“Doctor why do I need to take this letter to my physician? It’s just a tooth l! Just take it out! What does my heart have to do with it?”

If you are a dentist, you have heard this line many many times!

Here’s why:

Old family friend.

Wife passed away many years ago due to
Cancer!

Son in the US!

Not much going on for him other than a job!

Over the last few years, ended up neglecting his health!

His diabetes was through the roof!

The 3 month average, HbA1C, was around 10 for years! (Even for diabetics it should be under 7)
Tried very hard to motivate him to address it! No change!

Wears an upper complete denture and has a few broken teeth in the lower jaw!

Met someone who got a full mouth implant rehabilitation done and so now wanted the same!

FINALLY got it to 7.5ish in December!

Great!
Son called and asked for an estimate. No issues he said.

3D scan showed amazing bone!

And then he got COVID!

Oh so close!

But all along something had been bothering me!

For someone whose sugar levels were so high for years, what about the rest of his body!
So I insisted on a cardiac clearance!

Sent him to someone very specific whom I will trust with my life!

The report stunned me!!!

Basically 2/4 valves had massive deposits and were basically not working!

3rd one was so so and only one was ok!

In addition he has massive
Blockages in his blood vessels!

(Valves are the taps which control flow of blood into the heart and from one part of the heart to the other. If they are leaking, impure blood is basically being circulated throughout his body)

He needs at least 2 valves replaced and a bypass!
Long story short: his heart is in such bad condition, he cannot even be taken to the OT and have his remaining teeth extracted pre heart surgery!

Just imagine what would have happened had I treated him in my chair!

So please take “that piece of paper” to your physician and
INSIST on a written clearance on their letterhead when a dentists asks for one!

It might just save your life!

I know we just saved his! And ours too!

#Pune #dentist #health #MedicalClearance #diabetes #CardiacArrest #valves #life

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More from @Gautaamm

Jan 21
Dr Madhav Ghate, practising Psychiatrist, Pune writes on:

Why Tennis is so much more than a game!

I have been playing tennis for more than 55 years. Played it at the school, college, university level and even up to national and international levels.
I have also played many other games like Cricket, Table tennis, water polo, Athletics and so on. But gradually Tennis became my first passion. So much so that my wife used to say that it’s your first wife. Now after seventy years of life, looking back, I have realized that Tennis
has given me a lot of things beyond just the pleasure of playing the game. Without a doubt I can say that I ENJOY life. Every day ! Being a psychiatrist, I have a habit of analyzing things. You see, WHY is an extremely important question not just in psychiatry but in medicine in
Read 27 tweets
Dec 12, 2021
Spent a very enjoyable morning at the Urban Sketchers Exhibition at Pune Handmade Papers behind Agricultural College!

It’s a must see!

A few pictures. Specially one by our very own @manishbytes!

Cc: @UrbanSkPune

#Pune ImageImageImageImage
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Read 6 tweets
Nov 12, 2021
My 2658956th post on why you should see a dentist on time!

This patient had been advised to get her wisdom tooth removed on time. Out of fear, she never got it done!

I removed another tooth for her on the other side and she had no issues at all!

So she knew it won’t hurt!
She finally called 2 days ago saying she is in a lot of pain and needs the tooth extracted!

The issue was that the tooth was very close to the nerve and there was a chance of permanent nerve numbness if it were to get damaged during extraction.

You might say then why take it
out?

Because it was decayed and there was a bigger chance of nerve numbness if the tooth got infected and it spread into the nerve!

That’s exactly what happened!

The right half of her chin and lip was “tingling” when she came in today!

The infection was pressing on the
Read 5 tweets
Sep 4, 2021
One of my favourite things to do is walk around the “city”.

Had one such walk last night and captured some of the “dying breeds” as I see board after board with names like “9 Sadashiv” etc!

Thanks @kunal_tilak for baptising me on the “Pune Misal” at Badshahi!

#Pune #city
The beauty and the beast!

All the old structures will soon be gone with the wind and replaced by Monstrosities.

Guess it’s all part of the times!
@GodboleSandeep always something that reminds me of you!

#temple #Heritage
Read 10 tweets
Sep 2, 2021
I feel there are two surgical procedures that have changed people's lives for the better more than anything else in the last 2 decades.

One is total knee replacements. I remember watching so many Aji Ajobas struggle to just move from one room to another as a kid because of bad
knees.

Now I see so many people in the 60-80 age group climb stairs and walk on the Deccan Gymkhana ground effortlessly thanks to their new knees!

The other is dental implants. I don't think there is adequate awareness of how life changing they are and hence this thread.
For starters, I would like to share something I have observed over the last one year.

It is sad but true that most "Mothers" in the 60-80 age group are the epitome of sacrifice.

More than anything else their personal health has been neglected.Specifically their dental status!
Read 18 tweets
May 30, 2021
GREAT discussion on "Destiny and Hardwork" in @SandeepMall space right now.

Writing a short thread to share my thoughts on the same.

As @onemanush said, your destiny starts right at birth.

If you are born in a small village in Africa versus a wealthy family in Mumbai,
your life path starts at a very different note.

The overall sentiment seems to be that you write your own destiny. Which is directly contradictory to the the sentiment that your destiny is pre written.

Your destiny is pre written when it comes to life and death!

What happens
between those two points in life is a combination of fortune, very different from destiny, and hard work.

A perfect example where HARD WORK was the only difference in the end point of two individuals is the age old Sachin versus Kambli discussion.

While a perfect example of
Read 13 tweets

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