Sunday, December 10, 2006

The Joys of Wisdom Teeth III

Ugh. So my mouth has gotten worse each day since I my tooth extracted. The swelling hit and and it wasn't that noticeable and still isn't, but if you touch it there's still a big difference from one side of my jaw to the other. Though that's getting less now as the swelling is starting to reach the other side. I'm on the Vicodin all the time now and the swelling is preventing me from opening my mouth very far. Eating is now a bit of a challenge as I have to carefully position the fork to fit between my teeth as far as I can open them. I tried to look in the mirror at the hole where my tooth was, but couldn't open my mouth far enough. I'll be going back to the dentist tomorrow, I'm not sure how he's going to see the hole, but I imagine it won't be pleasant.

I don't think I have an infection as I don't have a fever. The most common complication is known as dry socket which is when the clot is removed and while the symptoms kinda match what I'm feeling I didn't do any of the things that are supposed to make it more likely (smoke, alcohol, use a straw, spit, etc.). And the doctor saw me on Wed and said everything was fine.

I cancelled my trip to Dallas today. My jaw hurts when I stand up from the couch, I can't imagine what changing pressure would be like. On the one bright side, I've lost weight and am now at a new low :)

The Joys of Wisdom Teeth III

Ugh. So my mouth has gotten worse each day since I my tooth extracted. The swelling hit and and it wasn't that noticeable and still isn't, but if you touch it there's still a big difference from one side of my jaw to the other. Though that's getting less now as the swelling is starting to reach the other side. I'm on the Vicodin all the time now and the swelling is preventing me from opening my mouth very far. Eating is now a bit of a challenge as I have to carefully position the fork to fit between my teeth as far as I can open them. I tried to look in the mirror at the hole where my tooth was, but couldn't open my mouth far enough. I'll be going back to the dentist tomorrow, I'm not sure how he's going to see the hole, but I imagine it won't be pleasant.

I don't think I have an infection as I don't have a fever. The most common complication is known as dry socket which is when the clot is removed and while the symptoms kinda match what I'm feeling I didn't do any of the things that are supposed to make it more likely (smoke, alcohol, use a straw, spit, etc.). And the doctor saw me on Wed and said everything was fine.

I cancelled my trip to Dallas today. My jaw hurts when I stand up from the couch, I can't imagine what changing pressure would be like. On the one bright side, I've lost weight and am now at a new low :)

Saturday, December 09, 2006

Astronaut Blogging

On the current shuttle mission, Bill Oefelein's Mission Blog.

Bush is an Idiot

Bush thinks al Qaeda is responsible for the sectarian violence in Iraq. This isn't a one time mistake, he's said it twice in 10 days. We've been in this war longer than we were in WWII, you'd think he know who the enemy is by now. Can we impeach him already?

Oh and check out what we did with North Korea this week. "The United States has offered a detailed package of economic and energy assistance in exchange for North Korea’s giving up nuclear weapons and technology." This is exactly the policy that Bush said we shouldn't do for six years. Yep guess he was wrong. And the only thing that happened is that North Korea became a nuclear power. No biggie.

Mandatory Sentences are not Justice

Weldon Angelos was sentenced in Utah to 55 years in prison for "small-time marijuana and gun charges". "Mr. Angelos is a first-time offender who sold $350 in marijuana to a government informant three times -- and carried, but did not display, a gun on two of those occasions. Police found other guns and pot at his house." This week, the US Supreme Court declined to review Angelos' case.

The sentencing judge, Paul G. Cassell, was appointed by Bush and is known to be convservative. He "declared the mandatory sentence in this case 'unjust, cruel, and even irrational.' He noted that it is 'far in excess of the sentence imposed for such serious crimes as aircraft hijacking, second degree murder, espionage, kidnapping, aggravated assault, and rape.'...And in an extraordinary act, he explicitly called on Mr. Bush to use his clemency powers to offer what he as a judge could not: justice." Bush has only commutted two sentences so far in his presidency.

Brownback's Vote For Sale

This makes me sick. "Kansas Sen. Sam Brownback, a potential presidential candidate, said Friday he would lift his hold on a federal judicial nominee if she agrees to step aside from any case dealing with same-sex unions." At least he's honest about selling his vote for a Judge.

New House Intelligence Committee Chair, Not Intelligent

Ladies and gentlemen, your new House Intelligence committee chairman, Silvestre Reyes (D-TX), thinks al Qaeda is Shiite.

Expanding Table

Funky expanding table

Friday, December 08, 2006

Crackberries

Here's an interesting article in the Wall Street Journal about Blackberry addiction. It takes the approach of children complaining that their parents are always using the devices and not paying attention to them. I used to use a Palm Pilot a lot but it wasn't wireless so there was no need to constantly check it. And I started using email when it was only accessible at work, I didn't have a computer at home until 2000. I guess I learned how to deal with too much email and how to avoid it, before having the added factor of having it portable and always with me.

I remember going to the beach with a few friends one day. One was a doctor on call who brought a cell phone. Of course she got a call and took some patient info over the phone and gave some instructions and then had to go into the hospital. At the time I said I never wanted to be that connected, but I realized that before cellphones she never would have been able to go to the beach while on call at all. Being connected does give you more flexibility but of course it also means that you're never away from work. There are lots of articles on this now and I'm sure in the next few years people are going to learn to just say no. For the most part, there's very little business stuff that can't wait a few hours if not a few days. But if you're trapped in that mentality, I'm sure reading that last sentence has made you say "you just don't understand".

Thursday, December 07, 2006

The Joy of Wisdom Teeth II

My recovery is going pretty well. I've been quite drowsy the past couple of days but the pain less. I'm off the Vicodin and just on Tylenol. I think my face looks normal but if I feel my jaw, there is a noticeable bulge on one side. Most of the pain seems to be in the molar 2 in front of the extracted tooth. I assume it's just where in the nerve the swelling is affecting me.

I'm not quite sure how they managed this, but the bill was delivered in the next day's mail. I don't have dental insurance and when I asked they said an extraction was $300-500 depending on the difficultly and sometimes medical insurance covered it. That seemed pretty reasonable. The bill was for $750 and the medical insurance portion was $0. It turns out it was an easy extraction, only $325 and medical insurance doesn't cover it because the tooth wasn't completely under the gum line. The procedure is the same, but these are their rules. The additional $425 was the anesthesia (including an additional unit for $125). When they ask if you want anesthesia and say it's entirely up to you, they don't tell you it will double the bill.

Iraq Plans

I know I have posted yet on the Iraq report released this week but I honestly can't figure out what to say. Some reports say it was damning for the President, well yeah, but everyone knew that already, this was what, just making it official? And Bush in the press conference remade history saying he's been saying it bad in Iraq. McCain wants to know why his idea of increasing troops a little wasn't considered. It just all strikes me as theater until we start actually pulling troops out next year. Get on with it already.

Wednesday, December 06, 2006

Tuesday, December 05, 2006

From Russia With Dr No (Who Loved Me, Twice)

The BBC has been running a user poll of people's favorite Bond movie elements. The results could be called From Russia With Dr No (Who Loved Me, Twice).

Your Cellphone as Bug

This is fun, the FBI can apparently remotely turn on the microphone on your cellphone and listen to what it picks up. This ability was used in an organized crime case in NY. Depending on the phone it could potentially work even when the phone is off, the only way to prevent it is to remove the battery.

Defining a Racist

Malcom Gladwell on Defining a Racist.

John Bolton Resigned

Think Progress has lot of coverage

Monday, December 04, 2006

The Joys of Wisdom Teeth

Sorry for the lack of posts today. I had a wisdom tooth removed this morning and so far all is well. As usual, I learned a few things and I figure I'd share.

As a kid I had 4 teeth removed for braces, but I don't really remember that. I never had my wisdom teeth removed as my mother believed that you keep your teeth until there's a problem. My lower ones were impacted, meaning they grew forward into the tooth in front of them which prevented them from growing all the way in. They did grow in most of the ways, but they just don't do much except trap food so I have to be careful cleaning them. The lower ones are near the nerve and my current dentist agreed that the risk of nerve damage outweighed the benefit of removing these before something happened. I also learned that the risk increases as you age, so it probably would have been better to have them removed as kid. An x-ray showed I now have a cavity forming in the tooth in front so it's time to remove the wisdom tooth to get to it easily.

A few years ago I had a top wisdom tooth develop another cavity and had it pulled. I was surprised at how easy an experience it was. I went to an oral surgeon, had some Lidocaine (they don't use novacaine much anymore but still say it because most people know that word) and a short man with Popeye-like forearms used pliers and pulled a tooth out of my head. The whole thing took about 15 minutes, mostly waiting for the Lidocaine to take effect.

Apparently unlike the top ones, lower wisdom teeth are near a nerve. What they do is surgically open the gum, I think break the tooth in two, remove it and it just sounded much more involved. As a result I decided to have anethesia for this instead of just Lidocaine. It was my first time for anethesia. I had a hernia a few years ago and even for that they used a local and some medication that put me to sleep but not under (my own terms which I'm sure are imprecise). Afterwards I spoke to a doctor friend of mine who told me that most complications that come from anethesia happen in dentist's offices, so in the future I might make a different decision. The risk is low, but still, why take it?

I went to the oral surgeon a while ago for the initial consulatation. They took a cool full head x-ray. I previously had what I think they call bite wings where put a small piece of time in a holder inside your mouth that you bite down on to hold in place. I find it always just a little uncomfortable, almost gagging but not quite. Then of course the dentist leaves the room as short x-ray burst captures the image. This machine was different. You sit in a chair and a machine rotates 360° around your head taking one picture of your whole jaw. It looks like this. The consultation was a little weak. He actually said to me that it's the same speech to everyone and there's a small risk of permanent numbness and there's no way to know ahead of time. I know one person with a permanent dime-sized numb spot on his chin, I guess you get used to it. The tooth looked close to nerve but that doesn't correlate to problems developing. I told him as an engineer I'm used to make decisions on facts and doing some risk analysis on someone quantitative and he was giving me nothing, but so be it.

The most difficult part for me was that if you have anethesia you need to have someone pick you up and stay with you for 24 hours. Arranging that was little difficult and caused me to delay the procedure a while. Anyway it was today and in the mean time the surgeon I met left the practice so I switched to another oral surgeon in the same practice who was also recommended to me. He was more personable and said that complications are more common if the tooth is still completely under the gumline, which wasn't the case for me. That made me feel a little better.

They hooked me up to blood pressure, pulse and O2 monitors and gave me small mask with oxygen . Then they gave me an IV with the drug. It's funny, I remember then hearing that the procedure was over and after looking at my watch I commented that that was fast, but I think at the time I thought I remembered the procedure, but now I don't at all. Anyway I was a little groggy and waited in teh chair for 30 mins in part for my head to clear (and for them to monitor me) and in part waiting for my ride who had another appointment in the same building. Most reactions to the anethesia will happen shortly afterwards.

They gave me a prescription for Vicodin and I stopped at CVS on the way home to fill it. A simple prescription for 24 pills, why does it take 15 mins to fill it ? There was no one else there and no one else came in the mean time to pick up a prescription. I guess so I could wander around the store and buy some ice cream, which I did (Cherry Garcia). The surgeon's office also gave me preprinted instructions for things to do. They were all generic but I've been icing my face on and off again to help with the swelling. So far so good but they said it will peak after 2 days and will persist for 5-7 days.

So for all this you have someone stay with you for 24 I had asked the nurse (assistant?) what should they look for, that seems a reasonable question. The answer was anything out of the ordinary, which I find to be completely useless. You don't want to call unnecessarily and they shouldn't want to have to waste their time. After the office closes is out-of-the-ordinary the same as the "in the event of an emergency" that I know I'll hear if I call their number? It's known stuff, the anethesia and the Vicodin, they must know what the side effects were.

So a friend staying here this afternoon told me to not fall behind in the Vicodin, apparently once you feel pain it's too late and hard to catch up. I hadn't heard that before and decided to call a doctor friend to chat and ask. It turns out that's kinda true. This kind of pain medication apparently first "covers" the pain and only after you'er pain-free would side effects kick in. So the idea of "wait until you can't stand it" before taking pain meds is to avoid side effects because that point all the meds will go to treat pain and not give side-effects. But of course, then you're in pain and they take 15-30 mins to take effect so you don't know for a while if you've taken enough. The other theory is to take it before you feel pain to avoid it all, but of course then you have a hard time to avoid taking too much for side effects.

Also from what I understand the prescription is for limited amount so you can't get addicted. Only you can judge your own pain. Taking an extra one if you need it should be fine and you'd need to take a lot for any serious side effects. Taking a whole bottle would bad. (I'm not a doctor so don't do anything stupid, the above is not advice). The common side effects are nausia, light headedness, etc. The one thing that's apparently still possible for me is for it to slows my breathing and I evidently wouldn't notice that myself. So that's what my friend is looking out for. Would it have been so hard to tell me that in the office? I know all the pre-printed forms are to avoid lawsuits and all that, but it's just so moronic that the way they do that is to be so generic (call for anything out-of-the-ordinary) as to be less than helpful.

Another thing that was a little annoying. I had prepared for this by buying soft foodand making soup this weekend. Soup is soft. I even made my own vegetable stock. The carrot and parsnip soup came out well though a little thin. It will be better next time. I also picked up some fresh pasta from my favorite local market. Before dismissing the nurse said I could eat anything, just chew on the other side, and I should avoid hot foods like coffee, tea, and soup because they promote bleeding. Wouldn't it have been nice to tell me this ahead of time so I could have prepared properly? Oh well, warm homemade carrot and parsnip soup is still pretty tasty.

Anyway, I'm fine. i went through various stages of lower jaw numbness but that seems mostly past. My jaw hurts a little on that side but between the Vicodin and the ice it's not bad at all. Dinner was tasty and apparently my breathing isn't slow. And I can still write way-to-long blog posts. :)

Sunday, December 03, 2006

Where is Patrick Fitzgerald?

Remember that whole investigation into the leaking of Valerie Plame's name?. Patrick Fitzgerald has been investigating this for well over 3 years. He's indicted only one person, Scooter Libby, and that was over a year ago.

Worst Congress Ever

The Washington Post reports Lame-Duck Congress May Run Out the Clock. They're not even showing up. Congress was in session just one week in November and will be just one week this month. "That will mean this Congress will have spent the least time in session of any in at least half a century." And those numbers inflate the time they worked. "On nine of its 'workdays' this year, the House held not a single vote -- meeting for less than eleven minutes. The Senate managed to top the House's feat, pulling off three workdays this year that lasted less than one minute."

" In the time they have met, lawmakers have failed to approve a budget resolution or pass at least eight of the 11 annual spending bills." And I guess I'm happy they didn't pass any significant piece of legislation. But my favorite line in the article is: "Lawmakers were forced to vacate their offices on Friday, and few of them want to hang around Washington with no place to sit."

If you haven't read the Rolling Stone article take a look. It describes the child-like behavior of the Republican majority. Literally not telling Democrats where meetings are, turning out the lights on Democrat meetings, and when there is a rare bipartisan agreement, they swap out the bill for the final vote. This Congress has only allowed one non-appropriations bill to be open to the possibility of amendments and without the ability to change a bill, there is no meaningful debate. Did you know that "the 109th is known as the "Dracula" Congress: Twenty bills have been brought to a vote between midnight and 7 a.m." It goes on and on with more horrifying things. I learned that Randy "Duke" Cunningham writes as badly as Lindsey Lohan.

Good riddance. The Democrats have to be better than this.

Unsafe Toys

It's that time of year again, the 21st Annual Toy Safety Survey is out.

While not the make light of that, this is one of my favorite David Letterman Top 10 lists, apparently from 1986:
  1. Junior Electrician Outlet Patrol
  2. Hasbro's Slippery Steps
  3. Black & Decker Silly Driller
  4. Roof Ranger Paratrooper Outfit
  5. Remco's Pocket Hive
  6. Traffic Tag
  7. Will It Burn? from Parker Brothers
  8. Chimney Explorer
  9. My First Ferret Farm
  10. Ooh -- You're Blue! The Hold-Your-Breath Game

That's the list as I find it on the web. From an old email joke I have number one as:
  1. Mr. Grenade-Head

Worst President Ever

The Washington Post has an op-ed today by Eric Foner, a professor of History at Columbia. He concludes by saying "I think there is no alternative but to rank him as the worst president in U.S. history."

He cites that presidents Andrew Johnson, Franklin Pierce, James Buchanan, Warren G. Harding, Calvin Coolidge and Richard M. Nixon usually end up at the bottom of rankings of the presidents. He then lists their failings, in short, stubborness in the face of failed policies, corruption and cronyism, disdain for the Constitution, etc.

"It is impossible to say with certainty how Bush will be ranked in, say, 2050. But somehow, in his first six years in office he has managed to combine the lapses of leadership, misguided policies and abuse of power of his failed predecessors. "

Friday, December 01, 2006

Olbermann's Special Comment on Gingrich

Former House Speaker Newt Gingrinch spoke Monday night at the annual Nackey S. Loeb First Amendment Award dinner in Manchester, NH. He said we may need to reexamine the right of free speech to fight terrorism. Keith Olbermann responds...

Your Company is Listening

New Rules Make Firms Track E-Mails, IMs.