Virtual teeth surgery gamesc

So prior to DJS, I had the MSE in. It got taken out about a month before my surgery. I’m a few days shy of 6 weeks post-op and I’ve been noticing the gap between my front teeth coming and going. It’s currently the biggest it’s been though over the past few days which isn’t saying much because the gap is minuscule
Part of it might be that I’ve also got space on either side of my front teeth (I will likely be getting veneers for my lateral incisors because I guess they’re smaller than most people’s). The spaces allow my canines to be where they’re supposed to be.
This is something that I occasionally experienced when the MSE was in as well after they closed the gap.
I’m just curious if others who had MSE prior to surgery experienced this post-op at all?
[Also, the general tooth feeling is bizarre because I think most (definitely not all though) of my teeth were numb and their feeling is coming back I guess. It just feels like a lot of pressure and throbbing though and throws me off; not painful, but just…there]

Last week in a post-deleted by the OP, there was discussion about how there is no point in stockpiling antibiotics and any attemps for lay people to practice any form of health care in a widespread grid down disaster.
Myself and some colleagues wrote: Survival and Austere Medicine https://corom.org/survival-austere-medicine/ . We are slowing working on a 4th edition with some new material and minor corrections - but it is taking longer than we thought!
But I thought given the above post, I would take the opportunity to post the introduction - which address the "why bother" question for a major long-term grid down situation. Apologies for the formatting and length
"There is a sense, when considering the issues around survival medicine practice, that everything is overwhelming, that it is impossible for lay people to provide a high level of medical care and maintain a high level of population health.
We don’t think this is the case at all. We believe that intelligent lay people with some basic medical knowledge, skills, and equipment can deliver high quality health care. While it is obviously impossible for lay people to safely and competently deal with every medical problem, and there remain many complicated diagnoses requiring equally complicated or technologically advanced treatments, for 80- 90% of the health problems afflicting humanity, simple things done well are all that is required to preserve life and limb and help alleviate suffering.
Consider the following:
1. Remote Medicine Practice:
Below are the results of one of our author’s experience in the provision of health care in various remote and austere locations (some third world, some first world) to nearly four thousand people over a cumulative 30-month period (spread over 18 years) – with more data there are few minor changes from the 2005 2nd edition, but the list is essentially the same – which is interesting. The record keeping was a bit unreliable at times, but the following summary is reasonably accurate.
Top 20 presentations (representing > 95% of consultations):
1. Minor musculoskeletal injuries - ankle sprains most common, included many minor fractures which didn’t require more than diagnosis and simple care
2. Upper respiratory tract infections
3. Allergic reactions/Hay feveAnaphylactic reactions/Rashes
4. Minor open wounds – included a mix of lacerations needing closure, many needing
cleaning and advice only, and some infected wounds
5. Gastroenteritis/Vomiting/Diarrhoea
6. Mental health problems
7. Sexual health/Contraceptive problems
8. Skin infections/Cellulitis
9. Dental problems
10. Abdominal pain - 4 confirmed acute appendix (2 treated with IV antibiotics and
subsequent delayed appendix removal / 2 required evacuation) + 1 gangrenous gall bladder. Many were "no cause found". Of the remainder with a clear diagnosis the most common were renal or biliary colic)
11. Fever /Viral illness
12. Chest infections
13. Major musculoskeletal injuries (fractures/dislocations)
14. Asthma
15. Ear infections
16. Urinary tract infections
17. Burns – mostly partial thickness within the realms of management in the environment the
patient was in. Several required evacuations. Several required rehabilitation due to location and sub-optimal initial treatment.
18. Chest pain
19. Syncope/Collapse/Faints
20. Early pregnancy problems
Major trauma was uncommon but was seen including several fractured femurs and a dozen cases of multi-system severe trauma resulting in a mix of in-country surgery and evacuations
Top 12 prescribed drugs (representing >90% of medications prescribed):
1. Paracetamol (Acetaminophen)
2. Loratadine (and other assorted antihistamines)
3. Diclofenac (and other assorted antiinflammatories)
4. Combined oral contraceptive
5. Flucloxacillin
6. Throat lozenges
7. Augmentin (Amoxycillin + clavulanic acid)
8. Loperamide
9. Nystatin (and other antifungals)
10. Hydrocortisonecream
11. Ventolininhalers(Salbutamol/Albuterol)
12. Morphine
What is of note here is that the clear majority of problems dealt with are simple and straight forward – there is still potential for serious consequences but there is scope for a well-informed lay person with a basic knowledge and access to a reasonable collection of reference books to provide reasonable care. Equally the vast majority of medication prescribed are from a very narrow well defined list – despite the fact 1000’s of drugs are on the market – the list of core lifesaving or comfort preserving ones is relatively brief.
2. Why children die
The World Health Organization (WHO) has identified the following conditions as having contributed to >75% of worldwide deaths in the under 5-year age group (in no particular order):
Pneumonia Pneumonia is an infection of lungs. Prevention of this condition is somewhat limited – although good nutrition, clean and warm housing, and a reduction in the exposure to respiratory irritants (smoke) all can help. However, the most common bacteria which cause pneumonia are frequently sensitive to penicillin – which is discussed later in the book and can be produced in a low-tech environment.
Diarrhea Death from diarrhea (dehydration) is almost 100% preventable with appropriate use of oral rehydration therapy. Dirty water or poor food handling causes much diarrhea – this can be virtually eliminated by proper hygiene practices and care with drinking water.


Pre-term delivery While we are limited in the direct interventions available in an austere environment to mitigate this problem contributing factors to early labor are young age, malnutrition, smoking, poor maternal health, so there is scope for indirect intervention based on optimizing mum’s health and environment. For babies who are born prematurely the necessities of life are warmth and breast milk. With attention to detail for both things, it is possible for infants as young as 33-34 weeks to survive without high-tech intervention.
Malaria. Prevention is better than a cure, knowledge about clearing stagnant water, mosquito nets and long sleeved clothes can significantly reduce the risk. Equally quinine is derived from the bark of the Chincona tree and the Chinese have been using the herb, Artemisinin, effectively for the treatment of Malaria for years. So, while not as easy to treat or prevent as diarrhea, there is still scope for significant reduction in death rates in low-tech ways.
Blood infection Blood infection or septicemia is rapidly fatal. The ability to intervene depends on the cause of the infection and antibiotics available. Broadly, infections causing septicemia can originate from the skin, the lungs, the kidneys or bladder, and the abdominal contents. While specific treatments for these may be lacking in an austere environment – all have prevention strategies and basic low-tech treatments that can be lifesaving when applied appropriately.
Lack of oxygen at birth Of these problems, this is the one with probably the least scope for impact. Unfortunately, even if foetal distress is detected during labor (with heart beat monitoring or signs of distress like meconium), without the ability to deliver the baby quickly options are limited. That said, a caesarian section is not a massively complicated operation (and discussed in Chapter 10), and in parts of the third world is performed by trained lay people with safety and success.
Measles Again, there is limited scope to intervene directly with the disease. Measles is always around and while vaccination reduced the incidence of epidemics, sporadic cases still occur. In the absence of vaccinations epidemics of measles every few years will be inevitable. There is however some scope to minimize the spread during an epidemic with isolation and respiratory precautions during outbreaks. While some of the serious neurological complications are unavoidable in a
Prevention is better than a cure, knowledge about clearing stagnant water, mosquito nets and long sleeved clothes can significantly reduce the risk. Equally quinine is derived from the bark of the Chincona tree and the Chinese have been using the herb, Artemisinin, effectively for the treatment of Malaria for years. So, while not as easy to treat or prevent as diarrhea, there is still scope for significant reduction in death rates in low-tech ways. small number of patients, basic care such as maintaining hydration can also prevent complications such as dehydration.
Neonatal tetanus The prevention of neonatal tetanus is easy. You don’t let the site where the umbilical cord attaches to the baby get dirty. It is as simple as that.
HIV/AIDS Prevention of maternal infection is the key to prevention of infection of newborns. The steps required to prevent exposure to the HIV virus are widely known: abstinence (not undertaking sexual activity), monogamy (maintaining a single sex partner rather than multiple) and if neither is a palatable option, then safe sexual practices.
Most the conditions above have an element of either preventability or the ability to be treated to some degree in an austere environment and significant improvements in mortality and morbidity can be made.

3. The greatest advances in medicine
Several years ago the British Medical Journal ran a poll trying to identify top medical advances of the last 200 years. The following is the top 12 from that poll:
Sanitation 1st Antibiotics 2nd Anaesthesia 3rd Vaccines 4th DNA 5th Germ theory 6th = The oral contraceptive 6^th = Evidence based medicine 8th Imaging 9th Computers 10th Oral rehydration therapy 11th Smoking cessation 12th =
Just as with our discussion above about the causes of childhood deaths, this list is introduced to show just how much impact a very basic health care knowledge can have in terms of optimising health in a post-disaster or austere situation.
Of the biggest advances of medicine in the last 200 years, between 7 to 9 (depending on your knowledge and available resources) of the 12 can be applied to care in a austere situation. In particular, the knowledge of sanitation, germ theory, oral rehydration therapy, and simple manufactured antibiotics and anaesthetic agents all have the potential to be able to be continued to be applied in a post-disaster situation and to continue to contribute to a high quality of low-tech health care. In the same way that we can substantially reduce childhood death rates in a low tech post-disaster situation, we can still continue to have access to some of the biggest advances in medicine even at the end of the world.
4. Surgery in the third world
A non-specialist surgeon working at a isolated bush hospital in Papua New Guinea published his experience of Emergency Surgery over a 14 month period (similar articles have been published with similar data):
Emergency Surgery 243
Tendon repair 33 Open orthopaedics 32 Dilation and curettage 31 General surgery 29 Incision and drainage 26 Laceration repair 26 Obstetrics 23 Manipulation under anaesthesia 15 Urology 15 Gynaecology 9 Ear, nose and throat 2
Emergency anaesthesia 243
Ketamine – spontaneous breathing 166 Local anaesthesia 33 Ketamine – ventilated 16 Spinal anaesthesia 12 Propofol / thiopentone 10 Epidural 5 Epidural / GA 1
The point of this reference is to help illustrate what someone can achieve in primitive conditions with no formal surgical training and no dedicated anaesthetist. We are not suggesting that the average layperson can safely practice to this extent or breadth of surgery, but it does demonstrate that a non-surgeon can achieve much. It also shows that most anaesthetics for surgery in an austere situation can be done under local or ketamine anaesthetics.
Why this is relevant?
Each of these four references gives you insights, one way or another, into low-tech austere health care. First, it gives you an insight into the likely clinical problems that you may see in a survival situation, and how much can be dealt with in that sort of austere environment. Second, it demonstrates how medically speaking it is the small things and simple knowledge which save lives and some of the biggest killers can be mitigated with these relatively low level interventions or strategies.
In our opening summary – “Medicine at that end of the world”, we describe a pretty bleak medical reality post-SHTF. Will million’s really die from lack of access to modern heath care as we have alleged?
The short answer is yes – many will die much sooner than they otherwise would have, from disease and injury, which currently are not immediately fatal. But the answer is not nearly that simple nor bleak. The reality is that while cancer, diabetes, malnutrition or serious injury may claim many of its victim’s sooner than with today’s health care, most health problems can be treated or mitigated to a degree in a low- tech environment, with a narrow range of medications and interventions – including some cancers, non- insulin requiring diabetes and many major traumatic injuries.
Most medical problems are relatively mundane and not life threatening. Truly catastrophic problems in medicine are fortunately rare. You should focus on learning and preparing to deal with the common problems, and doing common procedures well, and you will save lives, and possibly also improve the quality of those lives.
There will be a significant change to health care but with knowledge and some preparation it isn’t quite as dire as many (including our own opening paragraph) predict. "

My 4 upper front gums are receding upwards and are thinning. Underneath it I can tell and see the area has become weakened. Every other parts of my teeth and gums besides those areas are fine.

• It has come to a stage now where it is beginning to become a little painful now.
• I assume some of the bone beneath might be weakened also

How should I approach getting it looked at? Is there an approach in step by step I can follow?
For example: 1. Check for periodontitis 2. Get recommendation for Gum graft surgery ( Really expensive :( )
It is really a big problem in my daily life. I wanted to get it checked before, but some inconveniences were in my way. My best option would be to get a loan and from what I can see, gum graft is needed (highly assume)
Asking from Denmark.

Source: 🔗 Chat with Lifelike Virtual Personalities — talkiemate.com
In today’s fast-paced world, maintaining good health can be a challenge. With so much conflicting information about diet, exercise, and lifestyle choices, it’s easy to feel overwhelmed and unsure about where to start. However, by creating a personalized health plan tailored to your individual needs and goals, you can take control of your well-being and achieve optimal health. In this comprehensive guide, we’ll explore everything you need to know about personalized health plans, including how to create one, the benefits they offer, and how you can work with a dedicated health and wellness coach like Olivia Adams to optimize your plan for success.
Understanding Personalized Health Plans
A personalized health plan is a customized approach to health and wellness that takes into account your unique needs, preferences, and goals. Rather than following a one-size-fits-all approach, a personalized health plan is tailored specifically to you, ensuring that you’re able to make sustainable lifestyle changes that support your overall well-being.
The Components of a Personalized Health Plan
A personalized health plan typically includes several key components:
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Stress Management: Chronic stress can have a detrimental impact on your health, contributing to conditions such as high blood pressure, anxiety, and depression. Your personalized health plan will include strategies for managing stress, such as mindfulness techniques, relaxation exercises, and time management strategies.
Sleep: Adequate sleep is crucial for overall health and well-being. Your personalized health plan will include recommendations for improving sleep quality and quantity, such as establishing a regular sleep schedule, creating a relaxing bedtime routine, and addressing any underlying sleep disorders.
Supplementation: In some cases, dietary supplements may be recommended as part of your personalized health plan to address specific nutritional deficiencies or support overall health. Your health coach can provide guidance on which supplements may be beneficial for you and how to incorporate them into your routine safely.
Creating Your Personalized Health Plan
Creating a personalized health plan begins with a comprehensive assessment of your current health status, lifestyle habits, and goals. This assessment may include:
Health History: Your health coach will review your medical history, including any existing health conditions, medications, and previous injuries or surgeries.
Lifestyle Habits: Your health coach will assess your current lifestyle habits, including diet, exercise, sleep, stress levels, and substance use.
Goals: Your health coach will work with you to identify your health goals, whether they’re related to weight loss, improved fitness, better stress management, or overall well-being.
Based on this assessment, your health coach will create a personalized health plan that addresses your unique needs and goals. This plan may include specific dietary recommendations, exercise guidelines, stress management strategies, and sleep hygiene practices tailored to your individual preferences and circumstances.
The Benefits of a Personalized Health Plan
A personalized health plan offers numerous benefits, including:
Customization: Unlike generic health advice, a personalized health plan is tailored specifically to you, ensuring that it meets your unique needs and preferences.
Accountability: Working with a health coach provides accountability and support, helping you stay motivated and committed to your health goals.
Long-Term Success: By addressing the root causes of your health issues and making sustainable lifestyle changes, a personalized health plan sets you up for long-term success and improved well-being.
Improved Health Outcomes: Research has shown that personalized health plans can lead to better health outcomes, including improved nutrition, increased physical activity, and reduced risk of chronic disease.
Working with a Health and Wellness Coach
While creating a personalized health plan on your own can be beneficial, working with a dedicated health and wellness coach like Olivia Adams can take your plan to the next level. Olivia Adams is a certified health and wellness coach with expertise in nutrition, exercise science, stress management, and sleep hygiene. She can provide personalized guidance, support, and accountability to help you achieve your health and wellness goals.
How to Get Started with Olivia Adams
To get started with Olivia Adams, simply visit her Talkiemate profile here to start your conversation today. Olivia will work with you to create a personalized health plan that meets your individual needs and goals, empowering you to take control of your health and live your best life.
Conclusion
A personalized health plan is a powerful tool for improving your overall well-being and achieving your health goals. By taking a personalized approach to nutrition, exercise, stress management, sleep, and supplementation, you can address the root causes of your health issues and make sustainable lifestyle changes that support your long-term health and happiness. Whether you choose to create a personalized health plan on your own or work with a dedicated health and wellness coach like Olivia Adams, the key is to take proactive steps towards optimizing your health and living your best life.
References:
“The Importance of Personalized Health Plans” – American Journal of Preventive Medicine
“The Role of Health Coaches in Personalized Health Care” – Health Affairs
“Creating Personalized Health Plans for Better Outcomes” – National Institutes of Health
“The Benefits of Working with a Health and Wellness Coach” – Mayo Clinic
“The Role of Nutrition in Personalized Health Plans” – Harvard T.H. Chan School of Public Health
“Exercise Guidelines for Personalized Health Plans” – American College of Sports Medicine
“Stress Management Strategies for Improved Health” – American Psychological Association
“Improving Sleep Quality and Quantity” – National Sleep Foundation
“Dietary Supplements: What You Need to Know” – National Institutes of Health
“The Science of Behavior Change” – National Institutes of Health

I had my wisdom teeth extracted exactly a week ago. Miraculously very little pain, very few pain killers. I’ve been careful about what I eat and today ate cooked broccoli. I noticed a giant piece got lodged in one of the holes and was having sharp pain. I used the syringe to clear it out and got it! But now there’s a GIANT gaping hole there that looks not at all closed up. I know everyone says dry socket will be very painful, but only mild pain right now. Should I be worried?
also to note, my dentist never put stitches in after my surgery. Idk if that matters.
Thanks!

hello everyone! I’m debating signing up for health insurance (delta dental premium) or signing up for my local dental office “plan for health.” I have not been to the dentist in a while and have recently had issues that’s causing mild pain and sensitivity that comes and go.
My local office dental plan price is $540 and it comes with:

• 3 hygiene cleanings per year, 1 every 3-4 months
• All periodic, comprehensive and emergency exams included
• Intraoral digital X-rays*
• Fluoride Treatments
• 20% off ALL dental procedures**
• 10% off ALL dental products
• No deductibles
• No yearly maximum on benefits
• No exclusions for elective procedures
• Savings on preventive and restorative care

Furthermore, I done some research into delta premium dental plans and I found the following plan that starts immediately.
This Delta Dental Plan is $41 a month and comes with:
*$50 deductible but you can still receive coverage for preventative and diagnostic services *$2000 maximum for dental care each year *I pay 0% of office visits, exams, cleanings and x-rays *After 6 months I only pay 20% of fillings, teeth removals (simple), teeth whitening, and mouth guards *after 12 months, I only pay 50% of surgical treatments such as tooth removal (surgery), root canals, gum cleanings, implants, crowns, and etc!
Overall, these both seem like good options but I’m torn between the two. I’m trying to identify the best plan/option that can help address my dental concerns early before they cause potential health risks. I appreciate you all for reading my post and look forward to reading your insights!

Hi everyone. I’m in an extremely tough place. This morning I went to the Bascom Palmer eye institute ER in Miami Florida because this past week I lost more function on the infected side of my face. From November 30th, 2023 to April 30th, 2024 I had a mild case of Bell’s palsy and most people couldn’t really tell I had it unless I made strong facial expressions, tried blinking, closing my eyes or laughed. As of May 1st my top lip completely drooped down on the left side and now when I eat I have issues with accidentally biting my top lip. As of May 8th my infected eye widen open a little more than before and doesn’t close completely anymore. Since May 8th I’ve been taping my eye shut to go to sleep at night and the liquid based eye drops I was using before doesn’t work anymore. Now I use an ointment called Systane lubricant eye ointment nighttime severe dry eye relief. The ointment helps keep my eye more moisturized but it makes my vision a bit blurry. At the Bascom Palmer ER they did test on my eyes and said the inside of my eye is still good but the cornea is drying out quickly. They told me to buy Refresh optive mega 3 lubricant eye drops to use throughout the day and to continue using the Systane ointment at night when I sleep.
They told me they’re gonna call me tomorrow to set up an appointment to possibly discuss doing a surgery called the gold eyelid weight surgery or possibly another procedure.
Last week I called a virtual urgent care and told them about the lip drooping after 5 months of being fine and they decided to give me a second round of medication.They prescribed me prednisone 20 MG 2 pills a day for 5 days and valacyclovir 1GM tab 2 pills twice a day for two days. I finished medication this past Friday May 10th. I’m hoping in a few weeks or a month to see some sort of progress but I’m not going to lie, my faith is shot.
Earlier today I was able to get in contact with the neurologist I saw in March of this year and gave him a breakdown of what has happened the last 2 weeks and I’m a bit annoyed by his response. Between February and March of this year he did blood test to rule out diabetes, STDs/HIV, Lyme disease and kidney issues. He also did an MRI of my brain and an EMG nerve conduct test. The nerve conduct test showed I had severe nerve damage back in March but still based on how I looked physically the neurologist claimed I still had a mild case. Earlier today he told me he wanted to do another MRI of my brain and that I should get an eye patch in addition to taping my eye shut at night. Those were the only 2 things he suggested despite all that’s going on. I honestly have no idea what to do and I’ve reached a point where I’m starting to freak out. If anyone has any helpful tips they can share it’ll be greatly appreciated.

So, I (39f) get a text from my husband (38m) at 12:47 pm asking me if I'm alright because I was cleaning more aggressively than he was comfortable with and he doesn't know how requests of me will be taken...okay, so I had a lot of coffee and I was moving fast so I could finish what I started and get to some schoolwork done online. I got how he could think I was upset somehow, I guess. I replied that I had stuff to do and I was fine. He sends me another text saying he's in a lot of pain (he had surgery last week) and he wanted to know if I'd ask the doctor for a refill of his pain meds.
(He has had issues with alcohol, drugs, and narcotics in the past. He was trying to be sensitive because when he was getting prepared for surgery, he let me know they were going to give him narcotics and the reason I left him before a couple times was when he was on something and treating me like crap. We spoke about it and I thought we'd be okay after.)
I replied asking him if he called his doctor already to see if something could be going on. A couple hours later I'm taking a bath and ask if he spoke to the office. I getting ready to pick my kid up and I was heading toward the pharmacy. It's a 45 minute drive, ordinarily. I send him another text after I get the kid to see if maybe he had a script filled and I could pick it up. I didn't get any replies. I ask if he's feeling some kind of way and ignoring me, or if I'm imagining it. Nothing. So I call him. He says he didn't reply because he didn't like that I replied to his question with a question. I told him we were on our way home and drove home.
So I have another unrelated issue to talk to him about and I send him a text letting him know that I'm having an issue, but I can't talk to him about it because I don't feel like he's a safe place for me to talk. We've had issues when we argued in the past and I've started trying to express myself in this way to let him know I'm struggling without picking a fight. So he knows that something is going on and I'm trying to work through it on my own, especially in the face of my not feeling like I will be heard if I speak to him about it.
We go back and forth for a while and eventually, I retired to the bathroom to decompress, brush my teeth, wash my face, do some stretches and zone out listening to a podcast. He comes in the bathroom without warning, I assumed cuz he was flushing his stuff from surgery, so I left. Folded a load of laundry and fixed up a new load. Came back to my computer to get started on schoolwork again, and get a text from him. I'm in the middle of responding and he closes the door and starts coming toward me like he was gonna talk. I got up and left the house. We went back and forth a little more in text messages.
He's trying to blame this whole ordeal on me like I got myself worked up over nothing and I'm telling him I was fine until he said he'd been ignoring me for hours. Then I had an unrelated issue that I was gonna work through myself and I didn't want to talk. Then he tried to force the issue to talk. I tell him I've repeatedly told him to back off and let him know what was going on with me once there really was an issue.
He sends me another text saying it's funny and cute when I storm off angry. I replied letting him know that I wasn't leaving out of anger, it was fear. (And perhaps, I realized after the fact, I should have elaborated on that a bit to explain that I was afraid of my own reaction not being appropriate for the environment with the kids home and me being upset that he was trying to force a conversation that I told him I wasn't up for). He gives some sarcastic replies to that and I stopped texting back. I left the house to grab some beers and I'm sitting in my car listening to a podcast, drinking my damned beers in peace.
So, my question is this...am I the asshole here? I feel like I responded to his initial messages well and tried to keep judgement about the pills out of it. Being concerned that he's in pain. Wondering if this should be expected days after surgery. Still don't know, because he thought I was salty about the whole thing before he even sent his first text and treated me just like I was. Then picked a fight with me and tried to blame me for it. And then...tells me I'm funny when I'm mad. Which would be fine, except this was not the time or place to say that and it felt like he was laughing at me and not taking me seriously.
Before I get the responses saying this is a bad relationship or indicates some fundamental failure of my marriage and I should just leave him...please take a step back and imagine for a moment that this is "get-over-able"...and then let me know how you think either of us could have handled it better. I know my relationship is silly sometimes, but it's my mess and I'm working on cleaning it up. It takes time. How can I improve things in the future?
TL;DR my husband thought I was gonna be upset that he wanted pain meds even though he has had issues with them in the past and left me hanging for hours playing video games. Then picked a fight with me and when I told him I was done talking, he kept it going until he disrespected me by saying I was cute when I was mad.

I got all four wisdom teeth out 4 days ago. I was already over 1 week into my 4th set of trays with no problems when I had the surgery. And I've been consistently wearing the trays for 22 hours each day after surgery, just as I had beforehand.
But holy fucking hell. My teeth have been constantly hurting and aching since day 2 post-surgery, as if it's my first day with braces on or something. When my Invisalign trays are out during meals, my teeth feel totally fine and the incision sites don't even bother me much.
But goddamn, as soon as those trays go back in, my mouth hurts! Pain aches down each root! I have to fight the urge to gnaw on chewies constantly at work. It's particularly my front teeth. I wouldn't say it's "severe" pain at all, but it's so constant that it's driving me insane and making it hard to focus. I just want to rip these trays out of my mouth and I only get some reprieve from it when taking the post-surgical codeine each night.
What the hell is causing this? The swelling at the back of my mouth? I feel like my face is only slightly swollen at this point. Why is my whole mouth hurting so goddamn badly?? I'm obviously going to keep the trays in my mouth and tough it out, but I'm seriously dreading having to switch to my next set of trays tomorrow night when they already hurt this badly!
Anyone else experience this??

Where are my fellow late term thumb suckers?!
I’m looking for your experiences with jaw surgery, palate expanders, or any other treatments that were successful by your standards. What prompted you to seek treatment as an adult?
Did you have double jaw surgery or…single jaw surgery? I don’t know the terminology. What was the result?
My story: I sucked my thumb until I was 11, never had a palate expander but had braces. I was sternly told I needed the expander and would regret not having it later on in life ⏰ aaaah.
I have: speech difficulties, major confidence issues, some trouble breathing but not to the point that it’s producing anything beyond mild sleep apnea, spill water while drinking and curse at myself for it, am a messy eater, jut my lower so it meets the upper teeth, I think I have a recessed chin, and last but not least kissing has always been awkward because my upper teeth are regal bitches standing in the way; protruding away a comfortable exchange.
I’m desperately trying to solve the problem for many reasons: my TMJ is worse than ever in my 30’s—I’m constantly moving my lower jaw around and it cracks/pops. I cover my mouth in public oftentimes when I’m sitting down and it takes a lot of effort to not do this. I usually want to decline going to lunches or dinners. Smiling and speech feel unnatural because of the lower jaw meets upper teeth move I do.
Ultimately I finally developed the courage to acknowledge these symptoms I’ve denied, and how debilitating they’ve been in having physical comfort and social success.
I can’t wait to solve this problem once and for all, and I really hope to hear your stories!

NOT looking for medical advice! My cat has a great vet team - just looking for anecdotal advice and tips and tricks on how to manage to get my cat to drink more water lol
Quincy is my 8 year old FIV+ cat - we rescued him 6 years ago and he's had nearly all of his teeth removed and, last October, had surgery for calcium oxalate bladder stones after urinating in shoes, on bags, on carpets, and finally, on tiles. After his surgery, he's had no behavioral problems since - yay!
Because he's a senior and FIV+, he goes to the vet twice a year. He went late last week and his labs look good, he's physically healthy and doesn't have a bladder stone recurrence yet. The issue is that his urine is very acidic and concentrated - we want it to be alkaline and diluted so this is obviously not good.
He was prescribed Hills c/d Urinary Stress food but we think he's been snacking on our dog's food and treats which has disrupted his strictly prescription diet. We're going back in about a month after going on full lockdown (no treats, no extras, no nothing besides his kibble) and getting his urine retested to see if there's improvements.
Here's some things we've tried:

• Prescription diet wet food - he hates wet food, has always hated wet food, and refuses to eat for the full day if he's presented with wet food
• Wetting his kibble with water - disaster
• Water fountain with regularly changed filter - occasionally finds it interesting and then moves on
• Regular water dishes, low whisker stress dishes, elevated water dishes, shallow dishes, wide deep bowls, plates with water pooled on the top
• Dishes in 5 locations around the house - he only frequents one of them - we've tried moving them to other places
• Changing water multiple times a day - doesn't make a difference

The vet says we're basically needing to increase his water intake or we'll have to switch his food (again), give him oral supplements to make his bladder more alkaline, or do fluid replacement. We're happy to give him a different food but the rest we'd like to avoid.
We can't do water flavorings and have to feed him exclusively prescription food so no water-heavy supplements like tuna, etc.
Have you had any successes getting your cat to drink more? I'll do anything!

I've been suffering for nearly 15 years because of my teeth and I am more angry than ever at how willfully ignorant the professionals are.
its a joint for god's sake. it moves. its main function involves motion yet what scans have been done of how my jaw bone moves in the socket? none. Static scans to see if its damaged enough for surgery. static photos of my teeth to see if they're pretty enough.
Checking to see how my bite and jaw align and how that alignment changes how it moves as I close my teeth together? Completely ignored. BITING IS WHY WE HAVE TEETH AND JAWS! Hiding their incompetence behind 'tmd is multifactorial' is disgraceful.
Anyway, if you're one of the dental caused jaw problems patients, join our group
https://www.facebook.com/groups/orthodonticmalpracticevictims/

And I doubt she'll trust them anyways.
Bit of context: I'm non binary (25yo) and come out to most of my family, no one uses my new name and correct pronouns because it would be a mess with my dad and grandma (and I'm the one that choose not to change things for now) but there are some people that would switch to what I want in a heartbeat if I asked them, and that is enough for me to know I can trust them with my gender, and I feel validated by other things they told me. Other relatives don't understand it and I doubt will ever call me anything different than my birth name, but I understand I can't have everything and that's ok. My mum tho... She's a whole other story. Also, I'm italian, so I hope everything makes sense.
I've been in lists for bloodwork and other exams and psychology assesments (like dysphoria diagnosis) in order to see the endocrinologist and get HRT, my mother knows I'm non binary and I told her and tried to explain to her many times (even once with my therapist, and my therapist agrees with me that it's like talking to a wall). I also told her I'm doing these HRT things and she said she would help in looking for doctors and driving me to the appointments but that I had to come up with the money for the visits myself (oh, nice, thanks mum /s).
One day, late on the evening, she calls me and tells me

I can't take you to get the bloodwork the day after tomorrow, can I cancel it and take it a bit later?

I was pretty exhausted so I said "yeah it's ok", without thinking much about it because I figured those appointments can be max in a week time waiting list, so I was fine with waiting that bit more. The next morning she calls me and had taken it A MONTH AND A WEEK LATER (she choose the date) and I was crushed, but I manged to understand my feeling, and that I wasn't ok with that at all, only in the evening. I texted her asking to move it sooner or I'd do it myself, that it was too much time and I just can't wait anymore (I was being kinda dramatic bc there are still months before other assessments, but it felt like my life depended on it). She was like

ok but don't take it soon you'll have to move it again and pay again It's not like you're paying for it anyways

Then she kept insisting to postpone and similar stuff so I asked her

do you even want to help me? Might be just my feeling, but it feels like you're always putting yourself in my way even when you're saying the contrary

She got defensive and started saying her usual stuff like that I'm not grateful and I'm so bad at keeping the house clean and she doesn't even make me feel bad about the fact that I don't work or study (this is a lie, she does) and so I asked her

Ok, so can I ask you something easy to do to show me you want to help? Can you call me by my chosen name and pronouns when we're alone?

She didn't answer and kept going on with other arguments, I reiterated but she kept avoiding the question, she instead said that

Whoever you are. If you're looking for yourself. I don't call you in any way, person.

Don't mind how weird it sounds, she speaks weird in italian too, but that "if you're looking for yourself" and the fact that she'd rather call me "person" than my chosen name was horrible, it made me understand - coupled with other stuff she said before about me "being sick and needing the right medical path" - that she's just waiting for the doctors to see if I'm sick and stop me from getting HRT... When I first talked to her about HRT she was talking about the fact that I'm fat, about a surgery I had that could stop me from it, about the fact that she has a genetic disease that might stop me from it etc... And it could have been read as worry before, as being cautious and wanting to check all the possibilities so I don't have sad surprises after I start HRT... But it never was that, not even a bit, it was just a way to control my visits and send me to the path of failure (in her eyes, ofc psychologists would know better than not giving me HRT).
It was awful, that "if you're looking for yourself" was totally unexpected to me because I never had doubts since I told my therapist and that was months ago, and I was questioning for around 3 years already, and I never make a choice without thinking and I never wagered about wanting HRT a being non binary with my mother, so it's all her own mind that made this shit up. I'm tired.
This happened a while ago but I'm still very angry at her, I'm reaching a place where I know I won't be able to forgive her and it makes me actually feel better, at least I'll feel less guilty when I'll go little to no contact.
This is a rant about other stuff that I feel it's related but not specific about gender: I'm pretty sure about the thing that she doesn't believe I'm non binary because she didn't believe I was depressed either, just like she doesn't believe I am probably autistic (my psychologist also agrees with me) and doesn't listen to me when I tell her that I'm still in depression/autistic burnout and it's fucking hard to wake up in the morning, so how the fuck could I keep a job? Luckily my country has public healthcare, it's like €20/36 every visit - even if long waiting lists- so I can probably manage with some tutoring I do to some kids (plus, luckily my aunt understans me and would pay for it). But mother is very pushy to me about the fact that I need a job, even when I told her that in order to heal from autistic burnout I literally have to NOT have responsibilities and take them back slowly or I get overwhelmed and relapse right away (I know ot, I tried). And as responsibility I mean even dumb shit like brushing my teeth, I swear to god I'd never curse anyone to feel as hopeless as I do and as useless, but she can't understand me and doesn't believe me, it's like I'm a kid all over again and whatever I say had the same importance as a riffle of wind, unremarkable and unimportant.
TLDR: My mum is an asshole and thinks I'm mentally ill and that's why I want HRT. I actually am mentally ill (depression and autistic burnout) but that's BECAUSE I haven't been formally diagnosed all my life (CPTSD, dysphoria and probably both autism and ADHD). Plus, she doesn't want to pay for my HRT visits, and that would be like € 100/180 btw.

To start things off, I was always aware of our age gap and problems it may cause in our relationship.
My husband and I didn't meet until I was well into being eighteen, and he was twenty-eight. It didn't bother me much, as he doesn't act much older than me and I'd always felt older than I was due to having a ton of younger siblings, step siblings, and foster kids in and out of my mother's house growing up.
We got engaged when I was nineteen at a yungblood concert, and we originally planned to wait to marry until I was at least twenty. Plans changed when I decided to go into the air force, and we had to push up the wedding in order for him to eventually stay with me on base after basic training.
Fast forward a few months after we were married and I had left for Texas for training, I was injured during PT training and sent home. It was during the craziest parts of covid, so everything was on lockdown and they had strict rules about not keeping anyone on base for a long period of time if injured. I was medically discharged and sent home to heal and have potential surgery.
At the time, my husband was staying with his friend in the city we planned to move to. We already put down a deposit on an apartment when we found out I was going home, but due to Covid restrictions and eviction restrictions, it was returned to us and we were told we could no longer move in.
The first issue I was seeing when I got home was his disattention to me. I was gone for over a month and missed celebrating my twentieth birthday with anyone but the girls in medhold with me, so I was looking forward to spending quality time with my husband.
We went out to eat with his friend, his friend's girlfriend, and one of her friends. I felt like a fifth wheel during the meal, as I was sat at the end of the table instead of being at my husband's side where her friend was sitting. Most of the conversations didn't include me, and I ended up going back to his friend's place feeling let down.
The rest of the time we were staying with his friend, they wanted all of us to go mountain climbing, cliff jumping, and trekking through the woods as they lived in a nature-centered part of the area. (Keep in mind, I was just sent home for being injured, and I had both a knee and ankle brace on my right leg that prevented much movement other than some hobbled walking that was slower than a normal pace).
When I expressed that I wasn't comfortable doing those things and that I wouldn't be jumping thirty feet into a freezing lake when I could barely walk as it is, my husband got upset with me and eventually just left me there alone while they all went to hang out together.
Flash forward four years, it is now 2024 and we have a two-year-old toddler. I didn't end up getting surgery, and I spent nine months being sicker than I'd ever been in my life.
It was a really rough pregnancy for me, and I'd ended up in the hospital multiple times because I couldn't even smell food or step foot into our kitchen without throwing up.
That all went on until the beginning of my third trimester. We decided to travel back to his friend's place, and I was somehow roped into climbing cliffs, wading through treacherous water to climb another cliff on an island out in the middle of a lake, and sleep at the top of sand dunes in a tent on the ground a couple weeks before my due date.
I was then on antibiotics during birth, because my water broke and the hospital sent me home instead of keeping me. My son was born sick, and transferred to a children's hospital to be treated and receive a spinal tap. I ended up sleeping a week in a hard hospital chair in a leaking basement of the hospital because they didn't have enough space for us.
After we were home and everything was settled, my husband would brag about how difficult the whole situation was for him. He had to sleep on a futon during my labour, and he had to have food doordashed to the hospital because, due to covid restrictions, noone else was allowed in with us and he wasn't allowed to leave to get anything.
He ended up having steak, potatoes, and these other elaborate meals delivered to eat in front of me while I wasn't allowed to eat anything until the baby came out. He even thought about bringing his playstation into the hospital room, but I shut that down quickly.
The first year of my son's life, I went back and forth between staying home with him and working in the factory my husband currently works at while my grandma watched our son.
I won't get into too much detail, but at one point when my grandma moved back out of state (she lives in her camper and was only there for the summer), I had to switch to the afternoon shift.
There is a factory supervisor on that shift that is a male and close to my husband's age. Other than the other person in my same position and two maintenance workers, they only had migrant workers that didn't speak english. This limited the people I could talk to while working my twelve hour shifts (husband worked 3:30 am to 3:30 pm and I would work 3:30 pm to 3:30 am).
My husband got very jealous and territorial at this time. He would expect me to return nearly thirty minutes late from all my breaks, threaten to go up there if anyone told me I couldn't do that, and even punched a hole in the wall when I told him I had to get back to work.
Up until that point, my husband had shown no signs of aggression toward me.
Somehow, a rumour started to spread around the factory that I was sleeping with the production lead. This definitely wasn't true as a) how and where would I have done that? and b) I loved my husband and would have never done something like that.
My husband heard about it, and came home to confront me. He got in my face, screaming and calling me a cheater. He threatened to take our son and move back in with his mom without even letting me offer an explanation or defend myself.
To this day, it still bothers me that he is still so convinced that I cheated on him and that he has no trust in me whatsoever to not do something like that.
I ended up leaving that job and working at mcdonalds for a little while. I had worked there in high school, so it wasn't a big adjustment.
I only ended up staying there a few months to help us catch up on bills before we agreed it would be better for me to stay home with our son for a while.
Our son is two now, and it seems like our relationship has only become more strained. We used to be able to communicate most of our smaller issues and come up with ways to maneuver whatever issues we had. However, in June of last year, my husband's friend that we were staying with in the beginning moved across the state to be near us.
It was all fine and good in the beginning. He had proposed to his girlfriend, and they even asked the both of us to be in their wedding that has yet to happen.
However, once they got engaged, he'd began acting very sexist. Even though both he and his fiance work full time (he works down the road at the factory with my fiance, and she works forty minutes away at a hardware store and has to drive a long way at three in the morning to get there), he expects her to come home and clean up after him, also cook his meals before she goes to bed early to get up really early in the morning for work the next day.
My husband, now hanging out with him more often, started having some of these things wearing off on him.
At first, it wasn't a big deal and I brushed it off. However, I'd gotten a job as a property manager for an apartment complex and also work now. Instead of things changing to adapt our new lifestyle, my husband expects me to continue keeping up with all the chores and cooking.
He'd made a comment that, because he feeds our dogs, he expects me just to do everything that involves our toddler from feeding him, to changing his butt, to putting him to bed at night. It's like pulling teeth sometimes to get him to change his butt or even get pants on him.
We'd gotten into an argument over this, and I told him that it wasn't fair that he expected me to do everything. His response was that he made more money and worked more hours, so it was only fair that I covered everything else.
Sure, I don't work as much or make as much money, and my paychecks mainly cover our son's daycare and our car payments, but I feel like working doesn't excuse him from helping with the son we both decided to have.
It's gotten to the point where I told my husband that if any sexist remark is made, like I should be in the kitchen helping get dinner ready whenever we're at his friend's house, I will be leaving and going back home, and I won't be going back until it is resolved.
The friend's fiance and I have had private conversations about this, and we both agree that it has gotten out of hand, and we both believe they are feeding off each other as they'd never been that bad before.
Everything has only seemed to get worse from there.
We decided to go as a group, along with my brother and his girlfriend, to the draft in Detroit this year.
The whole point was to see players get drafted in person, and we'd managed to get into the crowd in front of the stage before the area was shut down and they weren't allowing anyone else in.
My brother is an avid football fan. He played in high school, and was even offered multiple scholarships to play in college. This was a once in a lifetime experience for the both of us.
At one point, my husband and his friend decided that they would rather stand at one of the screens out of the crowd and watch it instead of trying to get into the sea of people to see it live.
I was frustrated, and expressed that if we wanted to watch it on television that we should have just stayed home. After a heated argument, I thought we'd come to the agreement that we'd go back to the stage and watch it there.
My brother lead us through the crowd, and at the beginning my husband and his friend were following us. Somehow, we'd gotten separated and when I looked back once we found a spot to stand, they were gone.
My phone rang in my pocket, and when I picked it up it was my husband calling. As soon as I picked it up, he proceeded to scream at me for disappearing and called me a "stupid bitch" when I tried to explain that I thought they were following us.
He hung up, and I told my brother I was going to go look for them alone. I spent a good twenty minutes wandering the area that was barricaded, but they were nowhere to be found. I no longer had signal to get ahold of him, so I ended up just going back and watching the beginning of the draft with my brother.
By the eighth pick, texts started to come in from my husband. He had informed me that they all left, leaving the three of us alone. Luckily, I'd driven separate as I left work early to get there.
By that point, I was done with him. I felt disrespected and that hanging out with his friend was more important than making sure his wife was okay or even with him. After all, I was wandering downtown Detroit alone when it was starting to get dark out.
When the three of us inevitably got back to the car, I got ahold of my husband just to let him know we were on our way home. He tried to apologise and ask how everything was, but I was too exhausted and mad at him to try and hold a conversation. He was asleep by the time I got home, and I ended up sleeping in our spare bedroom on a futon.
The next day, my husband tried to act like nothing happened. When I expressed that I felt ignored and pretty much useless to him, he tried to play it off like his anger was warranted and completely ignored the fact that he was calling me names.
I told him that I was no longer going to any big events with him and his friend, and he just rolled his eyes like he didn't believe me.
A day later, I saw a message pop up on his phone from his friend. I guess he had told him what I said about not going anywhere anymore, and his friend said "women" with an eyeroll emoji and "she'll get over it eventually". I screenshotted these messages and sent them to myself, filing them away in a folder in my phone to keep for later.
I slept in our spare bedroom for a week after that.
After the draft, I've also kept notes in my phone with time and date stamps of all the times he went off on me since then. Whenever we get into arguments, my mind goes blank and I forget exact things like this so he likes to say it never happened if I can't remember it.
April 27th, we were sitting watching videos together on tiktok. When someone popular came on that he had been watching a lot recently, I exclaimed that I didn't understand how he got popular all of a sudden. He proceeded to get really agitated and yell at me for not understanding how the internet works. When I stood up to walk away because I was upset, this angered him more. He then expressed that my emotions were overrated and that he was sick of them.
May 2nd, I had gotten home from work and tried to show my husband an outdoor jungle gym on amazon that I thought would be cool to get our son. He claimed it was a waste of money and that we should just take him to the park. When I tried to explain that it was a better idea to get something like this, as realistically we wouldn't take him to the park every day, he freaked out and asked what was wrong with me. He then said "oh my god" when I tried to explain that it would be easier to watch him outside while getting stuff done around the house and decided to just go to bed without dinner and end the conversation completely.
May 5th, we went with his friend and fiance to a cinco de may party in the city. He was drinking most of the day, and on the way home he wanted us to stop some place and get ice cream. When he got out of the car, he hit it against the car next to us. When I told him he'd hit the car, he proceeded to yell at me in the crowd that I was crazy and acting like my mother. He then kept trying to go to the woman in the car and ask if he had, in fact, hit her car. After, he said he was done with me and I was on my own, that I would have to start paying my own bills from now on.
There's been many other entries in my notes similar to this, and I feel like I'm at the end of what I can handle. Divorce has crossed my mind, but I had divorced parents growing up and know how hard it would be on my son. I also don't think I'm in a well off financial position to go out on my own with our son and still provide the things he needs.
I also worry that, if we were to separate, he would push to take our son from me as he'd threatened in the past to do so.
Any advice would be helpful, as I don't know what else to do. Even getting this all off my chest online makes me feel a little better, but there's still the lingering thought in the back of my mind that I'm unhappy and don't know how much longer I can put up with this.
Thank you.

This will be my THIRD time going through this process because of changes in my health insurance. I started at a new job with good health benefits and am trying to expedite the process since I’ve already been through it and just really want my surgery.
Does anyone know of any surgeons that accept insurance that had a quick turn around time between consultation and surgery date? I know insurance approval plays a role in this, but I am trying to schedule my surgery by the end of July.
Located in California, but open to looking in neighboring states, so long as I can complete the consultation virtually.

I did EASE expansion with Dr. Kasey Li. This is what my EASE experience has been like.
This is a pretty niche and long post, but I’ve been going through this expansion process as a 32 year old woman, going through my first week of expansion. I figured I’d share my experience as I know how much I was eating up these posts during my research. I also made a video that's a bit less detailed if that is more digestible.
Here is a breakdown of my experience day by day.
Day 0, Wednesday:
Had surgery at Stanford hospital and aside from a mild billing heart attack they gave me, it was a great experience. Kind, knowledgeable staff, great bedside manner. After surgery I woke up and could immediately breathe better. Nasal breathing feels like moving from a coffee straw to a regular size straw. Swallowing and talking were out of the question with the TPD in my mouth though. Took about 90 minutes to wake up and then I was released.
The first night was ROUGH. I maybe slept for 4 hours. Woke up repeatedly with bleeding. Finally stopped trying to sleep and reached out to Dr. Li at 6 am because my mouth was FULL of congealed blood.
Day 1, Thursday:
I was supposed to have my first follow up appointment on Friday, but due to the bleeding Dr Li came in bright and early at 6:30 am. He responded to my 6am text within 5 minutes and was like “How soon can you get to my office? I’ll be there”. We rushed over and he gave me some local anesthetic injections and cauterized the surgical site. He made sure I was very comfortable and that the bleeding had stopped before sending me home. The rest of the day went pretty smoothly. Swelling got much worse this day. Had to ice pretty much constantly to keep it down. Definitely uncomfortable but I had really good pain management.
Day 2, Friday:
Had my official follow up appointment and he turned the device for the first time. Turning was weird but not painful. Gave me some more injections as I had had a bit more bleeding on the opposite side. The swelling got intense this day. My cheeks were huge and hot and I was having a bit more jaw pain. Dr Li said my pain and swelling would peak around 48 hours and that was definitely the case. I just took my meds, rotated between ice and heat and overall had a smooth day with some bleeding again over night.
Day 3, Saturday:
Woke up with more (but far less) congealed blood in my mouth. Texted him at 9:20 AM to see what I should do and he texted back immediately saying meet me at the office at 10. Performed injections to stop the bleeding, cauterize, rinse and repeat. He sends me home. Still eating only a liquid diet. Still swollen. But not uncomfortable like it was. Not really icing much at this point, mostly focusing on heat, and feeling pretty human. Can go on walks and had a tiny bit of pasta (the most solid food I’ve had at this point). There is a tiny bit of bleeding at one point but it stops quickly and I go about my day pretty much normal and for the first time have no bleeding through the night!
Day 4, Sunday:
Slept great, no blood. Swelling still very present but going down. Was able to walk around, get around the city, virtually no jaw pain until about 4 pm when truly out of nowhere my incision site where the appliance is placed starts bleeding AGAIN. I quickly try to gently catch the blood by packing in gauze trying to stop the bleeding and avoid going into the office as it was Mother’s Day.
It bleeds through the gauze for 1.5 hours and I finally reach out to Dr. Li. He once again responds almost immediately and tells me I can come into the office or try and stop it, but that his preference is always to see patients in person. I try to get it to stop for about another hour with a couple false stops, but I’m unsuccessful yet again, so I make my way to the office where he meets me at almost 8:00 PM. He is very kind and understanding and just says “Shit happens, I’m there for my patients”.
He injects me, cauterizes it again, tells me I should stop talking advil as that can be an anticoagulant and is just very kind and understanding. I was supposed to have my second follow up on Monday morning, but he turns my device for me for the second time that night instead to try and avoid me having to go into the office again the next day. Turning is still uncomfy but not painful. He waits with me to make sure the site is stable, and then waits with me outside while wait for my ride.
Day 5, Monday:
Woke up with no blood in my mouth, swelling still going down. Pain levels very minimal. Breathing feeling smoother. My left TMJ (which I’ve had issues with in the past is more crackly and sore than usual, so I’m watching that carefully. So far so good. Just staying in bed and hoping to make it through the day/night with no bleeding.
Impressions so far:
I’ve had the most bleeding of any patient Li has had by far. Not totally sure what that’s about, and I’m sad I had to be the first, but the way he responds and handled my case made me SO HAPPY I just spent the money and went with him. No other doctor I've ever had has given me this level of care.
He is expensive, but he is worth EVERY penny because when you’re his patient, you feel like a priority. I traveled for the procedure (meaning 3 weeks away from home) and was really out of my element and comfort zone and had more complications than most of his previous patients (he said about 5% have repeat bleeding after surgery, but that the amount I had was an anomaly.)
My breathing is better, and will continue to improve as I expand. Even with the TPD device in that is taking up most of my palate, I have so. much. more. space for my tongue. It feels really good! My bite is weird now that my upper jaw is larger and that’s going to take some getting used to. And my TMJ is a bit sore.
Things to avoid week 1:
No straws. No vigorous exercise. No lifting over 10lbs. No hot foods/drinks. No hard/chewy foods. No nose blowing. I’d recommend staying away from herbs like garlic or ginger as they thin the blood I don't know if that was part of my problem, he said sometimes these things just happen and there was nothing I did wrong, but I'd just recommend staying away from any foods that can thin the blood and research them ahead of time. I'm vegan, and now I know that a lot of fruits/veg can thin the blood. So if you're veggie like me or try to eat a lot of "health foods" tread carefully. Have lots of gauze on hand.
Ask me anything. I'm here for another 1.5 weeks and am pretty bored. Happy so answer any questions about Dr. Li or EASE!

Hey all. Been having regular pains in my lower left abdomen area for about a month and a half now and not entirely sure why. I've been browsing the forums of various gut diseases on reddit, and figured I'd post on one to see what you all think.
32M, 6'0', 185 pounds. Non-smoker, casual drinker. Run 1-3 times a week. No regular medications or big surgeries in my past. I drink at least 3-4L water a day.
Other symptoms include:
-lots of gas, mostly burping but a little more farting too
-occasional sharp pains higher up on my left side at the chest area, but not as frequent as the abdomen pains
-Pain flares up more often when I'm sitting down, or lying on my right side in bed. Have resorted to lying flat on my belly in order to not experience pain in bed at night.
-unclear how much diet affects it. I had quite a few beers on Saturday and was in more intense pain throughout the night. However, I've had soda and 2-3 beers at one time before and it didn't seem to affect my pain.
I do have one theory as to what happened. Around the same time these symptoms started, I had started using Crest whitening strips on my teeth for about 30 minutes a day. I suspect I was accidentally swallowing a ton of the bleach in those things, since I produce a lot of saliva. I used them for about 3-4 days before I realized there might be a connection and I haven't used them since. However, the symptoms continued.
Went to a primary care doctor, who was doubtful of the strips being the cause. He pressed on my stomach but I felt no pain there. Blood work says liver, kidney, and thyroid are all clear. Doctor suggested it might be diverticulosis based on my description of my symptoms.
Also strange, but good, is my urine and stool samples are unaffected. I'm having no problems there. I do have quite an active bladder and have to go to the bathroom quite a bit, but that's been going on for years. The lack of any other symptoms like diarrhea, vomiting, etc., makes me think it's not an actual condition and just trapped gas.
Any ideas or next steps? Could the strips really do that much damage to my insides, or am I crazy?
I understand changing my diet may solve these issues, but I'd like to confirm that I have to do that and see if there are medications I can take to even avoid doing that. What's really strange is how sudden these symptoms came on, which makes me think the strips are part of the problem, but maybe my gut just finally said enough's enough.
I have a follow-up with my primary care doctor in a few days.

I did EASE expansion with Dr. Kasey Li. This is what my experience has been like.
This is a pretty niche post, but I’ve been going through this expansion process as a 32 year old woman, going through my first week of expansion. I figured I’d share my experience as I know how much I was eating up these posts during my research.
Here is a breakdown of my experience day by day.
Day 0, Wednesday:
Had surgery at Stanford hospital and aside from a mild billing heart attack they gave me, it was a great experience. Kind, knowledgeable staff, great bedside manner. After surgery I woke up and could immediately breathe better. Nasal breathing feels like moving from a coffee straw to a regular size straw. Swallowing and talking were out of the question with the TPD in my mouth though. Took about 90 minutes to wake up and then I was released.
The first night was ROUGH. I maybe slept for 4 hours. Woke up repeatedly with bleeding. Finally stopped trying to sleep and reached out to Dr. Li at 6 am because my mouth was FULL of congealed blood.
Day 1, Thursday:
I was supposed to have my first follow up appointment on Friday, but due to the bleeding Dr Li came in bright and early at 6:30 am. He responded to my 6am text within 5 minutes and was like “How soon can you get to my office? I’ll be there”. We rushed over and he gave me some local anesthetic injections and cauterized the surgical site. He made sure I was very comfortable and that the bleeding had stopped before sending me home. The rest of the day went pretty smoothly. Swelling got much worse this day. Had to ice pretty much constantly to keep it down. Definitely uncomfortable but I had really good pain management.
Day 2, Friday:
Had my official follow up appointment and he turned the device for the first time. Turning was weird but not painful. Gave me some more injections as I had had a bit more bleeding on the opposite side. The swelling got intense this day. My cheeks were huge and hot and I was having a bit more jaw pain. Dr Li said my pain and swelling would peak around 48 hours and that was definitely the case. I just took my meds, rotated between ice and heat and overall had a smooth day with some bleeding again over night.
Day 3, Saturday:
Woke up with more (but far less) congealed blood in my mouth. Texted him at 9:20 AM to see what I should do and he texted back immediately saying meet me at the office at 10. Performed injections to stop the bleeding, cauterize, rinse and repeat. He sends me home. Still eating only a liquid diet. Still swollen. But not uncomfortable like it was. Not really icing much at this point, mostly focusing on heat, and feeling pretty human. Can go on walks and had a tiny bit of pasta (the most solid food I’ve had at this point). There is a tiny bit of bleeding at one point but it stops quickly and I go about my day pretty much normal and for the first time have no bleeding through the night!
Day 4, Sunday:
Slept great, no blood. Swelling still very present but going down. Was able to walk around, get around the city, virtually no jaw pain until about 4 pm when truly out of nowhere my incision site where the appliance is placed starts bleeding AGAIN. I quickly try to gently catch the blood by packing in gauze trying to stop the bleeding and avoid going into the office as it was Mother’s Day.
It bleeds through the gauze for 1.5 hours and I finally reach out to Dr. Li. He once again responds almost immediately and tells me I can come into the office or try and stop it, but that his preference is always to see patients in person. I try to get it to stop for about another hour with a couple false stops, but I’m unsuccessful yet again, so I make my way to the office where he meets me at almost 8:00 PM. He is very kind and understanding and just says “Shit happens, I’m there for my patients”.
He injects me, cauterizes it again, tells me I should stop talking advil as that can be an anticoagulant and is just very kind and understanding. I was supposed to have my second follow up on Monday morning, but he turns my device for me for the second time that night instead to try and avoid me having to go into the office again the next day. Turning is still uncomfy but not painful. He waits with me to make sure the site is stable, and then waits with me outside while wait for my ride.
Day 5, Monday:
Woke up with no blood in my mouth, swelling still going down. Pain levels very minimal. Breathing feeling smoother. My left TMJ (which I’ve had issues with in the past is more crackly and sore than usual, so I’m watching that carefully. So far so good. Just staying in bed and hoping to make it through the day/night with no bleeding.
Impressions so far:
I’ve had the most bleeding of any patient Li has had by far. Not totally sure what that’s about, and I’m sad I had to be the first, but the way he responds and handled my case made me SO HAPPY I just spent the money and went with him. No other doctor I've ever had has given me this level of care.
He is expensive, but he is worth EVERY penny because when you’re his patient, you feel like a priority. I traveled for the procedure (meaning 3 weeks away from home) and was really out of my element and comfort zone and had more complications than most of his previous patients (he said about 5% have repeat bleeding after surgery, but that the amount I had was an anomaly.)
My breathing is better, and will continue to improve as I expand. Even with the TPD device in that is taking up most of my palate, I have so. much. more. space for my tongue. It feels really good! My bite is weird now that my upper jaw is larger and that’s going to take some getting used to. And my TMJ is a bit sore.
Things to avoid week 1:
No straws. No vigorous exercise. No lifting over 10lbs. No hot foods/drinks. No hard/chewy foods. No nose blowing. I’d recommend staying away from herbs like garlic or ginger as they thin the blood I don't know if that was part of my problem, he said sometimes these things just happen and there was nothing I did wrong, but I'd just recommend staying away from any foods that can thin the blood and research them ahead of time. I'm vegan, and now I know that a lot of fruits/veg/legumes can thin the blood. So if you're veggie like me or try to eat a lot of "health foods" tread carefully. Have lots of gauze on hand.
Ask me anything. I'm here for another 1.5 weeks and am pretty bored. Happy so answer any questions about Dr. Li or EASE!

Hi all, my cat has been struggling with health issues for about a month now. I’ve posted twice here already with the other issues we’ve been working on and she can’t seem to catch a break. What started as an ear infection, spread to her skin, multiple scabs on her head that are now healed. Then teeth resorption had to go through surgery last week to remove some teeth. All in all I have spent over 5 thousand dollars in this same clinic in nyc. After the surgery I noticed there was something new, her right eye was looking weird. There was some sort of membrane in the middle of her eye ball and she was squinting a bit. They said it was normal from the lubricants they use while she was under anesthesia. The next day it looked worse so I brought her back and they diagnosed her with a corneal ulcer. Gave me antibiotic drops (Ofloxacin) and told me to apply twice a day and it should go away. It’s been now 6 days from the surgery and her eye only looks worse. See pic below. They told me to return and charged me another $200 for the examination and $40 more of meds now an antibiotic ointment called Terramycin. I am at a loss. I am broke, I don’t know who to trust. I don’t have anymore money to keep coming back there and I can’t stand seeing my cat in pain anymore. She’s only 10 years old and never had any health issues ever before. If you can please help me if this is something that will go away with the eye drops or should I go to a different vet. I don’t know what to do anymore. Here’s the link with pictures I can’t seem to attach in this group: https://www.reddit.com/CATHELP/s/YZzoFaQwga

Hi all, my cat has been struggling with health issues for about a month now. I’ve posted twice here already with the other issues we’ve been working on and she can’t seem to catch a break. What started as an ear infection, spread to her skin, multiple scabs on her head that are now healed. Then teeth resorption had to go through surgery last week to remove some teeth. All in all I have spent over 5 thousand dollars in this same clinic called Bond vet in Brooklyn, NYC. After the surgery I noticed there was something new, her right eye was looking weird. There was some sort of membrane in the middle of her eye ball and she was squinting a bit. They said it was normal from the lubricants they use while she was under anesthesia. The next day it looked worse so I brought her back and they diagnosed her with a corneal ulcer. Gave me antibiotic drops (Ofloxacin) and told me to apply twice a day and it should go away. It’s been now 6 days from the surgery and her eye only looks worse. See pic below. They told me to return and charged me another $200 for the examination and $40 more of meds now an antibiotic ointment called Terramycin. I am at a loss. I am broke, I don’t know who to trust. I don’t have anymore money to keep coming back there and I can’t stand seeing my cat in pain anymore. She’s only 10 years old and never had any health issues ever before. If you can please help me if this is something that will go away with the eye drops or should I go to a different vet. I don’t know what to do anymore.