doctor

Tides change

We had a very fun filled and happy fortnight in early August with the festivities and as if by some voodoo, things took a nosedive.

My jaw locked up and started making clicking noises. It hurt when I opened my mouth for anything more than a straw and yawning sent electric shocks into my brain. After going back and forth between the doctors who diagnosed the symptoms as TMJ (and they were not wrong), going through jaw movement exercises, taking lots of Ibuprofens vs.  going to a local dentist who did not do due diligence because my dental insurance was maxed out (he did not even take a new x-ray and told me the same thing the doctors told me!) things were going from bad to worse. 

In the last two weeks I ate such wonderful things as Tomato rasam sadam with Vendaikaai curry smoothie, Poondu rasam with beans paruppusili smoothie, etc. (Rice with tomato soup + okra curry blended into a smoothie..). Was mushing up everything! The taste is okay, but the texture of some of these smoothies, if you could call it that made me lose my appetite. 

My two attempts at shaving also end up in aborted missions and I started to look like this..

The little one agreed to that pose as a "pity pose". She hated that beard! 

Finally we decided enough was enough.. well truth be told Sangeetha decided enough was enough of my moping around and found a dentist through a friend who had a reputation for fixing the problem and not worrying about the insurance! So went there Friday. At first they took an x-ray and called me back to say "you sure there is no pain in this area?" and my response was "pain? what pain? I have been in so much pain that my threshold has moved!" 

So they called me back for more x-rays which confirmed that there was a big area of pus in the place where my wisdom tooth used to exist. They "extracted" the pus and said "you don't need ibuprofen, what you need is antibiotics to fight this infection!" and they were right! In two days the pain was almost gone. The clicking came to a minimum and I could eat solid food again!

Today I made a long and slow attempt and shaved. The whole family rejoiced. Never knew that a little stubble could cause so much sadness in a house. 

Krishna ummachi teased me with all the crunchy stuff at the worst possible time but Pilliyaar ummachi was not going to disappoint. There were no Kozhukattais in the house today but San did make some yummy vadai and paayasam! Was able to eat that just fine.. 

Wanted to take a picture with the kids after eating the vadais! Was reminded that we took a picture just after this moment many years ago and dug it out!

and now..

I can still carry the little one for a little while! 

The only downside is that the molar will be removed tomorrow. I plan to hang it on a necklace as a reminder of the last 17 days of stuggling. 

The jaw seems to be one of those things that literally falls in "no mans land". Doctors send you to dentists and vice versa.. it is in the perfect "punt zone". I also learned the hard way that dental insurance works differently from medical insurance. With medical insurance you hit an out of pocket maximum (2000$ or 4000$ for example) and after that you don't pay anything for that year on anything that is covered. The insurance pays. 

With dental insurance, THEY have an out of pocket maximum. Once the dental insurance has paid their part to a total of 1000 or 1500 $ a year, they stop paying for anything more complicated. So god forbid you end up with two root canals in one year, you pay out of pocket for everything else!

I don't know why we cannot have our regualar insurance cover dental procedures also. Last I knew, the gums, teeth, jaw etc. are all part of the body!

It was not like I was asking them to cure me of baldness! 

The little one did think I looked "cute" even with the beard if , IF the sunglasses went with it! Something to contemplate as a "look" when the hairline goes beyond the horizon on the head..

They say all is well that ends well. Sure hope that this saga comes to an end once the tooth is gone!

The only thing worse than PMS, is AMS

After a recent enquiry by Jr. and the Little one along the lines of "Are you okay daddy? Are you still bleeding?" and the snide comments from the wife and MIL about how women have periods a days a month while daddy has periods almost every day!

Of course, they were alluding to the nose bleeds and the one thing that has gotten it this far is the AMS, my abbreviation for the American Medical System.

At the risk of boring the gentle junta that scrolls past this space, this has to be explained!

A typical conversation with the appointment nurse is:

Me: (nasal voice, coughing) I need to see a doctor. I have blah, blah, BlaH and blAH! I think I am dying!

Hospital person: Do you want to see your "Primary physician?"

Me : Yes. That would be fine!

HP : Who is your primary physician?

Me : I dont know. I have probably met him or her once. I usually go to Urgent care. (this is true because, I get to go to a hospital only after 5 or on weekends and the regular doctors work 9-5!)

HP : Let me look up your primary care physician. Ah, there it is.. it is Dr. Azer-Chen-maniam!

Me : Oh! Can I see him today?

HP : I am sorry. The earliest appointment I have for him is on July 32nd!

Me : But it is June 20th today and July 32nd is like ....

HP : yeah! He is very busy and is very heavily booked!

Me : Are you telling me that people actually know when they are going to fall sick in advance and booked appointments in the future?

HP : (has probably been trained to answer this in front of a mirror without flinching a hundred times, as part of qualifying for the job). Sir, people usually schedule advance appointments with primary physicians for regular checkups, post checkup after they have gone to urgent care, etc.

Me : Is there any other doc. in the facility I can see today?

HP : Let me check.. Can I put you on hold?

Me : (about to open mouth and realizing that HP was asking a rhetorical question.. I was already listening to music that would put any elevator to shame!)

HP : Thanks for holding. Actually we have doctor David-Rama-Park with an opening at 10:00 AM day after tomorrow. Will that work?

Me : I dont think I can wait that long! (by now reminded of great grandmother and her saying things like "saavukku vaadanna paththukku varan" which literally means, we invite him for a funeral and he shows up for the 10th day ceremony)

HP : In that case I suggest you go to Urgent care again.

Me : Is there ANYWAY I can see a doctor, with an appointment, as soon as I am sick?

HP : Yes. There IS a way. You see, we have some appointments reserved every day with rotating doctors in the out patient department called "same day appointments". They are not movable to other times and are first come first served. So if you call in at 8:30-9:00 AM, you might get a same day appointment..

Me : thanks for letting me know that!

HP : Anytime. I hope you feel better!

Except for the last four lines, this has been the typical conversation for the last few years! Only this time I burst out and found out about the "same day" stuff. Not great, but still better than nothing.

Now, why is this dude complaining like this about the system? Why can't he learn to deal with it? you may ask!

The answer lies in a small name board on a single story building, that used to be on St. Mary's Road in R.A. Puram, Chennai, which simply read:

Dr. S. Jagadeesan
M.B.B.S

Just five houses away from ours, Dr. known in our family fondly as "Jaga", was a towering personality (probably because he seemed huge and most of my memories of him are from when I was a kid!). With his big face and even bigger cooling glass / spectacles and his booming voice he would make me cower either out of respect, fear or both.

He was in true sense our "family" doctor. Grandpa, grandma, parents, uncles, aunts, siblings, cousins, a total of 20+ people in our house alone, were all Dr. Jaga's patients. He knew everyone, their history(not just medical, but real history), hereditary problems within the family tree, family gossip, etc. etc. He was pretty much the only doc. we visited unless he recommended us to see some specialist guys like ENT's, Dentists etc.

He would take one look at me and go "Enna Sundararama? patta padaikkara veiyalla vilayadittu gold spot kudichchiya?" (did you play in the hot sun and drink a cold drink right away?) and I would be thinking "How the hell does he know that?" and he would read my mind and say "I just saw you yesterday drinking gold spot in the store across the street, as I walked out of the clinic and thought I would be seeing you here soon!".

I have so many memories of how he "cured" me of things, be it Jaundice, Madras-eye, chicken pox, etc. etc.. Let us just say it is a long list!

After I came to the USA, my parents called me one week out of the blue and told me "Jaga" passed away. I cried for two days just thinking about him every now and then. Just before my first flight to the US (which was also my first flight!), he spoke to me for half an hour and told me to carry a bunch of medicines with me, just in case. Then he gave me an MMR vaccine almost last minute, because people in the US are picky and insist on it. He said "unakku than ella vyadhiyum at least oru daravai vanduduththe.. you have built up good immunity by now!" (you have got all the major ailments at least once..) and continued "So I never gave you an MMR. Also it is not normal here, but I think they require it there. You will have a mild fever and feel sore for a day. Better here than just after you reach US!" So thoughtful....

It is possible that I keep complaining about the system here, because I miss Dr. Jaga! I was pampered by a doctor who knew how to fix me in a few minutes or within a few hours with the right threat, advice,and or medicine. The fact that he knew me was definitely as much a factor there as how much he knew his medicine!

That perhaps was the magic "Jaga" touch!

.

A doctor a day keeps the ....

Finally met a doctor who actually saw my condition for what it was! He did a thorough inspection and said "Yes. Your sinus is infected and you need antibiotics!"

I thought to myself "there we go again.. possibly going to give me the same old amoxycilling and shoo me away"

He did prescribe a stronger dose of Amoxycillin than the usual 500mg but surprised me by saying "you have been regularly sick this year according to your medical records! That is highly unusual"

My jaw dropped. He actually READ my medical records! A Doctor. In the US of A! He read "my" medical records!

Then he went on to order a CT scan!

By now I am already thinking, I have died and passed on to out-patient heaven and have visions of Chitraguptan counting the number of swear words on my blog before deciding my fate.

This doctor, was also nice enough to call me within a few hours after the scan and give me a thorough analysis of my situation. Why I am falling sick so often? why the standard Amoxycillin will not help? and What else is required from me as a personal committment to make sure I do not fall sick again? etc. etc.

Unlike the other stet. wearing dudes and dudettes, this guy did not tell me to embrace yoga, eat healthy, have less stress, etc. etc..Everytime I hear that lecture, feel like hitting the doc. with some blunt instrument.

If you work to make ends meet, share responsibilities in raising kids, fill up your minivan at the local costco once a week, and are a south Indian dude with strong tastebuds and a penchant for deep fried stuff, it is not possible to do yoga, eat healthy and have less stress!

Finally this doctor said something that cracked me up.

"I am going to prescribe a medication for you. This will definitely help your condition immediately. But it is a steroid and you need to take it early in the morning after breakfast. The reason I am cautioning you is that it might make you a little hyper!"

How can I get any more hyper-er?

My faith in the American medical system is a tad restored. I stand corrected after all these years. There are some real doctors here! No, you are not stealing him from me.. I am keeping this dude a secret! He is now my "primary" physician! he he he..

Now he is indirectly forcing me to:

1. get up early in the morning
2. eat breakfast

who knows, maybe he is just giving me "balli mittai" and this is a ploy to get me to sleep early, wake up early and eat breakfast?!

In any case, the pills start now!

.