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I was transferred from another ER for a dental abc...

I was transferred from another ER for a dental abcess. I was advised at the transferring ER that I would be admitted and given IV antibiotics, which my CT scan showed the need for, in addition to a consult with the oral surgery team upon arrival. I was unaware that I would be waiting in the ER at Vanderbilt. When I arrived at the ER at Vanderbilt, reception was kind enough, but I had to go through triage again, then wait until I was put in a room with three other patients in it. I was asked personal information in front of these people, but that's not the worst of it, not by a long shot. They have an ED/ER doctor that evaluates you, apparently, but not even ibuprofen was offered for my high level of pain. While I appreciate the epdemic plaguing the country, I'm not an addict and don't want to be treated for a condition I don't have. About an hour after being placed on the "fast track," I met with two students from oral surgery; I had no problem with students treating me, but think it's something you should be made aware of. They were very kind, as was my attending nurse. They let me know they would be draining the abcess and would consider possibly removing the teeth at the core of the issue. I was placed in a procedure room where the students came in with who I assume was a supervising resident. The students were wonderful, the resident was cold. I was advised that they wouldn't be removing the teeth, as it's "not an emergency room procedure," but that they would happily cut my gum down to the bone. I cried as I told the resident I couldn't afford a dentist, or I wouldn't be in the position I was in. He didn't care. The shots I received in my mouth to numb me for the procedure were excrutiatingly painful, and please keep in mind I wasn't even given an ibuprofen prior to this procedure. They were willing to cut my mouth down to the jaw bone, leaving it exposed, cutting my gums between the teeth that were the issue, with an abcess next to my jaw bone, my mandible, but couldn't be bothered to remove the teeth while they were there. I won't go so far as to call it lethal neglect, but I will call it barbaric and brutal. Again, the students were compassionate and I believe they'll make excellent providers upon completion of their program, but the supervising resident had a conscience in la-la land. Now, I have to go through another round of shots in order to have the teeth pulled, and it's my church that came through, willing to pay for an oral surgeon to remove the teeth I need removed. After the procedure concluded, I was ushered back to the fast track room, my face swollen inches from the base, in excrutiating pain, and I'm told they recommended Tylenol for pain. Again, I take issue with being treated for a condition I don't have, which is what I assume they're doing now with patients and pain medication. I couldn't talk for the duration of my one hour ride home with my friend who was kind enough to pick me up, and she had to keep my toddler overnight. I went home shaking with pain so fierce, it compared with labor pain. I had chills. I couldn't talk. I could barely sleep. I asked the ER doctor to prescribe 800 mg ibuprofen tablets to me for pain, which she agreed to prescribe (if you need pain relief and you can't obtain anything else, this will do more than Alleve and just forget Tylenol). It barely touched the pain, but helped reduce some of the swelling. I remember the supervising resident telling me they've seen antibiotic resistance in some cases of infection, particularly with antibiotics prescribed for dental abcesses. Don't you think it'd be a better, let alone more humane, idea to address the cause of the infection, rather than keep patients who can't afford a dentist on a loop of antibiotics? Perhaps, just perhaps, this is part of the reason antibiotic resistance is being seen. Completely irrational. I take serious issue with how inhumanely I was treated. I may not be rich, but you should think more about how you're lucky to have patients to practice on in the first place. Go somewhere else.

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