Friday, July 17, 2009

Sherpa Nell

I was destined to meet two extraordinary people in the fall of 1993.


My favorite holiday - Thanksgiving would have to arrive in the States without my presence. I had given up my annual duck hunting trip, and the warmth and comfort of our usual family turkey and stuffing fest to participate in a much needed Christian mission trip to Flores, Honduras. Separation from Paula and Bryan and Allison was troubling to me, as our children were only 10 and 8 years old, but I was compelled by the dental need I had heard about in Honduras.


On arrival in our first major airport, I was cheerily greeted by a pair of unlikely, but obviously very close women. "Hi, my name's Nell, and this is my doctor, Dr. Benjamin." I introduced myself in response to their welcome, and asked where they were from. I believe that they were traveling from somewhere down South. We joined with the remaining 16 or so people and completed the final leg of our flight into Tegucigalpa, Honduras.



We drove on to Flores, a small mountain village with one church and a boys' and girls' school and orphanage run by a Christian non-profit organization. The tiny cement block "clinic" building would be our office for the next two weeks. We unloaded all of our supplies, arranged our dental and medical treatment areas, and prepared medications for the first day of service.


Nell and her doctor, Dr. Regina Benjamin spent alot of time working together organizing the pharmacy, packaging gauze, labeling drug envelopes, and sorting through numerous bottles and jugs of donated pills to be ready for the next day's onslaught of patients. Wherever I would see Regina or Nell, I would see them together - hardworking, cheerful, and getting the job done.


The next few days were a blur, as patients lined up at the clinic at 5:00 a.m., through the gates of the school and down the highway. We took a short break in the heat of the afternoon, and then continued on into the evening, ending sometimes at 9:00 at night. We had a trickle of water in our faucet, and limited unreliable electricity, but we were able to take care of alot of people. I didn't see Nell and Regina often during the day, as they worked the other side of the clinic. I spent most of my time extracting unrestorable and abscessed teeth in a small room on the right side of the clinic.


It was in the evening hours that I got a better chance to visit with Nell and Regina. After dinner, we would sit outside in the cooler evening air on ramshackle folding lawn chairs and talk about the day's experiences and speak of home. Sitting with Nell was one of my most memorable experiences. Nell was pleasant, outgoing, and spoke in a matter-of-fact way. Her humility was overwhelming to me, as she constantly referred to how wonderful "her doctor" - Dr. Benjamin was. Nell had worked with Regina for three years in a small rural health clinic. Nell related to me about how Dr. Benjamin worked tirelessly for her poor patients. She told me stories of her doctor's generosity and compassion. She had a sparkle in her eye every time she relayed another story of how she and Dr. Benjamin had helped the needy people from their area. I knew Dr. Benjamin must be special, but I was also convinced that Dr. Benjamin's success was at least in part due to the passion and dedication of her nurse Nell.


I found myself that Dr. Regina Benjamin was an incredible human being. Nell was right. She did work tirelessly for her Honduran patients. With Nell at her side, they accomplished great things for those needy people. They took care of each person like they were the most important people on earth. Always smiling, always waiting anxiously for the next patient, always caring about the people around them, they worked on together.


It's been many years since I have heard from or of my nurse and doctor friends from the Honduras medical - dental mission trip. As I read the news a couple of days ago, I did notice a familiar name and face: Regina Benjamin, M.D. The news also talked about her nurse, Nell. The still white-haired 79 year old Nell Stoddard, LPN predicted that someday "her doctor" who had worked so hard for her patients and endured so many hardships would become very important someday. Nell continues at the side of Dr. Benjamin in the Bayou La Batre Rural Health Clinic in Bayou La Batre, Alabama. They've been together for about 19 years now.


Nell's prediction is at hand. Recently, President Obama announced his selection of Dr. Regina Benjamin for the position of Surgeon General of the United States. This is a most fitting position for a person (team) that has served so selflessly. I am proud to have served with Nell and Regina. Congratulations to you both, for we know that noone can reach the summit alone.


Sherpa Nell - I liken the journey of Dr. Regina Benjamin and her Sherpa Nell to that of Sir Edmund Hillary and his Sherpa guide. They could only reach the summit together, relying on each other. In some stories of Everest, the unknown sherpa guide would not only carry much of the provisions on their back, but would on occasion carry their explorer as well. I'm sure that Nell and Regina have carried each other through much that life has brought their way.


(BBC News:) 1953: Hillary and Tenzing conquer Everest

The New Zealander Edmund Hillary, and the Nepalese Sherpa Tenzing Norgay, have become the first to reach the summit of Mount Everest on the Nepal-Tibet border.

They reached the top of the world at 1130 local time after a grueling climb up the southern face.

The two men hugged each other with relief and joy but only stayed on the summit for 15 minutes because they werre low on oxygen.
Mr. Hillary took several photographs of the scenery and of Sherpa Tenzing waving flags representing Britain, Nepal, the United Nations and India.
[On the return,] Col Hunt saw the two men looking so exhausted that he assumed they had failed to reach the summit and started planning another attempt.
But then the two climbers pointed to the mountain and signalled they had reached the top, and there were celebrations all around.

Thursday, July 9, 2009

Lip Repositioning - A Reason to Smile

Jean was in today for her final "glamour shots" after her lip repositioning surgery. In both photos, she is forcing a large smile. The "after" photo shows a beautiful result, and she's most pleased with it.




Jean says that she's smiling all the time! It's hard to believe that she wasn't smiling all the time before.


Wednesday, July 8, 2009

A Picture is Worth . . . Sending You to Prison

Usually a picture is worth a thousand words, but this time a picture is worth a few more visits to the Liberty Hotel in Boston.


Paula and I just returned from Boston visiting our son Bryan for the 4th of July. We chose to stay at the Liberty Hotel which seemed aptly named for a visit during the Independence Day Holiday. When Paula made the reservations, she was asked what the occasion was for our visit. She mentioned that we were visiting our son who was attending the Harvard School of Dental Medicine.


On arrival in our hotel room, we were pleased to find a personal, hand-written note welcoming us to the Liberty Hotel and wishing us a nice time visiting with our son. Wow! That's customer service. About 15 minutes later, we realized this was only the beginning of our special experience in the Liberty. I looked over to the night stand, and saw a framed photo of the Harvard School of Dental Medicine propped in a prominent position. Now that was impressive. That is a quality of customer service that demands to be recognized.


The Liberty Hotel was a great place to stay. The staff was accommodating. The restaurant was fabulous, and they had a unique motif. Did I mention that the "Liberty" Hotel had at one time been a prison? Yes, if you're ever in the Boston area, I'd recommend you spend your weekend in this prison.


Kudos to the people at the Liberty Hotel in Boston. I guess a picture is worth . . . well, alot.

Tuesday, June 30, 2009

Overcoming 1980's Dentistry


Hey, the 80's called. They want their teeth back!

When I first started practicing dentistry in the 1980's, the most common, least expensive thing we could do for someone who had a large space between their front teeth was to fill the space with two large crowns.

Quickly, we realized that running around flashing two humonstrous chiclets wasn't exactly sexy.

Our next generation solution for this problem was to crown the front four teeth instead to divide out the extra space between more teeth. This worked better, but the teeth generally owned two faults: They looked wider than they were tall, and there was a funny shape to the gum tissue beteween the two front teeth due to missing tissue.

Enter the 2000's . . . Contouring the gingival tissue to make the teeth look larger, and to create a natural "emergence profile" combined with fabrication of murano veneers and crowns really produces a smile that shines on. The gum tissue is contoured with a laser to simulate natural gum contours and "points" between the teeth. Murano veneers and crowns are computer designed to capture natural size and shape relationships between all the smiling teeth.

The photos above illustrate a recent success at the Jacobs Smile Center. The before photo shows the 80's style dentistry, while the after photo highlights what can be accomplished with the technologically superior murano veneers and crowns and laser recontouring - gum lift - of the tissues. The photos have been taken about 3 weeks apart.

Oh, yeah, I also did some ZOOM! whitening to round out the brilliance of her smile.

This lady is very active publicly, and tells me that many people have commented on her beautiful new smile. "I can't believe I waited so long," she tells me. I'm glad it was worth the wait.

Friday, June 19, 2009

20/20 Vision


This week marked the 20th anniversary of Vickie's partnership with the Jacobs Smile Center. We celebrated the occasion with an outdoor party complete with tent, cake, and Schwann's ice cream for our guests.


Vickie came to our practice with the retiring Ed Kuivinen, DDS in 1989. Ed said, "You'll want to keep Vickie. She knows everyone, and everyone likes Vickie." Vickie has been a true partner in the growth and development of our dental practice. She has understood the importance of serving each and every one of our patients in a sincere, caring way. The importance of each individual's welfare is most important to her.


20 years has seen the advent of new things in dental care. Vickie has transformed successfully through the change from 2-handed dentistry to 4-handed dentistry. She has seen the change from "cleanings" to comprehensive periodontal therapy. She has ushered in the technologies of computers in every treatment room, digital patient charting, digital xrays, laser cavity detection, and laser gum therapy.


Vickie has developed a keen eye for matching tooth color, and has become an educated critic about the perfection of cosmetic dental results, holding us all to a higher standard!


Vickie has cared for patients in need, anxious patients, patients suffering personal loss or trauma. She has given of herself to patients who have lost a loved one. She's shared the hurt of a patient having to commit their loved one into nursing home care after many years of trying to take care of them at home. She's counceled the parents of children sent to jail. She's shared her testimony and the Word with children returning from long term addiction treatment.


Thank God for Vickie, and for all the Vickies in the world. You make each day easier. You elucidate and validate the value and purpose of those you touch daily.


20 years comes and goes quickly. Thank you Vickie for having the trust in our vision to serve our patients in many ways. Thank you for helping shape our vision for the 20 years that are yet to come.

Friday, June 5, 2009

Lip Repositioning

NEW PHOTOS! Temporary Lip Repositioning at:
http://dentalnation.blogspot.com/2010/09/reversible-lip-repositioning-surgery.html


What can you do when your lips and your gums are fighting for attention, and your gums are winning? Now you have an option of a little-known procedure called lip repositioning surgery.

The photo above shows Jean's smile one week ago immediately before the procedure. This is not an exaggerated smile, but rather an easy smile she exibits in conversation. I had previously performed a laser gum lift to remove some of the tissue covering up her teeth. This helped her smile a great deal, but she still had an excessive amount of gum tissue displaying when she smiled.

Jean shared with me that she had been conscious of her gummy smile all of her life. "I try not to smile too big when I can help it," she declared.


In this second photo is Jean's smile one week postoperative to her lip repositioning surgery. I asked her to give me the highest smile that she could for this photo. "That's all I've got," she said, smiling and beaming simultaneously. "It looks great. I can't thank you enough." (Did I mention that I got a hug?)

This is remarkably simple and life changing!

During this procedure, I removed a small, shallow strip of inner cheek tissue from under Jean's upper lip. Removing this small strip of tissue and suturing the area into a new position immediately gave this result. The procedure generally takes about 20 to 30 minutes, and is painless. Jean did say that she had some discomfort for the first day or two, but that it was relieved with ibuprofen. She also said that she would do it again in a heartbeat. "I know a lot of people who could use this," she told me.

I've recently added this procedure to the list of things I like to lecture about. Contact me for further information about this if you desire.

Also visit: http://dentalnation.blogspot.com/2009/07/reason-to-smile.html for Jean's final glamour photos.

NEW PHOTOS! Temporary Lip Repositioning at:
http://dentalnation.blogspot.com/2010/09/reversible-lip-repositioning-surgery.html

Friday, May 29, 2009

Love it to Death

I talked to Bryan last night (Harvard School of Dental Medicine 2010) and he had an interesting case. He had recently restored a tooth for one of his patients, and the patient returned with much sensitivity. On evaluation, Bryan noticed that the new filling was showing signs of wear already. He asked the patient when it bothered her and she replied that it hurt when she flossed around it. "How do you floss?" he asked. She replied that she occasionally wrapped the floss all the way around the tooth like a lasso. Since she was having a little sensitivity in that new filling, she was not only wrapping the floss completely around the tooth, but she was also "crossing" the floss and then stripping it back and forth. This was remarkably like using one of those pocket chain saws that you can buy in Cabellas for removing small limbs from a tree in a minute! Bryan told her to stop abusing her tooth that way, before she had worn the tooth out completely.

I told Bryan "she was loving it to death". He chuckled, but that is how I have described this phenomenon over the years. I will frequently have a dental patient that presents to the office with a complaint of a severely receding gumline on one or two teeth. For some unexplained reason, the gum tissue continues to move further and further away from the tooth. I have learned over the years that when someone focuses on a percieved problem, they may concentrate all their efforts on it. When questioned, the patient usually relays that they are concerned about the recession and that they are "cleaning it really good several times a day so that it doesn't get worse." I tell them that they might be "loving it to death." In their attempt to keep the area healthier, they are in effect causing great damage and trauma to themselves. They think that more is better, but in these cases they need to stay away from the area to let it heal.

I cared for a man about 20 years ago who was losing weight at an alarming rate. His doctors were dumbfounded and couldn't explain why this man was dying a slow inevitable death. He told me that he was a religious man, and that he had visited Lourdes France a couple of years before to pray for good health. He had believed that the healing waters of the fount were alkaline like peroxide water, and thought that the healing waters were not of God so much as they were in the chemicals in the water.

He said, " I use that water every day, and I'm still losing weight. I can't figure it out?" I asked what he meant by using the water every day? He explained that he was mixing up some peroxide and water every day, and bathing in it like at Lourdes. He was also drinking a quart of that peroxide water every day. "I am consumed by this healing water, so I have to get better soon."

I told him that this was not healthy, and that if he kept drinking this water every day like this, he would do great damage to his body. I spoke with his wife, and she also had been trying to tell him this - to no avail.

God rest his fragile body. He loved himself to death.