and the time is ( we are +4.5 hours GMT)

Sunday, May 29, 2011

Your Tooth Fairy wears Army boots

Before I got here, Dennis did two jobs for 6 weeks. He was the Director of Clinical Services for the Southern AOR (Area of Operation) and the KAF Region clinical Supervisor. I have done two jobs now for half a day. Which, I think, equals one job for one day if you divide the numerator by the tangent of the cosign of the Poo Pond. Anyway, I'm on my own starting today. Holy shit, Batman. Attention Afghanistan: Please start brushing your teeth. Seriously, people; two words, dental hygiene. Or dental floss. Everyday we see someone with a bad cavity. Or a dental abscess or a whole in their mouth that used to be a cavity/dental abscess. Remember my toe guy that said, "I have a small hole in my toe"? And he had a dedo muerto. I cringe now when I hear, "I have a hole in my tooth." They abirir la boca and I cierra los ojos. Please make him stop speaking spanish, he's in Afghanistan for God's sake...Anyway only in Asskrakisstan can not brushing your teeth almost kill you. A patient presented to a FOB Medic with a tooth ache. He got NSAIDS and was told to improve his dental hygiene and come back if it got worse, which it did. So he was taken to the dentist who pulled a tooth and was told to come back if it got worse, which it did. So he was put on antibiotics and was told to come back i it got worse. And, say it with me, it did. To the point that he couldn't open his mouth. Or breath. So off to  the combat surgeon he went to get a tracheotomy and a helicopter medevac to the Role 3.Where he had surgery to remove 3 more teeth. Differential diagnosis, Ludwig's angina. (Look Ma, no google.) Now I have to get an air ambulance to send him home. And run the clinic and answer all of the emails from people trying to come back to work from medical leave and send people out on medical leave. Including the guy who is at a different fob than his wife and says he'll kill himself if he can't be at the same fob as her but she says she'll kill him if he comes here. And this is only day 1. Of 15. Help! Bet he brushes his teeth.

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