A Few Words From the Chair, a patient speaks to dentists - a book review
A book about dentists from a patient's standpoint is long overdue. David Clow has written a must read book for dentists - A Few Words from the Chair, a patient speaks to dentists. I was honored when he asked me to write a foreword to the book. Here is the foreword: Patients see things differently than dentists. Often, what is important to dentists is not important to patients. This seems like the hysterical discovery of the obvious, but dentists have a blind spot when it comes to seeing things from a patient's viewpoint. To order the book, go to: Amazon.com: A Few Words from the Chair: A Patient Speaks to Dentists: David Clow: Books Here is an earlier version of my foreword: Clow Foreword I Dentisty is often ignored or portrayed like an ugly stepchild in the media, movies and TV. There are no national associations devoted to curing oral cancer, rampant caries, or advanced periodontal disease. None trumpet the wonders of restoring a person's smile, health and wellness as a result of dental treatment. Grateful patients do not donate millions for a wing of a hospital devoted to dentistry. The movies portray dentists as sadists as in Marathon Man or Little Shop of Horrors. Cruel dentist jokes abound (It was worse than a root canal. It was like going to the dentist.) Dentist are seen as hapless nerds. No books are written (glowing or critical) by patients relating their experience with their illnesses and dentistry like Norman Cousins' "Anatomy of an Illness" and "Human Options" did with medicine's treatment of him and his disease of arthritis.
Until Now. This void has been eliminated by David Clow's book "A few words from the chair, a patient speaks to dentists" In this short, insightful book, Clow gives an outsider's perception of dentistry as a patient, writer and consultant. His perception hits a bull's eye when he writes that dentists are way off the mark when they ignore the person attached to the teeth and downplay the remarkable things they can do for a patient's health and appearance. The reasons are many for this treatment. Three are prime. The first is the very intimate nature of the oral cavity and the unconscious aversion to anyone treating this exquisitely sensitive area. The second is dentistry's learning disability with obsession with treatment and techniques of dental disease and trauma while ignoring the person attached to the teeth. It treats the person as a vehicle that brings the disease or trauma to them to be treated by its wondrous techniques. The third is that it is not hospital based and does not deal with dramatic life threatening diseases and trauma. In the above-mentioned "Human Options", Cousins asks this question "What is the most painful and devasting question that can be asked about modern medical practice? It is not whether most doctors are up to date in their knowledge or in their techniques, but whether too many know more about disease than about the person in whom the disease exists."
Dentistry has anonymously struggled with the same problem of the importance of the caring doctor/patient relationships. It has also failed to get the word out about its wonders in treatment and prevention. Its blind spot about "the person in whom the disease exists" has prevented it from being known as effective as medicine in confronting these problems. (Dentistry's accomplishments in preventive dentistry from the 1970's is an example of this. The work of Bob Barkley, L.D. Pankey, Avrom King, Wilson Southam and others on the importance of a focus on health instead of disease and of creating effective caring helping relationships with patients to help them prevent disease and become well was ground breaking. Yet, most dentists today don't even know who they are and what they did. Neither does the rest of health care.) A Boston Globe quote from 1987 is an exception. "Front page homage and reverence are heaped on organ transplants and other medical high-wire acts. Meanwhile dentistry goes unnoted except as the butt of harebrained television humor. But, it is one of the few health technologies that almost invariably succeeds, both in prevention and in treatment. There is little else in the health care arsenal that can share this claim." But how many of us have read something similar in the media today? Very few or none -- until now. Why is there this blind spot? There is a thing instead of people orientation. The selection and training of dentists. Dental school's emphasis on science, treatment and techniques. The resultant learning disability dentists have. (Tarantola quote, looking under the wrong lamppost. 60% put themselves in the top ten. Quotes from book..) Conclusion Cousins' books led to a paradigm shift in how medicine viewed its relationships with patients. David Clow's book can do the same for dentistry. Join the Conversation
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