Dr. Liao performed a surgical procedure (repair of a facial laceration) on my chin 06/29/11. I wouldn't send my worst enemy to her practice.
She was not wearing a gown, mask or eye protection, nor did she give me eye protection. FAIL. For a Board Certified Oral Surgeon, she threw Infection Control 101 right out the door, along with my confidence in her as a clinician.
Recap:
While on the stairs carrying a metal space heater, I lost my footing and fell. The space heater hit the hard wood floor, and then my chin hit the space heater.
I was alone at home and bled copiously onto my shirt and the floor but didn't move for a few minutes to make sure I was not concussed and wasn't going to lose consciousness going up the stairs to check out my injury.
I donned sterile, surgical gloves and irrigated the area with sterile saline. I would have preferred to have injected myself with some lidocaine, but wanted to be able to describe any pain accurately to whomever was going to fix me up. Using a Sharpie, I marked where I noted swelling and where the pain was most acute. Then I dressed the wound and called for a ride to the dentist.
Disclosure: No, I'm not your typical dental patient; I've worked as a professional in the field since 1995. So, yeah: I'm going to call Dr. Liao and her staff out on a few HIPAA violations, errors in billing protocol, and most important: subjecting me to contamination, disease, infection - you name it.
1st Visit: ER basis - Assistant took a digital panorex for Dr. Liao to review. I was very concerned that I might have fractured my teeth vertically, through the roots and might need reconstruction with implants.
While waiting in a small consult room, I opened the cabinets (it's a habit) because I didn't see mounted glove stations or CaviWipes, which are should be stocked in EVERY operatory.
Dr. Liao breezed in and announced that there was good news: nothing broken, no fractures. I asked to see my film, which for some reason surprised her. "Do you know how to read it?" she asked.
Yeah, I do. And even if I didn't, wouldn't you, as a patient, want reassurance that everything was intact? Isn't that just... courteous and common sense?
While charting up my medical history in the notes section, I mentioned as per my written forms (which were not in the room for her reference) that I'd donated a kidney, which she described as "kidney donation surgery". I was looking at the screen as she did this, and I corrected her: I had a donor nephrectomy.
If you're a surgeon, write my f*cking medical history up in proper terminology; don't get lazy.
I was exhausted from the whole ordeal already quite uncomfortable. I asked for Xylocaine as the local anesthetic because it lasts longer than Lidocaine, and I could already feel the bone bruising.
She gave me LIdocaine, despite me asking twice for Xylocaine. Nice, huh?
I was shocked when she didn't gown up or use ANY barriers other than gloves and proceeded to suture me up, her face hovering right above mine, inhaling and exhaling into an open surgical field.
Microbes, anyone? You'd think she'd never heard of Dr. Louis Pasteur. My eyes widened and I was signaling with my hand, but I couldn't speak and she paid no attention.
I got no written post-op instructions, nor did I receive a phone call from her to see how I was doing. Ever. My GP, however, was kind enough to call that evening and four other times since to check in with me.
Through no fault of her own, Sandy @ the front desk was unable to verify my insurance benefits, which I later furnished for them, both medical and dental. I paid in full on the date of service.
I had to tell Sandy how to bill my claim (the codes on my walk out statement don't match what they sent to Delta Dental) and that it was a violation of their contract as providers to continue to hold my money while my claim(s) were being processed.
First, Sandy insisted that I would have to wait until the end of the month (July) until the bookkeeper came in. I had to explain that Provider Relations at Delta would probably revoke their contract as if they did that. I got my refund check over two weeks later.
I also got post-op instructions which were written specifically for me, as Dr. Liao said I was not her typical case. Most were useless because they were written for the first 48 hours of aftercare.
From my visits there, she is what I refer to as a 2nd or 3rd tier "molar popper". But visit the link on her website and yes, repair of facial lacerations falls under areas of expertise that Oral Surgeons (at least, good ones) possess.
Dr. Liao didn't take any pre-op photos of my laceration, which is healing unevenly and has two hard bumps which she said must be scar tissue forming. Yet she wrote me a prescription for antibiotics.
"I guess you'll have to have a consult with a dermatologist of a plastic surgeon," she said today, and shrugged. read more