Date: Sat, 26 May 2007 00:11:39 -0500
From: "ESCO automatic digest system" <LISTSERV@LISTSERV.UIC.EDU>
Subject: ESCO Digest - 23 May 2007 to 25 May 2007 (#2007-52)

There are 2 messages totalling 68 lines in this issue.

Topics of the day:
1. Classification for isolated cleft palate
2. Swallowing things


Date: Thu, 24 May 2007 19:31:18 -0700
From: "sunish daniel" <sunishtd@YAHOO.COM>
Subject: classification for isolated cleft palate


I would like to know if there is an accepted classification for isolated cleft palate(Not anterior palate) as unilateral and bilateral.



Date: Thu, 24 May 2007 06:12:49 -0400
From: "charles ruff" <orthodmd@MAC.COM>
Subject: swallowing things

Those were really great answers to the MIA question. I guess I tend to be a little more flip than is ideal for a health care practitioner. Many years ago, I dropped a band while fitting it and I was truly amazed at how fast it disappeared down my patients throat. No gag at all. Just gone. She then asked what happened and I told her she swallowed a band. She asked me if she would die. To which I replied "Yes, in about 80 years". Then I explained to the father what had happened and suggested there was nothing to worry about unless she started complaining of intestinal symptoms. He was fine with that and nothing came of it. When I was in dental school (class of 78), one of the medicolegal lectures discussed a famous case in Boston of a woman (my wife's aunt to put a fine point on it) who swallowed an endo file (no rubber dam) and had exploratory surgery to retrieve it. Obviously, there was some money involved by the time that was done. The teacher commented "What nonsense. Most things pass just fine. If that was my case, I would have monitored it with a film or two but I would never have let it get to the point of surgery. See what happens when you send a patient to a teaching hospital." Best to all.

charlie ruff