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QUESTION:

The last three physicians I worked with left on short notice as soon as they finally obtained a contract at a surgicenter or hospital.. Will this happen with Dr. Davies?

ANSWER:

If you have worked with one of the new physician anesthesiologists only to have them quit suddenly when they finally found a job in the hospital or surgicenter, rest assured this will not happen with Dr. Davies.  He has pioneered the field and is committed to dentistry and helping your patients. You can count on his many years of experience and loyalty to dentistry and a perfect safety record.

QUESTION:

I've been told by physician anesthesiologists that because they are MDs they don't need to consult with the patient's primary or specialty care physicians which will save time.

ANSWER:

Hospital based MD anesthesiologists are appalled by this attitude.  Anesthesiologists are not the patient's primary care physician, nor do they have the training of other specialists.  In the hospital it is up to the anesthesiologist to consult with all of the patient's providers and come up with a safe anesthetic plan.  They are trained to spot "red flags" and know who to consult with and then with their knowledge of anesthesia decide on a safe anesthetic plan.  They are not expected nor trained to do this alone.  They provide no "treatment shortcut" over medically trained dentist anesthesiologists.

QUESTION:

Is it a violation of OSHA to administer inhalation general anesthetics in the dental office?

ANSWER:

When I asked one rare office provider of intubated general anesthesia how he handles the OSHA regulations he said "That's the dentist's problem".  While intubated general anesthesia is appropriate for the very young and retarded, I believe that it is an unnecessary risk for the average dental patient and office staff.

This is What OSHA has to say on their website:

“At any given time more than 250,000 people who work in hospitals, operating rooms, dental offices and veterinary clinics, might be exposed unnecessarily to harmful levels of waste anesthetic gases. “

“Exposure to waste anesthetic gases can cause serious injury and permanent damage. “ 

“effects of exposure to waste anesthetic gases are nausea, dizziness, headaches, fatigue, and irritability, as well as sterility, miscarriages, birth defects, cancer, and liver and kidney disease, among operating room staff or their spouses (in the case of miscarriages and birth defects). “

The employer has a duty to protect his staff from anesthetic waste gases under Title 8, Section 3032.

It is extremely expensive to retrofit a dental office to Surgi-Center or hospital standards as to anesthetic waste gases and few if any dentists are aware of this danger to their staff, themselves and their spouses. For these reasons, although an expert in the technique, I will not use this procedure in the office setting.

Dr. Davies now provides the following CA approved CEU courses.

1. Dental Anesthesia  2. Medical Emergencies  3.  Local Anesthesia  4. Nitrous Oxide