De-Toothified

I survived my three-dentists-in-three-days event in Escondido. Doesn't that sound like a masochist's vacation package? Sadly, it was no vacation. The first dentist told me something was wrong. The second dentist gave me the specifics of what was wrong. The third dentist solved the problem. He had to pull the tooth, which proved more difficult than anticipated.

In spite of the struggle in getting the evil tooth out, the office was very warm and inviting. I was helped by at least five different people and each one told me who they were and what their role was. I was also told what to expect next and assured that the next person was excellent and would take good care of me. It kept me from stressing out too badly, except when the actual pulling was occurring.

The tooth pulling was not stressful because it was painful. It was stressful because the tooth wouldn't come out. The oral surgeon was a tall, fit, muscular man. And he was struggling to get it to come out. It ended up coming out in about five pieces. It was quite obstinate.

After the extraction, I had to bite down on a piece of gauze for an hour. Then I had to change the gauze every 45 minutes until the bleeding stopped. That took about 4 hours. I didn't really eat all that much that night, as I am sure you can imagine. What surprised me was that I wasn't allowed to rinse vigorously or use a straw. Either of these could dislodge the clot.

My recovery followed the after care instructions almost exactly. I lost a day and a half to the Vicodin and have been coping a little better each day. The pain is mild now, but still present. And the socket is still noticeable to me. My voice sounds weird to me, but nobody else seems to notice.

I now have to wait three months for this to heal. After that, they will put a screw into my jaw and put a cap on that. Then that will heal for three months. Then my regular dentist will put a screw on the cap and a fake tooth on the post. The good news is that my dental insurance looks like it is going to partially cover the implant. Woot!

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When Is It Time To See The Dentist

That's right. My life has become a bad joke:

Q: When is it time to see the dentist?
A: At 2:30. (Tooth-hurty)

That's really what time my appointment is, too.

Warning: The rest of this post talks about pain and teeth.

I have a dentist appointment today. It's my third in three business days. The first one was with my regular dentist. He determined that there was likely and absess or infection and sent me to the endodontist to determine the specifics. The endodontist has determined that a root canal I had done 22 years ago was not done well. He made a crack in the tooth that ran deep into its root. Well, at some point recently, an infection managed to creep under the crown. It may have happened when I had the crown replaced 6 months ago. Who can say for certain. At any rate, the infection is causing swelling inside the dead tooth. The pain that woke me up last Thursday night is from the swelling trying to push through both the inner and outer walls of my jaw. Yuck.

The endo told me that the tooth really had to come out. I'm risking bone loss in healthy teeth and in my jaw if I leave it in. I could save the tooth if I wanted to have the crown removed, the posts taken out, the infection treated, the root canal redone, and the crown replaced. My mouth aches just thinking about it. Well, that, and from the infection.

So, today, I am going to my third different dentist. I'll be seeing an oral surgeon today. He'll yank the tooth under local anesthetic and tell me exactly how much it is going to cost me to get an implant. The other option is a bridge, but that is less appealing even though it is less expensive. To put a bridge in, they would have to cut down the two healthy adjacent teeth so that the bridge has someplace to attach.

In the immortal words of Clubber Lang: "Prediction? Pain."

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Who Wants to See Gross Foot Pics?

I have a few pictures of the bruising on my leg from the calf muscle tear. They look pretty nasty. These were taken 2 weeks after the injury. Any bets on how long it will take for the bruises to clear? Click on if you want to see.


This one is a wider shot to try to get the full effect.


Zoomed in here for increased blotchiness resolution


The foot bruise is pretty sizable


An uninjured leg, which doesn't look all that appealing either.

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An Easy Way to Help

A friend forwarded me this breast cancer link. It's one of those sites that makes a donation for every X clicks. In this case, they are giving free mammograms to those who cannot afford them. They aren't getting the click thru traffic they wanted. So they are on a pace to give fewer than their maximum. I'm guessing they are hoping people will purchase stuff once on their site. I just clicked the free button and ask you to do the same. Thanks!

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Depends on Your Definition of Covered

Lets hear it for the health insurance industry! Hip-hip hooray! anyone interested in donating to my health bureaucracy telethon? Didn't think so. Why is that? Could it be that they spend countless dollars figuring out how to avoid paying you? Granted, they must save more than they spend otherwise all that would be left is perverse pleasure. And while perverse pleasure can be fun, it doesn't buy a Mercedes...

I got to talk to a "Customer Service" person yesterday. When I switched jobs, my health insurance switched. I still have most of the same doctors, but when you switch insurance, if you have recurring prescriptions you need "prior authorization" before refilling them. Now, pardon my ignorance, but if I show up at the pharmacy with a written prescription, isn't that prior authorization? I certainly didn't write the prescription myself! Someone had to authorize it before I filled it. My money is on the guy who signed it.

I walked into CVS after jumping through all the necessary hoops to get a couple written prescriptions I have been filling monthly for the last year at the same pharmacy. I handed over the new insurance card. The technician took down the information and explained that the doctor would have to authorize them to the insurance company. Apparently, they need a verbal from the doctor. His signature is not good enough. I imagine this is an attempt to talk the doctor into prescribing a cheaper, less effective medicine. I explained to the pharmacy that the aforementioned hoop jumping used up my buffer and that I was all out. I needed to pick the medicine up later that day. I gave them my cell and told them to call if there were any problems.

I was unable to get back that day, but they didn't call me. I had no reason to suspect anything was amiss. I sent she-who-was-going-to-near-there to pick it up on her way to get the kids at school. I know you will all be shocked to learn that they were not ready. What's more, the technician claimed to not have our insurance information. They were still waiting on authorization for one of the prescriptions and thought it could take up to three more days. But they weren't done. The prescription that was authorized had a maximum quantity of 1 per day. My prescription was for 1.5, so they couldn't fill that. They were able to get the prescription broken into two, though. I could have a prescription for a month's supply at one dosage and a month's supply at half dosage, though. I'd just have to make a co-pay for each.

She-who-was-now-late-picking-up-the-kids bounced the ball back into my court and said she would check back later. My job was to call the insurance company and ask them WTF? The conversation went something like this:

ME: So, why do I need the person who wrote the prescription to tell you that it is, in fact, his signature on it?
HER: It's just a medication that we need prior authorization on.
ME: So, the fact that I have been getting the same prescription filled every month for a year is not enough proof that it is authorized? Especially since he reauthorizes it every month?
HER: But WE have never talked to him.
ME: And you are worried the pharmacy is dishonest?
HER: No. We just need authorization.
ME: Beyond the written prescription on the special copy proof paper that only medical professionals have access to.
HER: Yes. He needs to call us.
ME: Because that is much harder to fake than the written prescription...
HER: I'm sorry, sir. But we need authorization.
ME: Well, I need medicine. And I can't wait another three to five days.
HER: Oh! The authorization just came in. The pharmacy should submit it again and it will be accepted.
ME: That's a fortuitous bit of timing.
*silence*
ME: Now about the other prescription.
HER: Yes?
ME: Why is that not covered?
HER: It is covered, sir.
ME: No. A dose that has already proven ineffective for me is covered.
HER: I'm showing here that we authorized this...
ME: As two separate prescriptions. I have to pay two co-pays. One prescription has one strength pill and the other has the same pill at half the strength.
HER: (pleased that I get it) Yes, sir. Two prescriptions.
ME: But if it's the same medicine, it is not two prescriptions, is it?
HER: We only cover a quantity of thirty in each dose.
ME: So, if there were 4 different doses, I could pay 4 co-pays and get 30 of each?
HER: Well, you'd have to get your doctor to prescribe...
ME: And this doesn't strike you as bogus at all?
HER: What do you mean?
ME: If I'm taking the same thing at two different strengths, it really isn't two prescriptions. If I take an extra strength Tylenol and regular strength Tylenol, are those different medicines?
HER: Well, no, but...
ME: This is just a way of scamming me out of twenty-five bucks because you want to say that you cover something, but don't really want to cover it.
HER: It is covered, sir.
ME: Then why am I not paying one of the amounts listed on my card?
HER: There are quantity limits on...
ME: Right, right. Quantity limits.
*long silence*
ME: So, that's it, then?
*long silence*
ME: I guess I have to go pay two copays for my prescription.
HER: (happy to be back on script) That's correct, sir. Is there anything else I can help you with?

Why do they always offer more help when they haven't really given any help that could be added to?

ME: Yes. I would like you to relay a message to your superiors. I realize you were just doing your job, so I don't blame you for enforcing their rules. However, I'd like them to know that I do not like this insurance at all. I am going to change at my earliest opportunity. In fact, I am going to tell my company to drop you as a provider.

When she-who-went-back-for-the-meds returned. There were only two prescriptions and two co-pays. And the quantity was for one and a half tablets. :)

The evil part? We are about to do open enrollment at work. My insurance will change as of November 1st. We had already decided to ditch them. I had nothing to do with it. But it was fun pretending I had. :)

There you go, Bill. How's that?

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Make Memories for Those Who Can't

This is another sponsored post, but it's an easy one for me to speak positively to. My grandmother died of Alzheimer's disease almost 10 years ago. It was painful to watch her go. It was even more painful to realize she had been gone a while and we never noticed because my grandfather covered for her so well. When he died, her last link to reality went as well. She lingered on for a number of years, but she didn't recognize many of us. She had rare lucid moments, but most of the time I doubt she even knew we were there. I remember her trying to read the newspaper out of habit. I say trying because it was upside down. It was hard to go visit her, but we knew she needed the company, even if she didn't know who we were. So we went and we watched as she slowly forgot how to do everything she ever learned.

Research has come a long way in the past 15 years with respect to treating and delaying the onset of symptoms, but there is still nothing remotely like a cure. So, if my giving a plug to a worthy charitable cause raises a few extra dollars, I'm OK with that. But you don't need to give money to help. You can volunteer your time as well. You can spread the word. You can get educated. The Alzheimer's Association has a lot of good data on the science behind the disease, dispelling myths, and even information for kids and teens. I personally like this link which lists 101 activities to do with a person with Alzheimer's.

Of course, if you can donate time or money, that would be great. The Memory Walk is a nationwide event. Odds are good that one is happening in a town near you. So, if you want to get involved, sign up now. The graphic above will take you to a page where you can enter a zip code and find out when and where your local walk is. I found two near me here in SoCal. One is in San Diego on October 27th and the other is in San Marcos on October 28th. From there, it's easy to sign up, donate, or even become a team Captain. If you don't live here, just go to the web site and enter your zip. I found four walks within 30 miles of my parents' house.

So, get out there and walk, donate, or just spend time with someone with Alzheimer's. It may not be easy, but very few things worth doing are.

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An Idea Worth Sinking Your Teeth Into

Like most of our population, I'm a bit overweight. Obesity is something of an epidemic here in this country. And yet, all of our school fund raisers seem to have candy or cookie dough or some other fattening item in them. And even though I love Girl Scout Cookies and think the program does teach the girls many valuable lessons, I once commented to She-Who-Sometimes-Agrees-With-Me that they ought to sell Girl Scout carrots or something. Then they are learning and promoting health. Enter the Fresh Fruit Fundraiser! You sell oranges, grapefruits, apples, and tangelos. You can sell them as gift baskets or sell them directly in bulk to people. The gift basket method seems to me the better way to go. Unless someone is planning on some mad baking or juicing, a 20 lb box of fruit seems excessive. I suppose a bunch of people could go in on a single box, but that dilutes your fund raising opportunity. Still, it seems like a step in the right direction to me and I intend to suggest it to the PTA this year.

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