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  #21  
Old 12.01.2018, 17:21
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Re: Urgent advice and help needed please [bleeding after dental surgery]

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There's a spectrum between "Hmm, my friend is burning up, has gone all blotchy and is in immense pain. I'll post on EF and see whether they recommend I take him to hospital" and "Hmm, my friend has got a bit of a headache. I'll post on EF and see whether they recommend I take him to hospital".

Obviously for the first scenario, posting on EF is stupid and even if you don't know the local protocol, taking the person to hospital is the right thing to do. The OP clearly didn't feel their situation was so extreme as to necessitate that. Sometimes it makes sense to canvas opinion, other times not.
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  #22  
Old 12.01.2018, 17:24
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Re: Urgent advice and help needed please

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You've not been here long, have you?
As a mod you definitely see more than me, in which case well done for staying strong
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  #23  
Old 12.01.2018, 17:37
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Re: Urgent advice and help needed please [bleeding after dental surgery]

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There's a spectrum between "Hmm, my friend is burning up, has gone all blotchy and is in immense pain. I'll post on EF and see whether they recommend I take him to hospital" and "Hmm, my friend has got a bit of a headache. I'll post on EF and see whether they recommend I take him to hospital".

Obviously for the first scenario, posting on EF is stupid and even if you don't know the local protocol, taking the person to hospital is the right thing to do. The OP clearly didn't feel their situation was so extreme as to necessitate that. Sometimes it makes sense to canvas opinion, other times not.
Always trust your gut instinct over an internet forum. The portrayed question here is "Should I go to the hospital"? Rather than, "Does anyone know of a good dentist in Geneva"? Hospitals would not turn anyone down, who have visible signs of requiring medical attention (in this case the heavy bleeding).
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Old 12.01.2018, 18:05
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Re: Urgent advice and help needed please [bleeding after dental surgery]

I dare say heavy bleeding = pretty much never a good sign and pretty much always a reason to go to the emergency room
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  #25  
Old 12.01.2018, 19:05
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Re: Urgent advice and help needed please

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Thank you Sandgrounder; thats exactly the reason i posted on here! We are new in Geneva/switzerland and still trying to figure out how thing are done and whats normal procedure and what isnt. In the UK, for example, there are specialist hospitals that deal with emergency dental probs, you dont just turn up in any a&e randomly.. I understand some people seem to be very bothered by this post and find it quite amusing; i find their sarcasm quite pathetic to be honest. . However i am not going to waste my time and respond to them as thats exactly what that would be, a waste of time!
Is your OH taking anti-coagulants (for heart, following surgery etc.) - then mention it immediately to the place you choose to go to.

But, yes, there are many good 24 hr places to choose from in Switzerland in all areas in any cases. Would provide some, but am from Zürich.
If it was me, then I'd go to the Emergency.

I make it a practice to keep a list, perhaps someone has a list for that area.
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Old 12.01.2018, 19:25
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Re: Urgent advice and help needed please

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You don't just tralalala off to the emergency room for "non-emergencies"
Actually, you do, at least around here.

Tom
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  #27  
Old 12.01.2018, 20:02
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Re: Urgent advice and help needed please

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Actually, you do, at least around here.

Tom
I would have been flabbergasted and disappointed if it were any different...
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  #28  
Old 13.01.2018, 00:45
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Re: Urgent advice and help needed please

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Actually, you do, at least around here.

Tom
You do in Geneva as well.
Hopefully the OP's husband has too; or the poor chap's bled to death... which would be a real shame as heaven knows there are few enough EFers in this neck of the woods.
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  #29  
Old 13.01.2018, 02:53
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Re: Urgent advice and help needed please [bleeding after dental surgery]

It seems to me like people in urban areas don't even know the concept of doctor house calls anymore. If you ask randomly a lot of people will have been at least once in their life to the ER for minor stuff but have never called a doctor to their home. The exception are old people of course, who may have mobility problems or not be able to drive anymore. It would be fine if it wasn't for the burden on the healthcare system.
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Old 13.01.2018, 12:03
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Re: Urgent advice and help needed please

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Thank you Sandgrounder; thats exactly the reason i posted on here! We are new in Geneva/switzerland and still trying to figure out how thing are done and whats normal procedure and what isnt. In the UK, for example, there are specialist hospitals that deal with emergency dental probs, you dont just turn up in any a&e randomly.. I understand some people seem to be very bothered by this post and find it quite amusing; i find their sarcasm quite pathetic to be honest. . However i am not going to waste my time and respond to them as thats exactly what that would be, a waste of time!
So, what did you do in the end, OP? Last time you wrote it was yesterday afternoon and you didn't mention anything. How heavy was the bleeding? If it was that serious I can't believe you made it through the night and well late in the afternoon without visiting a doctor - everybody must know there is an emergency room in any hospital and one is supposed to go to the nearest one in cases like this if they don't have a family doctor or a clinic where they usually go for health care.
Sarcasm or not, some reactions do surprise people. It's an open forum, after all.
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  #31  
Old 13.01.2018, 12:32
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Re: Urgent advice and help needed please [bleeding after dental surgery]

I'm sorry I was not available yesterday. Since I shut down my oral surgery practice by the end of the year (yeah, five years late; I'm about to turn 70!), I was hauling a whole lot of furniture to our vacation home in the Engadine.

Bleeding a week after a tooth extraction is very rare but it can occur. No matter how scary it may look, it usually is harmless. What looks like a huge lot of blood is a lot of saliva (triggered by the taste of blood) plus a bit of blood.

The usual procedure is compression, plain and simple. That's what the dentist or oral surgeon will do in the first place, and it can be done at home too; the success rate is pretty much the same, namely better than 95% if done properly.

What you do is very simple: Take a clean, properly folded fabric handkerchief, not a paper one, silly! Without unfolding it, tightly roll it into a relatively firm sausage shape. Put this sausage right on top of the wound, roughly transversally across the ridge of the jaw. Hold it in place by exerting some pressure by the teeth in the opposite jaw, just enough that your muscles do not tire out within a few minutes, but still firm.

Now keep doing this for at least half an hour. This is very important! Don't succumb to the urge to release the pressure for a brief peek at the success! If there still is some blood coming out of the socket, just swallow it. It's not going to kill you any time soon.

After that half hour, very slowly remove the hankie, preferably by gently rolling it off the wound sideways. Wait. After five or ten minutes, check if there still is significant bleeding. If there is only a slight bleeding left, wait again. Most likely it will entirely stop after an hour or two. If that is not the case or if the bleeding hasn't decreased at all, repeat the whole procedure.

In most cases, that's what the dentist or oral surgeon would do too, just using a cotton swab instead of the hankie.

Of course there are special preparations for accelerating the coagulation, for instance gelatin plugs impregnated with styptic meds, but they are very rarely needed. The hankie / swab trick almost always works. Its only disadvantage is the need of patience.

Now you may say, "What?!? A hankie? Isn't that full of germs?!?" Of course it is. The whole world is full of germs, but believe me, there are a billion times more germs in your mouth than on a hankie, and pretty mean ones too. No worries.
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  #32  
Old 14.01.2018, 07:53
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Re: Urgent advice and help needed please

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Thank you Sandgrounder; thats exactly the reason i posted on here! We are new in Geneva/switzerland and still trying to figure out how thing are done and whats normal procedure and what isnt. In the UK, for example, there are specialist hospitals that deal with emergency dental probs, you dont just turn up in any a&e randomly.. I understand some people seem to be very bothered by this post and find it quite amusing; i find their sarcasm quite pathetic to be honest. . However i am not going to waste my time and respond to them as thats exactly what that would be, a waste of time!
People were sarcastic because if it was truly an urgent emergency you could have Googled a number/location in 5 minutes, as my link above shows. WHat would you do if no-one on the internet responded for 3 days, let him suffer until someone did? At some point you have to use some initiative... this isn't the darkest deepest Congo.
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