DR BHASKAR & DR SILVA'S BLOG

Are you experiencing persistent pain in your jaw after a fall that won’t go away or is getting worse? The first and most important tip is to schedule an appointment with our office! There are many reasons for jaw pain; however, you need a professional to understand what happened and evaluate your pain. By having a thorough exam, we can establish a proper diagnosis and treatment plan. You might have displaced a tooth, traumatized your jaw joint, or even fractured your jaw—but you will never know without a proper evaluation. Learn more about the causes of jaw pain and its treatments by reading, “Jaw Pain.”

Dr. Bhaskar’s article for The Republic | azcentral.com

Leaving home for college is both exciting and stressful. Your child might be set with new bedding, a roll of quarters for the laundry and a full schedule of classes, but have you equipped him or her for the challenges of the real world?

Students are used to parents taking care of many things for them, from making a doctor’s appointment to booking airline tickets.

Some things they can learn by trial and error, but they simply cannot afford to do others wrong. Here are six things parents should do to prepare their grads for leaving home.

Medical, dental examination

Take the student to the doctor and dentist for a full examination.

Discuss vaccinations (HPV, meningococcal, hepatitis) and overall health history with the doctor. If the student has existing medical conditions that require follow-up, ask for a referral to a doctor in the college town. Go to www.abms.org to be sure that doctor is board-certified.

Talk to your dentist about wisdom teeth, dental care and a referral, if necessary. Request a copy of all records.

Develop plan for health care

Discuss and prepare a plan for utilizing the health-care system. This can be daunting for anyone, and when illness or injury strikes is not the time to face the confusing task of where to go.

Review how your health-insurance plan functions with the student. Is it a PPO or HMO? Are only certain doctors or hospitals approved? What is your deductible? Does treatment require preauthorization? Is there a toll-free number for preapproval? Check with your insurance plan about out-of-state coverage, if applicable. Does the college have health coverage? Is there an infirmary? What are the hours? Where should students go for an after-hours emergency?

Create a health-care information packet for the student, including insurance information and card, vaccinations, medication list, health history and physical, a list of recommended doctors or facilities near the college and on-campus infirmary information. Give a copy to your student in hard copy or preferably digital form (more secure and permanent), and keep a copy readily available at home.

Lastly, fill out the Basic Medical History Form card (available at ydkwydk.com; click on “Resources and links”) with the student, and have him or her keep it in a wallet or purse and on a cellphone. This form should be available 24/7 in the event of accident, injury or illness. The quality of care you receive is directly dependent upon the quality of information you provide.

Prepare basic medical kit

Assemble a complete medical kit with all the prescription medications your child may need and over-the-counter drugs for colds, flu, allergies, food poisoning, as well as tape, dressings, elastic wraps and assorted treatments for minor athletic injuries. (See the list included with this article for ideas on what to include.)

You never know when your student will need a bandage, decongestant or pain reliever. Many college students do not have transportation to get to the pharmacy if they get sick at midnight. This will give them a basic medical kit in their room for immediate use. Instruct them to replace and update the kit as items are used and/or expire.

Crucial to the proper use of the kit is an understanding of basic medications, their uses, indications and side effects or dangers. Even common and prevalent medicines can be misused or cause problems. For example, aspirin should not be used in anyone younger than 20 due to Reye syndrome. Including a basic medical-resource book with the kit is invaluable. Signing students up for an American Heart Association First Aid CPR AED course will give them invaluable knowledge and skills.

Direct discussion of drug, alcohol use

Easy availability, peer pressure and the party culture make the use of alcohol, prescription drugs and illegal drugs commonplace on the college campus. Illicit drug use occurs in 35 percent of college students, the National Survey on Drug Use and Health reports. Binge drinking occurs in 51 percent of college-age adults and is associated with high-risk behavior, according to the Centers for Disease Control and Prevention.

Although most people know that alcohol kills brain cells, few realize that the human brain is far more vulnerable to permanent neurological damage under the age of 21. Alcohol targets the prefrontal cortex, the area of higher intellectual function; the tissue loss is specific and irreversible.

Discuss alcohol and drug use while in unfamiliar places or situations: frat parties, spring break, new clubs and road trips. These circumstances have the dual added risks of tainted drinks and unfamiliar surroundings. Discuss driving while intoxicated and possible crippling financial, career and legal consequences. Discuss prevention: strategies to say no, the buddy system, designated drivers.

Direct discussion of STDs, safe sex

Talk about sexually transmitted diseases and safe sex. There are three challenges: the uncomfortable nature of the discussion, false belief that these things always happen only to other people and youthful delusion of immortality and invulnerability.

First, find a reputable resource and have your child read it. The student should understand HIV, herpes, HPV (human papilloma virus), hepatitis, syphilis, gonorrhea, chlamydia and pelvic inflammatory disease. Discuss HPV vaccination; HPV is the most common STD, and it can lead to oral and cervical cancer. Vaccines are available for men and women up to 26 years of age.

Once the student learns the facts, have a calm, adult discussion about lifelong repercussions of just one moment’s carelessness. This is especially crucial for women, as the aftermath of many STDs can increase cancer risk and negatively impact fertility, childbirth, even their newborns.

Reliable, reputable resources

Have a discussion of reliable sources of health information. Emphasize that the decisions they make regarding their health should be based upon information from recognized medical experts, not their roommate, quasi-professionals or an Internet blog. Give them credible reference books and Internet sites such as www.webmd.com or www.mayoclinic.com.

This is a watershed moment for students. Preparing them by giving them knowledge and skills will keep them safe and help them to make educated decisions about their health, life and future.

William Bhaskar, MD, and Philip Bhaskar, DMD, are board-certified surgeons who have authored “You Don’t Know What You Don’t Know: The Health and Safety Guide for College Students (and All Students of Life).”

About the book

“You Don’t Know What You Don’t Know: The Health and Safety Guide for College Students (and All Students of Life),” by William Bhaskar and Philip Bhaskar, covers a wide variety of topics, from how to tell the difference between a bad headache and meningitis, to understanding your credit score, to jump-starting a car battery, to dining etiquette, to how to use a taxi. The topics are extensive but highly practical.

Each topic is covered succinctly, in straightforward language that is easy to navigate. Relevant information is presented most often in bullet-point lists without superfluous verbiage; the effect is not a lecture, but simply, “This is what’s important to know. Here you have it, and now on to the next topic.”

The book is available for $13.63 at amazon.com. Find more information at ydkwydk.com.

– Penny Walker

Dorm/apartment medical kit

Avoid a late-night trip to the drugstore or doctor with a little preparation. Start with a first-aid kit (available at drugstores or outdoor-recreation stores) with an instruction booklet. To this basic kit add:

Your prescription medicines.

• Epi-pen (if prescribed by a doctor for life-threatening allergies).
• Analgesics (painkillers such as acetaminophen, aspirin or ibuprofen).
• Daytime and nighttime cold medicine.
• Anti-diarrheal (Pepto-Bismol).
• Anti-fungal (Monistat).
• Antihistamine (Benadryl).
• Topical antihistamine cream (Benadryl/diphenhydramine).
• Antibiotic ointment (Bacitracin).
• Hydrocortisone cream.
• Eye-care items (normal saline drops).
• Magnifying glasses.
• Tweezers, tick remover and safety pin.
• Moleskin (for blisters).
• Scissors, knife and sterile needles.
• Anti-bacterial soap.
• Alcohol-swabs packets (individually wrapped).
• Antiseptic wipes (individually wrapped).
• Gauze (various sizes).
• Antiseptic (for intact skin only).
• Band-Aid Hurt-Free Antiseptic Wash (for open wounds).
• Assorted adhesive bandages.
• Ace bandages.
• Cloth tape.
• Duct tape.
• Disposable non-sterile exam gloves.
• Instant ice pack.
• Digital thermometer.
• Medicine cup, for measuring liquid medicines.
• 3M Save-A-Tooth, an emergency tooth-preserving system.

– William Bhaskar and Philip Bhaskar

Basic medical history

William and Philip Bhaskar say the following is the absolute minimum information you should have on your person at all times. Print and laminate in your wallet or purse or store on your smartphone. This critical data is invaluable to first responders.

• Name
• Phone
• Primary care provider, phone
• Date of birth
• Blood Type
• Allergies
• Medical conditions
• Prior surgeries
• Hospital
• Medications used
• Over-the-counter medications used
• Alcohol, tobacco, drug use
• Next of kin or contact person, phone

Dr. Bhaskar’s article for The Republic | azcentral.com

The impact of laser technology has been rapidly growing since the mid-1960s when it was first introduced in the healthcare sector as a surgical tool. Using LASERS, short for Light Amplification by Stimulated Emission of Radiation, we are now able to perform procedures on the soft tissues of the mouth with patients reporting less postoperative pain than traditional methods. The reason for this success is due to the fact that laser procedures minimize bleeding, swelling, scarring, and pain. Learn more about this cutting-edge technology in “Laser-Guided Dentistry.”

We are pleased to announce that Joseph Fullmer, DMD has joined our practice of Oral and Maxillofacial Surgery.

Dr. Fullmer  is a graduate of the University of Utah and earned a Bachelors degree in Medical Biology. He then attended the University of Louisville School of Dentistry where he received his D.M.D. degree. In June 2012 Dr. Fullmer completed his Oral and Maxillofacial Surgery residency at Cook County and Northwestern Hospitals in Chicago, Illinois.

Dr. Fullmer has an interest in Orthognathic Surgery, Reconstructive Surgery, Facial Trauma and TMJ Management as well as Dentoalveolar and Implant Surgery.

We look forward to introduce you to Dr. Fullmer. Please call our office if you have any questions.

Unfortunately, the odds that there will be a dentist on the sidelines, when you really need one if your child is injured during a sporting event are slim to none. However, knowing what to do and how to respond quickly and appropriately are critical facts that every parent, caregiver, coach, and athlete should know. This is the reason Dear Doctor magazine has worked with leaders in the field of sports dentistry to create a pocketsize field-side guide for managing sports-related dental injuries. This essential guide is a quick-reference version of their comprehensive article that details which injuries need to be treated within 5 minutes, which injuries should be treated within 6 hours, and which injuries are less urgent but should still be treated within 12 hours. This article also covers in detail how to treat injuries to both permanent (adult) and primary (baby) teeth. Learn more by reading “The Field-Side Guide to Dental Injuries.”

While implants were introduced into dental practices in the late 1970s, you may be surprised to know that the earliest recorded attempts of their use date back to the Mayan civilization around 600 A.D. Needless to say, dental implants have undergone giant leaps in improved design, success, and overall patient satisfaction since those ancient times! In fact, today’s dental implants actually integrate or fuse to the jawbone for the teeth they replace. And once integrated and functional, they can easily last a lifetime. Today’s implants are so successful they’re often referred to as your third set of teeth! Learn more in the article, “Dental Implants—Your Third Set of Teeth.”

If you suspect you or a family member may have Obstructive Sleep Apnea (OSA), you should consult our office. While treatment options are available, a proper diagnosis is the first step. It is also important to note that the risks of undiagnosed OSA include heart attacks, strokes, impotence, irregular heartbeat, high blood pressure, and heart disease. In addition, it can cause daytime sleepiness that results in accidents, lost productivity, depression, and problems in your relationships with others. If you feel you may have sleep apnea, answer the following questions and then share your responses with our office. This simple action could save your life.

• Are you a loud, habitual snorer?
• Do you regularly feel un-refreshed, even after waking from 8 to 10 hours of sleep?
• Has anyone ever witnessed you choking, gasping, or holding your breath during sleep?
• Do you find yourself falling asleep easily throughout your day at home or at work?

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