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The Wisdom of Shedding Wisdom Teeth Early in Life

As I see it, if there is any wisdom related to wisdom teeth is to be wise enough to have them pulled while you are young. From what I’ve read most people have impacted or decaying wisdom teeth removed in their teenage years and early twenties. If you have passed those marks, let’s hope that you don’t wait until you reach middle-age or beyond to get those 3rd molars extracted.

Take it from someone who knows. I thought I had all of my wisdom teeth removed decades ago. When low and behold my dentist tells me that I have one remaining and it needs to come out.

“After each exam, you tell me that I have a mouthful of beautiful, perfectly good teeth,” I said to him. “You do,” he replied, “except for that remaining wisdom tooth. It now has a cavity.” “Can’t you just fill it?” I asked anxiously. He responded, “The cavity extends below the gum level. Better to have that tooth pulled now, then for me to fill it and you have more trouble with it later on.” For two months I resisted until I finally relented and said okay, “Let’s do this.”

I’ve been going to the same dental office for nearly 25 years, and Dr. P has been my dentist during all of that time. He and his entire staff are wonderful people, and they all have an excellent bedside manner. If it were up to me, I’d vote theirs the best dental practice in the city. And judging from reviews I’ve read on Google their other patients feel the same way.

Last Friday was D day. The wisdom tooth is coming out. I am as anxious as a woman about to give birth to triplets on a crowded Metro train.

Dr. P doesn’t do extractions. He leaves that to Dr. M. While she and her assistant prepare me for the inevitable, the dentist and I engage in an active conversation about the various types of yoga, an exercise that we both enjoy. After the “prep-talk” (which I know is a distraction to calm my nerves), the actual process begins and lasts less than 10 minutes.

The procedure wasn’t bad because before injecting the general anesthesia Dr. M used a local anesthetic to numb the area of the soon to be removed tooth. I relaxed a bit feeling confident that like Dr. P, Dr. M knew her stuff. When she went to work, I didn’t feel the needle nor the pressure of the extraction. After yanking that baby out, Dr. M stitched the hole.

Since the wisdom teeth are in the rear of the mouth, unless you tell someone, no one but the patient and the dentist would know that you have missing teeth back there. Warning people:  when anyone tells you that the aftermath is worse than the oral surgery, believe them.

Although I have a low threshold for pain, typically, I am not a pill popper, so I mindlessly refused a prescription for a painkiller. “You may need something after the numbness wears off and for the pain in the coming days,” Dr. M warned.  No. Nada. I refused. The pain cannot be worse than recouping the $325 bill for the procedure. Or so I thought.

Let me tell you – when the numbness began to wear off I wanted to scream “Impeachment!” But Dr. M was not the person I had in mind.

The sheet detailing instructions for extraction post-operative care is pretty specific. During the first 24 hours, I faithfully follow the long list of dos and don’ts. Do drink plenty of water. Do not spit or drink through a straw.  And although caffeine was listed along with no alcohol or smoking (I could live without those first two items, because I am not a drinker or a smoker.) but no coffee – now that is a problem. I confess, I brewed a cup of java but made sure to let it cool down to lukewarm before drinking it. No hot foods or liquids also meant that I had to let my chicken soup cool down almost to the temperature it was in the can before consuming it. About 3 hours after the extraction the pain begins to creep in.

Seeking relief, I swallow Ibuprofen. When that doesn’t work, I switch to Extra Strength Tylenol. A double dose soothes the beast for a little while, and when the pain demon rears its ugly head again. I do it again.

My appetite has waned for the past couple of days, but fortunately, for me, some of the foods that I enjoy are on the list of recommended things to eat following a tooth extraction. Applesauce. Ice cream (nothing chunky like Butter Pecan or Rocky Road). Broth-based soups. Jell-O. Smoothies. Mashed potatoes. Yogurt. Instant oatmeal.

It is now day three post-surgery. I awoke this morning feeling like tiny people wearing spiked shoes were tap dancing on my sensitive gum. My head ached. The lower left side of my face throbbed. I rolled over and grabbed my new best friend, Tylenol Extra Strength, from the nightstand. I crawled out of bed like a battle-wounded soldier, ate a banana, drank a protein drink and then popped two Tylenol ES capsules into my mouth. After a short while, whallah! I felt like I could conquer the world. Or if not that, I could achieve something less dramatic like writing a blog post which is long overdue. It’s been nearly seven hours since this morning’s dose of pain-killer, and it feels like the teeth-munchkins are putting on their spiked shoes and getting ready to dance again. But I’m prepared. My best friend is right here with me, besides the keyboard.

While searching for another solution to after-extraction pain, I discovered the following amusing and possibly prognostic quote about wisdom teeth. “It seems like everybody at one point in their life had wisdom teeth but got them pulled out. And later you find out that the teeth weren’t the only wisdom that’s been removed.” Author unknown.

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Sticking a Foot Out for a Good Night’s Sleep

FootHaving trouble sleeping because you are too hot? Did you know that removing a foot from underneath the covers will cool your body? I’m not pulling your leg.

Some of us follow the National Sleep Foundation’s suggestion and keep our bedroom temperature between 60 and 67 degrees Fahrenheit to ensure a good night’s sleep. Still, sleeping beneath a comforter or even a top sheet can make you feel warm, and let me interject – especially on a memory foam mattress. Add to that the body heat generated by the significant other snoring beside you and the bed could feel like a sauna. What can you do then to cool off so you can go to dreamland? Stick a foot out.

Studies have shown that keeping one foot or even a leg out from beneath the covers cools the body and creates a comfortable sleeping condition. Imagine that your foot is a thermostat that helps regulate your body temperature. Both feet beneath the covers keeps the body warm. Take one foot or both feet from under the cover, and the body cools down.

There is a scientific reason why that simple action regulates your body temperature. Experts say that our feet contain specialized vascular structures known as arteriovenous anastomoses, coupled with the lack of hair on the bottoms of our feet those structures are designed to help dissipate body heat.

Okay, I can picture some of you now starting to roll your eyes up toward the ceiling, so I’ve installed a video produced by The Science of US Sleeping Institute that will simplify the subject for you. Watch it and have a good night.

 

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The Wait: A Customer Service Hold-Time Horror Story

Customer ServiceThe other day, I called the Social Security office to ask one simple question. When could I expect to receive my 1099 form? After several rings, my call was answered by an interactive voice response system (IVR), commonly referred to by us laypeople as a recorded message. As soon as I heard it, I knew that getting a simple answer to a simple question might take a little time. But I had no idea that I would become a casualty of phone system hell. This is my record of the call.

IVR: Your wait period is approximately 50 minutes.

Me:  FIFTY MINUTES! I shouted in my mind. Are you kidding me? Thinking that perhaps I had misheard – surely the robot said 15 minutes, not 50 – I decided to wait. I looked at the clock. It was 8:55 a.m.

Holding the phone with my left hand, I leaned back in my chair, grabbed the TV remote with the free hand and began channel surfing.

After a few minutes, I started paying closer attention to the messages.

9:09 – IVR:  Thank you for holding. We appreciate your patience. We are assisting other people and will help you as soon as we can.

When my clock displayed 9:10, I put the phone on speaker, set it on my desk, began filing my nails and reminiscing about the days when customer service meant person-to-person, not person-to-machine. Usually, after the second ring, the third at most, a real person would answer the phone, especially in government offices. You remember those days, don’t you?

It’s frustrating enough to be put on hold for an extended period, but when an IVR holds you hostage, you feel helpless. You don’t dare hang up and call back because you will just have to repeat the process.

It used to be that a caller could press zero to bypass the gibberish and be immediately connected to a live person. But businesses got wise to that and eliminated the feature, leaving callers no choice but to hold, and wait, and hold, and wait.

Some companies will place callers in a phone queue, sort of a virtual waiting room, offering them the option of remaining on the phone while they wait for an answer or receiving a callback. The Social Security system did not give me that option. And so I waited.

In the interim, I entertained myself by playing Words with Friends. I checked my Facebook page. I even perused my emails. Finally, I began recording the messages that rotated every 60 seconds.

9:15 – IVR:  Thank you for holding. We appreciate your patience. We are assisting other people and will help you as soon as we possibly can.

ME:  We’ll see. Holding the phone with one hand, I impatiently began tapping my fingers on the desk with the other.

9:16 – IVR:  We apologize for this delay if you are calling for general information. If you are applying for retirement, disability or spousal benefits, you may want to visit us at www.social security.gov.

ME:  Idiots! If you answer the phone, I would tell you that I cannot log on to the www.stupidsite. If I could do you think I’d be wasting my time calling you?

9:17 – IVR:  We regret that you have waited so long.

ME:  The hell you do.

IVR:  We are doing our best to answer your call. Social Security provides benefits to more than 50 million. We are taking calls in the order in which they came.

ME:  You said that already. Uh huh. Sure. I was determined to out-wait them.

9:18 – IVR:  Thank you for holding.

ME:  Oh, good. They’re finally going to answer.

IVR:  We appreciate your patience.

ME:  What!

IVR:  We are assisting other people and will help you as soon as we possibly can.

ME:  You’ve got to be kidding me.

9:19 – IVR:  At the conclusion of your call we would like you to participate in a short survey and tell us about your experience.

ME:  Oh, yes. Don’t I want to do that!

IVR:  If you would like to participate in the survey, please stay on the line after the agent hangs up.

For the first time following the previous messages, I hear four fast beeps. Beep. Beep. Beep. Beep. That’s different, I think. Surely, a sign that someone is about to answer my call. I wait anxiously while watching the numbers on my digital clock flip over.

9:20 – IVR:  Thank you for waiting. Someone will assist you shortly. Please have handy your Social Security number and any recent mail we have sent you. Having this information will help us to serve you better.

ME:  Here we go. Finally!

9:21 – IVR:  We apologize for this delay if you are calling for general information. If you are applying for retirement, disability or spousal benefits, you may want to visit us at  www.socialsecurity.gov.

ME:  Are you kidding me?

9:22 – IVR:  We regret that you have waited so long. We are doing our best to answer your call. Social Security provides benefits to 50 million. We are taking calls in the order in which they came.

ME:  Sitting in stunned silence and disbelief that I’ve been holding on the line for nearly 30 minutes. A first. And – a last.

9:23 – IVR:  Beep. Beep. Beep. Beep. (Then, there is a pause.)

ME:  What’s with the beeps? No message following? I know someone is going to pick-up now.  I’m preparing to stand up and do a happy dance. When I hear…

IVR:  Thank you for holding. We appreciate your patience. We are assisting other people and will help you as soon as we can.

ME:  Wearing a zombie-like expression.

9:24 – IVR:  At the conclusion of your call we would like you to participate in a short survey and tell us about your experience. If you would like to participate in the survey, please stay on the line after the agent hangs up.

ME:  Oooh, Buddy. You DO NOT want me to take the survey. Not now.

9:25 – IVR:  Beep. Beep. Beep. Beep. Thank you for waiting. Someone will assist you shortly. Please have handy your Social Security number and any recent mail we may have sent you. Having this information will help us to serve you better.

ME:   Now talking to the IVR. How many times are you all going to replay these */%#  messages? As much as I hate on-hold music, I’ll opt for that now.

9:26 – IVR:  Thank you for holding. We appreciate your patience. We are assisting other people and will help you as soon as we can.

 Those same messages recycled repeatedly until at 9:55, just as I was about to hang up, a real live human came on the line.

Human:  May I help you?

Me:    I took a deep breath and did not fly off the handle because I knew he might be expecting that and I didn’t want him to hang up on me. So, I said calmly said through gritted teeth, “I’m calling to inquire about my 1099 form.”

I had barely finished the sentence before Human in a robotic tone said, “The 1099 forms are being mailed from headquarters throughout the month of January. You should receive your 1099 before the end of the month. Is there anything else I can help with?”

Thank you. No. Click!

Had I not recorded the times and IVR messages, I would not have believed that I had held the phone for an hour for a conversation that lasted about 45 seconds. My first and last time doing a phone marathon.

At least the SS IVR does not add insult to the injury of phone hang-over customers by including “Your call is important to us.”

And no, I did not take the survey.

 

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Contemplating Death and Dreams

Doorway To Heaven Or HellSome people consider dreams as just a random string of thoughts, which we may not even remember upon awakening. And then there are those who believe in psychic dreams, where future events are revealed to us while we sleep. My mother had such a dream before her death. I had forgotten about it until recently when I began rereading some of my journal entries.

Mother’s doctor had her hospitalized on the day that she and the rest of her family learned she was terminal. Within weeks, unrelenting, she told her doctor, the hospital staff, her visitors, and anyone else who would listen that she wanted out of that hospital. She wanted to go home.

After my dad died in August 2006, mother, always the independent-minded woman, had continued to live sufficiently on her own in the house they had bought decades ago. Now, literally on her deathbed, and as she imaged still in control of her life, she made up her mind that she would not die in the hospital.

Since she kept insisting on being released, her doctor suggested that we look into in-home hospice care.That sounded practical until I discovered that her insurance, Blue Cross, would not pay for in-home hospice, which I was told would cost around $500 per day. Infeasible! Since only God knew whether mother would live for days, weeks, or months, we had no choice but to adhere to mother’s demands and bring her home. My sister and I would take turns staying with her. We would prepare and bring her food, administer her medication and assist with her personal needs.

During that stressful period, my sister and I put our lives on hold and took turns, staying a week at a time, at mother’s house. Since she was tethered to a breathing machine, mother’s mobility was limited, but you wouldn’t know it if you heard us constantly insisting that she stop climbing out of the rented hospital bed. Mother has always been strong-willed, and she was determined to do for herself for as long as she could. On the occasions when my sister and I were there together, we would sometimes look at each other, and shake our head from side-to-side silently deploring mother’s stubbornness. I don’t know how my sister spent the days during her watch, but I utilized much of my time journalizing.

In a study by University of Texas psychologist and researcher James Pennebaker, he writes that writing about stressful events helps us release the intensity of our feelings and come to terms with them. How could anyone knowing that their mother is dying comes to term with that? What I knew then and have always known is that writing about my feelings, writing about nearly anything – depending on the situation – makes a difficult period easier and a pleasant experience more joyful.

Since I am in the process of writing a book about her, I’ve been rereading my journal entries recorded in the weeks preceding and immediately following mother’s death which occurred on June 18, 2014. Although I know I wrote it back then, it isn’t any easier reading it now. In fact, sometimes I become emotional and have to make a serious effort to calm myself before I continue. Painful emotions never go away; they just lie dormant until resurrected.

In one journal entry, six months before mother died, I describe a lucid dream that mother told me she had about my dad. Rereading it got me to wondering about dreams and death. This is what I wrote:

Sunday, January 12, 2014 – 8:36 PM

Mother told me that she dreamed about dad for a second time since he died. She said that in the last dream, three nights ago, dad was all dressed up in a suit. “He was looking nice, really sharp.” She said. As he was walking toward her, he stretched out his hand and said, “Come with me.”  Mother said that although she knew she was asleep, she was consciously aware that dad was dead. And she also remembered that her mother used to tell her that if you dream of a dead person and the person tells you to come with them if you go, you too will die. Mother began backing away from dad until (in reality) she fell off of the bed and awoke on the floor.

“Did you hurt yourself?” I asked. “No,” she replied, “But I’m glad I woke up.”

My mother was always an intuitive person. Is it silly when I wonder if the breast cancer that had been in remission was rekindling during that dream? Was it a premonition or a coincidence that mother died six months after having that dream? I don’t believe in coincidences, but I will always wonder if mother was holding dad’s hand when she left us.

Life is filled with mysteries, some to never be solved. Dreams are one of those.

 

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Funeral Etiquette 101

Coffin With Her Arms And Legs WalkingFor as long as I can remember, starting in my childhood, whenever a family friend or relative died my mom would send the family of the deceased a sympathy card. More often than not, it contained money. I never knew exactly how much she included with the card. I suspect it may have been a small amount, maybe 10 or 20 dollars. It might have been more; depending on what our family budget at the time would allow. Nonetheless, I recall that sometimes mom would write a brief message on a thoughtfully selected card and then set it aside without sealing it. When I would ask, “Aren’t you going to mail it?” she would usually say something like, “I can’t seal it yet. I’ve got to put some money in it.”

During my childhood, it was easy for me to understand why someone might include money with a birthday card. It’s a nice gift, especially for a youngster. Over the years, I received some such cards containing a few dollars from my parents, grandmother, a few favorite aunts, and uncles. I even recall occasionally getting a coin slot birthday card with dimes or other coins appropriately placed inside the card. (Are those still being manufactured?) Nevertheless, whenever I learned that someone we knew had died, my young mind went back to wondering why people include money with a sympathy card. And I would naively ask myself, “Is it to make the survivor feel better or the sender?”

When I became an adult, like numerous other benevolent deeds I learned from my mother; I followed the tradition of including money in a sympathy card for close friends and relatives. And although I have discovered that this is an ongoing custom observed by many people; the question of why do it has never left my mind.

As with other lessons learned while growing up, I came to understand that the planning, preparations, and costs for funeral services can be overwhelming; so including money with the sympathy card might help ease the financial burden on the bereaved, especially when there is no life insurance policy. But sometimes the devil’s advocate in me thinks that the practice is sacrilegious. And I realize that it sounds devilish to say what I am about to say (so I genuflect and cross myself before continuing), but — it’s like putting a value on the worth of the deceased.

The intent of some givers might be that their donation could help defray funeral expenses, buy flowers, or purchase food for the repass. I get it. As I said, I almost always include money with a condolence card out of habit, and each time I do it I ask myself the same question:  Why do we do this? This issue of whether it is proper to include money in a sympathy card has weighed on my mind for many years, so I decided to research the subject. What I discovered during my investigation and an unofficial survey, which included questioning some friends, is that as with most things, there are two schools of thought.

While many Protestants, Catholics and members of some other religions do it, the evidence is not conclusive. Opinions differ among people in various ethnic groups and communities.

Some people consider including money with a condolence card inappropriate or downright insulting. Instead, they donate to a charity in memory of the deceased, send flowers or simply send the family a card, sans a check or cash.

In a 1998 column in the Chicago Tribune, Ann Landers, (remember her) wrote that “Money or checks NEVER should be included in a card or letter of sympathy.”

To the contrary, in a 2007 NY Daily News Column, Harriette Cole, former creative director of Ebony magazine, lifestylist, author and branding coach of entertainers, entrepreneurs and business professionals wrote: “I think it’s perfectly fine to do so… If you are discreet.”

The jury is out on this one. As with every other issue, people have their own strong opinions. Some say it is inappropriate to send money. Others see nothing wrong with it. All-in-all, it is a personal decision. Whether or not to include a monetary gift with a sympathy card to help with funeral costs or simply as a kind gesture is up to the giver.

Trends change. People live and die. And life goes on.

 

 

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