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Medical Forum / General / Dentistry / March 2005Avascular necrosis and osteonecrosis - 22nd anniversary of my saga's beginning
http://www.biomedcentral.com/1471-2474/3/19 > Background > > Avascular necrosis of bone (osteonecrosis) can cause structural failure and > subsequent deformation, leading to joint dysfunction and pain. Structural > failure is the result of resorption of necrotic bone during > revascularization, before new bone has formed or consolidated enough for > loadbearing. Bone resorption can be reduced by bisphosphonates. If resorption > of the necrotic bone could be reduced during the revascularization phase > until sufficient new bone has formed, it would appear that structural failure > could be avoided. To say that osteonecrosis of the TMJ is not a complication risk of sagittal split sliding osteotomies of the mandible is to tell me that my condition does not exist. Whether or not this complication is due to poor technique on the part of the surgeon or not, is really of no matter to the person who ends up with destroyed jaw joints. The discussion about *all of this* is very personal to me and unfortunately, sets off the symptoms of *my* Post Traumatic Stress Disorder (PTSD). Today is the 22nd anniversary of the day my life changed forever. Anniversaries like this are difficult for me to weather ... but weather the storm, I shall. However, in order to do that, I know it is better for me to find some distraction from this today and maybe for a few more days ... I need to take care of myself right now. I'm certain most of you can understand. Webby If you need someone to talk to, give us a call.  Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > http://www.biomedcentral.com/1471-2474/3/19 > [quoted text clipped - 28 lines] > > Webby > If you need someone to talk to, give us a call. Posted this according to info below but it hasn't arrived on my server. Don't know why ... so reposted. Date: Wed, 23 Mar 2005 10:51:28 -0800 > If you need someone to talk to, give us a call. The value of friendship is priceless. Thank you. Webby [cut] > > ... I need to take care of myself right now. I'm certain most of you can understand. > > > > Webby Though not with as many residual effects, every summer brings an anniversary of sorts for me also. One of my assistants just brought me a picture that she had found in a drawer at her home. It was of me driving my 1967 Cobra in a parade (May 1994). It was a beautiful car.... for a few weeks. Now if I could just know if she thought I would like seeing the picture, or if she just wanted to see if I would start crying... Fawks > The value of friendship is priceless. Thank you. > > Webby > Though not with as many residual effects, every summer brings > an anniversary of sorts for me also. [quoted text clipped - 13 lines] > > > > Webby I hope you put the picture wherever you prefer it to be -- "A picture is worth a thousand words" -- and the words are different to everyone gazing upon that picture. It's a delicate balancing act we face when trying to decide what to remember and what to forget. The mind is meant to recall. Society rewards its members for having great memories ... and so when it comes time to erase certain elements of one's memory, it is not as easy as it seems. We are urged to "forget about it and get on with life". I've never quite figured out the wisdom in that. Instead, I think it's healthier for me to allow myself a few days of sorrow and *then* get on with life. What matters *most* is that we survived something that could have turned out differently and there is always a lesson in those experiences. Best wishes, Webby > http://www.biomedcentral.com/1471-2474/3/19 > [quoted text clipped - 6 lines] > today and maybe for a few more days ... I need to take care of myself > right now. I'm certain most of you can understand. Life is full of little anniversaries; some are wonderful, but some are best ignored. 30-some years ago my kid brother (that "Joel" I introduced you to a few weeks ago) had a terrible accident a few days after I helped him buy a motorcycle. That is probably the worst memory of my life (but my trauma was nothing compared to his). I couldn't tell you the anniversary of that accident, and I can't imagine any profit in knowing. I wish you the best Webby. Vaughn > "The Webby" <nospamattmjiatroepidemicnospam@san.rr.com> wrote in message > news:nospamattmjiatroepidemicnospam-A589EC.07431823032005@orngca-news03.socal. [quoted text clipped - 22 lines] > > Vaughn Hello Vaughn, For you, I understand that it wouldn't be important to remember exactly when that terrible accident happened to your brother. You can't ignore what happened without first remembering it. About 28 years ago, one summer's day, I took my three year old and her little friend, also aged three, to an amusement park for the day. The park had a wading pond inside the playground area; I thought it was a poor idea to have 10-12 inches of water in a place filled with wild and crazy kids -- and guess what -- I turned my back for no more than 10 seconds to pick up some kid who fell down and when I looked back to where the girls were playing (not in the water) our little guest was gone!!! I thought, I'll find her in a moment and my eyes began searching as far as I could see but she wasn't visible. Suddenly I remembered the ponds --- I grabbed my daughter and ran over to the pond and there was our little friend -- happily throwing water into the air and having a grand time oblivious to the world -- ... Fast forward about two weeks -- I woke up to learn that the same little girl, the daughter of one of my closest friends, had drowned the day before in the neighbor's backyard pool. Her father was gardening in their cul de sac property where kids played and rode their little three wheeled bikes. The dad went into the garage to get a tool and when he came back out, he couldn't find "Susie" (not her real name)... he called her name and began to feel panic coming over him ... he ran in and got my friend and they quickly ran to the neighbor's doors asking if she was there... when suddenly they noticed the gate to the neighbor's property's backyard was open; and they knew the people were out of town and that the yard had a pool in it. They dashed through the gate and there was "Susie" in the pool, face down, ... and a ball was floating in the water with her... Needless to say, I couldn't believe the news I was hearing for reasons that haunt me to this day. I do remember the date but unless I think about the whole story I tend to remember her in the summertime on those beautiful sunny days ... and I remember taking my girlfriend to the store to purchase one last little dress for her to wear... It was a day I don't want to forget because it's part of circle of life. She loved the water... Webby
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