TTC_01_16_19_Vol.15-No.12.p1-12
TTC_01_16_19_Vol.15-No.12.p1-12.pdf
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January <strong>16</strong> - 22, 2<strong>01</strong>9 www.TheTownCommon.com Page 9<br />
Health & Wellness<br />
BY J. PETER ST. CLAIR, DMD<br />
I recently had the opportunity<br />
to do some dental hygiene<br />
appointments for a hygienist who<br />
was out for a family emergency.<br />
While at first I was not particularly<br />
excited about doing this because<br />
I have my own busy schedule, I<br />
have to say, it was both gratifying<br />
and eye-opening.<br />
Typically, when I check a<br />
patient after a hygiene exam, I am<br />
examining clean teeth and will<br />
briefly discuss any concerns the<br />
patient or the hygienist has. But<br />
on this day, I got to spend much<br />
more time with patients who I<br />
normally only see for five minutes<br />
after they see the hygienist.<br />
My first patient was a 20-yearold,<br />
very pleasant and bright<br />
young man, who has not had<br />
to spend very much time in<br />
“my” chair. As I read through<br />
his chart to look at the notes<br />
the hygienist had made from<br />
previous appointments, I noticed<br />
that there had been repeated<br />
discussions about his homecare.<br />
As we started our appointment, I<br />
realized I was up against the same<br />
issues the hygienist had seen on<br />
previous appointments.<br />
I asked this young man, “When<br />
was the last time you brushed your<br />
teeth?” He replied, “It’s been a few<br />
Brighter Smiles...<br />
The Precious Gift of Time - Part 2<br />
days because I have been busy.”<br />
Of course, I had the reaction that<br />
you are probably having right<br />
now – how in the world can you<br />
go a few days without brushing<br />
your teeth? As I worked my way<br />
through the plaque and heavy<br />
bleeding due to inflammation<br />
from the debris, we talked about<br />
the Bruins game we both watched<br />
the night before.<br />
I know what you thinking – If<br />
you have the time to watch the<br />
Bruins, you have the 2 minutes<br />
it takes to brush your teeth – I<br />
thought the same thing. However,<br />
instead of approaching it this way<br />
and trying to convince him that<br />
he needs to work on his priorities,<br />
we discussed some of the health<br />
consequences of long-term<br />
inflammation as he gets older. We<br />
will have to see if this discussion<br />
had any impact on him the next<br />
time he comes in.<br />
Another patient I saw was an<br />
adult woman who has also spent<br />
little time in “the back” with<br />
me. Over the past few years, the<br />
hygienist’s notes had indicated a<br />
history of severe headaches and<br />
jaw muscle tension as well as my<br />
recommendation to consider a<br />
nighttime appliance. She took<br />
daily medication to manage her<br />
headache issues and even had<br />
occasional injections to treat her<br />
symptoms.<br />
On this day she was in severe<br />
muscular pain. In addition to<br />
completing her dental hygiene<br />
services, I had the opportunity<br />
to do a more complete exam and<br />
have a more in depth discussion<br />
about her problem. In spending<br />
more time with her I was also<br />
able to ask more questions and<br />
learn much more about her<br />
symptoms and possible etiology.<br />
We discussed her concerns about<br />
moving forward with treating<br />
both her headaches and looking<br />
further into some sleep related<br />
issues which could be causing<br />
her other symptoms. She is still<br />
reluctant to move forward with<br />
my recommendations because she<br />
feels her issues are from another<br />
origin.<br />
Changing our habits, like<br />
brushing habits, or making a<br />
change to improve any aspect of<br />
our health is difficult for many.<br />
My experience with these two<br />
patients, as well as other patients<br />
I saw that day, reinforced that<br />
making a change is often not as<br />
easy as just briefly mentioning it.<br />
It is important for providers and<br />
patients to take the time to discuss<br />
what the barriers are that are<br />
holding them back from making<br />
improvements in their health.<br />
Time is the most important gift<br />
a health care provider can give.<br />
Dr. St. Clair maintains a private<br />
dental practice in Rowley and<br />
Newburyport dedicated to healthcentered<br />
family dentistry. If there<br />
are certain topics you would like to<br />
see written about or questions you<br />
have please email them to him at<br />
jpstclair@stclairdmd.com. You can<br />
view all previously written columns<br />
at www.jpeterstclairdentistry.com/<br />
blog.<br />
The Harsh Reality of Social Security<br />
The start of the New Year means<br />
having to face just what our 2.8 percent<br />
Social Security increase really means. I<br />
had done the math: my 2<strong>01</strong>8 Social<br />
Security plus the welcome 2.8 percent<br />
increase equals the benefit amount for<br />
2<strong>01</strong>9. There would be more money to<br />
spend, I assumed.<br />
Here is where it actually stands:<br />
Groceries -- Last January I saved<br />
all my grocery receipts for the<br />
month so I would have a list of what<br />
Senior Scene<br />
everything cost. It’s only been a year,<br />
but everything has gone up. Not one<br />
single item has gone down in price.<br />
Housing -- Two months ago, the<br />
notice arrived about rents going up<br />
$20 on Jan. 1.<br />
TV/Internet -- The monthly cost<br />
of cable TV and Internet service rose<br />
over $30. I called and threatened to<br />
cut the cord, and they suddenly found<br />
a deal that brought the increase down<br />
$20.<br />
Electric -- The power company just<br />
announced a 13 percent increase in<br />
kilowatt-hour costs.<br />
Miscellaneous -- On the occasional<br />
expense end of things, my favorite<br />
shirt, which I wear out and then<br />
replace every year, went up $10. Oil<br />
changes are up $15.<br />
The sum of all this means that I’m<br />
actually worse off than I was last year.<br />
Many of us are in this same situation.<br />
Over 20 percent of married couples<br />
and over 40 percent of singles have<br />
Social Security for 90 percent of their<br />
income. We not only aren’t adding<br />
to emergency savings, we’re barely<br />
hanging on.<br />
I’ll include as many cost-saving tips<br />
in this column as I can this year. But<br />
if you haven’t retired yet, spend 2<strong>01</strong>9<br />
practicing living on only the amount<br />
you’ll get from Social Security. Use<br />
every extra dollar to pare down debt<br />
or add to your savings.<br />
(c) 2<strong>01</strong>9 King Features Synd., Inc.<br />
Dr. Laura anne Potvin, P.C.<br />
oPtoMetriStS<br />
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What does your<br />
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Whether you are missing teeth or are unhappy with the<br />
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Learn More: www.stclairdmd.com<br />
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77 Wethersfield Street, Rowley, MA <strong>01</strong>969<br />
151 Central Street, Rowley | 978-948-2030<br />
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