Thursday 19 June 2014

Memoir: Wisdom Tooth Extraction

Its funny what awakened the memories of this two month pending post: it was watching “toothless” of How to train your dragon, which reminded me that I am wisdom toothless. I might have ignored to write this old a post, but sometimes such information on blogs can be useful when doctors are not; like was in my case. Two eventful months have transpired since the “surgery”, I still retain the essence of the agonizingly long experience. I will hence narrate the gist and chuck the finer details.

Having realized my mouth can provide little room for the wisdom tooth to grow, I went to the University Health Centre (UHC) dentist to get a not-so-rare or complicated procedure done: Wisdom tooth extraction. I should confess I was very apprehensive, and took Priyanka along to stay through the procedure. So, the doctor and his assistant were all ready to operate in my mouth, without caring to inform me what they did at every stage. I believe keeping the patient educated makes a huge difference in their confidence and particularly their anxiety levels. The procedure started with a couple of painful local anesthetic injections in the inside of cheeks, after which followed numbness throughout the left side of my face. Keeping my eyes closed, all that I could feel and hear was a few screeching instruments digging into my teeth, and occasional vacuum sucking out the fluid. Priyanka said my body tremors were akin to that of a seizure patient, although clutching her hands gave a sense of security.

Few observations noted around: the assistant wearing gloves attended a phone call, checked the patients’ record book, opened a cupboard, and same gloved hands went inside my mouth. Used dirty gloves lay around in the room adjacent to the surgery room.  The gel that was applied to my empty socket was kept in the same tray as where my infected extracted tooth was. Hard to imagine this in Singapore right? Incidentally, my friend Aicha went to the same clinic and observing the hygiene around, confirmed my statements and she vowed she’d never go there again.

I was sent back home with not many instructions or counseling done. I’d like to mention some of them, which might have made my recovery faster and less painful. One needs to take the first dose of painkillers before the anesthetic effect wanes off, even if its painful, stuff some food inside and have the medicines. Apply cold ice packs which might avert severe inflammation, and eat cold things. The days were insanely painful, I had painkillers almost every four hours which meant: 6 antibiotics 7 painkillers a day. My liver would have turned into a pharmacy garbage. Meanwhile, my flatmates Mrinal, Satty and Priyanka were very helpful in making my lunches/dinner and taking care. I had ridiculously inflamed pregnant cheeks, its an embarrassing picture, but I’d still like to share it to emphasize the magnitude of it.


I had a splitting headache throughout, apparently common with tooth extractions with the nerves being connected to the head. The headache would aggravate after I get up in the morning, due to the blood pooling in that region while lying. A week later, I got the sutures removed and the doctor said the inflammation would go down soon. Aicha thought there was something wrong, it shouldn’t take so long and said I should go see the doc again. 2 days later at UHC, another doc: he said I’d an infection in the gum and he’d do a procedure to clean it. Yeah right, wonder if the infection came from their unhygienic glove practices. Again the painful injections, and yet achingly bad gum procedure. Kabhie tooth, kabhie gum..

With my qualifying exam round the corner, I went bonkers with these uncalled aches. I was hardly able to focus on studying and making slides. At this point, I couldn’t help thinking about Ogden Nash’s lines: "Some problems are physical, some are mental; but the one that is both, is Dental." Everyday I dreaded the prospect of confronting the dentist again; I now realized why the dentist visits is labeled as “vicious circle”. I didn’t recover before my exam, I somehow managed to survive swallowing the hepatotoxic analgesic pills. The very next day after exam, I went to the NUH who insisted I go back to the same doctor who extracted my tooth. It was hard but I succeeded in convincing them how the UHC doctors weren’t helping my case, it had been 3 weeks and the swelling and pain didn’t seem to leave me.

Mrinal accompanied me, and we entered the walk-in queue, and had to wait for 2-3 hrs before I could see the doctor. The doctor seemed very convincing to me, he carefully examined the inside and outside of the mouth and got an X ray done. He said I have most likely developed a post operative hematoma (blood clot) in the area, which might take a few months to heal. No medications prescribed, the only thing that could help was applying heat enhancing the blood circulation. I followed it religiously three times a day, and the swelling went down considerably, although if you observe closely, you would notice my left side is still a bit bulgy. But it took 5 whole weeks for me to get rid of the headaches, I would crave for a single day without a headache. It was annoying to find such an irresponsible and unaccountable dentist facility on campus. In all, I wasted 5 crucial weeks and S$900 in one month of this dental ordeal, probably it deserved just half the amount with the right doctors and instructions/counseling.

Dentists terrify me, as post traumatic stress disorder, I suffer from dental hygiene paranoia. I strongly recommend to spread a word around and to be aware of the lousy unacceptable UHC dentist practices: you might just regret it..!


Saturday 7 June 2014

Seatbelt can be your saviour!

A road accident led to death of the recently sworn-in Union rural development minister of India, Gopinath Munde, wherein the doctors highlighted how wearing the seatbelt could’ve saved his life. This article discusses the particular incident, and many similar cases where people have lost lives because of their ignorance to its importance. Today I had a conversation with a friend while in the car, who insisted and argued on not wearing seatbelts since she was at the backseat (Shri Munde too was!). 

Going ten years backwards, I experienced something that I would like to share: I was with my entire family sightseeing in Delhi, in a maruti van waiting for the signal to turn green in front of Rashtrapati Bhavan. Within a blink of an eye, a car came at a high speed and rammed onto our car and quickly ran away as happens in most cases. None of us were belted, and I was seated at the supposedly safest place: behind the driver. Ironically, nothing happened to anyone else in the car except me; with the impact I jumped to hit the roof of the van on top of driver's seat (relatively far in a maruti van). I went blank for two minutes, and my head was swollen like double the size of a cricket ball. This was followed by doctor visits for nearly 3-4 months, with scans, medications etc until my swelling went off completely. Having personally experienced this, and come across so many people who don't like wearing seatbelts, I was prompted to share my views and make a case about the importance of seatbelts. So here it goes.  

What many people aren’t aware is that in Singapore, being caught by traffic police while not belted will cost you S$120 (rules), regardless of where you are sitting (driver, front or back): precisely the reason why taxi uncles insist on buckling up as soon as u hop into the cab. Rules, laws and fines apart, human lives are far more precious, are they not?

I’m sure most of us during flights, follow cabin crew instructions for fastening seatbelts while taking off/landing/turbulent weather. Why? If there were an accident, chances are that you wouldn’t survive it (depending on its magnitude), inspite of your secured seatbelts. No, ofcourse I believe one should wear seatbelts even on flights. What is funny is that, people don’t realize to what extent seatbelts can change your fate in a road accident than a flight accident. It can probably save you from dying, or flying outside the car breaking your head and bones; it can immensely reduce the extent of your injuries. Please ask yourself why you don’t like to wear seatbelt in a car: wearing a simple belt harms you in anyway? It might restrict your movements a bit, but does anyone really need to dance inside a car?

The no. of car trips you take is way higher than flight trips. The no. of car/road accidents happening every year would be multifold more than no. of flight accidents/year. So in all probabilities, if you are bound to have an accident, car/road accident it would be. In fact, in many countries if you have an accident and were unbelted, your health insurance is not going to take care of your medical expenses. Seatbelts are designed with a purpose, respect their importance, and use them for your safety. Same holds good with headgears while riding a two wheeler, "chalta hai" attitude can be equally dangerous here.

Research in this area also shows how the hospital costs in road accidents are higher in unbelted patients than belted pateints, and compares the injury patterns in both cases, reducing the extent of it and mortality rates when patients were belted.


If you don't find these reasons convincing enough, you might as well remind yourself of the fine that you might need to pay for flouting the rules. Better safe than sorry!