Atot first? Posting from the E.R.

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Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,268
126
Last year I thought I was having a heart attack and went to the ER from work. I had my backpack which has about 20 lbs of junk including my laptop. Well the hospital had a public WIFI connection and I contacted a few people including the other moderators, so that if I died they would know what happened :p

Fortunately the hospital had an advanced test which determined that not only did I have a healthy heart, but that it was indistinguishable from a perfectly healthy adult many years my junior.

Win for me :D

Turns out that there is a muscle in the diaphragm which can spasm mimicking a severe MI. It wasn't a lot of fun.
 
May 13, 2009
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612
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Well turns out it was caused by an overbite in my mouth and I bit into my cheek and it's become infected. I was going to suck it up and go see a dentist tomorrow but I'd hate to let an infection this bad go any longer than I have to. They gave me some pain killers and antibiotics. Might have to get my wisdom teeth removed eventually or whatever they do to fix an overbite.
 

Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,268
126
Well turns out it was caused by an overbite in my mouth and I bit into my cheek and it's become infected. I was going to suck it up and go see a dentist tomorrow but I'd hate to let an infection this bad go any longer than I have to. They gave me some pain killers and antibiotics. Might have to get my wisdom teeth removed eventually or whatever they do to fix an overbite.


Professional curiousity- What did they give you?

My guess- Amoxicillin or cephalexin and Vicodin or ibuprofen.
 

Bignate603

Lifer
Sep 5, 2000
13,897
1
0
So what does he have? I don't want to hear a guess, I want to know exactly what he has going on. You've stated he's at the wrong facility, so you obviously know what his diagnosis is. Let's hear it.

The likely diagnoses (abcessed tooth, infection in mouth, etc) can all be treated easily in an urgent care center. I would bet upwards of 90% of things that people get treated in the ER can be treated in an urgent care center cheaper and faster than they could in the ER.
 

amdhunter

Lifer
May 19, 2003
23,332
249
106
Mouth aids?

Its because you talk too much shit.

loooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooool
 

moshquerade

No Lifer
Nov 1, 2001
61,504
12
56
Amoxicillin and hydrocodone.
Hydrocodone? That's nuts. Most ER Docs I know would've just prescribed some ibuprofen or something like that.

I have never, and I mean never, heard of someone getting an infection that caused facial swelling from biting their cheek. Maybe if you bit your lip hard enough, and it would have to be really hard, you'd get swelling there, but your cheek?

I am going to call shens on that. You mentioned your wisdom teeth needing to be removed. Who mentioned that to you? The wisdom teeth have nothing to do with an overbite.
Are your wisdom teeth partially erupted? Maybe that is the source of your infection.
 

techs

Lifer
Sep 26, 2000
28,559
4
0
The likely diagnoses (abcessed tooth, infection in mouth, etc) can all be treated easily in an urgent care center. I would bet upwards of 90% of things that people get treated in the ER can be treated in an urgent care center cheaper and faster than they could in the ER.

The only "problem" with urgent care centers are that in many suburban, rural areas they would siphon away enough ER patients that hospitals would have to close or raise their rates to even more exhorbitant levels.
Remember when you see your ER bill a bunch of it is for machinery and staff that are kept on hand in case you need them, even if in your case you didn't.
 

eits

Lifer
Jun 4, 2005
25,015
3
81
www.integratedssr.com
Hydrocodone? That's nuts. Most ER Docs I know would've just prescribed some ibuprofen or something like that.

I have never, and I mean never, heard of someone getting an infection that caused facial swelling from biting their cheek. Maybe if you bit your lip hard enough, and it would have to be really hard, you'd get swelling there, but your cheek?

I am going to call shens on that. You mentioned your wisdom teeth needing to be removed. Who mentioned that to you? The wisdom teeth have nothing to do with an overbite.
Are your wisdom teeth partially erupted? Maybe that is the source of your infection.

most e.r. docs don't want return visits from people who don't need to be there (in other words, they'd rather people with life threatening issues come in... heart attacks, car crashes, etc.). why risk having 800mg ibuprofen not work and have him come back and take up a room because the meds weren't strong enough? just give him something potent and send him on his way (at least that's the e.r./triage way of thinking, according to my knowledge).
 

Locut0s

Lifer
Nov 28, 2001
22,205
44
91
Hydrocodone? That's nuts. Most ER Docs I know would've just prescribed some ibuprofen or something like that.

I have never, and I mean never, heard of someone getting an infection that caused facial swelling from biting their cheek. Maybe if you bit your lip hard enough, and it would have to be really hard, you'd get swelling there, but your cheek?

I am going to call shens on that. You mentioned your wisdom teeth needing to be removed. Who mentioned that to you? The wisdom teeth have nothing to do with an overbite.
Are your wisdom teeth partially erupted? Maybe that is the source of your infection.

I can still remember looking in shock at my dental x-ray of my impacted wisdom teeth. The fucking things were 90 degrees to the rest of my teeth! I couldn't believe that they could actually rotate around like that.

Oh an I remember being given Tylenol 3s for a deadly bad stomach ache at the ER once.
 
May 13, 2009
12,333
612
126
Hydrocodone? That's nuts. Most ER Docs I know would've just prescribed some ibuprofen or something like that.

I have never, and I mean never, heard of someone getting an infection that caused facial swelling from biting their cheek. Maybe if you bit your lip hard enough, and it would have to be really hard, you'd get swelling there, but your cheek?

I am going to call shens on that. You mentioned your wisdom teeth needing to be removed. Who mentioned that to you? The wisdom teeth have nothing to do with an overbite.
Are your wisdom teeth partially erupted? Maybe that is the source of your infection.

The Dr said that it was caused from me having an overbite and I was biting into my gums and I guess they became infected. He referred me to an oral surgeon. I am almost 29 years old and I believe I've had my wisdom teeth a long time now so I don't see them being the problem.
 

moshquerade

No Lifer
Nov 1, 2001
61,504
12
56
I can still remember looking in shock at my dental x-ray of my impacted wisdom teeth. The fucking things were 90 degrees to the rest of my teeth! I couldn't believe that they could actually rotate around like that.

Oh an I remember being given Tylenol 3s for a deadly bad stomach ache at the ER once.
Yeh, there isn't room for them so they tip in the jaw.

We aren't like our cavemen ancestors and have evolved into having smaller jaws that can't accommodate third molars. That, and we don't have the hard chewing diet of our long ago predecessors, which has led to no need for that many molars.

Some people, further evolved people? :p , don't have wisdom teeth or are missing a couple of them. Maybe eventually, humans won't have wisdom teeth at all.
 

eits

Lifer
Jun 4, 2005
25,015
3
81
www.integratedssr.com
Yeh, there isn't room for them so they tip in the jaw.

We aren't like our cavemen ancestors and have evolved into having smaller jaws that can't accommodate third molars. That, and we don't have the hard chewing diet of our long ago predecessors, which has led to no need for that many molars.

Some people, further evolved people? :p , don't have wisdom teeth or are missing a couple of them. Maybe eventually, humans won't have wisdom teeth at all.

i was born with only two wisdom teeth... the bottom ones
 

Dominato3r

Diamond Member
Aug 15, 2008
5,109
1
0
Last year I thought I was having a heart attack and went to the ER from work. I had my backpack which has about 20 lbs of junk including my laptop. Well the hospital had a public WIFI connection and I contacted a few people including the other moderators, so that if I died they would know what happened :p

Fortunately the hospital had an advanced test which determined that not only did I have a healthy heart, but that it was indistinguishable from a perfectly healthy adult many years my junior.

Win for me :D

Turns out that there is a muscle in the diaphragm which can spasm mimicking a severe MI. It wasn't a lot of fun.

I always thought Diaphragm spasms were hiccups
 

moshquerade

No Lifer
Nov 1, 2001
61,504
12
56
The Dr said that it was caused from me having an overbite and I was biting into my gums and I guess they became infected. He referred me to an oral surgeon. I am almost 29 years old and I believe I've had my wisdom teeth a long time now so I don't see them being the problem.
I thought you said it was your cheek?

If he's referring you to an oral surgeon it is to have a tooth out. That is what they do mainly, difficult extractions. If your gums are infected you would be referred to a gum tissue specialist, a Periodontist. Sounds to me like you haven't been to a Dentist in awhile and should start there.

If your gums are infected it's not because you are biting into them. You have gingivitis or advanced gingivitis, called periodontal disease.

Your wisdom teeth can become an infection issue at any point in your life if they have not fully erupted into your mouth and/or you are not
keeping them clean.

Still can't believe they gave you hydrocodone... that ER doc must be the local ER visiting druggies favorite.
 
Last edited:

Locut0s

Lifer
Nov 28, 2001
22,205
44
91
I thought you said it was your cheek?

If he's referring you to an oral surgeon it is to have a tooth out. That is what they do mainly, difficult extractions. If your gums are infected you would be referred to a gum tissue specialist, a Periodontist. Sounds to me like you haven't been to a Dentist in awhile and should start there.

If your gums are infected it's not because you are biting into them. You have gingivitis or advanced gingivitis, called periodontal disease.

Your wisdom teeth can become an infection issue at any point in your life if they have not fully erupted into your mouth and you are able to keep them clean.

Still can't believe they gave you hydrocodone... that ER doc must be the local ER visiting druggies favorite.

Just curious. As an oral hygienist how harsh are you with your patients when it comes to gum health? There are 2 hygienists that I've had work on my teeth regularly and one of them always incessantly nags me about proper gum health. She's right I don't take good enough care of my gums and have had low grade gingivitis for a long time. Thing is the other hygienists never says a pep, she just works away and doesn't say anything about how much or little I'm bleeding. I know for a fact I bleed WAY too much at my cleanings. But I'm sure someone in your business must get tired of seeing the same thing over and over, people probably rarely change their habits. It's difficult when you only get a reminder every 6 months or more and don't suffer any immediate debilitating side effects.
 
May 13, 2009
12,333
612
126
I thought you said it was your cheek?

If he's referring you to an oral surgeon it is to have a tooth out. That is what they do mainly, difficult extractions. If your gums are infected you would be referred to a gum tissue specialist, a Periodontist. Sounds to me like you haven't been to a Dentist in awhile and should start there.

If your gums are infected it's not because you are biting into them. You have gingivitis or advanced gingivitis, called periodontal disease.

Your wisdom teeth can become an infection issue at any point in your life if they have not fully erupted into your mouth and you are able to keep them clean.

Still can't believe they gave you hydrocodone... that ER doc must be the local ER visiting druggies favorite.

Why are you getting so anal? It was my cheek/gums in the back of my mouth near wisdom teeth. What's the big deal with the hydrocodone? I'm in some intense pain due to the infection. Tylenol ain't going to cut it.
 

moshquerade

No Lifer
Nov 1, 2001
61,504
12
56
Just curious. As an oral hygienist how harsh are you with your patients when it comes to gum health? There are 2 hygienists that I've had work on my teeth regularly and one of them always incessantly nags me about proper gum health. She's right I don't take good enough care of my gums and have had low grade gingivitis for a long time. Thing is the other hygienists never says a pep, she just works away and doesn't say anything about how much or little I'm bleeding. I know for a fact I bleed WAY too much at my cleanings. But I'm sure someone in your business must get tired of seeing the same thing over and over, people probably rarely change their habits. It's difficult when you only get a reminder every 6 months or more and don't suffer any immediate debilitating side effects.
The hygienist who never says a peep is involved in supervised neglect. She's lazy, burned out, doesn't care, pick one or more.
The other hygienist is only "nagging" because she cares and is trying to spare you losing your teeth.
I try not to nag, but I inform you of what I see and what the consequences of your poor oral hygiene will be. It's my job.

Question: When you've had your teeth cleaned has the hygienist ever done a periodontal probing on you? This measures pocketing around your teeth, and tracks whether you do indeed have "low grade gingivitis", or if its progressed to periodontal disease.