Teaching myself about toothaches (pulpitis? periapical abscess??!). I went to
@harvardmed
and primary care residency and never once was taught to examine a mouth. A common jail complaint and common issue for people who use drugs. Oral health= important health equity issue!! 🤦♀️
@DrKimSue
@harvardmed
Healthcare education (in the USA) is woefully lacking in teaching about
#SUD
Considering how often medical & mental health providers interface with
#PWUD
&have complications related to SUD this lack of dedicated curriculum seems unethical & immoral.
#RecoveryIsASocialJusticeIssue
@DrKimSue
@harvardmed
I agree! Prob the greatest paucity of care avail in my region is dental. Even if I can dx pathology there is little I can do abt except PCN
@DrKimSue
@ACLakeMD
@harvardmed
As a primary health care nurse practitioner who works in corrections - I totally concur. These (in my job) are young men with very poor oral health; they cannot remember when they last had good dental care. Sometimes being in custody provides them this basic right!
@DrKimSue
@harvardmed
We have a DDS who specializes in remote medicine presenting an EM lab with 1:4 ratios at our upcoming Symposium. I can’t believe it doesn’t have a waitlist yet- so valuable!
@DrKimSue
@harvardmed
“Show me your teeth, and I will tell you who you are.” Mary Otto (2017): Teeth, the Story of Beauty, Inequality and the Struggle for Oral Health in America
@DrKimSue
@harvardmed
Real problems of rehabilitation: lack of dental care access, tooth problems, make it hard to stay in a job. It's real.
And shameful.
“Of the countless ways in which poverty eats at the body, one of the most visible & painful, is in our mouths. Teeth betray age, but also wealth, if they’re pearly & straight, or the emptiness of our pockets, if they’re missing, broken, rotted out.”
#SDoH
@DrKimSue
@harvardmed
I don't know about using drugs and dental but I do know that since my pain meds were cut basic things like regular tooth brushing has declined. It's hard to stand at the sink when your neck shoulders and feet hurt.
@DrKimSue
@harvardmed
I think there's some European countries where dentistry is actually a branch of medicine, so that all doctors learn some dentistry, and dentists are doctors who specialize in teeth and mouths, rather than a separate profession.