Book of Jamez

55 y/o malcontent, something of a writer

Tag: pain

  • The Root of the Problem

    So back in November I had work done to prepare for two crowns – this was about 2 weeks before Thanksgiving. I was in pretty serious pain – like 2 Advil and Tylenol like every four to six hours and even waking up in the middle of the night in pain and having to take more and go to bed. I was getting grumpier and grumpier – it wasn’t my best experience at the dentist (is there such a thing?).

    I called after four days of this and they assured me since the teeth were next to one another it would likely be more painful for longer than normal… so I kept on keeping on.  But the holiday was approaching and even more importantly, my birthday, so I wanted to be able to end this nastiness. I called and got snippy with the dentist when they said there was nothing they could do – then they called shortly after to let me know my crowns had arrived and it might alleviate the issues if they were placed.

    The dentist called me into his office and I was ready, damn ready for the pain to stop. I was in the chair, the dentist came in. Didn’t even look at my mouth but said “oh yeah, you likely need a root canal”. I took off work for him to tell me that WTF! I was pretty upset, maybe I was upset about the root canal thing too and it was helping to feed the fire cause after he told me “root canal” I started to hyperventilate, sweat and considered suicide (I kid you not, that’s what happens in my fucked up little mind). With the help of his staff I secured an appointment the 2nd of Dec… so after Thanksgiving :-(. I did manage to eat at Thanksgiving and enjoy myself but had lots of ibuprofen with me to help get through.

    That night at my meeting I talked to my sponsor, I was really fearful about the root canal and made that clear. I also shared that I was mad at the dentist – he asked “cause you don’t know if you can trust him now?” and honestly that didn’t occur to me until that moment – I was all mad cause he wasted my time. It never occurred to me that he might have gone too deep or something and caused the damage, not sure if that’s how it works or not…

    Root canal day came and I had the day off – I was pretty nervous and not sure if I would have the root canal done that day or not… was it just a consult or the real deal… also was it two root canals or just one… I tried not to think about anything about it for fear of panic attacks again. It was also a new place, a different dentist and that’s not at all comforting.

    The new place was just down the road a bit, nice enough with cramped waiting room and many people. Is that good or bad? I can’t decide. I waited quite a while before a handsome step or two above a dentist showed put to take a look. They took more X-rays and said “Yep, looks bad, but we want to run a test first” He took this little stick thing and touched it to each of my teeth and told me to raise my hand when I felt it – first tooth raised my hand after a second, second tooth almost immediately and the third tooth didn’t feel at all… “Yep, that ones dead” he said. He then said he was going on the assumption the second tooth was just inflamed due to the other and he was only going to do one root canal.

    They then put me in a different room and gave me some drugs. Told me to raise my hand if I felt anything, then they had me hold something to the roof of my mouth and that’s all I remember… until suddenly pain and I remembered to raise my hand. I had a dull ache. That was it… I guess they knocked me out and I probably signed something telling them they could but I don’t recall that 🙂 I went home with some pain meds and was uncomfortable most of the day.

    So that was December 2nd and I had a few days of pain that was medicated mostly with ibuprofen, but the pain that woke me up at night and made me more irritable was not there. I had sensitivity to cold and hot and when I’d brush my teeth, but hey that’s avoidable. My regular dentist was called to put on my permanent crowns and the earliest I could get in was today – December 30th.

    They shot me full of Novocaine and did some removing of temporary fillings from the root canal… I was still pretty sensitive even with the shots. But soon it was over and now I have two teeth in my mouth that feel really weird and they likely will for a while more.

    I’m glad this part is over and the new year is upon us…. but I know already from the X-rays I’ll need at least one more crown in the coming year and with that comes the fear… sigh… oh well, I’ll worry (or try not to worry) about that then.

  • An Origin of Fear

    When I was a lad growing up in Wisconsin I heard about the dentist – I don’t recall if I heard about it from my big sister or from the kids at school. They made it sound like the most unimaginable horror (they said it was a scary place with a mean man) one could encounter. A part of my wondered why we had to go to these places at all, it hardly seemed fair, what did we do to deserve such a thing?

    What really stuck out in my mind was “The worst part is the needle they stick you with”.  My developing mind took that into consideration and I decided I’d avoid the worst part by just refusing to let them stick me with the needle. My logic was flawless – to avoid the worst part just refuse it. No one explained to me at that time that they were injecting a numbing agent into me so I wouldn’t feel the pain – and no one was going to convince me of that now, I know they’re just mean.

    So there I was at the dentist refusing the needle that would hurt me. The dentist was flabbergasted – I just wouldn’t let him near me with it. He tried to reason with me but I wouldn’t have any of it, I knew it was a ploy. The dentist, in all his adult wisdom thought I’d change my mind as soon as the drilling started, seems logical right?

    But I was living in fear, sure this hurt but the fear of the pain of the needle the “worst part” had me hang in there. I was in agony, no tears though…. this was a victory. When the dentist finished he told my mother I sat through things he’d seen grown man cry about with Novocaine – she didn’t understand why either and as a child it was hard to explain my logic to adults (they never seemed to understand).

    Every visit to the dentist was the same – I’d refuse their needle and I’d get mad at them when they’d even put that peppermint cottontail in my mouth – I knew what that meant. Eventually the dentist got to know me and just didn’t even try. No screaming, no crying… just hold on tight to those arm rests and be ready to rip them out if need be. Isn’t it amazing what a kids brain can do?

    When I was an adult, after years of going through that kind of pain regularly, I decided it wasn’t worth it at all. Alcohol was more important than the dentist at that point anyway, who cares what my teeth look like? That was until one wisdom tooth rotted and had to be pulled out – I still refused the Novocaine and the dentist thought I was nuts (new dentist) and I likely was.. but I made it through that too. (that guy pulled out that tooth with a pliers, I swear he did)

    All this led to when I was living in DC and broke a tooth – I was pretty frightened at this point of the dentist and I’d talk about it at meetings and my body temperature would rise when I’d start to even think about going. A member of the program suggested a good dentist and I took a chance… this dentist was very calm, kind and convinced me to try the Novocaine… but not before I had several anxiety attacks could I be convinced. (it helped that he was pretty to look at too).

    I’ve gotten better at this dentist thing. I have to constantly remind myself to lower my shoulders (they’re up to my ears), breathe and concentrate on something, anything else. I can sometimes meditate at the dentist, just calmly take myself out of the situation and truly relax… it’s crazy.

    This Thursday morning I’m heading back to the dentist, I need two crowns (old fillings are cracking and breaking my teeth). So I’ll go and remember all my tricks and let them give me anything they want for the pain… and I honestly think I’ll likely be at work after it’s done.

    I’m not living in that fear anymore – I’m free of it. (although the co-worker who had a root canal and developed an infection last week kind of freaks me out…but I can get through that too…

  • Pain For Too Long

    I feel proud, manly, strong – probably stupidly so, but I do – when after the examination the doctor says

    “I usually only see patients with this in the ER! And you’ve had this for a MONTH?!?!”  

    I can’t help it, I want to say

    “HELL yeah I have! fuckin’ right man!”

    But then sanity clicks in and looks back at the constant pain, uncomfortableness, lack of sleep and the like and I realize I probably should have just gone to the ER when it first happened. I did go to the walk-in clinic twice for the same condition before finally going to the ENT, so at least there is progress.

    (more…)

  • My Appendix

    I had my appendix taken out on Tuesday night at Washington Hospital Center, I feel much better already.

    Sunday night, January 6, 2013 as I sat on my bed to go to sleep i felt a weird twinge in my belly area – just found it weird, didn’t think about it too much and went to sleep.

    Monday my stomach/side ached most of the day. Nothing to keep me from work or anything, just annoying. It did actually start to hurt more and more as the day went by. I ate a couple times, hoping that would help, and actually didn’t have dinner wasn’t hungry. I was just over the whole achy thing and went to bed around 9:30.

    At around 12:30 I woke up to extreme pain in my right side – I went to the toilet, hoping maybe I just had gas or something, but I couldn’t go. After a few minutes of the pain not going away and the feeling of nausea a couple times I called the Kaiser advice nurse and explained what was going on – she advised me to call 911.

    I called 911 and within five minutes and ambulance arrived in our parking lot. I didn’t know if I was to go out there or if they were to come into my house so I just sat here. They came in and said ok lets go, lol. They took my vitals – I was pretty freaked out not only because of the pain but being in an ambulance really isn’t a fun idea to me and the paramedic guy kept asking me to calm down but it was hopeless. They called in to dispatch and dispatch directed them to Howard University Hospital (HUH). On the way to Howard the Paramedic told me I’d be better off going to Washington Hospital Center (WHC), but they had to go where dispatch sent them.

    At Howard I filled out a simple form and the paramedic told me I could call a taxi and go to WHC if I was waiting to long, he really wanted me to do that – I should have listened I guess. I arrived at HUH around 1:00 sat in the waiting room for 1 1/2 hours and then in a hallway for 2 more hours and had only peed in a cup and given blood. It was around 5:30 when I finally got a bed in a hallway in the ER and another hour or so before anyone came to look at me. I kept whispering “just come fix me, just come fix me” over and over again as I wanted to no longer be in pain so badly. At the shift change I think I finally started to get help a nurse gave me pain medication – I felt very loopy. They gave me an IV for the cat scan or the X-ray machine.

    The results of the cat scan said I didn’t have appendicitis but they were going to ask for a surgery consult just in case – the surgery consult guy was right behind him and came over to examine me – honestly I think it was the first doctor to touch me during this whole time and it was around 9:00 a.m. He was so super sexy, bearded, furry chest hairs peeking through his shirt collar and he was almost positive I had “early appendicitis” and said we’d be having surgery.

    Ana came to visit while I was there, that was nice. I felt like I had been there forever by that point.

    As I have Kaiser insurance they had to get approval to do the surgery there, but that didn’t happen and there were orders to send me to WHC that was around 10:30 a.m. I sat and waited until 2:00 before I was transferred via ambulance. Did you know there are speed bumps on the way to WHC ER? Isn’t that a sweet thing to do to people that are in pain already? geez!

    At WHC I was put in a temporary room for a few hours until they got my permanent room ready. We had a small problem with medications for me, I was in pain again but my SSN kept coming up as James J. Appel and they wanted to make sure I was who I said I was… I think it was 2 hours before I received pain medication at WHC and then they moved me to my permanent room. My permanent room I shared with a 80 year old man who’d never been in a hospital before that he knew of, nice quiet guy. My friend Donna came to visit from CNMC, that was very nice too.

    They started prepping me for surgery around 6 or something. Antibiotic IVs, fluids, pain meds – I should mention they wouldn’t let me eat or drink anything since I got there, I wasn’t hungry but I was very thirsty.

    They rolled me away to the surgery area around 7:30 and I met the people who put you under, they were in good spirits and seemed like nice folks. They asked me about ever having surgery before and I explained that I had lazy eye surgery as a kid and threw up after on my parents – who had tried to feed me McDonalds so really it was their own fault.

    The Operating room was really very cool to look at I loved the look of the lights and the tech they had in there. I kept trying to breathe deeply and my eyes closed when I’d start to think about what was about to happen. I thought someone was pushing my socks up but she was really attaching something that massaged my legs – that was very nice, but honestly freaked me out when it first started. I remember them putting the oxygen on my face but I don’t recall anyone asking me to count backwards or anythings.

    I woke up and needed to pee and cough and I hurt – and I said all those things and wanted to roll over on my side and they kept saying “no, it’s ok, just stay still” and the feeling that I wanted to pee was apparently the catheter. Then nothing.

    Then I was awakened by a BEEP, BEEP, BEEP and I looking around and was in a new room and someone said I was in the recovery room and I tried to go back to sleep and then BEEP, BEEP, BEEP and again and again… apparently I wasn’t getting enough oxygen and the beeping was to get me to breathe deeper – I made an audible complaint that that was pretty rude thing to do after all I’d been through all I wanted to do was sleep – she laughed at me.

    It wasn’t long before they rolled me back up to my room – 12:30 I was in my own bed. I would fall asleep and they’d come to take vitals or to change my IV or to annoy me. There is very little sleep to be had in the hospital bed – I felt sorry for my roommate.

    They had given me a urinal to pee in while I was in the bed, but nothing I could do would allow urine to flow into that thing in a bed – I tried and tried and tried and nothing. So I got them to let me walk to the bathroom and then there was joyful release! Being hooked up to the IV machine made it difficult to go to the bathroom solo – and I’d press the button for help and they’d say they’d be right there and I’d wait and wait and wait… honestly, Gary Jim and Ana were there during a few of these encounters and actually went off to find someone to help me. Pushing the button was a pointless endeavor the longer I was there the more I realized that. I was really surprised the bathroom didn’t have any grab bars.

    I spent most of the day in and out of consciousness that really coordinated with the pain meds. They wanted me to walk and pass gas so I walked as soon as I could. The passing gas didn’t happen until right before I went home but it did happen – I’ve since pooed too if you were wondering.

    I arrived home last night, Gary came to get me and went to get me medications too. Mouse was happy to see me but not sure why I didn’t pick her up for a hug or play our nightly game. Gary sent me this email while I was still in the hospital:

    “Mouser and I were talking.  I told her you were in the hospital to have surgery and she said that she was in the hospital twice for surgery but no one came to visit her.  She said that when you come home that I should put one of those hoods (he’s referring to the cone of shame) on you like you made her wear and handcuff you so you cannot touch yourself.”

    Standing up, getting up, sitting down all those things currently hurt a little bit. I can sit here and type and have basically no pain at all. Oh and coughing hurts a little too. I have three little bandages on my belly and they shave most of that area, but not all of it so it looks like half of my belly is dirty and it’s going to really itch soon I know it!

    I don’t know if it would have taken less time to just take a cab to WHC when I first got to HUH or not but I think if I ever end up in a similar situation I would go to WHC first.

    There was an outpouring of love and comments and text from friends and family that I truly appreciated – but all of you that kept wanting me to keep you updated with calls or text used up my phone battery that much sooner – thanks! lol

     

  • Oral Follow Up

    There I am, sitting in the dentists chair waiting for the periodontist. I can hear the dentist next door talking to a patient about getting a bridge after he has two extractions. The dentist then goes on to tell about an incident where he himself was in a motorcycle accident and have to have his lower set of teeth replaced with implants and how painful it was to have the procedure done…. Honestly, the whole room can hear you talk about that crap while we’re sitting here anxiously awaiting our own torture – LIE or something. It really wasn’t at all helpful for keeping me calm.

    I think I sat in that chair for twenty minutes (really – they were late starting on me) listening to the dentist tell tales of horror and the drill and other noises in the background and the sweat was collecting on my forehead and back when the periodontist finally showed up. They got me seated again – I can’t stand sitting too long when my back is drenched in sweat you know – and started some oxygen and then the nitrous oxide. I felt him place the needles in my mouth for novocaine at least I think it was novocaine and that was all I felt for the whole procedure – not a thing more.

    Before I knew it I was signing out and getting in the car to go home. I went to get the prescriptions 1 bottle of antibiotic, one bottle of special mouthwash (as I wont be able to brush on the right side for a few days) and one bottle of Vicodin (containing 4 pills). At home I handed the bottle of Vicodin to Gary for safe keeping – I had given him instructions on how to handle me and drugs earlier.

    Around 8 or so I had a bowl of cereal and that hurt a little bit so I took two Aleve. The Periodontist said I’d likely need at least one Vicodin to get to sleep the first night so I took one and hit the hay… I didn’t sleep well, I wasn’t in pain I don’t know why I didn’t sleep I just mostly tossed and turned.

    The next day I had a minor ache in my jaw most of the day and took two Tylenol, ate cautiously and napped vigorously. That was it – nothing to it.

    Before the procedure I had several people tell me how painful it was and that they were thinking of me and really felt for me. I appreciate the concern and care – even if all it did was make me more paranoid and anxious! 🙂 I don’t know why this wasn’t that painful – all throughout the procedure I kept finding myself tensed up and I would force myself to take a deep breath and relax back into the chair, over and over and over again I did that – not due to any pain, just the imagining of pain or worse… maybe all that relaxing and conscious effort to not tense up helped. No way of knowing I guess.

    So I’ve got a week and a half more to go before I should be all better and I don’t expect to use the other three Vicodin pills so they’ll get dumped in the toilet so the alligators can have a treat. Even though this was relatively simple I really hope I never have to do it again!

  • Dreaded Dentist

    A small cavity had me at the dentist this morning, the decay was located on my lower right wisdom tooth. Going to the dentist for a cleaning is a stressful situation for me so going when I have to have a cavity filled is even worse.

    I arrived 10 minutes early in case they could get me out of there sooner, sadly I was there until 10:25 (25 minutes after my scheduled appointment) waiting and letting fear get the better of me. I imagine every conceivable and inconceivable scenario that can possibly go through my mind – they’ll need to do an emergency root canal, maybe they’ll have to pull out all my teeth after discovering a rare form of mouth cancer, perhaps this batch of Novocaine is faulty and it doesn’t dull pain but enhances it… yes, my mind goes to all those places for the entire 25 minutes.

    The Dentists office has several dentists working there and dentists that I become accustomed to leave right when I’ve gotten used to them – Is it my breath? So this current dentist I’ve only seen once and that was the week before, she seems nice, but like all dentists, is an evil monster who thrives on causing others pain. That smile, it’s only in anticipation of hearing a patient scream. I remind her that I usually get nitrous oxide when I’m at the dentist and she didn’t know that so I had to sit in the chair longer while they prepared the gas. This is not a good sign, they haven’t read my chart and know how fearful this event is for me – it reminds me of the last time I had a cavity and a new dentist was there and he was talking about my root canal – I wasn’t there for a root canal so I freaked out a bit and had one of my anxiety attacks – never saw that guy again fortunately.

    They give me the gas, I breathe in and out in deep full breaths. I picture a nice ocean front beach with blue water, palm trees and serenity – I can’t concentrate on that for long though, before I know it I’m anticipating pain again and then the sweat starts to roll off my body in all places conceivable – it’s possible I sweat more in the dentists chair then I do at the gym – ok, not really, but it all pools into the lower half of my body and it’s icky. My heart is racing pretty quickly even with the gas when she arrives to puncture me with a needle that makes the right side of my head feel heavy and tingly in places. The gas has started to affect my legs and they are numb – I think to myself, stupid gas my legs don’t need to be numb my head does get up here!

    The dentists female assistant suddenly leaves and is replaced by a male assistant and this is another thing that worries me – was what they were about to perform in my mouth to gross for the female assistant to witness? Again… Is it my breath?

    The dentist informs me that they are going to start and stuffs huge balls of cotton in my mouth and reminds me to continue to breath through my nose so I can continue receiving the nitrous oxide, I gladly obliged and am starting to feel fine – then I hear the drill.

    This entire time I’ve had a tight grasp on the arm rests and when the drill kicks in I squeeze a little tighter. The dentist instructs me to raise my hand if they need to stop – like I could suddenly make my hands release their death grip on the chair and lift up in the air in a panic – yeah, that’s very likely to happen. I’ve also not opened my eyes since I sat back in the chair, I know they’ll be grinning evilly and their instruments of pain will be dripping with blood and enamel.

    I’m actually doing ok for a while then they hurt me and I cringe, but I think it’s going to be ok it was just a minor pain – then they hurt me twice more in rapid succession and my body squirms all over the chair. The sweat pouring off my body has tripled and my breathing is more panting then anything else. She stops and they pretend to be concerned for my welfare, but I imagine they’re giggling up a storm and savoring the pain that is evident on my face. They give me another shot of Novocaine and we wait for a few minutes for it to take effect. The dental assistant uses one of their tools to blow air on my face and I start to relax again.

    Shortly thereafter they finish up and the dentist asks me to bite down – after doing so she asks if that “feels normal” I try to tell her that I have no idea if it “feels normal” the entire right side of my head is numb, how should I know…

    As I approach the counter to pay my co-pay the receptionist person asks “How was your visit?”

     

    Horrible