Sunday, October 19, 2014

Back to work at clinic

Much improved conditions after our first day.  We have had the opportunity to do another   bike ride, long walk to the Israel Museum, the Shuk and other interesting areas and test out our navigational skills in getting around the city. The weather has been pretty decent until today - now a little bit of rain which is much needed here.  The sprinkles are light and intermittent and don't stop us from walking.

Nimi is happy with her bike riding - the long steep hills are not that bad with the new gearing she has on her bike.
As well as doing Yad Kennedy again, we did the 2 km climb up from Ein Kerem where parts are more than 10% grade.  Of course, getting to these areas means doing some rather long climbs as well because we go from one valley to another.  The views are spectacular.

Today, I started work at DVI and immediately had many challenging restorative cases to do. The kids I saw were mostly over 16 years old and quite cooperative so at least that aspect was good, but the amount of decay was not good.  One of the boys, I had seen in 2007 and now I could see recurring decay under many fillings.  Oral hygiene is not a priority, both for girls and boys.

It's nice to be back at the clinic.  The staff were happy to see me again. I'm working with my usual assistant Michal who is still terrific . Today, we had some student assistants observing and assisting and I have no patience to work with them, particularly with the complex treatment I had to do. Michal could sense that and ended up taking over.

There are some high tech improvements at the clinic - chairside computers and digital xrays.  What a pleasure to see xrays on the monitor rather than looking at tiny xray films.  The staff really like the computer program and although they still enter the treatment on paper, all treatments are entered in detail on computer.  I think they will soon abandon the paper entries.