_blank">"I can't recommend your mentoring enough"</a></span></div>
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<span id="yiv4222804793yui_3_16_0_ym19_1_1514573896489_58113">Please e-mail me to book places or for any additional information .</span></div>
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<a href="mailto:richard@the-ra-coach.co.uk" target="_blank">richard@the-ra-coach.co.uk</a></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-39428323640802057512017-12-30T06:16:00.001+00:002017-12-30T06:22:54.583+00:00Inhalation Sedation Training for Dentists in Ireland<div style="text-align: center;">
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<span style="color: #38761d;">Inhalation Sedation Training for Dentists in Ireland</span></h2>
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<a href="https://1.bp.blogspot.com/-oGI4OLxyOcQ/VOO7td2QdNI/AAAAAAAABXo/4vIn0K69r7gGtRsVoj6gsFYW-C9nGeHYQCPcBGAYYCw/s1600/Richard%2BCharon%2BBDS.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="536" data-original-width="374" height="200" src="https://1.bp.blogspot.com/-oGI4OLxyOcQ/VOO7td2QdNI/AAAAAAAABXo/4vIn0K69r7gGtRsVoj6gsFYW-C9nGeHYQCPcBGAYYCw/s200/Richard%2BCharon%2BBDS.JPG" width="139" /></a>20th December 2017</div>
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The Dental Council provided a formal letter of confirmation that </div>
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<a href="https://www.linkedin.com/in/richardcharon/" target="_blank">Dr. Richard Charon BDS</a> </div>
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has met their requirements for training programs in Inhalation Sedation for Irish Dentists.</div>
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The letter of confirmation of Dec. 20th 2017 is signed by the <b>Registrar, Dr. David O'Flynn</b> after a period of discussions with him. The submitted program has now been validated and this validation will run until December 2020 before being reviewed.</div>
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Full details of the submitted program (as earlier approved in December 2015 by the IACSD accreditation sub-commitee in the UK, following publication of their new <a href="https://www.saad.org.uk/images/Linked-IACSD-2015.pdf" target="_blank">Standards in April 2015</a> and again as confirmed by their successors, the STAC RCS (Sedation Teachers Accreditation Committee of the Dental Faculty of the The Royal College of Surgeons of England,formed in June 2016) were considered and approved by the Dental Council.</div>
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Please note that the courses are run over 3 days. </div>
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<b>Day 1:</b> Theory and practical demonstrations. These are currently held in England although venues may change.<br />
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<tr><td style="text-align: center;"><a href="https://3.bp.blogspot.com/-CoTEk8GQWg0/U-UH9kKufFI/AAAAAAAABRo/jnGQEIcdER4dh1wdmZJHDh0UPE2vaMx3ACPcBGAYYCw/s1600/IMG_1098.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1067" data-original-width="1600" height="133" src="https://3.bp.blogspot.com/-CoTEk8GQWg0/U-UH9kKufFI/AAAAAAAABRo/jnGQEIcdER4dh1wdmZJHDh0UPE2vaMx3ACPcBGAYYCw/s200/IMG_1098.JPG" width="200" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Didactic Teaching of Theory</td></tr>
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<tr><td style="text-align: center;"><a href="https://3.bp.blogspot.com/-lmA4TGm-dTQ/TP_6g1KGTlI/AAAAAAAABfE/Mh59RFCgDbAx_oZRiSiCjXTglg1oc-KqACPcBGAYYCw/s1600/IMGP0235_2.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1321" data-original-width="1600" height="165" src="https://3.bp.blogspot.com/-lmA4TGm-dTQ/TP_6g1KGTlI/AAAAAAAABfE/Mh59RFCgDbAx_oZRiSiCjXTglg1oc-KqACPcBGAYYCw/s200/IMGP0235_2.JPG" width="200" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Practical demonstrations</td></tr>
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<b>Days 2 & 3</b> are Work-Based Assessments (WBA) during which the candidate will be personally overseen, mentored and assessed by Dr. Charon for their first 10 cases and 5 case assessments. </div>
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Detailed arrangements and the WBA program details are made with candidates, to be held at their own equipped clinics/practices. For practical purposes this would normally be over 2 consecutive days and usually within 6 months of day 1.</div>
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<b>Dental Nurses</b></div>
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The dentist offering Inhalation Sedation must be assisted by an appropriately trained dental nurse and RDNs, unless already experienced with assisting treating patients under inhalation sedation, would be expected to accompany their dentist to day 1 of the course in order to properly assist for days 2 & 3. They will receive a CPD certificate of attendance.</div>
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Next available course - 5 places available only<br />
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<a href="https://4.bp.blogspot.com/-CZH5W7dz7mM/S26MruWQ9TI/AAAAAAAABe8/nV7lG9YPibgpIQnuA-XFjs4kzqm7XRCmQCPcBGAYYCw/s1600/RA%2Bdelegates%2BFeb%2B2010%2BNewbury.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="336" data-original-width="354" height="303" src="https://4.bp.blogspot.com/-CZH5W7dz7mM/S26MruWQ9TI/AAAAAAAABe8/nV7lG9YPibgpIQnuA-XFjs4kzqm7XRCmQCPcBGAYYCw/s320/RA%2Bdelegates%2BFeb%2B2010%2BNewbury.JPG" width="320" /></a></div>
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<b>Date: Sat. 12th May 2018</b> (Deposits due by March 12th) </h3>
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<b>Venue:</b> <a href="http://www.donningtonvalley.co.uk/meetings.asp" target="_blank">Donnington Valley Hotel, Newbury, Berkshire</a>: </h3>
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<a href="http://www.the-ra-coach.co.uk/" target="_blank">Website</a></h3>
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<a href="mailto:richard-charon@inhalationsedationtraining.com" target="_blank">Contact for details and to book</a></h3>
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<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-64375989225689303842017-12-03T14:22:00.001+00:002017-12-04T16:36:38.147+00:00Inhalation Sedation Accredited course for New Starters - Excellent feedback<div style="text-align: justify;">
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It is said that you are only as good as your last ... </div>
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Let others be the judge but I still must be doing something right. I am delighted with the feedback from Saturday's course even if was the smallest we have run but there were reasons. </div>
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<span style="color: blue;">2nd December 2017</span></h3>
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<span style="color: blue;">... "It's been a brilliant course"</span><b><span lang="EN-US"> </span></b></h3>
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<b><span lang="EN-US">“... I’ll feel more confident
once we have gone through the RA machine at work. <span style="color: blue;">It’s
been a brilliant course though</span>. Thank you."</span></b></h3>
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<span lang="EN-US"> Chloe Brotherhood Dental Therapist. She is </span><span lang="EN-US"><span lang="EN-US">booked to undertake her Work-Based
Assessments in 10 days</span></span></div>
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</span><span lang="EN-US"></span><span lang="EN-US"></span><span lang="EN-US"></span><span lang="EN-US"></span><span lang="EN-US"></span><span style="color: blue;">... "Richard is a really great teacher" </span></h3>
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<span style="color: blue;">I really loved the happy air. I have never attended a course containing so much information that held my attention all day. I thought this morning it had the potential to be a dry day but Richard is a really great teacher"</span></h3>
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<span style="color: blue;">Alex Middleton - Dental Therapist who retrained having been an A&E Nurse. </span></h3>
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<span style="color: blue;"> </span></h3>
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<span style="color: blue;"> "Great course. Very Informative"</span></h3>
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<span style="color: blue;"><span style="color: black;">Dr. Giri Govardan GDP Northern Ireland </span></span></h3>
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<span style="color: blue;">"Richard was a great trainer" ...</span><span style="color: blue;"><span style="color: black;"><span style="color: blue;"> </span></span></span><span style="color: blue;"><b><span style="color: black;"><span style="color: blue;"> </span></span></b></span></h3>
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<span style="color: blue;"><b><span style="color: black;"><span style="color: blue;">" </span>Richard <span style="color: blue;">was</span> a great Trainer- I felt at ease and enjoyed the sedation demonstration."</span></b></span></h3>
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<span style="color: blue;"><b><span style="color: black;">Dr. Bhaven Modha Community Dental Officer. </span></b></span></h3>
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Since the 2015 IACSD Standards were published, I have generally sought to accept no more than 5 candidates, often accompanied by their dental nurses. This results in 10-12 course delegates for </div>
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day 1 of the 3-day course and then up to 10 days of follow-up practice visits to undertake their "Work-Based Assessments" (WBAs) to certify their competence.</div>
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On this occasion we had 2 dentists, one GDP and one CDO and 2 Therapists one from Community the other about to start in private practice. All 4 have their clinics/practices already equipped and all 4 already have experienced dental nurses who did not need to accompany them. </div>
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I will be travelling to N. Ireland early in 2018 and to Norwich (in 10 days) to undertake 2 days of WBAs for both of them. The CDO is being assessed in-house as is (probably) the Therapist in private practice.</div>
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So we had a very focussed learning group and here below I copy their feedback. </div>
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The only response (of 48 responses)that scored less than a maximum of 5 came from the community-based Therapist on the topic of her readiness for her WBAs - but she will be fine after some one-to -one time with the "RA" machine before we begin with patients.</div>
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The evening before the course I received a new enquiry from a Therapist who, asking about the course, said "Is it worth it". As I said introducing this, let others be the judge of that.</div>
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Our next full course for new starters will be on Saturday 12th May 2018. There are 5 places for Dentists or DH&Ts.</div>
<a href="https://www.blogger.com/goog_1488488300"><br /></a>
<a href="http://www.the-ra-coach.co.uk/">www.the-ra-coach.co.uk</a><br />
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<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; text-align: right;"><tbody>
<tr><td style="text-align: center;"><a href="https://2.bp.blogspot.com/-4JbNmJRW7rU/WiP9WZfpt2I/AAAAAAAABsM/iR2tpKZ-3dwma6VFt1x_McHrKONYIIoAwCLcBGAs/s1600/Feedback4%2B2.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1132" data-original-width="1600" height="451" src="https://2.bp.blogspot.com/-4JbNmJRW7rU/WiP9WZfpt2I/AAAAAAAABsM/iR2tpKZ-3dwma6VFt1x_McHrKONYIIoAwCLcBGAs/s640/Feedback4%2B2.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Community Dental Therapist in Norwich</td></tr>
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<tr><td style="text-align: center;"><img alt="She has re-trained having been an A&E Nurse" border="0" data-original-height="1132" data-original-width="1600" height="452" src="https://1.bp.blogspot.com/-byeZPdwMoig/WiP9THsIRbI/AAAAAAAABsE/a_eQtQs5e2g5ZOMlkdQJY5wYRY1zMKowACLcBGAs/s640/Feedback3%2B2.jpg" style="margin-left: auto; margin-right: auto;" title="Dental Therapits soon to join a Private practice with Sedation facilities" width="640" /></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Ex- A and E Nurse now a Dental Therapist about to start with a general practice in Sussex with full sedation facilities</td><td class="tr-caption" style="text-align: center;"><br /></td><td class="tr-caption" style="text-align: center;"><br /></td><td class="tr-caption" style="text-align: center;"><br /></td></tr>
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<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right; margin-left: 1em; text-align: right;"><tbody>
<tr><td style="text-align: center;"><a href="https://3.bp.blogspot.com/-6dqSLMzTnug/WiP9TzYBFjI/AAAAAAAABsI/QTbrwlzhFKcCGV-HblCzCJjAXW8wuElIACEwYBhgL/s1600/Feedback1%2B2.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1237" data-original-width="1600" height="494" src="https://3.bp.blogspot.com/-6dqSLMzTnug/WiP9TzYBFjI/AAAAAAAABsI/QTbrwlzhFKcCGV-HblCzCJjAXW8wuElIACEwYBhgL/s640/Feedback1%2B2.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">GDP travelled from N.Ireland</td></tr>
</tbody></table>
<br />
<br />
<br />
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right; margin-left: 1em; text-align: right;"><tbody>
<tr><td style="text-align: center;"><a href="https://4.bp.blogspot.com/-pZipEhACGoM/WiP9SXN3vDI/AAAAAAAABsA/at7qbRnqdVM8DvDR0IAlMoYuK2wWRtegwCEwYBhgL/s1600/Feedback2%2B2.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1132" data-original-width="1600" height="452" src="https://4.bp.blogspot.com/-pZipEhACGoM/WiP9SXN3vDI/AAAAAAAABsA/at7qbRnqdVM8DvDR0IAlMoYuK2wWRtegwCEwYBhgL/s640/Feedback2%2B2.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Community Dental Officer - Bucks. New in Post. Retrained having been an Opthalmologist</td></tr>
</tbody></table>
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<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-13114628203856366702017-10-22T18:05:00.001+00:002017-10-25T09:20:40.885+00:00 Inhalation Sedation Update Sat. March 17th 2018.<span style="background-color: white;"><br /></span>
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<span style="color: blue;"><span style="background-color: white;"><span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Inhalation Sedation Update </span></span></span></span></h2>
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<span style="color: blue;"><span style="background-color: white;"><span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">7 hours CPD</span></span></span></span></h2>
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</h2>
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<span style="color: blue;"><span style="background-color: white;"><span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Saturday March 17<sup>th</sup>
2018</span></span></span></span></h2>
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</h2>
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<span style="color: blue;"><span style="background-color: white;"><span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">9.00am – 5.00pm</span></span></span></span></h2>
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<span style="color: blue;"><span style="background-color: white;"><span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Richard Charon BDS </span></span></span></span></h2>
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<span style="color: blue;"><span style="background-color: white;"><span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">IACSD & STAC </span></span></span></span><span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span style="color: blue;"><span style="background-color: white;">Accredited Course Provider in Inhalation Sedation</span></span></span></span></h4>
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<span style="color: red;"><b><span style="font-size: 24px;"><a href="http://the-ra-coach.co.uk/31.html" target="_blank">EARLY-BOOKER DISCOUNT DETAILS </a> </span></b></span></div>
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<span style="color: red;"><b><span style="font-size: 24px;">Fees to be paid by Feb. 3rd 2018.</span></b></span></div>
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<a href="https://3.bp.blogspot.com/-XtCHRhjLrDI/WezaDR0zE3I/AAAAAAAABrs/bQwAkhCGBkso2eB1dzBgowZ2vHANQsR1ACLcBGAs/s1600/RA%2BUpdate%2B21st%2BOctober%2B2017.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="640" data-original-width="960" height="266" src="https://3.bp.blogspot.com/-XtCHRhjLrDI/WezaDR0zE3I/AAAAAAAABrs/bQwAkhCGBkso2eB1dzBgowZ2vHANQsR1ACLcBGAs/s400/RA%2BUpdate%2B21st%2BOctober%2B2017.jpeg" width="400" /></a></div>
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<span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span class="fbPhotosPhotoCaption" data-ft="{"tn":"K"}" id="fbPhotoSnowliftCaption" tabindex="0"><span class="hasCaption"> </span></span><span class="fbPhotosPhotoCaption" data-ft="{"tn":"K"}" id="fbPhotoSnowliftCaption" tabindex="0"><span class="hasCaption">Delegates
deep in thought over the summative assessment MCQ at the end of a day
of
learning and shared experiences. </span></span></span></span></span><br />
<span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span class="fbPhotosPhotoCaption" data-ft="{"tn":"K"}" id="fbPhotoSnowliftCaption" tabindex="0"><span class="hasCaption">A true mixed ability class from
consultant paediatric dentist to dental nurses and a practice manager
and from London , Ireland the "Black Country". </span></span></span></span></span><br />
<span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span class="fbPhotosPhotoCaption" data-ft="{"tn":"K"}" id="fbPhotoSnowliftCaption" tabindex="0"><span class="hasCaption">We were 2 short by this
time as one GDP could not attend at the last minute and one of her RDNs
had to leave early (hence the 2 empty chairs!).</span></span></span></span> </span></div>
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What higher praise was
needed?<br />
<br />
<b>"Good pace of course and information was explained without
waffle" from one of the RDNs that attended. </b> <b> </b><br /><b> </b><br /><b>"Very
clear, concise & enjoyable' from a GDP </b></div>
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<b> </b></div>
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<b> </b><b>"Many thanks for an
excellent day" from a Paeds consultant, makes it all worthwhile. </b></div>
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<b> </b></div>
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<b> </b><b>"I
will definitely recommend this course to my colleagues" from a BUPA PM
was also valuable feedback. </b><br />
If we add in the almost <span style="color: blue;"><b>universal maximum
scores on the feedback</b></span> forms, I think I can say that we got it about
right! </div>
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<span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">These Update Days are aimed at all members of the team
involved in providing Inhalation Sedation. Gain 7 hours CPD towards the 12
hours needed each 5-year cycle. Ensure you are up to date with Standards and
Guidelines, improve you success rate, revise details, meet like-minded
colleagues and share experiences. CQC will ask for evidence of CPD including
for RDNs.</span></div>
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<span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Donnington Valley
Hotel, near Newbury. 5 mins by car from M4/A34 junction </span></span></div>
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<span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">(J13 M4). 10 mins by
taxi from Newbury Station.</span></span></div>
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<span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Newbury is 1 hour
from Paddington by train & 45 mins from Heathrow or Southampton Airports.</span></span></div>
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<span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> <span class="fbPhotosPhotoCaption" data-ft="{"tn":"K"}" id="fbPhotoSnowliftCaption" tabindex="0"><span class="hasCaption"> </span></span></span></span></div>
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<span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span class="fbPhotosPhotoCaption" data-ft="{"tn":"K"}" id="fbPhotoSnowliftCaption" tabindex="0"><span class="hasCaption">Details are on <a href="http://the-ra-coach.co.uk/index.html" target="_blank">the website.</a></span></span></span></span></div>
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<span class="fsl"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span class="fbPhotosPhotoCaption" data-ft="{"tn":"K"}" id="fbPhotoSnowliftCaption" tabindex="0"><span class="hasCaption"><br /></span></span></span></span></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-57657537521325219292017-09-04T21:52:00.001+00:002019-06-04T05:41:12.991+00:00Inhalation Sedation: What the paients said...<br />
<div style="text-align: justify;">
<span style="font-family: "verdana" , sans-serif;">"Thank you so much, you have fixed a broken part of my personality"</span></div>
<div style="text-align: justify;">
<span style="font-family: "verdana" , sans-serif;"><i>A business executive. </i></span></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: justify;">
<span style="font-family: "verdana" , sans-serif;">" I would like to see nitrous oxide used in every dental practice, as many
people I know have at least some level of dental anxiety. As a
businessman I would have thought that this represents a good revenue
opportunity for most dental practices as well as a great marketing
opportunity to attract more anxious patients. Overall, the combination
of nitrous oxide and the professional and kind treatment of Richard and
Chris has gone a long way to restoring my faith in the dental
profession." </span></div>
<div style="text-align: justify;">
<i><span style="font-family: "verdana" , sans-serif;">Matt.</span></i></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: justify;">
<i><span style="font-family: "verdana" , sans-serif;"></span></i><span style="font-size: small;"><span style="font-family: "verdana" , sans-serif;"> </span></span></div>
<div style="text-align: justify;">
<span style="font-family: "verdana" , sans-serif;"><span style="font-family: "tahoma" , sans-serif; font-size: small;"><span style="font-family: "times new roman";"><span style="font-family: "tahoma" , sans-serif;">"Do
I still have a fear of Dentists, well probably yes, somewhere deep
inside me, it won’t disappear overnight, and no doubt there will still
be a few nerves there the next time I have treatment but whilst I know
Richard can help me I will happily attend any check up or treatment
session needed. So long as my happy gas is their if I need it.</span></span></span><span style="font-size: small;">" </span></span></div>
<div style="text-align: justify;">
<i><span style="font-family: "verdana" , sans-serif;"><span style="font-size: small;">Marie.</span></span></i></div>
<br />
<div style="text-align: justify;">
<i><span style="font-family: "verdana" , sans-serif;"></span></i><span style="font-family: "verdana" , sans-serif;"><span style="font-size: small;">"My next check-up is in June, and having survived all the fillings, being I'm<br />more familiar with the dentists environment, and trusting Richard, I've no<br />fear of returning. At the moment I'm pretty sure I can do the check-up with<br />whatever tools Richard feels are necessary without the help of happy air.<br />Although it's great to know that if I do feel I need it, it will be there on<br />tap."</span></span></div>
<div style="text-align: justify;">
<br /></div>
<br />
<div style="text-align: justify;">
<i><span style="font-family: "verdana" , sans-serif;"><span style="font-size: small;">Peter</span></span></i></div>
<div style="text-align: justify;">
<br /></div>
<span style="font-family: "verdana" , sans-serif;"><span style="font-size: small;">are considering trying it to help them during dental appointments. I
am a bit of a spa fan and enjoy massages and facials whenever I can.
The closest feeling that I can associate it with is when you are having a
massage and are deeply relaxed and you are dipping in and out of
consciousness even though you are awake! </span></span><br />
<div style="text-align: justify;">
<span style="font-family: "verdana" , sans-serif;"><span style="font-size: small;"><br />I hope this story helps
others , who worry about choking at the dentist to try this “Happy Air”
as it has enabled me to complete some treatment that I would have found
very difficult." </span></span></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<span style="font-family: "verdana" , sans-serif;"><i><span style="font-size: small;">Lucy </span></i></span></div>
<div style="text-align: justify;">
<br /></div>
<br />
<span style="font-family: "verdana" , sans-serif;"><i><span style="font-size: small;"><i><span style="font-family: "verdana" , sans-serif;">Interested in training to be able to offer your patients this sedation technique?</span></i></span></i></span><br />
<br />
<span style="font-family: "verdana" , sans-serif;"><i><span style="font-size: small;"><i><span style="font-family: "verdana" , sans-serif;"><a href="http://the-ra-coach.co.uk/2.html" target="_blank">Web: The RA Coach</a></span></i></span></i></span><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://1.bp.blogspot.com/-ObZhkEFhDsI/Wa3LAbus38I/AAAAAAAABqs/VdWBBRu0zoQyNMrTHbIfT7bDi4Ni41SFACLcBGAs/s1600/IMG_0665.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="825" data-original-width="1600" height="205" src="https://1.bp.blogspot.com/-ObZhkEFhDsI/Wa3LAbus38I/AAAAAAAABqs/VdWBBRu0zoQyNMrTHbIfT7bDi4Ni41SFACLcBGAs/s400/IMG_0665.jpg" width="400" /></a></div>
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<br /></div>
<div style="text-align: justify;">
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<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
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<div style="text-align: justify;">
<span style="font-family: "verdana" , sans-serif;"><i><span style="font-size: small;"><i><span style="font-family: "verdana" , sans-serif;"> </span></i> </span></i></span></div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6107666.post-14923450254184618822017-09-04T13:59:00.002+00:002017-09-04T21:27:11.816+00:00Inhalation Sedation update- learn something newAttending our update on Oct 21st will not only earn you 7 hrs vCPD but you may even learn something new!<br />
richard@the-ra-coach.co.uk to book<br />
Discount available until Sept. 9th.<br />
<br />
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<a href="https://1.bp.blogspot.com/-4_l_UE-3ASo/Wa1b9sbhvII/AAAAAAAABqc/6CYO1tvI4zIiKuUCyeOz-_F3oiByIj3twCLcBGAs/s1600/FullSizeRender.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="444" data-original-width="640" height="276" src="https://1.bp.blogspot.com/-4_l_UE-3ASo/Wa1b9sbhvII/AAAAAAAABqc/6CYO1tvI4zIiKuUCyeOz-_F3oiByIj3twCLcBGAs/s400/FullSizeRender.jpg" width="400" /></a></div>
Unknownnoreply@blogger.com0