Good News

I feel like the luckiest person in the world. My doctor called me this afternoon with the pathology results of my biopsy. The findings are benign and all the calcifications were removed. I could hardly squeak out thank you due to my tears of relief. The biopsy site is pretty darn sore but it’s nothing that I cannot handle.

Count your blessings, I certainly am.

Welcome to my life.
Lisa

Need Your Prayers

Things have been a little unsettled with my life. We are almost put back together from the fire. The final step—carpet installation—is today.

We have been in the midst of a blizzard for the past two days. I kept praying for snow and now we have it, lots of it. We woke up this morning to 56° in the house. Our furnace went out sometime in the night and we haven't had our gas fireplace hooked up yet as we were waiting for the carpet to be done. I am so glad that the local furnace dealer takes calls on Sundays. They should be here within the hour. I had wanted Chad to remove the wall mount electric heaters for years and thank heavens, he didn't.

As you may know, my doctor found two small lumps on my left breast during a routine physical. I had a regular mammogram, diagnostic mammogram and a breast ultrasound this past Friday. The lumps in question turned out to be just dense fibrous tissue. I thought I was in the clear until the radiologist called me in his office and told me that there is a problem with the right side. He advised me that I have a cluster of calcifications and that I will need a biopsy to determine whether benign or malignant.

He also suggested that I don't go home and begin researching breast cancer online. How foolish of him to suggest such a thing. From the information I have found, cluster micro calcifications (the kind I have), are more of a concern than macro calcifications. I am a little freaked out, but am ready to do whatever I need to do. I am scheduled for a vacuum assisted, needle biopsy this next Wednesday, December 17th at 10:00 am. It will take a couple days for results. My doctor and the radiologist encouraged me with the positive odds that most micro calcifications (about 75%) are benign. They can become malignant so it is best to get rid of them. I am planning to take just Wednesday off work but that remains to be decided depending on my pain level. Chad and my girlfriends will be with me on Wednesday along with your prayers.

Oh, my cocker spaniel is in congestive heart failure and is really old. She has forgotten that she is house trained. If she pees one more time on my new carpet, I am looking for a new home for her. Her name is Snickers and she loves to kiss. Watch out for her perio breath!!

Welcome to my life.
Lisa

Ashlen Update

Yesterday, a yard sale was held as a fundraiser for Ashlen and her family to cover mounting medical bills. I was amazed at the outpouring of donated items. People were bringing furniture, tools, clothes and everything in between.

When the sale began, there were hundreds of shoppers and many were paying more that the asking price. They raised $5000 at this event. People are so generous and kind.

Ashlen has begun chemotherapy and is doing as well as expected. She is even sporting a cute wig. What a brave little angel.

Welcome to my life.
Lisa

Would you sleep in a cardboard box?

Every one is gearing up for the holidays. Shopping is underway and the decorating has begun. Every year, our community invites its members to sleep in a cardboard box in the city park. Now, I know this may sound weird, but it truly serves a purpose.

It is easy to take for granted that we have warm houses to come home to. Could you imagine not having any home at all? The night in the box gives us a little glimpse of what it would be like to be homeless. My son’s Boy Scout troop makes and serves homemade soup for three hours in the evening for anyone that wants or needs it before snuggling in for the night. It was a very brisk night and we haven’t even had snow yet.

Please remember the homeless, homebound and lonely. Go through your closets and find clothes you no longer wear or blankets you no longer use. Donate to shelters and food banks. It will make you feel warm…inside…where it counts.

Welcome to my life.
Lisa

Get some holiday perspective

The Christmas season is upon us. Chad and I went out shopping the morning after Thanksgiving. This is definitely not a task for the weak. I always love a good deal but let’s get real… Just when I’d thought I’d heard it all—welcome to Wal-Mart!

A Wal-Mart greeter out east was actually trampled to death by shoppers. As if that wasn’t bad enough, they stepped over him and continued to shop. At our local store, two men got in a fist fight over some toy and the police had to be called to break it up. I’m sorry, but nothing is worth that much. Please, for everyone’s sake, step back, take a breath and remember why we celebrate Christmas in the first place. I am so thankful I have my health, a loving family and a great job/profession. Patients are already bringing in plates full of goodies and gifts for our office, thanking us for taking care of them.

Welcome to my wonderful life.
Lisa

Happy Thanksgiving

Tomorrow is Thanksgiving. Instead of making the turkey the center of attention, let’s go straight to the pie…just kidding!

We have so many things to be thankful for. When my kids were younger, we went as a family and served free Thanksgiving dinner at a local restaurant to people that had no place to go or were unable to afford a meal. This really made an impression on my kids and hopefully they will continue to keep service in their hearts.

Reaching out to those less fortunate is something we all can do. Everybody can lend a helping hand or act of kindness. Just like pie, a little bit goes a long ways. Have a safe and blessed holiday.

Welcome to my life.
Lisa

First Foray Into Teaching...

Teaching dental hygiene has never really been my forte. I love teaching patients about their mouths but the classroom is a little intimidating for me.

My son, Taylor, has signed me up to teach the dentistry merit badge for his Boy Scout Troop. At first I was really excited—that excitement quickly turned to anxiety. I was expecting a classroom full of non-attentive teenaged boys. Much to my surprise, my class is really inquisitive.

My first class was Monday night and I think it went pretty smoothly. I was advised not to go into too much detail and let the boys ask questions. We will be doing both hands-on experiments and visiting my office. I think I will have the boys take impressions of their hands making the Boy Scout sign and each can pour up a plaster model.

Maybe teaching isn’t so far out of my grasp after all!

Welcome to my life.
Lisa

Paste-Free Prophy Angles

Sunstar recently introduced a new Paste-Free disposable prophy angle. I wasn’t sure if I liked them at first, but after using them for a few months I plan to continue using them.



The grit is actually embedded in the prophy cup. It is recommended to start polishing in a posterior area where a lot of saliva can soften the cup. I usually start in an upper posterior quadrant and can tell the cup softens quickly.

My patients have had mixed opinions on this new product. Many like the no-grit feeling and are thankful to have the ‘crunchies’ eliminated. Surprisingly, some miss the grit and prefer the traditional prophy paste. I have found the best candidates for this new product are pedo patients and xerestomia patients, but all would benefit.

Stain removal is efficient and I just throw away the angles when I am done. I really like coming home without bits of prophy paste in my hair. Give them a try. I think they’re great!

Welcome to my life.
Lisa

Goodbye "Aunte Net"

My Aunt Jeanette passed away yesterday. She had been diagnosed with inflammatory breast cancer in February 2007. For those not familiar with this type of breast cancer, it is one of the most aggressive. The actual cancer forms in sheets rather than lumps. Detection is difficult and mammograms can miss it pretty easily.

“Aunt Net” was such a fun person to be around—she had the most contagious laugh. The last couple years were tough as her health declined and she went through both surgery and chemotherapy. Pneumonia and lung cancer finally took its toll on her. I will remember her wonderful hugs and cheerful laughs.

Rest well Aunt Net. I love you and will miss you.

Welcome to my life.
Lisa

High-tech reflections

After three long weeks of not having my computer up and running, I am finally able to put my thoughts down once again. Have you ever tried to manage your daily routine from a card table and a basket of mail? It is very eye-opening to realize how much we depend on modern technology for our every day routine. Life had to be less hectic before electronics entered the picture. We love all the gadgets and toys now that we have become accustomed to them, but if they are not running correctly or are “down,” it is a major inconvenience.

I remember balancing the check book by hand not that many years ago and I was very leery of actually doing my banking online. Now I send most correspondences via email or text messaging. It’s good to look back and see how much simpler our lives were just 20 years ago. When things are hectic, don’t forget to look back and reminisce. Sit down and write an actual letter to someone. Enjoy your down time.

Welcome to my life.
Lisa

Live each day to the fullest...

I write this with a saddened heart. Jan, a very close friend and coworker of mine, received the most devastating news possible. Jan’s daughter, Ashlen, has been diagnosed with a malignant brain tumor.

I cannot imagine what they must be going through. Ashlen is one of the sweetest teenagers I know. At a tender age of 14, she is also one of the bravest people I have ever met. She had been treated for migraines for the past year without much relief, and Jan made an appointment an eye doctor to see if vision problems were the cause of the migraines. The doctor was able to diagnose papilla edema caused by fluid build up behind the eyes.

After an MRI was performed, it was evident that Ashlen had some type of tumor. She was referred to Primary Children’s Clinic in Salt Lake City and had surgery last week. After eight long hours, our sweet Ashlen was in the recovery room. Apparently, the tumor was at the base of her brain and wrapped around her spinal cord. Some of the tumor was so calcified that the surgeon had to literally chip away small pieces at a time.

The final pathology results came back yesterday—the tumor has been diagnosed as a Grade 1Pilocytic Astrocytoma. Ashlen will have to endure chemotherapy monthly for the next year.

My heart goes out to her and her family. Be thankful for your health. Live each day to the fullest and please pray for Ashlen and her family.

Welcome to my life,
Lisa

(wo)Man's best friend...

I am a big animal lover. Growing up, we always had a dog.

I really believe that we need the company of a four-legged friend. Who else will sit and listed to our troubles and pretend to understand?

One of my dear friends, Sue Friedrichsen, suggested a good read; “Marley and Me” by John Grogan. This is one of the most entertaining books I have read, second only to Erma Bombeck’s creations.

“The heartwarming and unforgettable story of a family and the wondrously neurotic dog who taught them what really matters in life. A funny, touching tribute to a ninety-seven pound Lab who was as loyal and loving as he was disobedient.”
-People Magazine



I am convinced my Chocolate Lab, Sadie, must be related to Marley. I can guarantee—you will connect with this book. I was reading it on our drive home from the IDHA Annual Session and actually laughing out loud!

Welcome to my life,
Lisa

The aftermath

Our home is starting to settle down after the fire, but I am still jumpy when I hear an alarm. Nothing quite mimics the alerting sound of a smoke detector, but the morning alarm clock now wakes me instantly as does the coffee maker and my cell phone.

Our homeowner’s insurance adjuster came over today to assess the damage. It looks like we will be covered to replace the carpet, down blanket and the couch. They also included paint allowance for the wall next to the burned area. Now the work begins.

It has been many years since the walls have been painted. Obviously, one cannot paint just one wall. We have decided to bite the bullet and repaint the entire living room. That may not sound like much, but we have 25-foot vaulted ceilings and lots of unique architectural corners and angles. We may have to hire some of the painting out in order to get it all done before the holidays. We usually do our home improvement projects ourselves, but we have most of our ensuing weekends committed to our kid’s activities. Chad is leaving for a week for steelhead fishing and hunting season opens in a couple days. I can see late nights in my future.

Welcome to my life,
Lisa

Scary for me, lesson for you

I have had the absolute most frightening evening of my life. We had a house fire on Sunday night.

I had just finished watching Desperate Housewives. My daughter was doing her nails (had a bottle of nail polish remover on the table) and I was enjoying a nice glass of wine and the scent of a candle on my coffee table. Shelby and I went to her room to try dresses on. Moments later, the smoke detector was screeching. We rushed into the living room to find the floor and a down blanket on fire.

The only thing we can figure out is that the dog must have knocked the candle and the nail polish remover over and it landed on the floor. Chad and our son, Taylor, were in the basement lifting weights. I called for them and they came running. Luckily, we have fire extinguishers on each floor and Chad was able to put out the fire. The carpet, couch and Taylor's blanket were burned and the house stunk horribly. I flipped the blanket hoping to put the fire out and had some hot plastic stuff from the carpet landed my cheek. I only have two little burn spots. This could have been disastrous!!

I implore each of you to have fire extinguishers in your homes and know where they are. Fires can happen in a moment. Chad always changes the batteries in the smoke detectors each day light savings time. Have you checked your alarms lately? Please, be safe. God Bless.

Welcome to my life,
Lisa

Natural or Neglect?

Just when I thought I’d heard every excuse for not completing dental treatment, I found myself utterly shocked with a new one.

Last week, one of my patients was diagnosed with an abcess on No.19. She had experienced discomfort with this tooth on and off for the past two years. We had advised her that the nerve was probably in the process of dying and she would need a root canal in the future. She very calmly said she wanted the tooth extracted. She had been told by another dentist that root canals on first molars have been shown to cause breast cancer. I was absolutely stunned!

Apparently, she had been to a “natural dentist” for a second opinion and is convinced that she has to have the tooth extracted. Leaving this ‘dead tooth’ in her body would poison her. Her 3-year-old son was in the other operatory having his first exam, cleaning and radiographs. He was diagnosed with 13 cavities.

We discussed fluoride supplements with the parents. The dad has tried to convince his wife to allow the child to take fluoride tablets but she refuses. The “natural dentist” has also convinced her that fluoride is poison. What a dilemma. I feel badly that the parents are not in agreement when it comes to their child’s dental health. I did the best I could to educate them on the benefits of fluoride.

When does this constitute abuse or neglect? I’d love to hear your thoughts! E-mail them to mh@advanstar.com.

Welcome to my life.
Lisa

IDHA | Better Together

The Idaho Dental Hygienists Association will be having its 45th annual session October 3rd and 4th. The theme is “Better Together.”

I really think that with the direction of dentistry and dental hygiene, IDHA couldn’t have made a better choice for the theme. The quote on the program—“Alone we can do so little; together we can do so much”— is from Helen Keller. Any dental office, business or professional association would run more effectively if everyone worked together.

We are very lucky to have the nationally recognized speaking group “Earth, Wind and Fire” come to Boise for our meeting. The group consists of Shirley Gutkowski, RDH, BSDH; Debra Grant, RDH; and Beth Thompson, RDH. Their topic will be Better Together: Tomorrow’s Dentistry Today. I have personally come to know each one of these ladies at different conferences I have attended, so believe me when I say we are really in for a treat.

Also presenting will be:
Dr. Ester Wilkins, RDH, DMD - Rethinking Dental Caries
Jane Weiner, RDH - Documentation: Did I Get it All?

There will also be table clinics presented by dental hygiene students.

Of course, no annual session is complete without a social event. A Gala is planned for Friday evening with dinner, a live auction, and music and dancing. There will be a total of 13.5 CEU’s and a lot of fun. Visit idha.org for registration and more information. I hope to see you all there!

Welcome to my life,
Lisa

Heart Attacks | Are you at risk?

Over the past year, I have seen a significant increase in the number of people having heart attacks. Every one of them ended up having one or more stents placed in order to survive. Even though these aren’t massive, fatal attacks, I am very concerned.

Blockage or partial blockage of the vessels seems to be the common factor. Unless a person is having obvious symptoms— chest pain, shortness of breath, numbness of the left arm—one would not routinely go to the doctor for an evaluation. Many of these people are my age or younger!

So, what do we do? Are we all walking medical emergencies waiting to happen? I encourage everyone to get yearly blood work-ups, including cardiac risk assessment and diabetes screening. Most health insurances will cover these tests. If you don’t have insurance, there are a number of health fairs that offer reduced fees for this service. Please, take control of your health and life. Be proactive instead of reactive.

Welcome to my life.
Lisa

Nitrous Oxide

As of late, I have heard a lot of controversy regarding nitrous oxide use in the dental office. There have been many studies regarding employee exposure and safety. There seems to be some evidence that links miscarriages and offices that have nitrous oxide systems. I have reviewed a handful of these studies. (You can find just about any topic on PubMed.)

While I am not a research scientist, I have had some statistics and research experience. These studies indeed show that there is enough data to be concerned. I work in a fairly new office designed by Dr. Steve Friedrichsen. When he designed the office, he was very particular in choosing safety features, including the nitrous oxide systems. There is an inline scavenger system in each operatory’s nitrous oxide cabinet. Fortunately, there have been no miscarriages involving our staff.

I worked full time throughout my two pregnancies up until I delivered without any problems. With that being said, are we just lucky or is having a scavenger in place and using it the key?

Let me know what you think by posting comments below!

Welcome to my world.
Lisa

When patients make me smile

Many of my patients have congratulated me on my recent award of distinction. It is very humbling and it touches my heart that my patients are proud of me.

Today, I received the nicest compliment from a long-time patient. Gloria has been struggling with arthritis for more than 20 years. She has very limited use of her right hand and cannot floss unless she uses floss picks. Gloria also has severe crowding and a tiny mouth. She never complains and has such a positive attitude. “It could always be worse,” is her motto. Today, she greeted me with a hug. While cleaning her teeth, Gloria told me that she probably would have given up on flossing had I not introduced her to alternatives. She thanked me for caring so much and said coming to see me is always a treat. Not every patient tells me that, that’s for sure! I was smiles the rest of the day.

Welcome to my life.
Lisa

Gone soft for Soft-Picks

Sunstar developed a great new product called GUM Soft-Picks. I absolutely love these little gems. I received them as samples and ordered them for the office, since almost every patient can benefit from using Soft-Picks. No, they don’t replace flossing, but as hard as it is to admit, not every patient follows through with my recommendations. These are a great second to flossing and I have seen terrific results.



The ideal patient thus far would be men with big hands and small mouths that refuse to floss or tooth pick. Patients with crowns or implants have also embraced this new product. I actually passed Soft-Picks out at a BBQ last week at our home—they were a hit!

Most drug stores carry the product in multi-packs that include a little carrying case for purse or car convenience. To order online, click here.

Give them a try—you’ll be hooked.

Welcome to my life.
Lisa

Good to be back

I am finally home and things are settling down after a summer of traveling. It’s really good to be home and back at work. I missed the interaction of my patients and fellow team members. We all had our summer vacation stories to share with each other. I took a week or so to get back into the routine of waking up to my alarm clock.

While out of the office, there were hygienists filling in for me. Being a little obsessive compulsive, I had to take a deep breath when I found things put away, but not in the exact place I had left them. I prefer the toothbrushes all facing the same way and the floss samples in neat little rows. Admittedly, these little things really don’t matter to a normal person. The most important concern was how my patients did without me. Of course, they did fine…but they missed me!

It’s good to be back.

Welcome to my life.
Lisa

Last goodbyes in Chicago

Today, there was a wrap up session that included an original play by Anne Guignon regarding ethical dilemmas in the dental office. What a hoot!

After the session, Discus Dental sponsored a fun farewell party and dance. I am going to have to sleep all the way back to Pocatello.

Our trip to Chicago would not have been complete without getting to spend time with Thais Carter, executive editor of Modern Hygienist, and her husband Heath. We went to a fabulous “Nuevo Latino” restaurant called National and had a nice relaxing time. That is exactly what we needed after such a busy week. Thais, thank you for your kindness and hospitality. Thank you, Heath, for sharing your wife with the dental hygiene world. We can be pretty demanding and she handles it like a trooper.

Tomorrow, Chad and I get home and back to reality. We have three days to work and then off to another adventure. Our family will be going to Seattle and Puget Sound for vacation. No business suits or meetings to attend. Thank goodness!

Welcome to my life,
Lisa

Shout out to Betsy Reynolds...

Betsy Reynolds, you rock!

At the last minute, Betsy was contacted to fill in as the keynote speaker at UOR. I originally met Betsy at Idaho State University when I was in my first year of dental hygiene school. I absolutely love to listen to her speak. I attended the very first Career Flow professional development school in Daytona Beach, Fla., where Betsy was one of the speakers. I feel like I can really relate to her since I love to talk. I’ve learned however, that while anyone can talk, it takes practice to speak professionally.

After the keynote, Sunstar presented us with our awards and lots of photos ensued. Kent Fletcher, VP of Professional Relations-Sunstar, is also an excellent speaker. I learned that the Sunstar name came from the recommended regime that we should brush morning/sun, and night/star. How cool is that?

After all the fanfare we had a bit of free time, so Chad and I went to the exhibit hall. I have been to many dental meetings but never have I seen so many exhibitors with strictly hygiene-geared products. It was nice to see the Discus Dental people again.

Thank you to all of our Chicago hosts, for your hospitality and kindness.

Welcome to my life,
Lisa

Happy Birthday, Hu-Friedy!

Tonight we went to the Hu-Fiedy plant to celebrate the company’s 100th birthday. There was a live band and dancing along with great food and drink. We also got to tour the plant and see how dental instruments are made. Surprisingly, many of the steps are done by hand, including the sharpening.

Thank you, Hu-Friedy for the gift bags and the hospitality. You certainly know how to treat people right.

Welcome to my very tired life,
Lisa

Dinner at Cite

Our formal dinner last night was fabulous! Cite’ is definitely one of the finest restaurants I have ever been to. Our evening started with a wine tasting and appetizers, followed by a wonderfully prepared five course dinner and dessert. We had such fun taking photos and visiting with our hosts from Sunstar. A big thanks goes out to Kent Fletcher, VP-Professional Relations; Jackie Sanders, Associate Marketing Manager; Laurene Cox, Event & Convention Specialist; Ann Foppe, Director of Marketing; Bill Sever, Corporate Vice President Director of Marketing and Bill Jacobs, Trade Marketing and Product Manager.

We had a great time getting to know you and appreciate all you do for hygienists. You are a top-notch group of people and we are truly honored to be recognized by Sunstar.

Welcome to my life.
Lisa

Photographer and Focus Groups

Yesterday was a whirlwind day. Hair and makeup was first on the agenda followed by a limousine ride to the famous Water Tower building. We were greeted by photographers and had a professional photo shoot with a beautiful horse and buggy. While we were there, Shirley Smith, a fellow recipient, noticed an elderly lady sitting in the park and went over to visit with her. Shirley must have a sixth sense because the elderly lady was in the latter stages of Alzheimer’s Disease, and Shirley specializes is treating Alzheimer’s patients. I was so impressed with the kindness and compassion that Shirley showed for this sweet lady. This is just an example of what exceptional people hygienists are!

After the photo shoot, we enjoyed the limo ride to the Sunstar corporate office and plant. Have you ever wondered how toothbrushes were made? This was an incredible tour. We saw each step of how the toothbrush is produced. I was surprised to learn that many steps of the manufacturing and packaging are done by hand. After the tour, we participated in a focus group with the marketing department. I really enjoyed hearing about the new products and appreciated the company asking for our input. Hygienists have firsthand knowledge regarding patients’ needs on the particular dental products and it’s refreshing to be asked our professional opinions. Thank you, Sunstar, for believing in us.

After the focus group, we had another photo shoot. This shoot was more casual than the first one and we really got to show our personalities. Just when we thought we could take a nap, we were whisked back to the hotel to get ready for a formal dinner.

Welcome to my life,
Lisa

Animals and Appreciation

Chicago certainly has a zoo to be proud of. I was very impressed with the facility and how everything was so nicely maintained. Last night, we were treated to a delightful evening to remember. We had dinner and drinks—literally with the animals. We don’t have any safari animals in the Pocatello zoo, so this was a real treat for me. The admission charge is free, so if you are ever in Chicago this is a must-see attraction.

I had no idea that an aardvark is so odd and a giraffe is so curious.

Traditionally, past recipients of the Award of Distinction return for a reunion at the UOR event and we newbie’s get the pleasure of meeting them. It’s such an honor to be included in this accomplished group of ladies. This was Chad’s first chance to really meet and visit with all of the people I keep raving about. He now understands why I get so excited about attending national meetings. He is already looking forward to next year in Las Vegas.

It is easy to get too focused on our own lives and careers. I encourage you to expand your horizons by attending shows and meeting other dental hygienists. You will meet the most incredible people!

Welcome to my life.
Lisa

Meeting fellow honorees

How could anyone be exhausted after a day of pampering and an evening at the zoo? Trust me—it is easily done with this group of ladies.

Our day began with a cab ride to Kiva Day Spa. That poor cab driver probably needed a break after listening to at least three to four different conversations. We were pretty giggly and definitely wound up by the time we arrived at the spa. I guess these establishments are meant to be quiet and serene. We were too excited to use our inside voices and quiet would not be one of the adjectives used to describe our group.

We finally got to meet Jackie Sanders and Laurene Cox from Sunstar. These ladies are truly an asset to the company and really know how to plan events. I enjoyed getting to know everyone in a more relaxed atmosphere. Of course, the hygienist in us surfaced and we checked out the sterilization techniques of the manicure and pedicure instruments. We told the spa personnel that we were going to be cover models—I’m sure they were impressed. After all of the pampering, we headed back to the hotel to get ready for our evening at Lincoln Park Zoo.

Welcome to my life,
Lisa

Headed to Chicago

Good morning. Chad and I are officially in the windy city for our first ever Under One Roof event. Pocatello is a relatively slow-paced town, so Chicago will take some time getting used to. If the traffic doesn’t overwhelm you, the humidity most certainly will. Meeting the seven other recipients of the Sunstar Butler Award of Distinction for dinner last night was such fun. There is a great restaurant called Mercat just across the street from our hotel. After corresponding with each other via e-mail, we could pretty much identify each other without name tags. My first impression? Wow, what a group of terrific ladies. Each one has something different to bring to the table. Today, we are going to a day spa to get pampered. Chad is going golfing.

Welcome to my life,
Lisa

Tonsil Check

Our 16-year-old daughter, Shelby, had her tonsils out yesterday. She has had chronic tonsillitis for the past year. She has missed school on many occasions due to strep throat. Earlier this week, she woke us up crying and in severe pain. Her throat looked worse than it ever has. She had a fever and was vomiting. Her tonsils were extremely enlarged and actually bleeding. Even though a strep test came back negative, the ear, nose and throat specialist recommended a strong course of antibiotics and a tonsillectomy. Luckily, we were able to get the surgery scheduled quickly and on her road to recovery.

Many times I see patients with large, cryptic tonsils and ask them about their strep/tonsillitis history. Often, they have had problems similar to Shelby’s, and I recommend they consult with an ENT. I had my tonsils out at age 26. It was a miserable two weeks, but I have not had a sore throat since. Certainly, not every patient with large tonsils needs them removed, but when chronic infection recurs, there is a need to intervene. Patients can also have problems with snoring, sleep apnea and oral malodor due to enlarged, debris-filled tonsils.

I know we have a tough week ahead of us, but Shelby will be a much healthier and happier teenager.

Welcome to my life.
Lisa

Awards and friends of distinction

In a few weeks, Chad and I will be going to Chicago. I recently found out that I am one of the recipients of the Sunstar/Butler Awards of Distinction. Donna Grzegorek, one of last year’s recipients, has been a great mentor and role model for me. She was one of the five finalists in Beverly Hills at the very first BreathRx Hygienist of the Year event. We became fast friends and I am very proud of her accomplishments. Donna also was one of the recipients of the Hygiene Hero Award at the ADHA annual session in Albuquerque.

I look forward to seeing her again and am honored to be in the company of such a phenomenal person. I have never been to an UOR (Under One Roof) event and Chad has never been to any dental meeting. He is in for an eye opener. I have been told to prepare myself for a whirlwind week in the windy city. Chicago, here we come.

Welcome to my life.
Lisa

Happy 4th of July!

What a wonderful weekend. I love the 4th of July. We went to our best friend’s house for a barbeque and pool party. Tom and Cami really know how to entertain! They have a wonderfully groomed yard and a large deck for outdoor dining. Their pool is above ground and has a wooden deck surrounding it. I’ve never been very good at volleyball and usually shy away from playing. I really don’t want to take a chance of breaking a finger. However, pool volleyball is another story. I actually am able to jump, spike and score. We played until sun down. Next were the fireworks and our local radio station plays patriotic music that coincides with the air show. I always get goose bumps hearing songs like God Bless America and God Bless the USA. We are so lucky to live with the freedoms we have.

Welcome to my life.
Lisa

Birthday reflections on ADHA

It’s my birthday, and I can smile if I want to! I am so exhausted, I can hardly eat cake.

This past week was such a fantastic experience. I have never been surrounded by so many outstanding, accomplished hygienists in my life. ADHA has so much to be proud of. This was the single most-attended ADHA annual session and I am so lucky to have been a part of it.

The House of Delegates was exciting as usual. It is so invigorating to be there and take it all in. Idaho does not have a HOD, so it was a real treat for me. I am already looking forward to next year in Washington, DC.

Now I need to unpack and get focused on summer.

Welcome to my life,
Lisa

Live from ADHA...Part 4

District XII past trustee, Caryn Solie, was elected as the new ADHA Vice President. A group of us were having dinner in Old Town when she received the call confirming the election results. I am so proud of Caryn and know she will do an excellent job. We cheered, laughed and cried.

Outside of the restaurant was a beautiful fountain. We had our pictures taken literally in the water. Luckily, the Albuquerque police officer was really busy and let us off with a warning. He kindly let us finish our photo session and went on his way. That would have been a little difficult to explain to the judge.

Welcome to my life,
Lisa

Live from ADHA...Part 3

Modern Hygienist really knows how to throw great cocktail parties. It was wonderful to see the fabulous people of my favorite dental hygiene magazine.

I whole heartedly wish Maria Perno Goldie the best as she heads to new adventures. We haven’t seen the last of her, that’s for sure. Thais, you will do a great job and I look forward to your continued support of dental hygienists.

Professionally and personally, you both have allowed me to express myself in my own way and really have made me a better person. Thank you for believing in me. You are my Super Stars!

Welcome to my life,
Lisa

Live from ADHA...Part 2

You are not going to believe what a crazy night we had last night. The tram ride to then top of the mountain was so cool. The view was literally like being on top of the world. I have never been at that altitude before. I could tell that I was a little woozy, but I didn’t get sick.

Five of us were in the restaurant buying souvenirs and didn’t hear that our group was leaving. When we got to the tram station, we realized that we’d been left. Luckily, there were five young and rather attractive Army men that recognized us as part of the hygienist group and offered to give us a ride to the casino where we were going to have dinner. We thought it was our duty as American citizens to let these men “rescue” us. These guys were so polite and really treated us with respect. Bill even said I was enchanting! They swept us off our feet and we all climbed into their rented mini van. There wasn’t really room for all 10 of us in one van, but we were willing to squish together. If I were 20 years younger…well, I won’t go there. We got lost three times before we found the casino.

When we did arrive, we were escorted by the arm as we got out of the van. This was probably the single most fun evening I have had at an ADHA event yet.

Welcome to my life,
Lisa

Live from ADHA...

Holy cow! It is HOT here in Albuquerque. I thought Idaho was a dry place but I hadn’t experienced zero humidity before now. Thank goodness for my Bath and Body Shea butter lotion.

Our District XII meeting last night went late, but it was well worth it. I was so excited to see everyone again. There are many issues to cover this week, so I plan on being busy.

Tonight, a large group of us are going on the Sandia Peak Tram Tour. We will be going up the mountain to over 11,000 feet. I hope I don’t get altitude sickness.

More tomorrow and welcome to my life.
Lisa

Packing up!

I am feverishly packing my bags for ADHA. I am a little bummed though. I have this fabulous cocktail dress from Beverly Hills that I so want to wear, but it will be too over the top for this year’s Gala or President’s reception. Actually, this is probably a good thing. Over the years, many attendees skip these fun events because they don’t have a formal or cocktail dress to wear. The theme for this year is “Dress in your favorite era.” This should be really fun and I am looking forward to seeing the costumes. I have many favorite eras so I am still undecided on what I will dress up in. You’ll just have to attend ADHA to see!

Welcome to my life.
Lisa

Baseball season

I love Fridays in the summer. Our office is closed and I am able to get a tremendous amount of things accomplished. This past week was absolutely crazy.

Our son, Taylor, finished his baseball for the summer—his team was ranked 7 out of 8 teams for the tournament. They had only won 2 games all season, so we didn’t get our hopes up for any trophy. As luck would have it, the team did great. Not only did they play well, they went all the way to the championship game.

The weather all week was cold and rainy. We even had snow! But, our Braves took second, only to an out of town team. It was a real Cinderella story. There were many pulled muscles and three fractured fingers in all. After having a not so good season, the boys were very happy in the end.

I just love to watch my kids play in any sport, but baseball or softball is certainly my favorite. I think I’ll open another bag of sunflower seeds.

Welcome to my life,
Lisa

Grab that hammer!

It is amazing how a small project can turn into a huge remodel. I have a habit of ‘re-doing’ something whenever my husband leaves town. Last month, when Chad was in Florida, I decided to demolish the worn out, leaky shower tile in the kids' bathroom. We had discussed doing it, but hadn’t really planned to do much until after the summer activities were done.

Home Depot loves me.

Not only do we have new tile, we have new paint, fixtures and mirrors. I must admit, not everything needed to be redone, but you simply cannot mix old stuff with the new. I have learned to sheet rock, lay tile and use a stud finder. There are so many things you can do without hiring a contractor! Don’t let construction things intimidate you. Home Depot has great how-to books and clinics. Plumbing and wiring on the other hand? Not so easy.

Chad was actually impressed with what I had accomplished, but grumbled at the thought of completing yet another one of Lisa’s projects. Hmmm, what should I ‘fix’ next?

Welcome to my life,
Lisa

Car Talk

Oh happy day! Finally, after much research and deliberation, we traded in our gas guzzling Ford Expedition. I loved that SUV, but choked every time I went to fill it up. Our daughter drives her own car and our son is taking drivers training this summer. I am usually on my own in the Ford and we couldn’t rationalize keeping it. With gas prices on the rise, we accepted the fact that we needed to get a more fuel efficient vehicle.

Most car dealerships now use Edmunds.com to find the trade in value rather that the Kelly Blue Book. Edmunds bases the trade value on the economy, which right now, really hurts the consumer. If any of you are planning to downsize your vehicles, do it soon, and be aware that the trade in value for “heavies” are plummeting. Diesel truck trade in values are literally thousand of dollar less that you would expect.

The first car I purchased on my very own was a Honda Prelude SI Sport. I married Chad and a couple years later…along came kids. Out of pure necessity, we worked up the ranks to bigger vehicles including the typical four door family car, two mini vans, a Ford Explorer and the beast. I am now the proud driver of a Honda Accord. Driving a smaller car will take some getting used to, but someone has to do it. We have XM radio at the office and now I have it in my car. I can listen to Barry Manilow and Air Supply to my heart’s content.

Welcome to my life.
Lisa

Getting Perspective

I am always amazed at how some of these single moms do it. Chad is out of town this week and I am running from sun up till sun down. While we are having rain and unseasonably cold weather, he is in Jacksonville, Florida, attending Polygraph Recertification School. He called me this morning while he was wading in the ocean in the 82° weather. I’m glad he called because I couldn’t figure out how to turn the furnace back on. After last night’s baseball game in a chilly, windy, rain storm, we came home to a cold house.

Many times we are faced with a “sink or swim” situation and we just have to make it work. I have great kids and they really have pitched in this week to help me out. Someone once told me that if a situation doesn’t kill you, it will make you stronger. I tell my kids, “It could always be worse.”

Welcome to my life.
Lisa

Language Barrier

I wish I could speak a foreign language. I would choose Spanish in most cases, but today, however, Russian would have come in handy.

Eleven-year-old Olishia recently moved to Pocatello from Russia with her mother. Neither spoke much English. Normally, I am never at a loss for words. Today was certainly an exception. Olishia had never had her teeth scaled or used a suction. In Russia, she had only had her teeth polished. It was challenging to explain each step but I really enjoyed having her for a patient. She was a delightful girl and she giggled each time she used the suction. Her teeth were beautifully straight and she didn’t have a lot of decay. I hope she understood what I explained to her and enjoyed her visit as much as I did. Luckily, we have really great pamphlets that explain caries, sealants and proper oral hygiene.

Welcome to my life and the great USA.
Lisa

Remembering Ona

We had to say good bye to my husband’s grandmother today—Ona was 90 years old.

She was born and raised in Downey, Idaho, a small town of 600 people. She was a kind, gracious, soft-spoken lady and will certainly be missed.

You don’t realize how many people you are related to until you attend a funeral. It had been quite a while since I had seen most of Chad’s extended family. The young children are now young adults and the young adults are now grown and married with children of their own. After the funeral—since all the sons were home—my father-in-law planned to brand the cattle he raises on the farm. What a process!

I am so thankful that I am a hygienist. Farm life is definitely a lot more physical work than I am used to. After rounding up the calves, each one was steered into a chute then branded, vaccinated and ear tagged. The last calf backed out of the chute and made a run for it. My father-in-law was knocked down and the calf literally ran over him. We all jumped into the corral to his rescue. Thankfully, he only suffered minor cuts and bruises. The great-grandchildren got quite an eyeful. I am sure they will remember the day grandpa got ran over by a cow more than the funeral. I know this city girl/pseudo farm girl won’t forget either any time soon.

Ona would have just nodded her head and said, “Oh, dear.”

Welcome to my life.
Lisa

Getting in shape—or a variety of shapes

Once I turned 45, I realized my average figure wasn’t going to maintain itself on its own. I have always been pretty active and healthy. I truly believe that our muscles get bored with the same exercise routine.

Thanks to Peter Gangi, I was basically guilted into taking a spinning class. Those of you that know me know that I don’t do anything halfway. If you decide to try this kind of exercise, pace yourself or you will have a hard time sitting down for a few days.

Yoga…how hard can it be? Kristy Menage Bernie promised me at Career Flow that anyone can do the one legged tree pose. I don’t know what kind of trees they have in California, but my pose looks more like leaning sage brush. I will persevere.

Next is the Pilates class. I’m strong. One-pound weights are for sissies. How was I to know that 3-pound weights can really make the triceps ache?

Today I went to my orthopedic MD for a cortisone injection in my heel. Plantar fasciitis is a force to be reckoned with.

That’s my “in shape update,” and I just want to thank Peter and Kristy for motivating me to get going.

Welcome to my life.
Lisa

Treating the teacher

Remember how nervous we were in dental hygiene school about the ideal of actually starting patients? I had the hardest time going from typodont to a “real” patient. Cheeks and lips are a fact of life, so we had to learn work around them. We were taught to have an internal fulcrum and I never thought I would deviate from that standard.

Fast-forward 23 years: I find myself using the chin to fulcrum with great ease. I didn’t give this too much thought until last week. One of my favorite senior clinical instructors from hygiene school was scheduled in my room for a prophy. I was a little nervous but did my best to remember each and every thing she taught me about patient position, posture and yes…even the fulcrum.

I think the world of this particular instructor. She didn’t critique my skills or mannerisms—she didn’t have to. I was taught by one of the best. Mrs. K, you’re a real gem and I am proud to have been one of your students. Thank you for making a difference. Enjoy your retirement.

Welcome to my life.
Lisa

Treating overdue patients

We’ve had quite a few new patients this past month. Many have stated that they are getting their taxes back and now have the finances to go to the dentist. Needless to say, many of these people are overdue for treatment.

There are different philosophies regarding the best treatment for a patient with moderate to heavy calculus who is way overdue for their preventive prophylaxis. I rarely try to accomplish the entire prophy in one appointment. Personally, I prefer to do a gross debridement if the patient isn’t too sensitive and the calculus isn’t too tenacious. I then reappoint for an additional scaling and possible root planing. Other times, gross debridement is not an option, and quadrant root planning is performed.

We have a wonderful typodont from Kilgore where one half of the mouth is healthy the other half is perio involved. The gingiva is removable to show the bone level to the patient. This is a great visual aid and it has really motivated my patients. I can easily explain pockets, calculus and furcations. I like to show my patients the difference in a healthy mouth verses a diseased mouth.

Each patient presents with different needs. Therefore, each patient will have a different treatment plan. Don’t get into the rut of treating everyone the same way. Patients trust you with a very intimate, sensitive part of their body. Do the right thing.

Welcome to my life.
Lisa

Ultrasonic Convert

I use my ultrasonic scaler on almost every patient. I didn’t used to, but after attending a continuing education class by Anne Guignon, let me say: Girl, you have rocked my world!

Eileen, the other dental hygienist at my office, won a slimline, swivel Hu-Friedy cavitron tip as a door prize at the IDHA annual session last September. We couldn’t sterilize it fast enough. We actually were calling dibs on who got to use it next. Since then, we have ordered two more of the exact insert.

Ann, we thank you for making our work easier. I look forward to visiting with you in Albuquerque.

Welcome to my life.
Lisa

Ortho Options

I have many ortho patients. A few are very proficient with flossing, but most are mediocre at best. I remember how tough it was to brush thoroughly with braces and flossing was pretty much skipped.

Some things don’t change, but luckily, new products are being introduced all the time. For example, Oral-B Super Floss is a great floss/threader in one. I personally use Super Floss for my bridge—and love it!—but not everyone is willing to purchase it when their sample runs out.


Last year at ADHA annual session, I was introduced to a new product called Floss Fish. These little, plastic, fish-shaped devices work great. My floss-resistant son even likes to use them. There are lots of fish in the sea, and these are keepers!


I recently had a local orthodontist as a patient. He was scheduled to get braces himself and wanted to get ‘cleaned up’ before the appliances were placed. After reviewing his medical history, I looked over his dental history and habits. He currently flossed twice a week—on a good week. I had to let him know that that frequency was not going to work for me. I made him a deal that if he tries faithfully to floss 3 to 4 times per week, he would stay in my good graces.

Welcome to my life.
Lisa

Gearing up for ADHA

The countdown has begun. In less than two months, we will be basking in the summer sun of Albuquerque. Every year, my anticipation starts earlier than the one before. There are so many reasons for my excitement.

It is easy to get caught up in all of the events—everything from the opening ceremonies to one last hug as we part ways is unforgettable. My fondest memories spring from the people that I have met over the years. I have been so fortunate to be in the company of such accomplished dental hygienists.

There are some real mover and shakers in the ADHA. Certain individuals come to mind: Leaders such as Tammy Filipiak, Kristie Manage-Bernie, and Betsy Chandler have a certain presence in the House of Delegates. They have each been a strong role model for me and I hope to be as confident at the microphone as they are. In addition, I am particularly proud of District XII, (which of course, includes the great state of Idaho). We have won the HYPAC fund raising challenge for the past four years.

We also have our share of fun at the social events. Peter Gangi somehow manages to dance with every hygienist on the dance floor at the same time! Esther Wilkins’ attendance is always a treat and it is an honor to meet and visit with her. Last October, I had the great pleasure of helping judge the BreathRx Hygienist of the Year event with, among others, Modern Hygienist Editor, Maria Perno Goldie and the Immediate Past President of ADHA, Marge Green. Marge and I did a little shopping in Beverly Hills. Wait until you see the cocktail dress she helped me pick out! I look forward to catching up with these exceptional people in Albuquerque.

There are so many reasons to love annual session. I am a better person, hygienist and friend because of the inspirational people I have met through the ADHA. I thank you.

Welcome to my life.
Lisa

I guess dental isn't in their DNA

I knew it would happen sooner or later. The time has come for my children to plan ahead for college.

My youngest, Taylor, will be starting high school in the fall. He just finished registering for classes and filled out his four-year plan worksheet. Nowhere on that form did he choose classes that would ready him for a dental related career. I have made a conscious effort not to be “dental pusher,” but certainly had hoped that at least one of my kids would entertain the idea of a career in dentistry. I think Chad was hoping Taylor was going to follow in his footsteps and be interested in law enforcement.

Regardless, Chad and I are grateful that our kids are honor students and look forward to college. To our surprise, they are both considering pharmacy. Taylor is also thinking that sports medicine or physical therapy may be his calling. Shelby’s other interests include law school or massage therapy.

I guess if they don’t go dental, at least both are considering a health related profession. Don’t you just love it?!

Welcome to my life,
Lisa

American Idol & Smiles

Jason Castro. Mention that name to any hygienist that watches American Idol and I can guarantee the response: What a beautiful smile.

I am a little envious of the hygienist that gets to clean his teeth. Obviously, he takes pride in his personal oral hygiene. My daughter and husband can’t quite understand why I think he’s so adorable. (I don’t even mind the dreadlocks.)

Some patients come in to my office meticulously groomed. Unfortunately, that isn’t the case when they open their mouth. Don’t judge a book by its cover. There is beautiful music in all of us, but sometimes we need to remind ourselves that it’s okay to stop and allow enjoy the song.

Welcome to my life,
Lisa

The right time to polish

A common debate seems to be surfacing again. When should we polish our patient’s teeth?

Many clinicians have started polishing at the beginning of the appointment, suggesting that it saves time. I personally prefer to polish after scaling, but have a few patients that do better with polishing prior to scaling. These patients have extremely sensitive tissue and teeth due to particular chronic systemic disorders. One patient has MS (multiple sclerosis) and has a difficult time tolerating the polishing, so prefers to get it over with at the beginning of the appointment. Sjogren’s Disease and fibromyalgia patients also seem to appreciate polishing prior to scaling.

On difficult patients, I usually find that if I have polished prior to scaling, I end up selective polishing at the end of the appointment to remove any areas of stain that may still present. I also feel that polishing is the last chance to microscopically smooth the root surfaces and ‘burnish’ the teeth with the fluoride containing prophy paste. In my own mouth, I like to have my teeth polished after scaling and have a fluoride treatment. There are many different theories on this topic. Ultimately, the clinician must decide what is best for their patient. Make an evidence- and experienced-based decision and go for it.

Welcome to my life,
Lisa

Injection Savvy

The Idaho Dental Practice Act allows hygienists to deliver local anesthesia under general supervision. We are very fortunate to be one of the first states to have this type of supervision.

In my office, one of our most recent new patients has moved to Idaho from the Midwest. As I sat down to anesthetize No. 8 for a new veneer prep, she look concerned that I would be giving her the injection. She had never had anyone but the dentist administer the injection and she was not real excited to find that a hygienist would be doing the honors. I introduced myself and assured her that I was licensed, experienced and very good at giving injections. I will never brag about my cooking, but when it comes to comfortable injections, I can hold my own.

There are a few techniques that should be followed when administering anesthesia. I always heat the syringe and carpule under warm water. This makes a considerable difference and the patient appreciates the warmth against his or her cheek. Another hint is leaving the topical on the site at least one to two minutes. The most painful injection site is undoubtedly the palatal tissue. After the facial tissue is profound, I inject the palatal tissue from the facial side through the papilla until I see blanching with my mirror on the lingual. After that point, it is easy and painless to walk the needle around the lingual tissue depositing a little anesthetic as you advance.

Patients are so relieved when I say I am done and they didn’t feel the injection. I received a high-five from an eight-year-old after anesthetizing him for ortho extractions. I have spent many hours in the dental chair and get nervous every time. It is definitely better to give than receive when it comes to dentistry.

Take your time with anesthesia. You could be on the receiving end next time.

Welcome to my life,
Lisa

Spring Cleaning

This past weekend was spring cleaning and de-cluttering for our house. No one is ever really excited about it but me. I guess it’s the hygienist in me, but I actually plan ahead and make lists.

This year, we started with the extra bedrooms in the basement. One room holds a hodgepodge of seasonal/holiday décor, camping gear, luggage, old TV’s and anything else that doesn’t have a designated home—better know as the storage room. The other room is actually my husband’s room for his sports equipment and tools; it has become a catch-all for anything and everything. We decided to tackle the latter of the two.

It was a good thing we cleared out the room together, since it gave Chad and I the opportunity to revisit memories from high school and college. We reminisced about some of our adventures from when we first started dating, and in the process, we got a lot accomplished and actually had fun.

I found my tall stack of dental hygiene books from 1983. It was a real dilemma to decide what to do with them. Some were so outdated that I donated them to recycling. The others, I set aside for a future decision. Yesterday, I ran into a friend at the grocery store whose daughter just got accepted into the local dental hygiene program at Idaho State University. I offered her my old books so her daughter can get a head start with terminology and anatomy. I feel good knowing that my books will go to helping a future hygienist. One I did keep, however, is my Esther Wilkins book. I’m generous, but some things are best kept close to the heart.

Welcome to my life,
Lisa

Just Relax

I have officially attended yoga or Pilates for four days per week, for the last three months. At first, I didn’t know if I would be able to make it to class each and every time, since it is often easier for me to put myself and my needs after my kids and family obligations. I decided that if I am going to sign up and pay in advance for the classes, I had better make good on my investment.

Guess what? My family didn’t crumble without me. The first few weeks, there would be a handful of missed calls on my silenced cell phone at the end of class. Now, only occasionally will I have a missed call, and my family has gotten used to my exercise class schedule.

Yoga and Pilates really help me unwind at the end of the day. If my schedule at work was stressful, I look forward to “Lisa time”even more. Last week, I had to skip a class due to a “Relay for Life” meeting. I had mentally prepared myself to miss the class and planned to do a yoga DVD at home after the meeting. I was running a few minutes late and when I arrived at the meeting place, the doors were already locked. I had missed the meeting. Not only did I not exercise, I felt like my time was wasted. My poor family had to deal with the wrath. I was so cranky the entire night and just felt wiped out.

Later, I realized that my anger was misdirected and childish. No matter how hard we try, we cannot always control a situation. I run a “tight ship” at the office. When unforeseen things mess with my schedule, I can get a bit edgy. Believe it or not, the entire world does not revolve around us. Close you eyes, take a deep breath and let life happen. Don’t sweat the small stuff.

Welcome to my life,
(my calm, more relaxed life)

Lisa

April Fool's

Every year, my daughter pulls the same April Fool’s trick on me.

My shampoo and conditioner are liter-sized bottles with professional pump dispensers. Since I buy salon products, a little goes a long way, and the dispenser dose works out nicely for me. For some reason, the pump “malfunctions” on an annual basis. Shelby sneaks into my shower every March 31, takes the pump out, wraps the tube with cling wrap and puts it back into the bottle. When I push the pump to dispense the product, nothing comes out and only then do I realize I’ve been tricked—again.

You’d think I’d remember this from year to year, but I’m not usually wide-awake in the morning until I’ve had my shower and cup of coffee. I get a chuckle out of it knowing it makes her day to pull one over on me. I too enjoy getting away with good practical jokes and pride myself in not falling for ones directed at me. I think I may be getting more gullible as time goes on.

My former boss and mentor, Dr. Steve Friedrichsen, is one of the few that have been successful in outwitting me. He always challenges me with “big” words and pushes me to find the definition on my own. Sometimes it makes me crazy because the word is usually not located in the conventional dictionary, and I have to search online. It’s good to keep your mind busy, and even better to keep someone else’s busy! Thanks Steve.

Welcome to my life,
Lisa

Embracing Differences

I like to think that I am a sensitive person. However, sometimes I can be too sensitive. Our office has two hygienists and we are very different in our personalities. I tend to be more on the talkative side and Eileen is more on the quiet side. This is actually a good thing.

We are both dedicated clinicians with many years of experience. When patients call to schedule an appointment, they have a choice as to which hygienist they would prefer. Usually the patient will have a favorite, but sometimes they will say it doesn’t matter.

At first I felt badly, fearful that I may have offended a patient or that they did not like me. In retrospect, knowing that our patients are confident with either myself or Eileen is very comforting. It’s wonderful to have loyal patients, but it isn’t the end of the world switch things up a bit. Everyone has something different to bring to the table.

Embrace differences.

Welcome to my life,
Lisa

A new Easter tradition

Easter Greetings! Lent is over. Our family goal was to keep a positive attitude, which proved to be very beneficial for us all. We are enjoying each other’s company more, and with our busy schedules, quantity time is limited so the quality time has been really a blessing.

Easter is a great time to reflect on the many wonderful blessings we have. Today, instead of rushing home from church to feast on Easter basket goodies, our family and friends volunteered at a local church that serves dinner to the hungry and homeless. This is a weekly event for the community that doesn’t close for holidays, snow days, vacations and the like. It was an eye opener for my kids to see that not everyone has the warmth of a home or the excitement of an Easter basket. They want to continue to volunteer on a regular basis. It only took a couple hours out of our Sunday to make a difference.

Not all of our service has to be dental related. Encourage your children to reach out to those less fortunate. They will gain so much more than they give.

Welcome to my life,
Lisa

Value the huddle

It’s the third Thursday of the month—which probably doesn’t mean much to all of you—but at Cedar Hills Family Dentistry, it means it’s time for our monthly staff meeting/lunch.

People often cringe at the thought of staff meetings, but I actually enjoy them and find considerable value in them. Monthly, we go over the calendar for the year, making sure everyone knows vacation dates, continuing education courses, and even birthdays. We also discuss any concerns we may have regarding everyday happenings at the office. We also have morning huddles to go over the daily schedule, which also are very beneficial. We review health histories, treatment plans and make our game plan for the day. Without the huddles, there are many times when I wouldn’t get a chance to talk with the assistants until half the day is over we meet in the sterilization room handling instruments. If your office doesn’t have monthly staff meetings or morning huddles, I highly recommend them.

Today’s staff meeting was especially rewarding. Recycling is a biggie in our office. We save all the lead backings from film packets, old crowns, foils and any scrap metal. An elderly gentleman in town collects it all and recycles it for us. Our recycling check was more than expected due to the increased value of metals. Today, we each received a nice Easter card with a bonus inside rewarding us for our part in recycling. It really does pay off!

I think I will use my bonus to get a massage.

Welcome to my life,
Lisa

Express Yourself

St. Patrick’s Day—while not necessarily a Hallmark holiday—is one that I enjoy celebrating. So this March 17th, I donned my green scrubs and headed off to work. I smiled when one of my Irish patients came in; she has a four leafed clover tattooed on the facial of No. 30. She is very proud of her heritage and flashes her "tat" every chance she gets.

Everyone has a different way of expressing themselves. While I personally would never get a real tattoo on my skin, I must admit that I've added a bit of "bling" to my smile. I have a small heart on the facial of No. 30 and a toothbrush on the facial of No. 14. If you need a crown, why not make it fun?

In my 22+ years of private practice, I have seen many unique porcelain tattoos. A life flight pilot I know has a small helicopter on No. 3. A retired Navy officer turned attorney has the "mud flap lady" on his molar. (I have a feeling that was done prior to law school and marriage.)

Give patients the option of decorating their crowns. You’d be surprised how many like the idea. The lab fees run about $50-$75 in Idaho. Keep smiling.

Welcome to my life,
Lisa

Get set for Spring

Softball, baseball, lacrosse…oh my!

Spring sports are in full gear, and its this time each year that we have numerous sports injuries come into the office. Even though mouth guards aren’t required in many sports, we should encourage kids wear them. It only takes a second to get a hit to the mouth that can fracture the teeth, lip and alveolar bone.

Come on kids, grin and wear it!

Welcome to my life,
Lisa

Restless Leg Syndrome?

This entry might make you wonder about my sanity.

I sleep with a bar of soap in my bed.

I know this seems weird, so let me explain the ‘scientific’ reasoning behind my new obsession…

I listen to the same local radio station every morning. Wayne and Eliza are two of the best radio personalities in southeast Idaho. Listeners will call in to comment on whatever the topic of the day happens to be. Their morning show is very interactive and educational.

Two months ago, home remedies were discussed. Restless Leg Syndrome, RLS, is a common ailment in adults, and Requip is a newer prescription drug used to treat this disorder. As with most medications, there are side effects to be aware of—morning drowsiness is apparently a common complaint. A listener called in with a remedy to ‘cure’ RLS. She shared that putting an unwrapped bar of soap between the fitted sheet and the mattress pad of your bed will eliminate RLS. As you can imagine, I thought she was crazy.

Much to my surprise, a local neurologist called in and agreed that this ‘cure’ has been known to work, but he didn’t know why. I personally have struggled with RLS for many years and have discussed treatments with my pharmacist and physician. I take an iron supplement and my energy has increased considerably, but the RLS didn’t change much. I thought, “Heck, what do I have to loose?” I placed an unwrapped bar of Suave soap in my bed and went to work.

All day, I thought about the soap. I was really excited to get home in anticipation of a good night’s sleep. I didn’t tell my husband about the soap. He isn’t one to buy into ‘miracle cures’. If it sounds too good to be true, it probably is too good to be true. (And I didn’t want to hear the backlash if it didn’t work.)

I slept better that night than I have in years. I don’t know why it works, but it does. It makes no sense whatsoever. I absolutely believe in the power of the soap.

Since then, I have suggested this remedy to patients, co-workers, friends and family. Everyone that I have recommended this to has been pleasantly surprised with the results. A local assisted living center now has many residents with soap in their beds and under the couch cushions! I finally told my husband what I had done. He thinks I have totally lost it, but admitted that I sleep more sound and my leg twitches have ceased. From now on, when I travel, I will be bringing a bar of soap with me. My suitcase will smell nice and I will sleep well.

If this works for anyone else, please let me know.

Welcome to my life,
Lisa Higbee

Don't Settle for Unhappiness

I think spring is around the corner. At my office, we have bird feeders outside the operatory windows, and lately, there have been more than just the winter scavenger birds. Pocatello is home to the most beautiful yellow finches, and as the weather gets warmer, the birds get more vibrant in color. Many patients comment on how fun they are to watch.

Not every office has the luxury of good views, or even windows. Our prior location, before building this new office, only had one window—located in the lobby.

I truly treasure the office I work in. We are prevention oriented and quality is never compromised. Our team is one big family and the environment is upbeat and fun. I often hear assistants or hygienists discussing how they dislike their offices or the staff they work with. How sad that must be. Why stay in an environment that is negative and counter productive? No job would be worth my happiness.

I guess the key word is “job.” I don’t look at dental hygiene as a job— rather, it is something I really love. It is my career and my passion. If you are in an office or a personal situation that isn’t fulfilling, make changes. My daughter recently shared the following quote with me: “Many people live their lives with the song of quiet despair and many people go to their graves singing the same song.”

Life is too short to be unhappy.

Welcome to my life,
Lisa

See you in Albuquerque!

I have been reading the Amy’s RDH List (www.amyrdh.com) for over a year now. I comment occasionally, but mostly read other people’s posts and opinions.

The latest news is very exciting! ADHP pilot programs may soon be underway. It looks like Minnesota and Connecticut will be the first states to take our concept for a test-drive. This will surely be addressed at the ADHA annual session in Albuquerque, NM in June. I, for one, will be gleaning all the information possible from these state representatives.

ADHA annual session is a very important time to connect with other hygienists, learn from other states’ associations and get involved in the only national association that represents dental hygienists. This year’s annual session format is a little different than years past. A considerable amount of time and effort has been put into the new format. CE classes are scheduled for the first few days and then the business meetings and the House of Delegates are the last three days. This will make it easier to attend both classes and the House of Delegates activities. You won’t want to miss it!

Online registration is available at the ADHA website (www.adha.org).

Welcome to my life,
(and see you in Albuquerque!)

Lisa

Give Kids a Smile, Part II

The “Give Kids a Smile” event was a great success. It was a very humbling experience. Most of the children had two to three quadrants of teeth that were badly decayed.

I can’t imagine being unable to afford the ‘luxury’ of going to the dentist. As a child, my parents always made sure we had good dental care. I can still remember how excited I was when I had a good check up! I had no idea people went without a family dentist.

I am so proud of our local dentists, hygienists and assistants for giving up their Friday evening and half of Saturday. I challenge each and every one of you to give of yourself and volunteer in whatever capacity you can. Admittedly, I am not the most experienced dental assistant, but I learned to talk my way through almost any procedure. After this experience, I really have to hand it to the dental assistants in my office. I have a whole new respect for what they do. I don’t know how many lips, cheeks and fingers I inadvertently sucked up with Mr. Thirsty, but I am pretty sure they were returned to their rightful owners.

Welcome to my life,
Lisa

Give Kids a Smile

February is nearing an end. We still have a week to celebrate Children’s Dental Health Month. Get involved. Many preschools and elementary schools need dental professionals to give presentations to the students. Our community is holding our 4th annual “Give Kids a Smile” free dental day this weekend. I am very excited to go back to Idaho State University and help with this great event. Last year, volunteers from the local community and the dental hygiene students and faculty provided more than $40,000 worth of dentistry. It is such a good feeling to be able to help others. The kids need us as advocates and caregivers. Please go and make a difference.

Welcome to my life,
Lisa

The Valentine Effect

When I was in dental hygiene school, my mom and dad would send me cards, letters and care packages. I was the only one in my class to get a box of chocolates from home on Valentine’s Day. I don’t know if I ever told them how special those made me feel. Now, as a parent myself, I try each and every day to let my kids know how special they are to me.

We can do this in our professional lives as well as our personal lives: Thank your co-workers for their help. Thank your patients for coming in. Let them know they are special.

Have a Happy Valentine’s Day!

Welcome to my life,
Lisa

Thinking Positive

The Lenten season has begun.

Every year, my kids tease me and say they are giving up flossing for Lent. This year, they also added homework to the list. We all got a good chuckle out of it and then sat down and discuss what sacrifice really means to us. To be perfectly honest, sacrifice isn’t a very positive “feel-good” word. Who wants to give something up, especially something we really like? As a family, we decided to be more positive.

So what if the restaurant has a waiting line? At least we will be able to enjoy a nice dinner out. Many families never go out to dinner. With two teenagers in the house, morning showers can run cold if you don’t plan ahead and get up early. A lukewarm shower can really wake you up in the morning. Instead of getting upset, I remind myself it could always be worse. I hope as a family, we keep the positive attitude long after Lent is over. We all benefit from positive thinking.

As spring nears, look to new beginnings and set realistic goals.

Welcome to my life,
Lisa

Helping the least of these

It’s Groundhog Day. The furry little guy saw his shadow and scurried back into his hole. Maybe he saw his shadow or maybe he was just frightened. It’s a scary world out there.

There are many reasons to put our heads in the sand and pretend things aren’t happening. Today, I had the opportunity to volunteer at the Pocatello Free Dental Clinic. I was told that there are only a handful of free dental clinics in the United States—compare that to the hundreds of free medical clinics. Unfortunately, there are not many dentists that will treat patients for free and it is difficult at best to find a dentist that will treat Medicaid/Welfare patients due to minimal reimbursements.

I wasn’t really sure what to expect when I arrived. The clinic is run by two Idaho State University graduate students. All of the donated equipment is used and outdated, but still usable. There was a new autoclave and a new composite light purchased by donated monies, but the lone chair was a Pelton-Crane 1970’s model. We saw five patients. The first two were for exam/consultations. Hygiene services were not planned, so I was the only assistant. After exposing the necessary radiographs, I developed them one at a time in the ‘dip tank’ processor box—6-oz. Dixie cups. One patient had a broken full maxillary denture that had been repaired numerous times with Bondo adhesive and six mandibular anterior teeth with severe decay and bone loss. This lady had not eaten solid food in seven months! All she wanted was someone to fix her denture or help her get a new one. The next two patients were there for fillings. One man presented with severe decay on the facial of tooth No. 8. He had not been able to get a full time job and had no insurance. When we finished restoring his tooth we let him look in the patient mirror; he started crying and thanked us for helping him. I really think we gave him more than just a filling. It felt so good to see him smile. He came back one hour later and donated $150 to the clinic.

Our last patient was a 9-year-old boy with severe ADHD. He was on numerous medications that were taking a toll on his teeth. Three out of his four first permanent molars were severely decayed and had draining fistulas. Most of the remaining primary teeth had significant decay. His father had obvious dental problems as well but just wanted us to help his son. He had been to four different dental offices that would only treat his son if he paid up front at a minimum of $1000 (due to the fact that sedation would be necessary). Our clinic isn’t equipped to do any sedation cases, but we were able to get him into our local dental residency program at Idaho State University.

My heart went out to this dad and his son. I’m not sure whose eyes were welling up more, mine or the dad's. I know for a fact that these are not isolated cases. Many people, especially children, go without dental care.

The American Dental Hygienists Association has developed the concept of the Advanced Dental Hygiene Practitioner. modeled after nurse practitioners. There are so many people that we will help when the ADHP becomes a reality. As a hygienist and a mother, it saddens me to see these children in pain and their parents in despair. We will make a difference.

Welcome to my life,
Lisa

My son? Cavities? No way!

Pocatello is an area that does not have fluoride in the water system, so most parents don’t seem too surprised when their kids have decay. When my son had two cavities diagnosed at age seven, I was mortified. I felt like a plumber with a leaky sink.

How could this have happened? I limit his sweets and personally floss his teeth every night. I have even gone to the extent of brushing his teeth while he is sleeping. I never thought to look for contraband candy!

While rearranging his room, we found lemon head boxes stashed behind the heavy headboard. As I learned, keeping sugar exposures from our children’s teeth isn’t as easy as telling them no. Even the best of hygienists/mothers can be outsmarted. I have learned to accept the things I cannot control or change.

Fluoride has been proven to prevent decay. If we consistently recommend fluoride to our patients, we can feel confident we are doing the very best for them. Patients may not heed our advice every time, but we have an obligation to give it to them.

Welcome to my life,
Lisa

Not a surgeon...

Shelby will be having her gallbladder removed on Thursday. We had a consultation with the surgeon yesterday, and I was very impressed with the way he explained everything to us; he even used a life-sized colored picture of the abdomen as a visual aid. The doctor spent about 45 minutes with us and not once did we feel rushed.

Of course, I don’t have the luxury of an extra 45 minutes with each patient for hygiene instructions and patient education. Luckily, as hygienists, we can talk with our hands in the patients’ mouths. I told Shelby I could remove her gallbladder but I would have to go through her mouth. Needless to say, she declined.

Welcome to my life,
Lisa

The Upside to Blizzards...

We had one heck of a blizzard today. It really messed up the hygiene schedule. A family of six cancelled, creating a three hour opening in the afternoon. It worked out well, though, because I really enjoy administering local anesthesia and this available time allowed me to jump in and get the operative patients seated and anesthetized for the doctor.

Too many times, hygienists get burned out doing traditional hygiene procedures. If we look for other ways to help the team, I really think burn out would decrease. I've been in private practice since 1985 and today, I love my office, in larger part because we all pitch in and help each other. There are times when I am dog tired by the end of the day, but I chalk it up to a successful day of making a difference.

Welcome to my life,
Lisa

My Surprise MVP

As you know, the Packers will not be playing in the Super Bowl, but I won’t give up on them—I will still be wearing my jersey for the big game.

I had a patient in my chair this past week that hasn’t quite embraced the habit of flossing. Do I hang up my scrubs and walk away? Do I retire? Is there any hope for ‘Bob’ to become one of my A-list patients? In come the special teams: Bob’s granddaughter, 'Hannah,' came to the appointment with him and she eagerly assisted me by holding Mr. Thirsty. She peeked in Grandpa’s mouth as I was wiping debris on the cotton 2x2. She wrinkled up her nose and innocently asked him why he lets the sugar bugs grow on his teeth. You could have bought him for a dime! I would guess Bob felt like Brett Farve after he threw an interception in overtime in the playoff game. He told Hannah he would try to do better.

I pride myself on being unique and somewhat unconventional with my oral hygiene instructions. That day, I didn’t have to say a word—Hannah was my MVP for the week. Not every patient is motivated by traditional hygiene instructions, soe willing to step out of the text book and make a difference.

Welcome to my life,
Lisa

Go Packers!

It’s 4:30 pm MST. It’s game time and I’m dressed in my Packers regalia. These cheese heads aren’t the most comfortable things to wear. I can’t complain too much. I’m snuggled in my blanket with Wheat Thins and a glass of Cabernet while Farve is facing 0° in Green Bay with a wind chill factor of -31°. They actually practiced passing with frozen footballs. I wonder… at what temperature does saliva freeze? Aren’t we lucky to practice in warm dental offices? Hopefully, we will be heading to the Super Bowl.

Welcome to my life,
Lisa

Reading Prescription Labels

Dear Friends,

It is a cold, blustery day in Pocatello. I actually slept in until 9:30 am. After such a hectic week with my daughter’s health, I must have needed the rest. With my Kona blend coffee at my side, I sat down to organize my thoughts and read my e-mail messages.
Shelby’s upper GI scope did reveal some answers for us: She has significant erosion of her stomach lining. In the past eight months, she’s had to endure a softball to the face, female surgery and a knee injury, and as an athlete, Motrin had become a good friend to her muscles. I was aware that non-steroidal anti-inflammatory medications (NSAIDS) can be hard on the stomach, but I guess I didn’t take it to heart. Many times I have patients that are taking numerous prescription medications. Unfortunately, they don’t always know what they are and what side affects they may have. As a licensed health care professional, it is our obligation to review the health history of every patient. Not all NSAIDS are prescription medications—Ibuprofen, Aleve and aspirin are a few that can be problematic. Read the labels and dosage instructions. I will certainly be more aware of what I, my daughter, and my patients use for pain control.

Welcome to my life,
Lisa

Weird science

January 17, 2008

Healthcare is certainly a “hit or miss” science. It makes me thankful that I am in dentistry. I have spent the majority of the last three days in the emergency room with my 16-year-old daughter, Shelby. Abdominal pain is much more difficult to figure out than a sensitive tooth. Without going into too much detail, Shelby may have gallbladder problems. We have put her through a barrage of tests and scans to no avail. We finally were referred to the only local gastroenterologist in Pocatello and will be following up with an upper GI scope on Wednesday. It is very frustrating to not have answers and see my daughter in pain. I wish I could have given her some Sensodyne or MI paste to heal her—too bad it isn’t that easy. Now I know how my patients feel when they come to me with a toothache or a sensitive area. Like I said, it’s hit or miss.

Welcome to my life,
Lisa

Welcome to my life!

Dear Friends,
I am very excited to put my thoughts online! Some of us already know one another from attendance at the ADHA meetings, but for those who don’t know me, let me provide a little background information.
I am a 1985 graduate from Idaho State University with my bachelor’s degree in Dental Hygiene, and have worked in private practice ever since. Pocatello, Idaho, is where I call home, but I am a Wisconsin native—the Green Bay Packers rule and I love cheese.

Dental hygiene is my passion, second only to my family and friends. Serving on the Idaho Dental Hygienists Association executive board is one way I give back to the profession that has been so good to me. I was recently elected for a position on the ADHA Ethics Committee, representing Region D. In the past, I have served as Delegate and Alternate Delegate in the House of Delegates for the ADHA, representing Idaho.

In October 2006, I was chosen as the BreathRx Hygienist of the Year. This was an amazing experience which has opened many doors for me. I didn’t go into the dental hygiene field thinking I would be a spokes person for hygienists’ nationwide, but am thankful that Discus Dental and Modern Hygienist believed in me and gave me the opportunity. I have a new found confidence in myself and a deeper passion for dental hygiene.

Being a hygienist is about so much more than just “cleaning teeth.” We make a difference everyday! My patients are very loyal and have followed me to different offices. With their support, I have yet to wish I had a different career. It may seem like I am sounding my own horn, but I hope each and every one of you does the same. Be proud of what you do, knowing you have made a difference in others’ lives.
My goal with this blog is to enlighten, entertain and challenge you.

Welcome to my life!
Lisa Higbee, RDH, BS