Have two days to decide, what should I do?

[jakesmith]

To keep a hospital GA appointment or not. I don't know, i have no way to risk assess it. I don't know the dangers of keeping two probably infected lower molars in untreated indefinitely vs getting GA with dysautonomia that hasn't been fully worked up.

My surgeon's office gave me two days to decide, then they'll likely drop me or only see me months down the road again if I say no. There's only one other oral surgeon near me I can identify, plus a few dentists that do surgery.

I feel they've been too pushy about everything. They scheduled the hospital GA without asking me 2 minutes into the appointment scheduled out weeks. They only saw me three minutes. Now I have a hospital GA appointment and I don't know how to weigh the risks. I spoke to an anesthesiologist from the hospital and they don't know who will be my anesthesiologist, it seems improvised and they said could even be just an anesthesiologist nurse. I would feel more comfortable with an arterial line, but apparently that risks like hand issues, like can permanently damage the hand, so they didn't wanna use that. I would also be more comfortable with a dedicated anesthesiologist.

Im kind of without oral antibiotic options and for months, cuz i'm not tolerating any, so my only other options would be the ER or rushing to the other oral surgeon in the case of pain or emergency. Last time I described a molar pain on here, the admin suggested it could have been acutely infected on that date or still. It was only on chewing, and I haven't chewed on it since then so I don't know the status. The scans about a month ago apparently showed no abscess but i'd be surprised if neitther were infected, as prior people said one had a non-drainable abscess.

The way I like to feel safe is control, reassurance, and flexibility. I haven't been given any of that.

 

[jakesmith]

i meant i haven't been given any of that by in person doctors, people here have been supportive, but still don't really know how to risk assess this

 

[letsconnect]

Hi @jakesmith, I think this is really something you need to discuss with your primary care physician because without a medical degree at least, I kind of doubt that anyone here would know what the risks are and how to assess them! Have you talked to them and if so what do they recommend?

 

[jakesmith]

I saw a cardiologist who wanted to rubberstamp before appt. During appt he didn't listen to me, wrote down incorrect notes and one of his nurses forwarded it to pre-op against my written consent. Now i'm doing damage control and trying to confirm with anesthesia if they will actually use a dysautonomia protocol.

No GP I've seen will call themselves my PCP due to my agoraphobia, I did see the cardiologist in person though, was taxing.

 

[jakesmith]

anyway

 

[jakesmith]

well the way I see it, if I can get anesthesia to confirm they will use a dysautonomia protocol / drugs, then I might go through with it, cuz then antibiotics/extraction etc will all be managed without me having to think about it.

the only other options are wait if/until life threatening swelling or unbearable pain or wait months to see a teaching hospital 2 hours away, and none of those are attractive options when I'm not tolerating antibiotics

Then again if I won't have a life threatening situation i don't care putting this off 20 years it's just eating up a lot of my mental bandwidth and last time I checked i couldn't even chew on one of the teeth due to pain, but i last checked that like weeks ago.

even if the hospital extraction goes off without a hitch i still need to fix my dental anxiety, like i'm sure i have other cavities and will have infections down the road. so ultimately the best solution is a special needs dentist who takes time, just couldn't find any -shrug-