stormdog: a woman with light skin and long brown hair that cascades over one shoulder. On her other side, she is holding a large plush shark against herself. She has pink fingernails and pink cat eye glasses (Default)
I found that the local polytechnic school has a dental program that sees people at low cost. They are booking into mid-May, so I made an appointment yesterday morning. Yesterday afternoon they said they had a cancellation for an hour from then and would I like to come in?

So I got seen yesterday. They looked at my teeth and took xrays and found that the break occurred around a deep existing filling in the tooth. They can't get me in to do that fix until May (though maybe they'll have a cancellation?), but they will try to remove and replace the amalgam filling with composite, and rebuild. If that doesn't work, it will require either a root canal plus crown, or an extraction. I suspect it would be an extraction because root canals and crowns are expensive.

But the exam was only $55, and the quote on redoing the filling is about $200, and they've also booked me for 3 sessions for general cleaning and stuff, also in May, which will cost $50 all together. So there is dental care here that I can afford, and it's a relief.

And the rest of my teeth look pretty good, they said, and that's really good to hear too.

I went to the dental clinic dressed basically fem, with my hair down and a salmon v-neck sweater. I don't think I've ever had this kind of professional interaction while looking like me before, so it was a first. Nobody correctly gendered me, but I wasn't really expecting them to. When going through my meds with the dentist, he asked what the HRT meds were for and I told them they're for HRT.

"HRT?" he asked.

"Hormone replacement thereapy for transgender..."

He kind of cut me off with an 'okay' and went on with what he was doing. It seemed like a mostly neutral response: like he'd decided those meds were not relevant to my treatment there and moved on. I'm totally fine with neutral.

Neither he nor the student assistant asked about my gender, but they were fine and professional. I talked to the assistant a little about wanting to work in libraries and she said how much she loved being a school library assistant as an elementary student, so I felt a little connection there.

Teeth

Apr. 17th, 2023 08:56 am
stormdog: a woman with light skin and long brown hair that cascades over one shoulder. On her other side, she is holding a large plush shark against herself. She has pink fingernails and pink cat eye glasses (Default)
I lost part of a tooth this morning. I thought it was an extra crunchy bit of cereal. I'm doing my best to take care of my teeth, and I did get a couple things fixed while I was in the Netherlands, but not everything.

In Canada, even with insurance, dental work still is expensive. Without it, I think I can only go in an emergency, and I don't think this is one. It doesn't hurt. I just have a sharp tooth edge I can feel against the inside of my lip.

This is scary, but not really new in my life I guess. Hopefully I'll hear on residency soon.
stormdog: a woman with light skin and long brown hair that cascades over one shoulder. On her other side, she is holding a large plush shark against herself. She has pink fingernails and pink cat eye glasses (Default)
My problem tooth has been removed, and the wisdom tooth that was impacted against it should hopefully slide in to take it's place and be a nice new tooth! It could take a year or two, but you can't rush progress I guess.

I have a follow up next week that will involve fixing some bad fillings. Regarding the quality of dental care in the US, the dentist here used the word "shit" and derivatives several times. I agreed and told him about driving from Wisconsin to Oklahoma for dental care too.

There's me being a good international ambassador for the quality of our health care system!
stormdog: (sleep)
Just as there is a doctor's office that serves our living complex, Molenwijk, there is also a dental practice. (I'm reminding myself that this isn't a company town situation, though if feels a little like it. I could go elsewhere if I wanted to. It's just so convenient when it's nearby.) So I'll make an appointment there. As soon as I get past the apprehension about making a phone call.

I stayed up *way* too late last night playing Oxygen Not Included.
stormdog: (Tawas dog)
The dentist who did my extraction is going to see me on Monday afternoon! That means I'm not going to Virginia on Friday next week. I'm glad it will be resolved sooner than that.

But I still really want to drive somewhere. Especially after reading about tourist stuff to see. Maybe I'll take a trip somewhere this month.
stormdog: a woman with light skin and long brown hair that cascades over one shoulder. On her other side, she is holding a large plush shark against herself. She has pink fingernails and pink cat eye glasses (Default)
Hey; I don't feel particularly anxious this morning. Thanks brain! It's been a while and the change is nice!

I'm looking at stuff to see if I go to Virginia for dental work and I found this.

https://www.roadsideamerica.com/tip/9262

Dude! Dr. Pepper isn't some made up name for a drink that 'peps' you up. It's named after a real Dr. Pepper! I wouldn't have believed it!
stormdog: (sleep)
But hey; as long as I don't talk, don't swallow, and don't eat, it doesn't hurt, so that's good...

Can this week be over now?
stormdog: a woman with light skin and long brown hair that cascades over one shoulder. On her other side, she is holding a large plush shark against herself. She has pink fingernails and pink cat eye glasses (Default)
I cancelled plans this weekend because my mouth hurts and I'm avoiding eating anything solid and I felt off because my diet is so different from normal. I had a birthday party on Friday and was going to spend the rest of the weekend with Erik and go to the pride parade. I feel bad for missing both of those things, in part because I really wanted to go. But this mouth thing sucks.

I'm going to call the doctor who did the extraction and ask for a follow up. This makes me incredibly anxious because I already feel like I'm being an annoyance when the original care was free and I had to follow up with him once already. I feel like I'll look like I'm expecting him to just be my free dentist. But the info I found online suggests that a typical dentist might not know how to fix the issue, and they might have to refer to me to a dental surgeon, and who knows how long that will take while I'm eating mac and cheese and yogurt and having trouble talking and swallowing.

I don't know if it's true, but I *feel* like I've been anxious for the past two weeks solid.
stormdog: (Meghan)
Random bits.

I'm starting to think the white spot that looked like a sore below my teeth is actually a bit of exposed bone. I can still see the incision in my gums too. I'm still mostly eating on the opposite side of my mouth to avoid irritating it. It's not painful most of the time, but the area is easily irritated.

I was flying along to work on Monday morning and got a flat tire about five miles in. I walked half a mile east from Ashland and got on the train at the Berwyn Red Line station. I usually get to work around 6:30 to open at 7 but it took me until ten after. It's wonderful having co-workers who don't mind covering here and there and a manager who's really flexible on time. I brought an inner tube and frame pump to work on Tuesday to fix the flat and rode home.

Erik pointed out that with my work shirts, instead of ties (which I find really boring) I could wear necklaces. I love that idea! I was looking at some colorful ones online, then realized that if I get something on a grayscale palette I could wear it with a lot more things. I ordered a gray/white floral necklace to wear at Danae's graduation tomorrow as well as at work. It was going to arrive on Wednesday. Then it was going to arrive on Friday, which frustated me since I didn't know if it would be here on time. Now it's out for delivery. Supposedly. I also bought a chain and metal-scale necklace in pride colors and matching earrings from an Etsy maker. I'm so excited about wearing some interesting earrings!

My therapy appointments have switched from Wednesdays at three to Thursdays at four. Today will be the first time trying to bike to therapy after work, then going directly to my volunteering at the animal shelter from there. I'll get some fast food for dinner somewhere along the way. Also, I brought cute clothes to put on for talking to my therapist and working at the shelter. I want to be me more often!

I have tomorrow off of work to attend Danae's graduation. Her parents are coming from Hamilton, Ontario and my mother will be down from Kenosha, Wisconsin. My dad is busy with school stuff. Her parents might be uncomfortable about me wearing fem stuff, but I'm planning to do it anyway. A doctoral hooding ceremony is an excuse to get dressed up if anything is!
stormdog: a woman with light skin and long brown hair that cascades over one shoulder. On her other side, she is holding a large plush shark against herself. She has pink fingernails and pink cat eye glasses (Default)
I had a fantastic tailwind this morning. 51 minutes to work!

My jaw pain is mostly gone this morning. It's a beautiful thing.

stormdog: (sleep)
Eating anything that isn't liquid irritates my injured mouth and leaves it hurting for an hour or so. I need to get out for more gatorade after work today. And maybe a milkshake too...

It's late enough that I can take more pain medicine now!
stormdog: (sleep)
From Facebook:

In response to me saying that, in fact I had read the article and was aware of the context, but I felt that the thing I said needed to be said anyway:

"Chris Allen If you read his comment in the context of the article, you would never have gone there. Seriously."

It boggles my mind how people don't seem to realize that it doesn't make any sense to tell other people what they are thinking when said person has explicitly noted that they were not thinking that thing...

But it does not appear that continuing the conversation there would be productive.

---

I just got back from a tooth extraction at a free clinic in Elgin. My teeth, the doctor said, have strong, broad roots. It took a bit over an hour, and involved sectioning the roots a couple times and removing some bone around them. He was a periodontist and doesn't regularly do extractions, if I understood correctly, but I thought he did a fine job. There was a second doctor watching and helping too, as well as a high school senior in a pre-med/dental program. I hope I helped her learn something!

Actually, I may have helped her learn a few things. I was talking about my work in libraries and my time in grad school and we ended up talking about journal article databases. I noted that I wasn't too familiar yet with medical databases, but I talked about Web of Science and the way it shows you links to both the article's citations, and the articles that cite it. She thought that sounded really great!

And then I offered tips to the dentist on doing better searches in databses in general (Use 'search within results' and make it an iterative process!)

---

I got a mint milkshake on the way home, but my socket is still bleeding and I don't want to take the gauze out long enough to consume it. Soon I hope.

I was at a stop light in Evanston, almost home and ended up sitting still through the end of the yellow light. I wanted to make sure that the car approaching opposite me was actually going to stop. Before deciding for sure that the other driver wasn't going to run the yellow/red, I realized the driver of the car, a little-old-man, behind me was waving his fists around and possibly yelling at me inside the car. Amusingly enough, I was listening to the second track of an Offspring CD I picked up at a Goodwill stop near Elgin; that track seems to be a sort of ode to road rage, with the singer going on about how he keeps a gun in his glove box and threatens people with it regularly. It includes the line "Stupid dumbshit goddam motherfucker," and as I snickered as I imagined the little-old-man behind me swearing like a sailor (actually sailors are probably more creative, but you get the point) along with the song.

After I got through the intersection, he blatantly ignored the light to turn the other way and got honked at. See, this is why I don't assume people are going to stop on red...



---

It's good to be home. I got tons of cleaning done yesterday and am going to be unproductive the rest of the day. I think that's fair.
stormdog: (Kira)
I had to mentally prepare myself to call the dental office to ask about getting root canals/extractions done first instead of doing fillings first like the suggested because asking for things is scary. I'm such a great grownup, huh?

They were talking about needing root canals on a couple of far back teeth, but I figured I'd just have them extracted because it would be cheaper. I didn't realize that it would be over $500 per tooth if they do bone grafts in the sockets. But it's only $150 per tooth without the grafts. I didn't realize bone grafts for extractions were a thing. Reading about it, it makes sense as a preparation for an implant, but if I don't plan to get implants, it seems like I'll be ok without.

But I still have to wait until May 22nd for there to be a time available. And that will be not too long before I can get to a free clinic, so maybe I should just wait until then.
stormdog: (sleep)
I had yesterday off to do a few things. I brought Rufus to the vet for bloodwork to check on the level of the new medication. It was going to be quick, but an emergency came in. I waited a while. When it became clear to the vet tech that they weren't sure when Rufus would be done, they suggested I leave him there for a while and they'd call. I wrapped him up in a doggie burrito so he couldn't bite and handed him over. As I left, the receptionist noted that she heard Rufus expressing some opinions. "Oh yes," I said, "he has many and strong opinions!"

Waiting for Rufus, I figured I'd do a little work on the radio. Working on the AM side, I assembled the two IF amplifiers, the mixer and oscillator, and the antenna. This solder is fantastic! I was excited to find that it does, in fact, pick up AM radio. It's so cool to see something like that I made actually work, even if I just followed the instructions and only have a rough sense of how it works. But now I can poking it with my scope while looking at directions to understand it better.

As I finished that up, it was nearly time to get ready for my dental appointment. While finishing up with soldering antenna leads, I found out Rufus was done, so I hurried out to get him, came back, got into real clothes instead of sweat pants, and drove to the dentist in Morton Grove.

Four fillings, two crowns, and two root canals will run about $3000 after insurance. The fillings are more expensive than I was expecting because they don't cover composite (I have to pay the difference) and this office doesn't do amalgam. The rest, though, was in line with my expectations of item cost, though I didn't know how much of what I was going to need. Now I know, and I can start progressively addressing it as finances and things make reasonable.

I was feeling worn out when I got home so I had some food and played DoS 2 with Danae until it was time to volunteer at EAS. I walked Blaze, a 50-60 pound Pibble, around the park again. He's a sweet boy, but he's strong enough to yank me around pretty well. He's been good for me lately, but there were an unusual number of food wrappers and things around the area and Blaze *REALLY* wanted to investigate all of them. That kind of wore me out, but when I got home at quarter past nine, I still had to get packed up to visit Erik this evening.

I'm a bit tired this morning, but content with everything I got done.
stormdog: (Geek)
I have two dental insurance options available to me: an HMO and a PPO. Prima facie, the HMO seems like a better option. The premiums are lower, there is no deductible, and no annual benefit cap. It is limited to providers within the network, but there are enough of them around that I don't feel it would be a significant limitation.

However, in reading further on dental practices and their payment plans, it seems at least possible that HMO patients receive a lower standard of care because practices are not compensated well enough to be profitable for care provided to them. See this conversation for one example (of several) that I found of dentists and/or dental students discussing the problems inherent in HMO plans and the somewhat sketchy ways that practices deal with them.

https://forums.studentdoctor.net/threads/hmo-insurance-insight-information.940922/

Do any of my readers have thoughts and/or experience with this?

Thanks!
stormdog: (Kira)
I packed up after school got out on Wednesday, then picked Lisa up from work about 8. We stayed the night at her place in Uptown, then got on the road Thursday morning. After stopping at Target to stock up on some road food, we headed south out of Chicago around ten thirty. My GPS kept adding and subtracting an hour to the trip time, but I was expecting a twelve hour drive. Which it turned out to be, more or less!

There were several stops for leg stretching and bathroom visits. Late at night, while Lisa was in a gas station in Vinita, Oklahoma, I also took the opportunity to drive back a block and photograph a movie theatre. I'm glad Lisa trusts me enough to not feel nervous being 650 miles from home as her ride drives off in a strange city without her!

We arrived at the Cox Business Center, the site of the clinic, around two in the morning. With helpful advice from someone outside the building, we got parked in a lot across the street and walked over. After our previous experiences at the Wisconsin Mission of Mercy events, we were both ready to wait outside in the thirty-degree weather. Fortunately, there was a large indoor space open to those waiting in line. We got our numbers - 506 and 507 if I remember correctly - and camped out. I brought in my yoga mat, and Lisa her folding chair. I tried to nap a little bit, but without much success. Finally, at around 4:30, the first folks inline starting filling out paperwork and things began moving.

All in all, we were at the clinic for sixteen hours that day. The process is something like this. You fill out paperwork describing the problem you're having for the people in triage. Once the triage folks get to you, they examine you and possibly get x-rays done. Looking at mine, the dentist there noted three cavities, two of them pretty deep, and setme up to go to the hygiene line for a cleaning, then to the restorative line for fillings.

The process was pretty slow. I was expecting it to be an all-day thing, but even at the Wisconsin MoMs, I'd gotten out in the early afternoon. Maybe there were fewer staff in Oklahoma. It doesn't matter much to me, honestly; this is free care from people who are doing this out of the goodness of their hearts. I have no complaints about having to wait to receive it.

Hygiene got my teeth cleaned up, and the dentist there expressed concern that my cavities might be deep enough to need a root canal. They numbed me to prep for filling work, and moved me on to the next line. By the time I got through it though, it was a few hours later and the numbing had worn off. No worries; the dentist in restorative numbed me up again and got to work. She agreed that a root canal *might* be necessary, but she was going to do her best to avoid it.

I really liked her. She was in her fifties maybe, an experienced dentist who was working with a young assistant. I'm not sure if they knew each other prior to the event. The dentist's directions were without malice or anger, but were deeply authoritative and expectant. She was also teaching more than just procedural technique. "Don't set out tools I don't need," she said at one point. "They have to sterilized, which dulls them. In your private practice, that will cost you money."

I enjoyed listening to their exchanges. Even when the dentist said "Suction. In. In. In. No, don't hit me; I'm *holding* a *drill*."

At the end, the dentist told me that it has been difficult. The cavities were deep. She had to follow them a long way in, and she didn't have the right tools for the job. However, she is a perfectionist, and she made it work. She was pretty sure there was no nerve infiltration, but there was a chance that I would develop a very bad toothache that night and would have to come back for a root canal. Then, after the quick synopsis, she asked if I was a hugger, and she gave me a hug. The gesture made me feel even better about her. Confident, experienced, and caring. I'd see her in private practice in a heartbeat. I think I'll write a letter to Oklahoma MoM and tell them so.

Lisa, meanwhile, had a different experience. Her dentist was rough and brusque. He sprayed anesthetic inside her mouth, and basically ignored her indication that she felt choked by stuff in her mouth. When we finally made it back to the motel room I'd booked at eight o' clock that evening, she told me about her experience.

It was hard to listen to on 36 hours without sleep on top of all the stress and worry that I've felt for her for so long. I knew that she does not deal well with dentists. Everyone I've ever dealt with at these clinics has been so warm and genuine and caring that I felt really good about taking Lisa there. Not just for dental work, but because the whole experience would be good. When she talked about how her surgery had gone, my emotional state was already pretty fragile. I was furious at the dentist. I was despondent at her treatment and the pain and fear she'd suffered. I felt like I'd failed in my attempt to take care of her; to make things ok for her.

I held her until she feel asleep with her head in my lap. Then I called my parents and Danaeris both. I told them what happened, and cried at them while they comforted me. I'm so glad they were there to help me get my head back together.

I was feeling pretty fragile when I left the clinic to begin with. For the past 36 hours, I'd been in a position where I felt that I needed to take care of Lisa. Once we were finally done with the clinic and the immediate danger posed by her infected tooth was resolved, that organizing framework to my actions had dissipated and I was ready to just tune out for a while. I was withdrawn and unresponsive in the car. I just wanted to get to the motel and turn off. But seeing that Lisa needed support, along with reassurance from people I love, got me back together pretty quickly. I drove out to get her a frosty from Wendy's since she wasn't up to eating anything solid. I got some acetaminophen for myself, too, in case the horrendous pain that the dentist told me would signal a need for a root canal manifested.

Whether or not a toothache developed, I was going to have to go back to the clinic the next day. One of the fillings was too high and was preventing my teeth from making contact correctly. After 16 hours there, the thought of going back was crushing. "You need to get this done now," Lisa said later on, when we were both a bit more coherent. And she was right. It meant that my plan to leave for home early on Saturday morning was not tenable, and that was aggravating, but there was nothing to be done. I set my alarm for 5 o' clock, and we both went to bed.

I totally failed to get up at five o' clock. It was probably an unreasonable expectation. I got back to the clinic around nine in the morning. I was carrying a piece of paper from the day before with information about the treatment I'd had; basically a fast-pass in case there were complications. I explained that I wasn't developing the toothache I'd feared, but that I needed to have a filling adjusted. They got me through into restorative really quickly; I was out in less than two hours, I think. Since it was a quick and easy job, they gave me to a dental student, with a graduation date three months out. She was great, and soon all was well. I got out the door of the clinic, feeling much better than the night before. I think having had actual, real sleep may have had as much to do with that as did the satisfactory completion of my dental work.

Finally, Lisa and I were ready to head homeward. But despite the delays, I was still going to see the things I'd been so excited about seeing in Tulsa and elsewhere, damn it! Even if it meant having to pay for another night's loding. So the two of us, both in much better spirits, and feeling wonderfully energized by a day of t-shirted sight-seeing in an exciting new place in 60 degree weather, made for a sculpture symbolizing the connection of East and West along Route 66.

Which is where I will begin the second half of my write-up.

---

Woody Guthrie and the people he wrote and sang about have been in my head a lot as I think about this trip. As I think of the people standing in line for this clinic, I think of one of the lines from This Land is Your Land that rarely gets included.

"One bright sunny morning in the shadow of the steeple
By the Relief Office I saw my people
As they stood hungry, I stood there wondering
if this land was made for you and me."

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stormdog: a woman with light skin and long brown hair that cascades over one shoulder. On her other side, she is holding a large plush shark against herself. She has pink fingernails and pink cat eye glasses (Default)
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