Gautam Govitrikar DMD Profile picture
Dentist. Educator. StoryTeller @Penn Ivy League. Cricket. American Football. Pune. Philadelphia. Princeton. Deccan Gymkhana. Tennis. Chitale.Vaishali.
shahdurgesh Profile picture 1 added to My Authors
May 11 24 tweets 7 min read
Every week, I get at least one phone call complaining of severe toothache, almost always in the molars. (Back teeth).

The patient comes in and the clinical examination and xrays show no cavities, and the tests for fracture are usually negative at this stage.

#Pune #Dentist Usually it can only mean one of two things:
1) If the pain is restricted to the upper molar, then a recent of concurrent history of sinusitis/runny nose/cold etc. I typically see this around late November and the history is very clear.

Mar 29 8 tweets 4 min read
“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)
Jan 21 27 tweets 6 min read
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
Dec 12, 2021 6 tweets 6 min read
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 ImageImageImageImage
Nov 12, 2021 5 tweets 2 min read
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
Sep 4, 2021 10 tweets 8 min read
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!
Sep 2, 2021 18 tweets 6 min read
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.
May 30, 2021 13 tweets 4 min read
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
May 13, 2021 27 tweets 7 min read
#thread on the life cycle of a #toothache:

I am often asked the following questions:

1) Why should I see you when I don’t have pain?

2) Why should I get this cavity filled when it’s not hurting?

3) Why do I need a root canal when the tooth is not hurting? 4) Why does my tooth hurt so bad?

5) My tooth was hurting a lot but now it’s ok. Why do I need a root canal? Can’t you do a filling?

6) Won’t just taking antibiotics clean out this infection you are speaking about?

7) Why can’t you finish the root canal in one visit?
May 12, 2021 21 tweets 7 min read

I fell in love with #cricket watching the 1985 Ravi Shastri Audi series!

@sourabhsanyal was appearing for his 10th boards during the VVS series! And got yelled at by his dad because when he asked how was the paper he replied “What’s the score?”

@khurramaziz123 feels The 1996 World Cup was when he truly started following cricket! That just shows he is a true cricket fan because if there is one tournament I would never expect a Pakistan cricket fan to love it would be the 1996 World Cup!

@khurramaziz123 feels those who not watch Sachin in
Apr 16, 2021 12 tweets 3 min read
#thread on Insurance:

Slowly but surely Medical Insurance is taking over health care.

It is the most misunderstood aspect of health care!

For starters, it’s a privilege not a right!

In returning for paying a premium, you MAY get covered for an amount ranging from ZERO to your policy limit!

It starts with the room rate limit!

If your policy has that, you will be entitled to a room costing 1% of your yearly limit!

That’s not it.

That decides the “package” you are entitled to! It includes everything.

Hospital fees, medicines, surgeon’s
Mar 22, 2021 38 tweets 8 min read
#Thread to discuss medical clearance for dental treatment:

A common misconceptions about dental treatment is that it is not affected by a patient's medical history or vice versa.

"Aho daat tar aahe. Tyacha majhya heart attack/knee replacement/diabetes shi kay ghena" "Its just teeth. What is the connection with a heart attack/knee replacement/diabetes?"

And then there is the issue of getting medical clearance in writing from their specialist doctor.

I will try to cover most common conditions, associated risks and desired clearance!
Dec 28, 2020 7 tweets 3 min read
The first practice I was at in the US was a 2 doctor office. I worked in one half with 2 assistants and the other dentist in the other half.

One of my assistants had been in the business for over 30 years. She knew her s**t. When my colleague relocated, I asked the office manager to have him assist the new guy because he was very fresh and inexperienced.

One day, I was in the middle of a tough root canal when she came running and said "Dr.G stat" and ran back.

I literally stopped what I was doing, told the assistant to stay with my
Dec 6, 2020 14 tweets 4 min read
Someone I know will soon become a F1 parent! (F1=student visa in the US).

So I offered to share a few pointers I had put together year ago for students moving to the US for higher studies.

Figured why not share it here.

#F1visa #America #Masters #students #India #Pune Before you leave:
1.Scan every single certificate (mark sheet degree cert, birth, aadhar, Pan etc) and save in a secure place. Easiest is to open an email address only for documents. Make 4 sets of copies, 2 with your parents 2 with you.
Dec 5, 2020 9 tweets 3 min read
One of the main reasons we moved back was the deteriorating health care system in the US.

Everyone needs to understand there is a HUGE difference between "health care system" and "Medical Treatment".

"Medical Treatment" is what doctors do. Be doctors.

Diagnose. Treat. Cure "Health care system" involves the huge mess surrounding the doctors under which they have to operate.

The layers and layers of bureacracy, third party payments, MBA bosses, pharma companies, medical malpractice, corporate work culture, VC partners etc.
Dec 3, 2020 10 tweets 3 min read

One of the BIGGEST advantages of having studied in the US, specially at an Ivy League school in a city like Philadelphia is the exposure I received to 2 ethnicities:

Judaism and African Americans. The FIRST thing I was educated on by my friends at Penn Dental was what NOT to say to and about them. And I wish to share that here as I saw a tweet recently break one of the rules.

Judaism: Any one who has studied history knows who Hitler, also known as "The Fuhrer" was.
Oct 23, 2020 10 tweets 2 min read
#Thread on Calcium defficiency, osteoporosis and dental treatment:

In the last one month, I have treated at least 4 females in their 60's, who have had serious Calcium defficiency. One of them is being treated for osteoporosis while two of them are borderline cases. "Osteoporosis causes bones to become weak and brittle — so brittle that a fall or even mild stresses such as bending over or coughing can cause a fracture. Osteoporosis-related fractures most commonly occur in the hip, wrist or spine.
Oct 22, 2020 5 tweets 2 min read
#thread on dentists and X-rays....

Patients often are resistant to dentists taking xrays.

More than anything, they benefit directly from appropriate and adequate X-rays.

For starters, here’s how safe digital dental X-rays are: Image Next they help reveal a lot of information.

Eg.anytime I take a tooth out, I take an X-ray AFTER to ensure it’s all out.

This patient came in yesterday for an infected tooth. It was so damaged it came out in 6 pieces literally! Image
Aug 14, 2020 9 tweets 3 min read
Getting a lot of questions about kids and brushing so a quick thread:

Children have 20 primary teeth which start erupting at age 6 months and continue till around the 5 year mark. (see image)

The need for "brushing' starts at birth but is done on the gums initially. After the baby is fed, either via breast feeding or the bottle, use a clean cotton handkerchief and room temp boiled water to gently clean the gums.

The teeth are forming under the gums and if the milk is left behind it can see through and cause cavities.

The same is done
Aug 2, 2020 23 tweets 9 min read
The first Indian commentator I loved and respected was the one and only SMG. Not so much for his skills as one but for his courage to "stand up" to the big boys aka England and Australia on air.

He made his debut in 1990 and while it was expected for ex players to be neutral on air, it was essential that someone stand up to the double standards going on in world cricket at that time.

His most famous story, which I think occurred while he was captain, was when he refused to allow batsmen to get drinks in between overs on their own. The argument was
Jul 23, 2020 18 tweets 5 min read
One of the biggest cons the western financial system has created is this concept of "good debt".

Basically "Good debt is considered to be debt if it helps you get a job, like a student loan, or helps you earn money, like a business loan.

"Bad debt" is all other debt, but basically personal loans, credit card debt etc. Home loans can be considered essential, but with care.

The reality is that there is NOTHING like "good debt". I say that because it plays on people's minds to throw caution to the wind and borrow recklessly because apparently you