
It was something like that, only a helluva lot more pus.
My abscess
I don't write much about myself, but even I get tired of writing about George W. Bush and the Repugnicans.
So I'll write about something different and something more pleasant: My trip to the dentist today for my raging dental abscess.
I'll start at the beginning: Friday I woke up with a swollen left jaw and neck. I was significantly disfigured, so it's a good thing that I don't much give a shit what I look like. Your typical gay man would have been hysterical. I was not.
Immediately I went into denial, or, as I'd rather put it, I was optimistic: It will heal itself, I thought. As quickly as my face ballooned up, it will deflate.
It did not deflate, and come Saturday I was worried because my neck was becoming increasingly swollen. I could open my mouth less than an inch, so eating was challenging. My greatest fear was that if I did nothing at all, my airway (trachea) might become obstructed by the creeping swelling in my neck in the middle of the night, and maybe I'd be able to dial 9-1-1 in time.
On Friday I had called my dentist, with whom I'd signed up but have never seen. I got her outgoing message and I left a message. It was Veterans Day, and although she (or her staffer, whoever recorded the outgoing message) did not say on the outgoing message that they were closed on Friday for Veterans Day, I assumed that to be the case.
I figured that I could probably make it through the weekend and see a dentist today, but, as I stated, on Saturday I was worried about possible airway obstruction (which is, by the way, a possible life-threatening complication of a dental abscess if untreated). So I went to the emergency room under my medical insurance. I wasn't expecting them to do anything to the tooth, but I thought it wise to at least start on an antibiotic.
The doctor gave me a prescription for penicillin (without my having to ask for an antibiotic) and for Vicodin. I did not ask for Vicodin -- mainly I wanted an antibiotic and I wanted to be checked to see if I might suffocate in my sleep -- but I accepted the prescription and had it filled. (My co-pay for the penicillin and Vicodin was a total of $10, which I had on me. They are going to bill me $50 for the ER visit and I don't know whether they're going to bill me for the X-ray that they took of my head and neck, the X-ray that I didn't ask for, but the X-ray that the doctor said indicated that my airway was not compromised. I have medical insurance and I am paying at least $60 for that visit and the treatment. I'm pretty sure that things are much better in Canada.)
Let me say for the record that Vicodin barely works. Back in my nursing days in the 1990s, when I'd give my patients Vicodin they'd be complaining of pain again within an hour or two. Vicodin is what they (doctors) give you when they want you to just shut up and go away and leave them the hell alone about your pain, waaaaaaaaaaaaaaaaa. Trust me. I know this from my nursing days. When the pharmacist described Vicodin to me as a "strong" painkiller, I wondered if she really thought that it is a strong painkiller or if she is part of The Vicodin Conspiracy. (Another tip from a former health-care insider: When they have no fucking idea what's wrong with you, they call it a "virus." They say that it's a "virus" because they know that patients usually come to a doctor wanting two things: A diagnosis and a prescription. So there are lots of people out there with mystery "viruses" who have been given Vicodin.)
Anyway, since my four-hour visit to the ER Saturday night, I have been taking my penicillin religiously, and the 20 tablets of Vicodin, because Vicodin only slightly better than a placebo, ran out this morning.
I got through yesterday OK, but today I was dead-set on seeing a dentist. My assigned dentist, whom I've never seen -- I put her down as my dentist because she's within three blocks of my apartment -- apparently never fucking answers her office phone, and neither does a receptionist or other staffer. You can call any number of times and you'll never get a real, live person. And I left her two messages, as instructed, and she never fucking bothered to call me back. Even after I told her that my problem was a dental abscess, which, if untreated, can kill you. (I didn't tell her the "which, if untreated, can kill you" part. That is common dental knowledge. I just told her the raging dental abscess part.) This woman is supposed to be my primary provider, but for all the fuck that she knows, I'm lying dead in my apartment and in a few days my neighbors will notice an unpleasant odor coming from my apartment and will notify the police.
I fired her today.
Not to her face -- or even over the phone, because, as I just established, it's imfuckingpossible to get the woman or even an underling of hers on the phone. I just switched dentists. And I'm sure that she doesn't care. (Remember, she doesn't care that my body is decomposing in my apartment because she wouldn't give me the dental care that I needed.)
My new dentist is everything that my old one whom I never saw isn't. For starters, when you call his office, someone fucking answers the fucking phone.
He saw me the very day I called -- at 3 o'clock today.
All that I really, really wanted from him today was for him to drain my fucking abscess, which by today was about the size and shape of a ping-pong ball and as hard as a golf ball (no exaggeration) -- remember that this thing started on Friday, and so by today it was in full force. I was chock full o' pus.
No, my new dentist, who I am pretty sure is younger than I am and I'm 37, said, he couldn't drain my abscess, because he couldn't properly numb the area and draining the abscess would hurt like hell (I paraphrase).
Jesus Fucking Christ. If he had wanted to plunge an ice pick into my face to drain that fucking abscess, or perhaps drawn a circle around the perimeter of the abscess on my jaw and thrown a dart -- hard -- into the center of that circle at close range, that would have been perfectly fine with me. I just wanted that fucking abscess, which was causing me considerable pain and discomfort, drained. But he refused, and probably still would have refused even if I'd offered him a blowjob (after my mouth healed, of course).
I asked my new dentist who refused to drain my abscess if I could get something for pain (if I could at least get something for pain was what I implied, but I didn't say that). Yes, he said, but toward the end of the visit he handed me a prescription for ibufuckingprofen. He handed a former RN who had asked him for something for pain a prescription for ibufuckingprofen. They give you ibuprofen, which you can buy over the counter at any fucking drug store or grocery store, when they care even less about you than the Vicodin-prescribers do.
(I have been taking naproxen, a cousin to ibuprofen, around the clock like candy for days now, so the prescription for ibuprofen is worthless to me and remains tucked inside the pages of the book that I brought for the wait in the waiting room.)
My new dentist was able, however, to take an X-ray of every fucking remaining tooth in my mouth today (OK, an X-ray technician did it, to be technical). I don't know what you call the machine, but it's an X-ray machine that travels around your head and gives an image of every tooth in your mouth in one neat row. It's neat but also kind of eerie. It produces an X-ray that looks something like this (this X-ray is not mine):

The panoramic dental X-ray (like the one above) looks like a cross between a jack-o'-lantern and a human skull. That's some cool Halloween-looking shit. This technology has probably been around for many, many years, and probably every single person who reads this will have had such an X-ray taken. Which just goes to show how infrequently my ass ever sees a dentist's chair.
My new dentist wanted to come up with a "treatment plan," he said, and the panoramic X-ray of the train wreck that is my mouth apparently was the blueprint for that "treatment plan." I don't remember half of what he rattled off as he dictated his lengthy dental to-do list for me to his assistant, but apparently I'm going to be getting a bridge or two or three, and my mouth probably will pay for a trip to Europe or the like. (In defense of my teeth, my front teeth are in pretty good shape, but my back teeth are another story entirely...)
I'd just as soon that my new dentist raze all of my teeth and give me fucking dentures already -- soaking your teeth overnight seems so much easier than brushing and flossing and enduring abscesses that the dentist won't pierce open and the like -- but my new dentist has other plans for my mouth.
Anyway, so I walked out of my new dentist's office today with a nifty new "treatment plan," but I walked out of there in more pain than I was in when I had gone in there -- seriously -- because when they took the single X-rays of my abscessed tooth, the sharp plastic X-ray shield thing that they shove into your mouth and command you to chomp down upon dug into the tender, swollen tissue under my tongue and I tasted the blood. I walked out of my new dentist's office today with the fucking abscess still quite intact -- and with a worthless prescription for ibufuckingprofen.
Because I'm on the 10-day course of penicillin prescribed for me by the ER doctor on Saturday, the abscess should miraculously disappear, or at least seriously shrink, by Thursday, at which time the bad tooth, a molar, can be extracted, my new dentist told me during my visit today. I was incredulous that my body could somehow absorb that much gunk by Thursday, but I couldn't force the man to do anything about my abscess, so I left, with the intelligence-insulting prescription tucked in my book along with my appointment card for Thursday.
I recounted my dental experience to my brother on the telephone this evening and then, because I wasn't feeling so great, I told him good-bye, hung up the phone and prepared to lie down shortly. On the way from the bedroom to the bathroom, I felt a creamy, foul-tasting substance filling my mouth on the lower left side.
Yes! I thought. Yes!
My new dentist had refused to do for me the only thing that I'd wanted him to do -- lance that fucking abscess -- and within just an hour or two of the end of my visit, the abscess drained on its own. I'm not quite sure if the copious amount of dark pus came from the space between the gum and the bad tooth or perhaps if it even came from where that fucking sharp-ass plastic X-ray shield thing that they sadistically make you bite down on sliced into the tender, inflamed tissue beneath my tongue.
At first I thought that if the pus was draining from beneath my tongue, where they had sliced me with the X-ray shield thing, perhaps that wasn't such a great thing.
But as I spat the horribly foul-smelling brownish blood-tingued pus into the sink and pressed out, from the bottom and the side of my left jaw, as much of the thick, rotten stuff as I could, I felt quick relief, and it didn't matter to me exactly from where in my mouth all of that pus had exited. (I don't have a flashlight, and so I'm still not sure. I'm really hoping that it came from the bad tooth, however.)
My God, words can't describe how nasty that shit -- the pus, which was about the color of the headline of this blog piece (yes, that was quite intentional) -- was. If you were to manufacture it in great amounts and dump it from airplanes upon our enemy troops -- and threaten to do it again if they didn't surrender immediately -- they would surrender immediately in absolute disgust. It looked and it smelled like Death, which, in a way, I suppose it was. Yuck. (Y'all are just lucky that I don't have a digital camera is all's I have to say.)
Anyway, so I'm feeling much better now because my dental abscess has finally, one way or another, drained.
I've done a lot of reading on dental abscesses on the Internet, and they recommend than an abscess be drained as soon as possible to facilitate quicker healing. So now I'm wondering about my new dentist. Did he really believe that waiting for my body to absorb all of that pus was the best course of action? Or did he just not want to be thoroughly grossed out by what surely would have been a pus-fest? He didn't even bother to feel the left jaw area of my face -- if he had, he would have felt the hard, ping-pong ball-sized pocket of pus in my jaw, and he would have known, I think, that there was no way in hell my body was going to absorb all of that shit before my scheduled extraction on Thursday.
On Thursday I will let my new dentist know -- gently, of course -- that my body did not absorb that gallon of pus on its own, but that under so much fucking pressure, the abscess burst open on its own. Or that maybe even that fucking sharp-as-hell plastic X-ray guard thing that the X-ray tech shoved into my mouth and told me to bite down upon did what he would not: Punctured a hole under my tongue through which the pus could escape.
And then, after my new dentist extracts the bad molar (it can't be saved, trust me), he will be able to cross off the first item of his very long dental to-do list that he so selflessly compiled for me today.
Update (Thursday, Nov. 17, 2005): After having spontaneously drained and after five days on penicillin, the abscess seems to be gone or nearly gone. I have just a little swelling remaining and minimal, mostly incidental pain.
The biggest problem I have is that I still can't open my jaw very far -- this is a condition called trismus (rhymes with "Christmas"). It makes eating difficult and makes toothbrushing thoroughly and performing fellatio impossible (although I have attempted only the toothbrushing thing since the abscess). Apparently, abscess-induced trismus eventually goes away, but it can take a long time...
I returned to my new dentist today because he wanted to extract the molar that caused the abscess, but because of the trismus he was unable to extract the tooth (I had suspected that this might be the case) and he is referring me to an oral surgeon who, he said, still can extract teeth when the patient has trismus. (I shudder to think what the oral surgeon's methods are, but I'm guessing -- hoping -- that I'll be put out...)
Anyway, my new dentist is kind of cute (not in a GQ way, but cute nonetheless) and this fact has made me recall that episode of "The Brady Bunch" in which Marcia is hot for her dentist and keeps coming up with excuses to make appointments with him. Unfortunately, given the state of my mouth, I won't have to make up excuses for several return visits...
10:30:38 PM
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