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Medical Forum / General / Dentistry / November 2005Ping Dr. Kulacz
Here is the post addressing your question of me. In article <W6ref.206$4o7.54@newssvr24.news.prodigy.net>, "Amatus Cremona" <Nicola@sottovocce.com> wrote: > > Finally, after 5 1/2 hours of surgery in the hospital operating room and > > a few days hospitalization, we managed to deal with the teeth. It took > > another month or so before the crown work could be managed though (under > > twilight sleep sedation in the OMFS office). > > You may wish to be clear that the hospitalization was not due to the > abscess, but was the reason it was difficult to treat the abscess. Oh... you're right! In an effort to keep it brief, I made it misleading *and* confusing!!! Oops! I'm struggling with a bad case of writer's block. Believe it or not. My jaw function was destroyed in 1983 as a result of orthognathic surgery complications and my joints were completely mutilated over the course of the following 9-10 years as the result of many joint surgeries; none of which had any long term success. In 1992, with a jaw opening of 3 millimeters, I had an option to have both joints replaced with what was still considered an experimental device. A year after they were implanted, I underwent more than four hours of dental treatment in a hospital followed by a week's stay in ICU and step-down ICU. That was the first dental care I had in ten years. Over the course of the next eight years, I didn't have any dental care because my opening was still only 8-10 mm at best not because the joints were fused but because the muscles of my face had lost elasticity and "stretching" of the mouth's opening could only be done under deep general anesthesia. Beginning around 1998, a couple molars began giving me a great deal of pain but there was no one who could provide any services for me. And so, finally, I had to leave my own city once again to be admitted to a particular hospital that has an operating room with equipment necessary for my care. And the rest, you already know -- sort of. Amatus, is this a sufficient explanation? Maybe DrK is no longer participating or lurking. Delurking is the only way to know... Webby > / > "The Webby" <nospamattmjiatroepidemicnospam@san.rr.com> wrote in message > news:nospamattmjiatroepidemicnospam-9A25A0.10562115112005@news-lb-01.socal.rr. > com... > > In article <1132009694.836665.226770@z14g2000cwz.googlegroups.com>, > > drkulacz@optonline.net wrote: > > > > [cut] > >> > >> What interests me is why you lived with two abcessed teeth for a couple > >> of years. That could be very dangerous. > >> If you wish to email me directly please feel free to do so. > >> > >> Thanks, > >> RK > > [cut] > > > > Finally, after 5 1/2 hours of surgery in the hospital operating room and > > a few days hospitalization, we managed to deal with the teeth. It took > > another month or so before the crown work could be managed though (under > > twilight sleep sedation in the OMFS office). > > > > I thought I should provide a brief overview of the outcome for DrK in > > case he's interested. > > > > Webby > Here is the post addressing your question of me. > [quoted text clipped - 43 lines] > > Webby Why did you need the surgery in the first place? Did anybody tell you of the risks? Was any physicin or dentist concerned with your oral health after your initial surgery? Did you develop any other medical problems besides the obvious, after the initial surgery? What was finally done to the infected teeth? This is a good start. RK > > / > > "The Webby" <nospamattmjiatroepidemicnospam@san.rr.com> wrote in message [quoted text clipped - 22 lines] > > > > > > Webby > > Here is the post addressing your question of me. > > [quoted text clipped - 55 lines] > > RK Why do you want my opinion? From what I read you have already presented this before and got the opinion of the "dental panel" These topics always interest me but I do not understand the timing or the reason. (I am sure thast you know what I mean) RK > > > / > > > "The Webby" <nospamattmjiatroepidemicnospam@san.rr.com> wrote in message [quoted text clipped - 22 lines] > > > > > > > > Webby > > > Here is the post addressing your question of me. > > > [quoted text clipped - 65 lines] > > RK [cut] You, drkulacz, wrote: > > > The way it is written on my book is correct. > > > Please.......no you must be kidding!!!! [quoted text clipped - 5 lines] > > > > > > RK I responded to your question. Why am I do aggressive on this issue (accuracy)? And, you thought I should look for something more interesting to post than anything concerning the spelling of a particular word. I would think that you would find this an interesting topic. Maybe I'm wrong. Webby In article <1132099411.858107.28060@z14g2000cwz.googlegroups.com>, > Why do you want my opinion? From what I read you have already presented > this before and got the opinion of the "dental panel" > These topics always interest me but I do not understand the timing or > the reason. (I am sure thast you know what I mean) > > RK I didn't ask for your opinion about my care. I asked if I had adequately addressed your question that asked me why I waited two years to get abscessed teeth treated. I've not presented this to the "dental panel" (smd?) for their opinion either. That's not to say that this newsgroup's regulars are not somewhat familiar with why I participate in smd. Webby > In article <1132099411.858107.28060@z14g2000cwz.googlegroups.com>, > [quoted text clipped - 14 lines] > > Webby I certainly empathize with your condition. If i can be of any assistance to you please email me directly. RK > > Here is the post addressing your question of me. > > [quoted text clipped - 47 lines] > > Why did you need the surgery in the first place? I think you mean the surgery in 1983. I didn't need it. I was told I needed it by a dentist (who was also a family friend) and an OMFS (who was also my dentist's friend). I was told that if I didn't have my mandible advanced, my jaw joints would "wear out" and I would live the rest of my life in pain and there would be nothing that could be done once that happened. > Did anybody tell you of the risks? Did I sign an informed consent? I did. Was it a proper informed consent? A judge said it was not. So, the answer is, no I was not properly informed of the risks. > Was any physicin or dentist concerned with your oral health after your > initial surgery? There was nothing that could be done about my oral health after the initial surgery. I never regained an opening adequate for dental care. The orthodontic brackets used in the surgery were removed with great difficulty, but they were removed. > Did you develop any other medical problems besides the obvious, after > the initial surgery? By obvious, I assume you mean the ones I have mentioned in the post. All of my problems were related to the damage done to bones, muscles and nerves and multiple maxillofacial and joint surgeries. > What was finally done to the infected teeth? One molar was removed, another RCT and crown. Other teeth were treated as needed. I can't really tell you what all was done. I can't see inside my mouth like most people can and I let the dentist and OMFS do what they felt was in my best interest. > This is a good start. How's that? > RK > > [quoted text clipped - 28 lines] > > > > > > > > Webby > > > Here is the post addressing your question of me. > > > [quoted text clipped - 86 lines] > > How's that? That paints a good picture. One key point is that you may not have needed the initial surgery. From this all your troubles began. What would you like from me at this point? I will be out until around 10:30 eastern time and will respond to your answer to my question when I return. RK > > RK > > > [quoted text clipped - 28 lines] > > > > > > > > > > Webby > > > > Here is the post addressing your question of me. > > > > [quoted text clipped - 96 lines] > One key point is that you may not have needed the initial surgery. From > this all your troubles began. I did not need the initial surgery. I never asked for the surgery for any reason or any other treatment related to that surgery (orthodontics). I was given "advice" by my dentist friend who said he didn't want to see me suffer in pain for the rest of my life by not having that surgery. His words were that dentistry knew what caused jaw joints to wear out and surgeons could prevent it but they could not treat it *once* any pain started. I was asymptomatic and had no problem with my jaw function, in good health, content with my appearance. I had absolutely no interest in making cosmetic changes to my face. All of the trouble began when the surgeon encountered trouble with his procedure and kept it a secret from other people who *might* have been able to mitigate the serious sequelae from his errors. > What would you like from me at this point? I can't think of anything I need from you at this point. I just thought that it might be of interest to you to see that sometimes people do not have choices in dental care. Just so that you understand one more thing, I should say this: The total joint prostheses that I have had in place since Jan. 1992 have not failed and I hope they will continue to serve me well for many years. By serving me well, I mean that I hope to never have severe ankylosis of my TMJs again or that I never need to have surgery to replace my prosthetic joints again either. Thank you for your discussion and your offer to be of assistance. Webby > I will be out until around 10:30 eastern time and will respond to your > answer to my question when I return. [quoted text clipped - 38 lines] > > > > > > > > > > > > Webby > > > > > Here is the post addressing your question of me. > > > > > [quoted text clipped - 127 lines] > > Webby I am glad that that everything is okay for you now. You already know what myprobable comment will be on the initial surgery and the actions of the dentists. As you know it is impossible for me to make a definitive asssesment without examining you or being familiar with your case from the start. I wish you well. Best, RK > > I will be out until around 10:30 eastern time and will respond to your > > answer to my question when I return. [quoted text clipped - 38 lines] > > > > > > > > > > > > > > Webby > All of the trouble began when the surgeon encountered trouble with his > procedure and kept it a secret from other people who *might* have been > able to mitigate the serious sequelae from his errors. > I can't think of anything I need from you at this point. I just thought > that it might be of interest to you to see that sometimes people do not > have choices in dental care. > Webby And these dentists that made these mistakes were so confident that they knew treatments that most common dentists did not recommend or perform and were in fact treating a condition that did not exist. Glad you're good at making lemonade, Dartos > And these dentists that made these mistakes were so confident that they > knew treatments that most common dentists did not recommend or perform > and were in fact treating a condition that did not exist. When I first read the above paragraph, I thought you were writing about NICO. In her case, the state of knowledge at the time called for this type surgery with a condition such as hers. We, now, know that the purpose of the surgery was wrong and it did not actually improve the _future_ condition, which the referring dentist was convinced would happen if not treated. Which in turn led to The TMJ Iatroepidemic. Top this case off with poor post-surgical care and you have a disaster which would never have been even treatment planed.  Signature/ Amatus / > >> All of the trouble began when the surgeon encountered trouble with his [quoted text clipped - 14 lines] > > Dartos In article <nospamattmjiatroepidemicnospam-DBD2AB.17184815112005@news-lb-01.socal.r r.com>, [cut] > Just so that you understand one more thing, I should say this: The > total joint prostheses that I have had in place since Jan. 1992 have not > failed and I hope they will continue to serve me well for many years. > By serving me well, I mean that I hope to never have severe ankylosis of > my TMJs again or that I never need to have surgery to replace my > prosthetic joints again either. [cut] Of course, my natural TMJs are long gone and by saying "my TMJs", I actually meant to describe an anatomical region *and* my artificial joints. Not to belabor the point, but I realized I could have chosen better wording -- sorry. Webby |
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