3-12-05` end of NDC

my pt today had high bld pressure, parkinson disease, drug allergy: indomethicin, on drugs for high bld pressure, cholesterol, parkinson. radiotherapy due to nasopharyngeal carcinoma - reduced salivary flow.
parkinson disease - he experienced muscle tension so he cant keep his mouth open for too long. i'll have to use a mouth bite for him to bite on. that means i can only do E&D on either left or right side at one go. manual dexterity on brushing.
decrease salivary flow - his lips dry up pretty fast and i'll have to constantly dap his lips with water to prevent cracking. he's caries prone and had many restorations done. some of which had fractured off tgt with the cusp. quite a number of tooth lost accounts for the adjacent teeth to rotate and tilt.
however his gingivitis score isnt that bad. just that gingiva recession is quite bad.
he's pretty concern with his dry mouth, oral condition and asked lots of questions. probably because as u get older, u'll be glad to have someone to talk to. he chew on ricola sweets to stimulate salivary flow. how smart.

because of all the these and that factors, i spent all the 2nd session doing just E&D. Dr tan was 'awed' by that. she's utterly disgusted by me. 2 hrs on E&D. 'oh great, u did a very "thorough" E&D. u guys did "wonders".' it looks to me that she gonna vomit blood and tender her resignation the next thing in the morning. i'm guilt ridden. for a moment i'm glad that i'm bonded so i don have to be a hygienist but on the second tot, i regreted. being a therapist, looking at kiddies would be more difficult.
learnt how to differentiate crown and bridges. through the hard way.