The Wrath of Kon

Dispatches, thoughts, and miscellanea from writer Jon Konrath

Tag: dental-trauma

Arm, teeth, allergies

So I have a good excuse for my blogging slowdown as of late: I broke my arm. This was two weeks ago, and there’s no exciting story behind it. I was walking from work to a hotel where we were having a convention in SF, and I wasn’t looking down and hit some uneven patch of sidewalk and fell. Landed on my right arm (I’m right-handed) and knee, and set off my Apple Watch fall detection. I went to the conference anyway, unsure if I’d actually broken anything, but within a few minutes, I knew I had, so I scrambled to find anything nearby that could see me at 4:30 without spending twelve hours in a war hospital triage room. To further complicate things, Sarah was out of town, and I don’t know where anything is in SF.

I found a Carbon Health clinic on Market, who bounced me to another branch with an x-ray a half-mile further out. I made an appointment on their app on the way there, and got in semi-immediately. This isn’t the first time I’ve broken an arm; I broke the left one in 1992, and the right one in 2009. Both of those were bike accidents, and it turns out all three were the same exact break: a hairline radial head fracture.

Like 2009, the urgent care folks shot some x-rays, took a look, then put me in a fiberglass splint that went from mid-hand to above the elbow. The doctor got this long strip wet, then molded it onto my arm in a U shape. It felt hot, and it looked like some emergency fiberglass repair strip you’d use to patch a hole in a boat hull. He then wrapped the arm in compression bandages, put it in a sling, and told me the name of an urgent orthopedic surgeon to see. I got on their web site and got in the next day.

And the question everyone asks: no, there were no drugs. I got no painkillers, no shots or IVs or anything, just the advice that I should take Tylenol and ice the thing.

Went to the ortho the next day for another round of x-rays. The bone wasn’t chipped or shattered in any way that would require surgery. He took off the splint and said I’d be better off using the sling, keeping on the ice, and trying to get it moving as soon as the swelling let up.

The only real problem was this happened Monday night, and I had my biggest product release of the year on Wednesday morning. I had to wake up at 3:15am to get this thing rolling, and I had to do the whole thing one-handed. I switched from my Kinesis Advantage keyboard to a small 65% keyboard for one-handed typing, and a trackpad on my left hand. I also used Apple’s voice dictation, which has gotten surprisingly good. The release got out, and without the cast, I was able to actually shower, which was nice.

Not having a right hand is a problem. The first time I broke my right hand, I thought I would have a ton of trouble because I could not write, and it turns out that’s not much of a problem at all anymore. Also, it turns out I can write without much difficulty, because that doesn’t involve moving my arm. The mouse is the big problem. Also, turning things is bad: keys, doorknobs, the ignition of my car. And I can’t do anything involving weight.

It’s been almost two weeks, and I’m out of the sling for the most part. I still wear it on the train so I don’t accidentally grab an overhead strap, and so people don’t bug me. Typing on the Kinesis is no problem. The mouse still is. I’ve got more x-rays Tuesday, and a list of rehab exercises I’m supposed to be doing. I think the timeline for total healing is maybe 6-12 weeks, but I expect to be largely up to speed by the end of the month.


I’ve also got some dental trauma blogging to do, although this one is largely done. I finished a course of Invisalign on Friday. This was largely a stupid idea and I have serious buyer’s remorse over it, although not as bad as when I was in the middle of doing it.

I did an extremely short course of it: 14 trays, a week per tray. I also used a different brand than Invisalign, which only required me to wear the trays at night. The huge pain with this that I didn’t know until we got down to starting the whole thing was that you have to have attachments glued to your teeth. These are little porcelain buttons that are bonded to the front of your teeth, which anchor your teeth into the clear plastic trays. The attachments were not totally visible unless you were really looking at them, but they drove me insane. I continually felt like I’d been eating a candy apple and got a chunk of crushed peanut stuck on my teeth. I had nine attachments, and I never got used to them.

The first two weeks were horrible, mostly because they also coincided with the worst weeks of allergy season. I have this thing where my sinuses drain through my upper teeth during the worst of the worst part of allergy season, and with the plastic trays blocking my teeth, it felt like I was being waterboarded with battery acid. This eventually passed, and it wasn’t as bad as I thought to wear the trays at night. I would switch to a new tray on Fridays, and those were the worst days, but things moved around that first night, and by Saturday, they would be fine.

I went in on Friday and they ground off the attachments, and it feels so good to have just smooth teeth now. I don’t feel like a magically changed person or proud of my smile or anything else, and it was far too much money for what I got out of it. I’m just glad it’s done.


Speaking of allergies… First of all, I had zero allergies in Vietnam. Same in Iceland. Maybe I need to move. Anyway, I was doing allergy shots for like a decade and had to stop when Covid started up in 2020. I need to do something, and I don’t care about needles, but the whole drill is such a big waste of time, driving to Berkeley, paying to park, sitting in the waiting room full of sick kids, etc. I recently started doing sublingual immunotherapy, though. I got a blood test for allergies, and they sent me some drops in the mail, which I put under my tongue every day. It’s the same stuff as regular immunotherapy: pollens, dust mites, and grasses. I just started, and it’s supposed to take months or years to get up to full speed with them. I never thought the injections were a magic bullet or anything, but I think once I got to top dose, it maybe took 20% off. If I can get that without leaving my house, I’ll take it.

That’s about a thousand words of medical updates, and I don’t like talking about medical updates. So, back to your regularly scheduled program, I guess.

Teeth, SSF, etc.

For whatever reason, I recently went back and read Air in the Paragraph #5. (I need a better place for these to live, especially since Scribd has turned into a paid-service scam. I’ve temporarily put it here.) A lot of my writing from 1996 is pretty cringe-inducing, but I always liked this particular issue of the zine, because it was a seamless narrative from start to finish, with a solid through line that pulled you through the trip report, book reviews, writing news, and day-to-day stuff of the last month or two. This was just before I started an online journal, which later took the place of this for the day-to-day stuff. Now, I don’t do that, either. I should, but not a lot is going on outside of work.

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I’ve had a bunch of dental malady stuff as of late. First, I can’t find a good dentist that takes my insurance in Oakland. The dentist I’ve had for the last five or six years isn’t that great, and sort of pawned me off on his new partner, who rushes through procedures and completely triggers my dental trauma anxiety, and is completely drill-happy. Last time I saw her, she immediately priced out two dozen things I needed done, so I walked. I went back to my old dentist in South San Francisco, who is much more low-tech, but very relaxing and low key, does good work, and has Saturday hours. It’s a drive to get there, but whatever. He also takes my insurance.

After a routine cleaning, he told me he’d have to root canal and crown one of my front-ish teeth. If you think of what tooth would be a vampire fang in a Dracula get-up, it’s the tooth immediately behind that on the bottom. This was, unfortunately, a three-step process. One Saturday, he tore off the top of the old tooth and started the root canal, then sent me home with a temp crown. Next week, he did a post buildup after more root canal work, and once again, temp crown. Then two weeks later, I got the replacement crown.

This essentially meant I could not eat solids for three weeks. That’s not entirely true, but the bulk of my diet was meal replacement shakes. I later found I could eat macaroni and cheese if I let it cool a bit, and I could eat various puddings and cheeses and whatnot. Oatmeal was problematic, because it was too grainy and had bits of nuts in it. Soup is sort of bullshit. Boiled eggs worked. Those shelf-stable pad thai noodles worked if I left off the toppings. At some point about a week and a half in, I sort of snapped, went to Burger King, and smashed a thing of chicken fries to a paste-like consistency and ate it without chewing. It was horrible. The whole thing was horrible. All I could think of was the time in LA when I had the tooth next to it on a temp crown, and on the first day, it popped off, and I spent two weeks fucking around with drug store adhesives, which only half-worked and lasted a day max and made me realize why everyone with false teeth is a grumpy piece of shit.

Anyway, the crown is back as of yesterday. Still a little nervous eating on it, and the gumline around it will take a few days, but it’s pretty solid. The only hard part will be paying  the bill, which will probably be like a grand after insurance.

(There’s also an AITPL connection in there, sort of - after I wrapped up that zine and started blogging online, I had a ton of dental work done. I have horrible teeth, go ahead and be classist and make fun of me now, but I survived a childhood of well water, an addiction to soda, and a long run on lithium, and that was the magic trifecta to fuck me up dentally. So the first time I had real dental insurance, I found a (crappy) dentist, and we went from 1 to 32, drilling and filling and bonding. It’s probably the reason I have such a high tolerance to novocaine these days. I usually need five or six shots to get any work done. Anyway.)

Another bit of nostalgia overload is that this dentist is located at the Tanforan Mall, in my old neighborhood where I lived from 2008-2009. I haven’t gone back there in a while, and even though I only lived there less than a year, there’s a really strong set of memories there. It was my first place in the Bay Area, and it was also the same apartment company as my place in LA, same exact buildings, same blueprints, pretty much the same apartment, but flipped the opposite way. Being in the area reminds me a lot of that era of working for Samsung, driving back and forth from SSF to San Jose every day, spending the weekends running errands around Tanforan. I had an old Weight Watchers meeting there; I saw a lot of movies at the big 20-screen at the small mall; I went to the drug store and the Blockbuster (RIP) and the Safeway and the Target and all the other routine stuff I could see in any other city, but for whatever reason, that layout triggers memories and makes me think and feel and blah blah blah.

Yesterday, it was insanely sunny and warm — maybe like 72 degrees — so I took a long walk before my appointment. There’s a movie theater there that died right before I moved there in 2008, and has been sitting vacant since then. It’s called Century Plaza 10, and it’s a weird little abandoned vaporwave slice of time. (Go google street view it.) There are palm trees out front, a big red movie sign that’s faded to a magenta-pink, and these domes at each corner, like a miniature Taj Mahal, minus the main dome. The first film shown there was Back to the Future, and the theater totally captures that 1985 vibe. The outside is very well preserved, but the inside is toxic, infested with black mold so dangerous. you’d need a full moon suit and respirator to survive. The whole area is mostly low-rise, office parks and big-box stores, gentle hills in the background. A lot of it hasn’t changed since I left (except the Arby’s with the old-school hat sign is gone) and it not only reminds me of then, but of the first time I visited the bay in 1996. (Another callback to AITPL, although I think that was issue 4.)

Anyway, nothing else going on but work. I’m trying to take a week off next month, and haven’t booked anything yet because I was expecting the plans to collapse. Should get on that.

The Wisdom Tooth Story

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My friend Marc Broude is in the middle of impacted wisdom tooth drama, sitting in bed on painkillers while everyone replies to his post on facebook with their own tales of dental horror. My story is too big for a little box, so I thought I’d type it out here.

When I got to Seattle in the summer of 1995, my teeth were decimated. It was the holy triumvirate of no fluoride in the water as a kid, drinking way too much Coca-Cola, and being on lithium for a half-dozen years. My teeth started to go in college, and I couldn’t do anything about it until I got a real job and insurance. It wasn’t something I was too enthusiastic about, given my shame-based depression, which was at an all-time worst level back then, but I couldn’t do much beyond brushing and flossing, until I got some insurance. (I think reading about the various dental trauma in Infinite Jest was also a tipping point.)

In 1996, I had a good job with good insurance, and that fall, I found a dentist from one of those ValuPak coupon books they stuff in your mailbox. He looked like Craig Kilbourn and was fresh out of dental school, working in a tiny office near Seattle University.  When I showed up and opened my mouth, I think he saw the first ten payments on a boat staring back at him, and he excitedly started planning a regimen to get everything fixed and max out my insurance, starting quadrant-by-quadrant, and waiting until the new year and new set of benefits to take a crack at the back four teeth.

Until then, I was in complete agony.  I think the work he did on restoring the other teeth shifted things around and pressed more into the back ones. The wisdom teeth were rotting, and food would stick in them constantly, causing sharp, intense bursts of pain every time I ate. But I’d also sit in bed at night with an unbearable dull ache in my entire jaw. I am allergic to aspirin, Advil, and other similar NSAIDs, and did not know at the time that I could take Tylenol. Sometimes I would rub anbesol into the back teeth, which would give me five or ten minutes of relief. I mostly counted down the days until January, and considered staging a car accident where I hit a dashboard mouth-first and got an insured motorist to fit the bill for a total dental remake.

One thing they did, which almost helped, was put me on a seven-day regimen of antibiotics. I try to avoid them, because I’m allergic to penicillin, and the last time I took it, I was in the hospital for a week. I’m also allergic to a few of its relatives, and I try not to take any of the others, so I have a working drug in reserve for a time when I really need it.  Taking that stuff made me puke daily, but took the edge off of the pain. I also got this syrup stuff that looked and tasted like RoboCop’s jizz. Cancer patients rinse their mouthes out with it so they don’t lose all of their teeth in chemo.  It would coat everything inside my mouth with a protective layer of scum, and turn my not-that-white teeth a horrible color of syrup brown. But it worked overnight, or at least long enough for me to sleep a couple of hours.

January rolled around, and I got an early morning appointment to extract all four teeth at once. My girlfriend K lived in Longview, about a hundred miles away, and would come up for the weekend to deal with me, but the morning of the procedure, my friend Bill drove me there, and brought his laptop so he could keep programming at work stuff while I got my teeth yanked.

Problem one: I was not knocked out. I did not get a general, did not get laughing gas or twilight drugs or any of that. He took out the horse-sized injector of novocain and jabbed away at the gum line, while the nurse set up the tray with these medieval torture devices.  Once I got numb, the fun started, and he pried and twisted at the teeth.  You DO NOT want to be awake for this, because all you hear is this horrible twisting and breaking and cracking sound. You don’t just hear it; you actually feel the vibrations of this through your whole jaw.  My neck muscles tensed and throbbed with fire as my whole body pushed against him.  He actually had to push down on my chest so much for leverage, I left the office with bruises all along my sternum. He eventually cracked out each tooth, showing me the total devastation of each molar, the black decay and rot all along what used to be enamel.

He did this for three of the teeth, and then struggled on one, unable to get a hold on it.  And then, the word you never want to hear a dentist say, “SHIT!”  He managed to yank loose the top of the tooth, but the roots remained.  The tooth broke in half.  He spent some time poking around the gum line, trying to find a way to pry out the impacted roots, but this was more painful than the worst Guantanamo torture tactic you could possibly imagine.  The pain shots numb the nerve on the surface, but prying away at an open wound in the socket with forceps and blacksmith’s tools is a pain you feel through your entire body.

The hour-long procedure ran into the third hour, and he gave up. He got his assistant to call a dental ER surgeon for an emergency appointment. They packed my mouth full of gauze after stitching the other three sockets, and told me this other guy could get me in at 4

.  It was now about 11
.  I was starving, seeping blood, and the drugs were wearing off. They gave me directions, and wished me luck.

I could not talk, so I took Bill’s laptop, opened an emacs buffer, and typed out what was happening. He was supposed to be back at work hours ago, but agreed to stay with me for the day. But, I had to get him fed.  And I had to figure out a temporary solution for the fact that I was drowning in blood.

We went to Madison Street in Pill Hill, to hit an ATM and the McDonald’s there, and to kill time before that appointment. While we were standing in the snow at the ATM, I was trying to talk to Bill with all of this blood and cotton in my mouth, sounding sort of like Bill Murray in Caddyshack.  I said something like “dude, it would be cool if I could spit blood like Gene Simmons from KISS.” Bill replied, “dude, you are.”  I looked down and had this long strand of blood and spit hanging from my half-numb mouth, dribbling onto the white snow.

At the McDonald’s, Bill ordered whatever, and I paid for a large drink, but asked for just an empty cup.  This resulted in the huge “I can’t give you a cup, the cups are inventory and you have to buy a drink” speech, at which point I said, bleeding all over the counter, to just sell me a goddamn drink and I’d pour it on the floor or something.  They eventually gave me a cup, and we sat in the dining room, Bill eating his Big Mac or whatever, and me spitting in a cup like a hillbilly with a wad of Skoal in his lip instead of bloody cotton.

The doctor’s office was the complete opposite of the dentist, a super-modern place that looked like a Beverly Hills plastic surgery clinic.  They changed out my bloody mouth-tampons and put me in one of those panoramic x-ray machines to render my entire jaw in a long landscape strip of black and white, which amazed me.  After a bit of waiting, a surgeon came in, looked at the x-rays, and within about four minutes, dug out the shattered pieces of tooth root and sewed me up.

I got home and had a couple of hours to kill, until K showed up. I forget what pain pills they gave me, but I loaded up my CD changer with the first six Black Sabbath albums and took half of the tablets at once.  Every time I hear “Planet Caravan” now, I think about how my girlfriend came in that night and found me laying on the floor, mumbling “WE TRAVEL THE UNIVERSE” with my mouth full of gauze.

Recovery was unremarkable.  I sat on my futon all weekend, drinking Ensure and eventually eating gouda cheese, which is now ruined for me, because it always reminds me of the procedure. Honestly, the worst parts of my recovery were all of the purple bruises on my chest, the strained neck muscles, and the fact that I watched some stupid Meg Ryan movie on painkillers.  Also, the little threads of stitching bothered the hell out of me, my tongue rubbed raw from trying to feel them.  I think I took Monday off, although I didn’t need it, to finish the painkillers and work on writing Rumored to Exist.

That’s my story. Hard to believe it was almost twenty years ago. I wonder if that fucking dentist is in prison by now.

Dental trauma #863

Happy New Year.  I have been home for a few days.  I’m still not 100% unpacked.  Maybe today.

I had to go to the dentist on Saturday morning for the next step in the latest dental trauma.  They are replacing the crown that came off while I was in Mexico.  The problem was getting the crown off again, since the Mexican dentist seems to have done a pretty good job gluing it on (probably with some adhesive that’s illegal to sell in the US because it’s also used to kill rats in science labs.)  To remove the crown, he first had to give me about ten injections of novocaine, because it’s on a live tooth.  Then he used a grinder to cut down a groove in the porcelain and metal of the crown and a sort of dentist’s prybar to then wedge apart the crown until the seal broke and he could pry it loose.

Two issues with this:  first, it’s a tooth at the very back of my mouth, which involves forcing open the jaw at an unnatural angle for a long period of time.  Second, the sounds and vibrations associated with the cutting and prying are far from ideal for a person with dental anxiety and unnatural fears of teeth being pulled or falling out.  Short of getting my wisdom teeth pulled while under a local (and then having the dimwit break a tooth off and send me across town to an emergency oral surgery to get the other half of the tooth removed), this is pretty far up the list of bad dental experiences.

They got a temp crown on there and sent me on my way, feeling like I’d just got out of a bad Guantanamo Bay talk session.  After a few hours, my jaw started chattering uncontrollably, as some weird side effect of the shots wearing off.  And then, my jaw started hurting horribly, mostly from trying to fight to keep it open.  It still hurts today, although it’s not as bad as yesterday.  The main problem is I have to now limit my diet a bit for the next week, avoiding anything that could pull loose the temp crown, or get stuck in between teeth back in that corner.  I didn’t eat all day yesterday, but eventually had a vegetarian pad thai that seemed to work okay.

Next up: a root canal in the tooth next to this one has to be redone; it has some kind of infection at the very tip of the root.  This was a root canal done back in Seattle, in 1997 or 1998.  There’s a bit of strange nostalgia about that.  The endodontist I went to back then had an office in Northgate, just a skip south of Silver Platters records, which was my second home when I lived there.  I have no idea how I afforded a root canal and a biweekly trip to buy new CDs at this place. A quick google shows me they are still open.  The bad news is it looks like they discontinued their certificate plan, where they gave you these fake money certificates when you bought stuff, and you could turn them in for free CDs.  There was a whole system to this madness, where you would get extra certificates on certain days, and for certain sale items, and so on, and I tried my best to exploit this system by only shopping on Tuesdays or whatever else was required.  Now, it’s all about iTunes.  End of an era, I guess.

It’s also the end of the 00s, although I have nothing interesting to say about it, other than wondering where the last ten years went.  Seems like yesterday we were all worrying about Y2K and I was trying to settle in my new and somewhat shitty apartment in Astoria.  That was ten years ago?

Hello from Mexico

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I’m writing from a hotel room in Ixtapa, Mexico, where I’ve been hanging out for almost a week.  We flew down last Saturday, and fly back on Sunday.  This has been our first real vacation since our honeymoon in the Bahamas in 2007, except for long weekends, trips back to the Midwest for holidays, and the week I took off to move into our new place, and it’s been long overdue.

Mexico’s a strange place.  First, it’s strange that my didn’t-pay-attention-twenty-years-ago Spanish is somewhat functional here, and fragments of it have been coming back to me as we stumble through menus and tours.  Yes, most of the people here, especially those in the tourism-related industries (which is pretty much all of Ixtapa and Zihuantanejo) speak English.  But they also like it when you try to use Spanish, and they all seem to love trying to teach you a few words here and there en Espanol.

We’re in one of the poorest states in the country, and once you leave our hotel, you can see it.  Ixtapa’s not much more than a marina, a row of resorts, and a couple of golf courses, but Zihua is a pretty beat city.  Walking the rows of open markets and ramshackle properties, pretty much the only high tech things you will see are Coke or Corona signs.  Any feeling you may have about being the Ugly American here is quickly dissipated by the thought that at least the pesos you’re throwing out there are going to someone who needs them.

A dollar is worth 12 or almost 13 pesos.  Prices in pesos still use the dollar sign though, which first freaked me out when I picked up a room service menu and saw a can of Coke for $35.  I can’t really tell how much we’re spending or how good or bad of a deal it is, because we’re charging a lot of stuff back to the room, and there’s the whole ‘monopoly money’ factor.  Anything less than 20 pesos you get back in change will be in coins, and the paper money is very colorful with pictures of Indians and pyramids.  Also, the Banco De Mexico on the 100 peso bill is in a font that looks like the Iron Maiden logo, which is very metal.

Most days, we have been doing nothing but sitting on the beach, reading or writing.  I have crossed the 50,000 mark on this book, which means it is officially done as far as NaNoWriMo is concerned, but it’s really like 30% done, and that’s just a first draft, so don’t look for a pre-order any time soon.  We also took a long tour where we got to see a tilemaking operation in the countryside and wander through a town that had a big open market.  It was all centered around this one Catholic church that had a Jesus that looked tragic in a Faces of Death sort of way, bewildered and on his knees dragging a cross, bloodied and beaten.  Not exactly the airbrushed and toned Jesus I was used to seeing as a kid in Indiana.

We also went on a long tour yesterday on ATVs, which was a lot of fun.  It was mostly through woods and farmland, and most of the farms here grow coconuts, or raise cattle.  We also got to cruise at top speed across a wavy oceanfront.  ATVs are fun as hell, and it makes me want to buy a couple and tear up my land in Colorado to put in some kind of dirt obstacle course.

And the bad news.  First, there was an earthquake here last Sunday.  There were actually three, a 3.7, a 4.6, and a 4.2; I think we only felt the middle one.  It wasn’t much, a very quick shake that we thought was just someone next door or maybe below us, and we didn’t hear confirmation of it until the next day.

Second, we got sick.  We were both careful about what we ate and drank, and they purify everything here at the hotel, but something got us.  It was a horrible, flu-like thing where I was feverish and totally weak for about 24 hours, and then it went away.  So, Montezuma had his revenge, but a day later, I was for the most part better.

And also, on last Sunday, I was eating a piece of cake, and one of my crowns fell out.  It was my lower rear one, and it and the tooth appeared to have no damage, but there was some sensitivity, and immediately went ballistic.  “Mexican” and “Dentist” go together like “Turkish” and “Prison”.  I got an appointment the next morning with a dentist in Zihua who had an office about as clean and friendly as my last dentist in Astoria (which isn’t saying much, but it wasn’t like the dental scene in that Tom Hanks castaway movie.)  He shot me up with novacaine, cleaned everything, glued the crown back on, told me in broken English that I needed to get it redone as soon as possible (going back next week, in the US…) and then charged me roughly  $40.  No paperwork, no insurance hassles, no waivers to sign, nothing.  It was truly a “you are not in the US anymore” moment.

So here I am, the temperature outside double what it is back home, no rain or gloom.  No turkey yesterday, and the only football on the tube was the no-hands variety with the round ball.  Lots of pictures to upload when I get back on a real internet connection, so stay tuned.