A case against modernizing…

It’s Wednesday. There would usually be a well prepared post showing up here. The time I had allocated for that today was supposed to be immediately after my 12:30 appointment with the dentist. That would have been fine except for the part where what should have been about an hour or 75 minutes getting a crown replaced turned into a three hour and thirty minute marathon in the chair. All because the magic computer that’s supposed to scan your teeth and order up a perfectly sized crown refused to work. They couldn’t give me a temporary crown until the base for the permanent one was scanned, measured, and sent off to the manufacturer.

Twenty years ago they had a pretty efficient way of taking those measurements. They’d take a mold of the base of the tooth and then send the mold off to be processed. It might have taken a few days longer to process, but you could be in and out of the chair without killing half a damned day. All things considered, I’m not sure digitizing what use to be a straightforward and quick process has really gained us anything in this case.

As it is, I’m disgusted by the whole process. Rather than writing a whole diatribe, though, I think I’ll just stick my nose in a book and nurse this sore as hell lower jaw for a bit.

Stoned…

One of the great perks of hoarding sick leave early in my career is now having a giant stack of it available to use when I’m not feeling up to snuff. Today is one of those days – when the better part of valor was parking myself on the couch and flooding the system with medication instead of dragging myself to the office as if I thought I still had anything to prove to anyone.

Instead, after breakfast, and a few odds and ends, I sat here muttering at the dogs, facing a few hours where I’m nearly stoned into inaction. I’m not sure I could operate heavy equipment even if I wanted to. They may be on to something with that warning.

What they’re not on to, apparently, is the definition of the phrase “non-drowsy.” Hey, I like being as blitzed as the next guy, really, but damned if it wouldn’t be nice to have a option that could dry out my sinuses without sending me face down on the kitchen table. Yeah. That would be great.

Jeff and the case of the $100 toothbrush…

My dental hygienist has been hectoring me for years to buy an electro-mechanical toothbrush. She promised better dental health overall and fewer sessions with the drill. Still, I resisted the honey being poured into my ears. Mostly I resisted what I considered an extravagant expense in replacing a simple $2 toothbrush (that the dentist use to give me for free every six months), with a several hundred dollar battery powered model that also required regular brush head replacement. Frankly, I assumed the mechanical toothbrush would last about as long in my household as the electric razor I tried and promptly threw away twenty years ago.

After not a little bit of consideration I bit the bullet and ordered up one of these sonic cleaning marvels that was on offer as part of Amazon’s big site-wide yard sale. I’m trying to be open minded, though the fact that I just spent $100 on a toothbrush still feels like something of a patently ridiculous expense.

I’m going to do my best to give this thing the benefit of the doubt. It’s got until the first scheduled brush replacement to show me its worth. If it proves to be a case of a fool and his money, I’ll be perfectly happy to go back to ordering 10 packs of old school toothbrushes from Amazon for $5. Or maybe I’ll just knock out all of these awful teeth with a ball-peen hammer and get titanium chompers. At this point I’m starting to think that’s also a perfectly reasonable long-term solution.

In recognition of Big Pharma…

I’m not going to lie here, I was a bit skeptical when I was given a link that promised a “significant rebate” on one of the more expensive meds that are currently keeping me alive. Sure it was all nice and official and came to me by way of bitching at my doctor about the ridiculous cost of this new pill, but the claims of being rebated almost 95% of my out of pocket expenses seemed outlandish and unrealistic.

After getting my second check back from the nice folks at Merck, though, I had to admit to being pleasantly surprised. Sure, they make they process convoluted and require a fair deal of bureaucracy, but in the end what would otherwise be an obnoxious monthly expense ends up costing a total of $5.00 out of pocket. I’m just going to ignore for the time being the small fortune I’m sure to be costing Blue Cross for all this, of course. I just think of myself as an insurance industry loss leader. They an feel free to use me as an example of someone who’s wildly pleased with their products and services.

As much as I like to bitch and complain, I think it’s worth doling out credit where and when it’s due. From my perch, kudos to Big Pharma for the solid work at delivering new and effective medication and for having a means and method to help offset costs for he end user. Well done.

New drugs…

One of the many exciting parts of my recent run of days off was a visit with my frighteningly Teutonic primary care doctor. I actually like the guy – Not just because he’s instrumental in keeping me alive despite my best efforts to the contrary, but also because he’s not a pushover. I’ve had docs in the past who were probably a bit too willing to give way in the face of a strong personality. This guy, well, he’s not a pushover. Even when I’m blatantly ignoring his advice, I appreciate his frank and direct approach.

This most recent visit resulted in a few tweaks to the daily chemical cocktail that’s doing its best to keep me from dropping dead. Although I’m feeling fine, we added a fairly new drug to the mix because some of the underlying numbers were starting to creep off target. Yeah, it’s another hundred bucks a month out of pocket, but when weighed against the previously mentioned dropping dead option, I suppose it’s really a bargain.

As a responsible drug user, I try to be at least minimally informed about what I’m swallowing down with my morning coffee. Reading the list of potential side effects checked off most of the usual unpleasant check boxes: May cause runny or stuffy nose, sore throat, headache, irritability, back pain, joint or muscle pain, nausea, stomach pain, or diarrhea. Basically what the helpful information packet told me is that the side effects are a subset of conditions I already expect to experience on a regular basis. Super.

Better living through chemistry, indeed.

The sadists among us…

I don’t like going to the dentist. You’d never know it from the amount of money that I’ve dumped into my teeth over the last 20 years, but I don’t. That’s probably why I generally put it off as long as possible between visits. I’ve convinced myself that the most logical approach is not to worry about it until something hurts and then I can have the issue addressed. Yes, I know that idea probably compounds the issues and means more time in the chair… but at least those times are less frequent.

I don’t mean to imply I have a random phobia of the dentist. It’s not like being afraid of spiders or thing that lurk in the dark. I avoid the dentist for good reason, the best reason – childhood trauma. My reluctance to fully commit to a modern dentistry stems all the way back to the early mid-1990s. That’s when the old dentist I saw as a kid decided that since it was a small cavity, he could go after it without Novocain and be finished in a jiffy.

As it turns out, having someone drill on a molar without numbing it up first hurts like a mother. I don’t recommend it. You might say that I’m pain intolerant. Being the rational creature that I am, I seek to minimize painful experiences. Which leads me back to the original statement: I don’t like going to the dentist.

I’m sure they’re perfectly good people and that they have the science to back themselves up… but you’re never going entirely convince me that dentistry isn’t just a vast conspiracy of the most sadistic among us to inflict pain on the masses under their diabolical cover as medical professionals.

When dentistry is the lesser evil…

I’m not a fan of the dentist. Being a responsible adult I try not to let time drag out too long between visits… but given half an excuse, I’ll almost always opt to kick my appointment down the road for a few weeks before showing up.

Today I had ample opportunity to dodge my scheduled time in the chair. I couldn’t bring myself to do it. Give the tenor of the week so far dentistry felt like the lesser of the two awful ways to spend an afternoon.

The fact that I’d rather face the drill than another afternoon of meetings probably says a lot about the head space I’m occupying currently. When days have a tendency to roll on with a grinding certainty, any deviation towards something different is a relative bright point. That fact that it’s true even with that “something different” is a couple people jamming sharp objects in your mouth should probably be more alarming than it currently feels.