Category: Medical

If a street punk informed me that he would be removing my teeth, I would gallop my way to safety, feet pounding and arms flailing.

But a visit to my dentist poses no such threats. His job is to preserve and protect my pearly white crown-encased teeth. He has every inch of my mouth mapped, memorized and x-rayed. He knows my mouth better than I do. If a lunar rover were small enough, he could remotely land it between molars number 19 and 30.

He is a spelunker of sorts, exploring regions that I myself cannot see. I rely on him to do that task. He refers to tooth numbers like familiar addresses that he casually visits every six months, reporting their status to me like a barber shares the local gossip with his clients.

Sitting in a dental chair provides us time to think. Despite being in the presence of a small audience, we are not expected to say a word.

There’s time to think….

There’s a special relationship of trust we share with those who have more intimate knowledge of specific parts of our body than we, ourselves, do. They are witnesses of our inner workings and maintenance requirements. Still, it’s unnerving when medically-licensed spelunkers travel into the hidden reaches of our bodies that we will never be able to see with our own eyes.

I never met my adenoids—and never knew of their existence—until I was ruthlessly assaulted by a barrage of infections that made swallowing a fearful event of searing pain. As a child living in Germany, doctors whose language I could not understand told me my adenoids had grown defective through massive and repeated bacterial attacks. I was hospitalized and put to sleep; the offending organs were harvested by entering my nasal passage with cold stainless steel implements. That was my first experience with medical spelunking, the practice in which a physician explores parts of the body which are invisible to me.

Later, other physicians would pull, poke and examine other parts of me that I had never seen. “How’d you get that scar?” one doctor asked, pointing to the lower region of my back.

“Uh, it’s nothing, I don’t think,” I pondered, his question catching me off-guard.

Finally I recalled what he was referring to. Decades earlier, my back had skidded across the bottom of a too-shallow landing-pool at the end of a steep slide ride at a water park, reddening the water and my swimming suit with pink blood. I had never grown personally acquainted with the wound except by gyrating wildly using a three-mirror setup in my bathroom. Even with that arrangement, I could only view the reflection of the wound. My physician, however, trumped me. He, unlike me, was an eyewitness to the medical history permanently etched upon my spine.

Some explorations are far more intimate. At my annual general physical exam, my doctor reserves the prostate exam ritual for the grand finale. Like a pitcher winding up for the third called strike, he extends his arm high into the air and outstretches his fingers. The end of the windup: he pulls the rubber glove on with his free hand and releases it. The rubber glove snaps loudly as it protectively seals his hand, which he flexes to ensure a secure fit.

He asks me to prepare myself. Then he strikes, quick as a serpent.

“Ugh!” I groan. That’s the worst part of the physical exam! I hate that!”

He masterfully pops off the rubber glove. “I get that a lot,” he responds impassively. “It’s no picnic for me, either!”

There are, apparently, some spelunking destinations nobody really wants to visit. I will trust his report to enlighten me concerning this region of my body that he knows far better than I.

Suddenly I return to reality. I am back in the dental chair. The two faces stare down into my gaping mouth, which by now is developing stretch marks. But all is bliss; compared with my recollections of other medical experiences, today’s dental provocation seems minor: the sting of the needle entering my moist unsuspecting cheek, the drool forming droplets and descending my numbed lower lip, the artillery of the drill destroying my ten-year-old twelve-hundred-dollar-after-insurance dental bridge, long past its useful life.

I stare down the blinding lights that have the illuminating intensity of construction zone flares. A sense of warm satisfaction blankets me like the heavy dental x-ray resistant shield that often lies across my lap; I recognize that, during the past 20 years that I’ve been a faithful client of this dental enterprise, my dental repairs have funded the purchase of the hyper-electronic double-thrust orbital magneto drill that is now chewing up my teeth.

No wonder I feel connected.

Let the spelunking continue.

I deserve it.

On Monday night, I escorted my wife to the hospital. She had somehow acquired an extremely painful and potentially very dangerous abscess. The emergency room was loaded with a riot of bacterial- and viral-infested and otherwise-wounded victims. Some displayed hastily bandaged injuries still seeping blood. An elderly woman moaned in her wheelchair, clasping a cloth over her face as she rocked back and forth, while her husband, supporting himself in his own walker, stared blankly alternately at her and the wall. There was rare seating available for emergency room johnny-come-latelies. I estimated 75 people crammed into this bin of ailing people. “Golly,” I thought to myself. “If it’s this bad in America, what’s it like in Bangladesh?”

Eventually, after completing multiple copies of forms each repeating the same questions, my wife’s name was called. At least, we think it was called. With no speaker system in the room, the hoarse yells of the hospital staff were barely audible above the ruckus of shrieking babies, the generalized sniffling, sighing, and moaning of the occupants, and the horseplay of those who obviously only accompanied the core populous of the emergency room.

She disappeared behind curtained glass doors. I waiting for her to be processed—blood- and urine-sampled, fingerprinted, name-and-birthdate-verified, mother’s-maiden-name-queried and the like. I passed the time chatting with my high school-aged neighbor about the perils of football while examining his purpling right ankle. More than two hours later, when my wife had still not returned, I asked about her progress. I was informed that she had been admitted into an Emergency Room, and, yes, would I like to go in? I wondered how long that I, like a hound dog anticipating his master’s return, might have waited along with the huddled masses of our fellow sufferers.

I found my wife in a non-private group room, leaning over the frame of bed ER #25, experiencing frightful pain and nausea that made it impossible for her to lie down. Mercifully, shortly thereafter we were escorted to ER #16, where she lay down and stared at the ceiling. Eventually, a nurse popped her head in, and told us our wait for a room would not be long. Six hours later, I had memorized every inch of ER #16. I knew which medical products were in short supply and had retraced the trail of the curious dried blood drops on the floor.

Finally, the long-awaited curtain pullback from the emergency room doctor! He informed us that he would create an incision to relieve the pressure and blood from the offending abscess. Unfortunately, the procedure preceded the administration of a stiff painkiller; only a weakly numbing drug wound its way through the clear plastic tubing to the needle dripping in her arm.   

I’m glad I departed the room prior to the doctor’s medical procedure. Upon my return, my pale and trembling wife reported that the pain from the events–the slicing and enthusiastic squeezing of the barely-dulled abscess–rated right up there with childbirth. There were new trails of blood to track on the floor. I helped creatively arrange my wife on the gurney to best contain her newly inflicted pain.

Time passed slowly. The gurney was uncomfortable, not intended for extended lounging by the wounded. It was narrow and the plastic was slippery, contributing to the fall to the cold, tile floor that my wife incurred as she inaugurated a hazardous journey to the solitary men’s/women’s combo restroom. It was down the hall, hidden in the corner of the non-private patient emergency room receiving area, where patient beds lined the walls like fighter planes on the deck of a Navy aircraft carrier.

As the hours dragged on, we would each have opportunity to visit the restroom many times. I narrowly missed the pandemonium that ensued when one out-of-sorts patient yelled for help from within this restroom. He claimed he could not manage his quest for a successful “Number Two” experience alone; he needed assistance. When none came, his yelling continued until he finally exited the room, holding his prize feces aloft in his hand like a treasure-hound, for all of us to see. His triumph did not last long; nurses descended upon him from every corner, like—well—like flies on poop. I know this happened because my wounded wife witnessed it all during her long trek from said restroom back to ER #16.

The night lengthened, and I grew covetous of my wife’s little gurney and the brief naps it provided her. My chair’s legs protruded far enough that I could not place it close enough for the wall to support my head. I attempted several alternate variations. In one construction, I extended my buttocks nearly off the end of the seat so that my neck could barely catch the back of the chair. Another variant took the opposite approach, featuring the top of my head protruding over the top of the chair so my crown barely reached the support of the wall. The frailty of human anatomy proved both of these options unsatisfactory. I found myself fitfully alternating between one and the other, leaving precious little time for sleep.

ER #16 held us captive for nearly 30 hours. We greeted our first nightshift nurse for the second time at the beginning of her second night’s 12-hour shift. Doctors drifted in, all asking the same questions we had already provided the previous visiting M.D. My wife’s wound was un-bandaged, examined, and re-bandaged multiple times.

During all that time, I was preoccupied with sleep, until finally, regretfully too late, I figured out what should have been obvious. Borrowing a style from my fellow train-riding commuters, I decided to do the Train-Rider’s Head-Bob. I sat somewhat erect on the chair and allowed my chin to drift downward in slumber, risking a dangerous neck sprain should my head collapse to one side. But it didn’t. For 15 precious minutes that night, I slept; it was suddenly interrupted by the final doctor’s visit, telling us to prepare for surgery.

The purgatory of Emergency Room #16 finally concluded. Perhaps our release depended upon my eventual discovery of the successful, if brief, napping technique.

The doctor told me that my wife would be in surgery for an hour, and would I please stay in the surgery waiting room. Two and one-half hours later, in the middle of my second night without sleep, and with plenty of time for my sleep-deprived brain to conjure all sorts of visions of what was transpiring, I was informed that she was out of surgery and resting comfortably in her room, and would I like to see her. You bet.

Tonight we are home. We’ve been gone two days, which is 48 hours, or 2,880 minutes, and it felt every second of it.

Meanwhile, the waiting room at the hospital is likely still full.