Friday, April 29, 2011

Prophylactic removal of asymptomatic impacted third molars: Evidence from randomized controlled trials and a local anecdote

I promised Tiff that I would fill in for her on the blog today since she went under the knife. If you have time to turn off the coverage of the embarrassing spectacle across the pond, keep reading.


The surgical removal of wisdom teeth to prevent potential problems with their eruption has become common practice in most developed countries. During a visit to the oral surgeon several weeks ago, Tiffany learned that her four wisdom teeth were destined to become impacted in coming years (if not months). Having foreseen this possibility in January, we were prepared with dental insurance adequate to cover the bulk of the costs of the extraction procedure, which easily register in four digits without such coverage.

Hence, we scheduled the extraction procedure for this morning. Was this the correct decision? The evidence is unclear. At least in terms of the "incisor crowding" consequences of wisdom teeth eruption, randomized controlled experiments fail (in the aggregate) to provide support for the preventative removal of said teeth, particularly in adults. These claims are debatable. Are meta-analyses reasonable methods for evaluating treatment effects? Am I cherry-picking one study from a vast literature? Should I actually read these studies instead of skimming the abstract and ignoring the jargon with which I am unfamiliar? Should I trust "scientists" with their fancy-pants "quantitative evidence" and "statistical rigor" or rely on my own instinct (and can I have "mommy instinct"?)? Did we transfer hundreds of greenbacks to a DDS to prevent a real problem, or did we do it to follow unverified common wisdom like lemmings? Will it even matter once I open our "high-yield" online savings account at American Express, earning roughly core inflation on our huge piles of spare cash? Should we be hoarding gold/sheep/organic food in preparation for the downfall of modern society at the hands of [insert political party you dislike]? Who really won the boxing match, Keynes or Hayek? I leave these to the reader as exercises.

At any rate, Tiffany was sedated with a general anesthetic while the doctor went to work with drills and knives and, presumably, bags and bags of money from past and current patients. We're glad we can keep the money flowing. An hour later, Tiff stumbled out the door and into a cab I had hailed which was driven by a man who multitasked by filling out paper work during our entire journey (at least he wasn't playing Angry Birds). I'm not going to criticize how he does his job--he's a professional.

After a dose of Vicodin, some ice packs, and a McD's chocolate shake, Tiff is back to her old self again. Maybe this experience will make us appreciate our gums more. Maybe it will make us reevaluate our non-medical career choices. Maybe Chairman Bernanke's actions in 2008 were driven more by his past research than by financial sector capture. In any case, Tiff's going to need a new excuse next time she wants a three-day weekend.

Thursday, April 28, 2011

yogi

nope, not this fella
yesterday I reentered the world of yoga. luckily I wasn't alone since Katherine and CoCo graciously accompanied me. we recently scored a deal from livingsocial - 15 yoga classes for $15 dollars. definitely worth it. our in instructor was a crack up. he had jokes for just about every pose and awkward situation. I felt like a dork being the only one laughing but apparently everyone else was focused on their breathing. I need to work on being more serious if I'm going to turn into a real yogi and find my inner balance. maybe with time ...or maybe I'll just try to be more like the other Yogi and get me a pic-a-nic basket.

Wednesday, April 27, 2011

Snakes

this weekend Ryan and I rented Harry Potter & the Deathly Hallows (which I think we're now late returning...oops). it was a fun film to watch. a bit scary, but I did alright. even in the part with this guy


it reminded me of a recent news story I saw...
7000 in PG county go without power due to a large snake.
typical.

Tuesday, April 26, 2011

lori...

my sister's got mad skills. she quilts, makes purses, bakes artisan bread, embroiders pillows, sews up a storm, and does it all while keeping an adorable three year old under control. here are a few pictures of some of her projects. the amazing multicolored quilt with the tree behind it is the quilt she made me and ryan for christmas. I love it!
cute purse, my christmas quilt, great orange and white quilt, little chickies quilt.

all strung out quilt (her tutorial is here), quilt she made for baby Amelia, her awesome family room with all her homemade pillows and decor, Corey's bedroom quilt and glow-in-the-dark pillow, a See Lori Sew original design airplane quilt

given that she's so talented, obviously she has an etsy shop
-- See Lori Sew.
she's amazing and sells adorable quilted SLR camera straps with genuine leather ends. you should check it out and send everyone you know to check it out.
lori- you rock

Monday, April 25, 2011

Easter party

saturday night we had some friends over for an Easter potluck. it was really fun. everyone brought amazing food and I was completely stuffed by the end of the night.
they were even great sports about my easter egg confetti game, now officially on the Easter tradition list. it was a smash.
along with the confetti game, we played mafia - one of ryan's favs. it was hilarious. I may or may not be the worst liar ever and might have gotten out the first round when I was mafia. I need some lessons from Ms. GaGa.


hope you all had a great Easter and have a wonderful monday!

Friday, April 22, 2011

easter egg party...

last night I hung out with a few lovely ladies - Kristin, Karla, and Jaclyn. we dyed a ton of easter eggs. we even tried a few tricky ones like martha, but for the most part failed. martha's just got the touch. we also prepped eggs for the new tradition I'm going to start - the confetti egg game. it's going to be awesome and now I can hardly wait until saturday. here are a few of the gems from last night (my favorite might be the one that looks like the world).

Thursday, April 21, 2011

chris...

it's always great to see my brother. he's super witty, really interesting, brilliant, and a lot of fun to be around. another slight perk is the great restaurants that he takes us to - he may or may not be a bit of a foodie. last night we went to Rosa Mexicano. probably some of the best Mexican food I've had. the carne asada tacos were amazing. hopefully we can save our pennies and go back again soon.

(picture found here)

thanks chris! can't wait to see you again.