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Monthly Archives April 2011

San Diego Pedestrian Accident Lawyer’s Top Ten Things You Don’t Want to Hear in the Hospital After a San Diego Pedestrian Accident

1. Well, you look like you went fifteen rounds with the heavyweight champion. A truck hit you or do you always look this bad?


2. I can’t say I ever remember one person with more fractures.


3. We’re going to have to quarantine you.


4. I hope you’ve had all your vaccinations.


5. A few shots in the buttocks and when the pain starts to set in, you’ll think even the food in the cafeteria looks good.


6. They don’t call me Doctor for nothing. Still, in over fifty years of practice, I don’t think I’ve ever seen anything quite like that.


7. Why didn’t you come right in instead of waiting out there for six hours. You could have gone into shock. Actually, you may be going into shock right now, by the way you look.


8. We’ve got the results of your blood test back and they are a real doozy.


9. And you say that’s been itching for how long?


10. Sorry, we mixed up your X-rays. Still the guy next door is relieved. As for you, though….


Now here are ten actual tips of advice from a San Diego pedestrian accident lawyer to follow if you have been in an accident. You can also learn more about how to handle a personal injury in San Diego, or any city, by calling the Law Offices of R. Sebastian Gibson at any of the numbers which can be found on our website at  and learning how we can assist you.


Obviously, if you have had an accident, and you are reading all of this advice, it may have been a few hours since the accident. However, if you ever have another accident, or if it’s only been a few hours since you were hurt, here’s what you should do from the start.


First, take a look around and determine if you or anyone, are hurt. If so, taking steps like trying to prevent further injury or loss of blood are the most important thing you can do. Even if some other driver caused you to be injured, it’s just good manners to help the other driver if they are hurt. They may even be so thankful that they admit their fault to you. The worst thing you can do is get angry or start a fight.


Second, make sure everyone is safe from being injured further. If you are in the middle of traffic, and you are dizzy, sit down away from traffic. If your vehicle is a traffic hazard and you have accident warning devices like flares or triangles, put them out on the road to warn other drivers and get away from the car. Let the police an other emergency personnel investigate the scene with the vehicles in place and move them more safely at a later point.


Third, call the police. Accident reports are extremely helpful if the police will do such a report. Let the police know you are injured immediately. Answer the police questions honestly. But if you are dazed or confused, let them know you need medical treatment and answer only what you feel sure about. Remember, your statements can and will be used against you if you admit fault, and it will be too late and too fishy to later say you didn’t know what you were saying at the scene. Police know that your best recollection is immediately after an accident.


Fourth, get the other driver’s information including their names, addresses, driver’s license numbers, make and model of their vehicles, license plate numbers, and their insurance company name and policy number. If there are witnesses, get their names, addresses and telephone numbers as well. If the other driver makes any admissions of fault, write those down as well.


Fifth, if you have a camera on your cell phone or in the car and you aren’t too injured, take some photos of the vehicles and the scene. If you can’t do it right away, do it after you are released from the hospital.

Sixth, if you are hurt, obtain medical treatment. Don’t decline the ambulance or hospital examination to save your insurance company money or to be stoic. Take your valuables out of your car if you can and get checked out at the hospital. If you are not hurt, don’t get treatment you don’t need. However, remember, after an accident, you may feel a rush of adrenaline that causes you to only start feeling symptoms of pain a few hours later. If you have a health plan that requires you to obtain permission first, call them and find out where you are allowed to seek treatment.


Seventh, call a good San Diego pedestrian accident attorney as soon as you have had your initial treatment, so the lawyer can gather other important evidence and prevent the insurance company from taking advantage of you and obtaining such things as recorded statements that you feel fine, when many of your symptoms have yet to manifest themselves. A good San Diego pedestrian accident lawyer can save you from making a great deal of mistakes and can shoulder much of the hassle of knowing what to do about car repairs, car rentals, medical treatment, witness statements and the like. If you think you will save money by not having an attorney, think again. A good San Diego pedestrian accident lawyer can almost always obtain much higher settlements, obtain reductions of medical bills and insurance liens and prevent you from making costly mistakes. Also, most San Diego pedestrian accident attorneys advance costs of obtaining police reports, medical records and the like and are paid and reimbursed for these costs only out of any settlement.


Eight, you will need to report the accident to your insurance company, but since they will want to take a recorded statement from you, just like any other driver’s insurance company, it’s good advice to retain an attorney first. And if the other driver did not have insurance, remember that it is your own insurance company that will be your adversary. You will also need to report the accident to the Department of Motor Vehicles and your lawyer can give you the form for this.


Ninth, do not agree to settle your claim privately with the person at fault for the accident. This almost never works out to your advantage. Don’t agree not to call the police. Police reports that determine the fault for an accident are golden. Your agreement to not involve the police only affords an opportunity for the other driver to change his story and blame you when the police will no longer investigate the accident.


Tenth, don’t pay a traffic ticket without a fight if you weren’t at fault or agree to accept a small payment for your vehicle repairs without knowing that the amount will in fact cover the cost of all the repairs.


If you’ve had a pedestrian accident in San Diego, Carlsbad, Oceanside, La Jolla, Del Mar, Escondido, Chula Vista, El Cajon, Vista, San Marcos, Solana Beach, Encinitas, Pacific Beach, or anywhere in Southern California, we have the knowledge and resources to be your San Diego Pedestrian Accident Lawyer and your Carlsbad Pedestrian Accident Attorney. Be sure to hire a California law firm with auto, motorcycle, truck, bicycle, pedestrian, car, bus, train, boat and airplane accident experience, wrongful death experience and insurance law expertise who can ensure you are properly represented and get the compensation you deserve.


If you have a personal injury legal matter, a dog bite or if you’ve lost a loved one in a wrongful death accident, call the Law Offices of R. Sebastian Gibson, or visit our website at  and learn how we can assist you.

R. Sebastian Gibson

Managing Dental Practices: Doctor From Maryland Talks About the Things He Learned in Joining Dentist Profits

Joining Dentist Profits in managing my dental practices is, I can really say, the best decision that I have made in my career as a dentist. As I joined this club for managing my dental practices, I have learned a lot of important things to keep you going in your dental practices. I have also learned about the importance of teamwork in the practice. And this is something that Ed focuses specifically at their managing dental practices website!

First, I have learned to set goals and benchmarks in managing my dental practices. So, if you set goals and benchmarks to your team, you make them accountable. You also get team trainings, for example training sessions with Wendy Briggs (of Hygiene Diamonds), Continue education (C.E.), Sedation Dentistry, Implant Dentistry, and adding services like those that your practice can really explode your growth! And then there’s also the power of the “mastermind”. The “Mastermind” is where dentists gather their ideas about how to go with the business successfully and how to achieve goals efficiently. And it’s on the “navigator”. All you have to do is to really take in somebody else’s idea, implement it in your own dental practice, steal it and then tweak it. And it’s there for you and it’s for free! All you have to do is just take it down so you got a system that ties these things.

And I have always learned that teamwork is really necessary in managing your dental practices… that you can never do it alone. In my case before, I tried doing things alone and gave my best to it… but it just wasn’t enough. I was trying to do it all but I just can’t. I realized that if you’re the doctor who’s trying to do the dentistry, run the practice, and do your marketing, you can’t do it all by yourself… you got to hire somebody, you got to outsource some of the stuff and it will happen. So when I started to get people/staff in my practice, that’s when my practice really started to take off!

In managing my dental practices, I have incentives in my office for every action. The office have developed a system to give an incentive to the office and get them moving in that direction. And it makes my job easier; I’d be moving in that direction, and I’ll always be kind of pulling and holding the team back. We also have meetings and conferences. This is where you got to brainstorm and talk to other people and get their ideas, and get them into your office as well! I mean, I can’t tell you how many ideas I’ve gotten just for a 1 minute conversation with someone saying like “Oh you need to do this. And you need to do it. Here’s the information, and the number of the person you got to contact…”. And it just changes the practice’s direction! Although in here you may take inch and inch of improvement, in the end it all adds up, and it starts moving the practice by leaps and bounds!

In managing your dental practices, it is also necessary to take into consideration the staff motivation and compensation. Your net profit is tied to your performance and your ability to leverage yourself. Shouldn’t your staff be compensated the same way? You got to get them thinking that they’re a part of this business too… and they’re not just any other employee; but they have to take ownership and every action in the office as a direct effect on your ability to produce. So I tried to do that with my staff and get them really jazzed up about everything that they do. Teamwork in the business is really important as well.

So, in joining Dentist Profits in managing my dental practices, I have learned many things that can benefit me. Get your office to move in one direction, always value and go for teamwork… and achieve your goals and success in your dental practices!

Ed O’Keefe

I work directly under a doctor in a large medical practice. He was nice when I first started but now he’s…?

very short with me all the time and criticizes everything I do. One minute he wants things one way so I comply. Next thing I know he is dissatisfied with something else. Today he was very sarcastic and condescending every time I tried to talk to him during work. He asked me to go ask this patient if they had gotten some testing done; when I tried to tell him no, and elaborated by saying the patient didn’t want to have the test he said something like "all you had to do was answer my question" and walked away. I went in the bathroom and cried. Do you think I’m being overly sensitive. Has anyone else worked under a Dr. that has acted like this? I can’t stand being in the position where someone can treat me like this and I can’t do anything about it. I’m a nurse by the way.
At first I thought that maybe I was doing something wrong but everyone keeps telling me what a great job I’m doing and how much he loves me. Everyone in the office kisses the doctor’s feet. I don’t get why if he working with me he would treat me like this.

I strongly disagree with the answerer who stated people who act like this think they are God or old (I accidently gave a thumbs up!). I suspect, this doc is very stressed out about something….could be a possible malpractice case, severely declining revenue, difficult patients….or even something in his personal life; particularly since he did not start out this way. I suggest using all that empathy you were taught in nursing school & scheduling an "appointment" with this doc–at a time when it is not busy or crazy & bringing up the changes is a very neutral, factual manner emphasizing how this is affecting YOU and impacting how you do your job. Eventually this will impact everyone including patients, so you need to act. Again, be neutral, non attacking or judgmental & pick a non stressful time. Ask how things can be improved upon & what would he like to happen. Best of luck.

I want to start my own dental management business where do I start first?

I know how to manage and consult but I have never started a business for myself. I’m not sure where to start aside from buying a book. The practice I work for has grown so tremendously, largely through my efforts, I would like to have a contract in place that will secure some longivity and work for my retirement not solelyf or someone elses. I don’t want to take my show on the road I just want to maximize the potential where I’m at. The practice I work for continues to want to purchase smaller practices with me taking all the responsibility of acquisitioning them. So I think if I have the managment contract I can be better compensated when times are good and willing to take the hit if things aren’t so good. What do you think?

Without putting you through the MBA curriculum, the right starting place is to come up with a business plan. I believe you have the experience and knowledge of “Dental Management”. Please remember that running the business is different than doing the operations aspect. They have hired you, “the expert”. At the same time, the folks running it are taking on the “head-aches” and financial risks. When your company is buying up the smaller practices, they are buying the potential for future business.

When someone buys into a franchise, for example, they are really buying the “business plan” and “operational day-to-day procedures” to run it. Other aspects include marketing, advertising, and managing.

Also, don’t overlook carving a niche for yourself. Are you good at acquisition and implementation, and moving on to the next gig? How do you feel about doing the day-to-day running of the Dental office.

Take an inventory of your skills and preferences. Do you need to partner with someone that’s very good at bringing in the business, for example?

Here are some starting places to look into. You want to talk and network with others that have been successful at doing just what you’re thinking. They may be able to make you aware of opportunities that you may have not considered.


So my wife opened my mail today for the first time. Should I be mad?

One of the details about our new (6 months) marriage that I thought made her happy was the fact that even though we are struggling financially (we are living paycheck to paycheck, do not have cable, rarely go out to eat, etc) I did not inquire into how much money she spent and what she spent it on. I do not open her bills or check her account balances. She has said at times that she is happy about this arrangement. Recently she has begun asking why most of my bills for starting my own medical practice (in MI of all states) are sent to the office address. She has also started opening checks from the local university (where I teach at night for more income) and depositing it for me when delivered while I am working on a Saturday. She said she wants to discuss my financial matters and bills this weekend, with no offer to discuss hers. I tell her OK, I have nothing to hide. This morning, she becomes angry and opens my mail without discussing it with me. Am I bad for being upset?
She also works and has her own paycheck. She has joint custody with her 2 sons we/she are currently in litigation about which costs us money and is the reason I have to stay in Michigan and travel so much.
The reason we have seperate accounts is that in addition to over 150 grand that I owe for medical school I needed to borrow 25k to start the practice (and that wasn’t enough.) Without having any assets and already owing over 6 figures I needed a co-sign on my loan (my father) and agreed that they could come get me for everything I am worth should things go down the tubes. I told her I wanted her to keep her own account in her name without my name on them so we would not lose "her" money should by practice go down the tubes.
Sorry about the typos in the details, I can’t figure out how to edit it.

You have a right to be upset about it because you’ve talked about how you guys like things to stay between you regarding personal finances. But that isn’t really the problem, the problem is you are a couple and your finances as much as you would like them to stay independent they are no longer an independent/personal matter. A couple needs to discuss all incoming and outgoing finances together because you are a couple. You’re in this life together now, you share life, love, responsibilities, and yes money. Marraige is also sacrifice.

Does being a doctor really take over your life? How is medical school?

I am a senior in high school. I was wondering if there are any doctors here that could let me know all the bad things that you have to deal with. Does being a doctor really take over your life? I want to be in family practice…
What do I need to know about med school?
What do I really need to know before starting this off? I know most doctors say that you should not be looking at the money when I go into this program…but besides that what else do I need to know?

I don’t know anything about medical school, but I did a google search for you and found this:

I hope it helps. it seems to have a lot of information, although I did not read much of it! Make sure you click the "Ins and Outs of Med School" thing near the top of that article, too. Actually, I’ll just link that:
I hope I helped.

What accounts for bad debt expense in a Medical practice?

A doctor is using the insurances 1099’s to figure out his income.
He adds the practice’s operating expenses to offset this income.
However he says he does not get any figures from his billing service in regards to Bad Debt expense.
Is this common? I understand the difference between Billed amount and Allowed amount, most likely is not written off as expense, but how about the portion of the that is the patient’s responsibility?
"he adds up the operating expenses" to deduct them from the income for tax purposes.

Well, the billed amount and the allowed amount don’t really have anything to do with bad debt expense. Generally speaking, if the income was included, and the client never paid, then you can deduct the amount unpaid as bad debt expense. However- if the income was never included (as in a cash-basis business) then it is not allowable for bad debt expense.

And no- I have never hear of a doctor doing his taxes that way. That’s why you hire a good office manager or bookkepper to stay on top of all that!

What is a Doctor of Nursing Practice Degree?

I want to be an Emergency Room NP , and I am kind of curious about what a Doctor of Nursing practice degree is (DNP)?


What were once masters NP programs are now DNP programs (doctor of nursing practice); the course is essentially the same with a research component added on. The pay scales and duties remain the same. For the ER, however, you might look into becoming a PA-more ERs tend to use them.

As a future medical assistant, what medical practice should I choose?

Hey all, right now I am in school for medical assisting. I will be finishing soon, so i am starting to think where would i want to work (like general practice or pediatrics)
So, here is my question- Which medical field should I choose?
I know i am interested in pediatrics because I love children.
But I also am interested in multi field jobs. Like for example I saw an ad in the paper about a job for the medical assistant in an office that has – Pediatrics, General Practice, and GYN all in the same office that the medical assistant would be responsible for.

So, which one should i choose- Pediatrics or a multi field job??

About the multi field i am afraid that this would be a very hectic job, but It sounds very exciting because I will get a chance to learn soo many new things from multiple fields. And this would be a plus if I would ever need to get a new job because I would be experienced in several fields!

What would you choose and why?

Also is there a pay difference, because of more responsibility in the multi practice job?

Any info is appreciated. Thanks

My opinion:

Pediatrics is a difficult field for the reason involving kids and the way infants/children can act. I’m just personally one person who doesn’t have patience for it.

But like you were saying, the multiple field job is great! You can see many different things, learn various things.

Just for future info. A small doctor office or a medical facility always will pay more than a hospital.

Can I sue this dentist/dental practice?

I went to the dentist to have two teeth pulled. This was a new dentist I was seeing so I had to fill out the forms requiring me to list any medical conditions and list any medications I am allergic to.

Filling the forms out I listed penicillin and epinephrine for allergies as I have in the past at any other medical facility.

This is an asian dentistry practice apparently because they have the Buddha in reception area and are all of asian decent. I guess I have two questions.
First. They have computers in the office room where you have your teeth worked on, right there 2 feet away and in front of you so you can see the x-rays while sitting in the dentist chair. I saw that the computer needed updating and was just making conversation with the assistant and said so. She said, what does that mean, "It needs updating?" I told her and she said, "White boy knows more about computers than me".

Second, when the dentist told me I needed a root canal I asked him if he could show me on the computer x-ray machine (right in front of me) and he said, "It doesn’t take a Genius to figure out you need a root canal just by looking at your tooth without the x-ray". He said that I guess because there is a cavity at the gum line. I asked him again if he could show me on the screen and he got defensive and made the Genius remark again.

I said OK, then he started giving me the topical to numb my mouth and got the needle in his hand and was about to give me the shot and something told me to say, "You know I am allergic to epinephrine, right?" He got defensive again and said, "NO, you didn’t write that down anywhere!" I said yes I did, in the new patient information questionnaire, stood up and told him he was not working on my teeth. He was about to shoot me up with epinephrine which would trigger a heart reflex in me and possible myocardial infarction..

It was a good thing I left because I went to my dentist that I regularly see who was available now and he said that tooth DID NOT need a root canal. That other dentist lied to me, the assistant was racist and he was going to give me something I was allergic to. Should/can he be sued?

Have any laws been broken, can I sue?

Thank you

No you really cannot sue seeing he did not complete his stupidity. As to what he was going to do it would be a "he said-she said" type of case and could not be proved. That said I would run from that place and never let them near your mouth. You may want to file a grievance with the state dental board and they would investigate.