Hojnacki Erin Children's Choice

★★★☆☆
  • 418 E 30th Ave Ste 2

    Spokane, WA 99203

    Map & Directions
  • 509-624-1182

About Hojnacki Erin Children's Choice

Categories

Health & Medical

Health & Medical
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I've never left a review for anything before, but I'm so ticked that I felt an obligation to let people know our experience. I have a 2 year old who broke a molar. I took her in immediately and they told me to "watch and wait" while we had her come in for weekly visits to get her used to the dentist's office. It sounded like a good plan, I was a little annoyed that they charged me 40 bucks for an assistant to put a Qtip full of fluoride on her teeth and call it a treatment without telling me they were doing that (I would have told them to skip it I do the same thing at home), but I'd live. I went back for two other appointments without problems.

It comes time to fix her tooth and they tell me to come an hour early for "sedation" of 10 mg/kg of chloral hydrate. I saw the amount in the cup, and being married to a pediatric anesthesiologist who taught at Johns Hopkins and has done outpatient anesthesia for many years (Oral Surgery Plus, cosmetic procedures, etc., I have some knowledge of anesthesia (I'm a nurse practitioner myself). I suspected it was a really light dose. The standard dose for an outpatient procedure is 50 mg/kg. I thought "the toddler dose must be different" or it's a high concentration. Nope, looked at the bottle and looked up the dose.

After fifteen minutes I could see it wasn't touching her, so I asked to speak to the doctor. I asked him what effect they were looking for out of the drug, and if they'd given her enough to achieve it. I'm the first person to "go low and slow" with anesthesia, but I don't under medicate either. The STANDARD DOSE is 50 mg/kg. If you care to look it up in any dental or anesthesia journal, that's what you'll see. The LOWEST clinical dose I could find in a quick Ovid search was 25 mg/kg. My understanding is that they use it to clam the patients hands and mildly sedate them. She was running around their office playing with valentines decorations, it was apparently not achieving the desired effect, and they'd used 1/5th of the dose indicated for her age and weight by repeated controlled studies. It didn't feel right and it didn't seem appropriate to subject a child to the side effects (headache and nausea) if no benefit was being achieved. The dentist and the staff made me feel like I was an idiot for questioning him and acted like I was really putting them out by advocating for my child. His big excuse was "we've been doing it this way for 25 years." This is just what they do, if I didn't like it, too bad. If that's true sir, my question to the practice is: When will you start doing it correctly? Allow me to suggest an outpatient anesthesia course as soon as possible.

At best this is a mistake or he was just lousy at explaining why they do this, at worst they charging 50 bucks for 2 dollars worth of medicine and minimizing the risk of negative side effects by under medicating the patients. We will not be returning.

1
★☆☆☆☆

I've never left a review for anything before, but I'm so ticked that I felt an obligation to let people know our experience. I have a 2 year old who broke a molar. I took her in immediately and they told me to "watch and wait" while we had her come in for weekly visits to get her used to the dentist's office. It sounded like a good plan, I was a little annoyed that they charged me 40 bucks for an assistant to put a Qtip full of fluoride on her teeth and call it a treatment without telling me they were doing that (I would have told them to skip it I do the same thing at home), but I'd live. I went back for two other appointments without problems.

It comes time to fix her tooth and they tell me to come an hour early for "sedation" of 10 mg/kg of chloral hydrate. I saw the amount in the cup, and being married to a pediatric anesthesiologist who taught at Johns Hopkins and has done outpatient anesthesia for many years (Oral Surgery Plus, cosmetic procedures, etc., I have some knowledge of anesthesia (I'm a nurse practitioner myself). I suspected it was a really light dose. The standard dose for an outpatient procedure is 50 mg/kg. I thought "the toddler dose must be different" or it's a high concentration. Nope, looked at the bottle and looked up the dose.

After fifteen minutes I could see it wasn't touching her, so I asked to speak to the doctor. I asked him what effect they were looking for out of the drug, and if they'd given her enough to achieve it. I'm the first person to "go low and slow" with anesthesia, but I don't under medicate either. The STANDARD DOSE is 50 mg/kg. If you care to look it up in any dental or anesthesia journal, that's what you'll see. The LOWEST clinical dose I could find in a quick Ovid search was 25 mg/kg. My understanding is that they use it to clam the patients hands and mildly sedate them. She was running around their office playing with valentines decorations, it was apparently not achieving the desired effect, and they'd used 1/5th of the dose indicated for her age and weight by repeated controlled studies. It didn't feel right and it didn't seem appropriate to subject a child to the side effects (headache and nausea) if no benefit was being achieved. The dentist and the staff made me feel like I was an idiot for questioning him and acted like I was really putting them out by advocating for my child. His big excuse was "we've been doing it this way for 25 years." This is just what they do, if I didn't like it, too bad. If that's true sir, my question to the practice is: When will you start doing it correctly? Allow me to suggest an outpatient anesthesia course as soon as possible.

At best this is a mistake or he was just lousy at explaining why they do this, at worst they charging 50 bucks for 2 dollars worth of medicine and minimizing the risk of negative side effects by under medicating the patients. We will not be returning.

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My kids received good preventative care at this clinic but that usually isn't too difficult for any pedo/dentist - I know because I work for one. The real problem came when my child started complaining of a toothache 8 weeks after a routine check-up and xrays were done. I was told there was a massive cavity and the tooth would have to be crowned; I suspect this would have been caught sooner if the pedodontist had reviewed my child's xrays after the check-up instead of the hygenist. I pay the pedo's premium rates with the assumption that the pedo, not his hygenist, will evaluate my child's needs! After the crown was placed, there was nothing but problems. I ended up paying another dentist to evaluate and correct the problems - now my child has no complaints but I had to pay twice. I understand that not every case is text-book, but this situation was severly disappointing. When I asked questions related to the post-treatment problems, the attitude of the doctor and his staff was unprofessional and insulting. They acted as if I was really putting them out by questioning them on the post-op symptoms. I feel awful that my child's complaints were dismissed by someone he trusted to provide relief and that he was subjected to this type of treatment by a licensed professional. Fortunately, and little did they know, I knew better. The pedo should have put the attitude aside, admitted the error and corrected the problem when he had the chance. How sad that this is the new 'norm' in pedo-care.

2
★★☆☆☆

My kids received good preventative care at this clinic but that usually isn't too difficult for any pedo/dentist - I know because I work for one. The real problem came when my child started complaining of a toothache 8 weeks after a routine check-up and xrays were done. I was told there was a massive cavity and the tooth would have to be crowned; I suspect this would have been caught sooner if the pedodontist had reviewed my child's xrays after the check-up instead of the hygenist. I pay the pedo's premium rates with the assumption that the pedo, not his hygenist, will evaluate my child's needs! After the crown was placed, there was nothing but problems. I ended up paying another dentist to evaluate and correct the problems - now my child has no complaints but I had to pay twice. I understand that not every case is text-book, but this situation was severly disappointing. When I asked questions related to the post-treatment problems, the attitude of the doctor and his staff was unprofessional and insulting. They acted as if I was really putting them out by questioning them on the post-op symptoms. I feel awful that my child's complaints were dismissed by someone he trusted to provide relief and that he was subjected to this type of treatment by a licensed professional. Fortunately, and little did they know, I knew better. The pedo should have put the attitude aside, admitted the error and corrected the problem when he had the chance. How sad that this is the new 'norm' in pedo-care.

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I took my daughter in for a check up, and the assistants were great with her. The dentist made it fun. They have a tv screen in the ceiling so the kids can watch a movie while they are getting worked on. They gave my daughter shots and she didn't even know she was getting them! They are very good with children! I would recommend them for your child.

5
★★★★★

I took my daughter in for a check up, and the assistants were great with her. The dentist made it fun. They have a tv screen in the ceiling so the kids can watch a movie while they are getting worked on. They gave my daughter shots and she didn't even know she was getting them! They are very good with children! I would recommend them for your child.

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