Hi Laughter,
Nice to hear from you and your pie hole ;-0
I'm miffed that he didn't do the culture too. Ugh.... what can I say :/
But thanks for posting the biopsy report!
<<Pre-operative diagnosis; Granulation tissue>>
OKAY, MAKES SENSE.
<Gross description:
Source of specimen: area #17
The specimen consists of a 2.2 x 2.2 x 0.3 cm aggregate of tan-gray hard bone,
Tooth and rubbery tissue. The specimen is filtered. >>
THE BONE TISSUE IS TYPICALLY TAN AND GRAY. OBVIOUSLY THERE WAS A PIECE OF TOOTH REMOVED WHICH WAS PROBABLY WEDGED IN PRETTY DEEP AND HE WAS ABLE TO REACH IT WITH THIS LAST DEBRIDEMENT. RUBBERY TISSUE.... IS CONNECTIVE TISSUE THAT HAS A RUBBER CONSISTENCY AND CAN BE FROM REPEATED SCRAPINGS, INJURY, WEIRD HEALING.
<<Diagnosis:
Area 17 (after decalcification): sub acutely inflamed granulation tissue, fragments
Of vital and non-vital bone and radicular tooth fragment.>>
OKAY, SO YOU HAD INFLAMED TISSUE AND BOTH DEAD AND HEALTHY BONE AND THAT PIECE OF TOOTH. OTHER THAN THE TOOTH FRAGMENT, IT IS TYPICAL TO FIND THE BONE IN THIS CONDITION AFTER TOOTH EXTRACTION AND REPEATED SURGERIES. SO HOPEFULLY THE BONE IS HEALING BETTER NOW THAT THE IRRITANTS ARE REMOVED!!
<< I listed several things, among them being that I'm having occasional tingling on the outside of my cheek; there are varying levels of pain from my lower lip down to my chin (from feeling a little uncomfortable and "bloated (lol), all the way to where the pain gets so bad in the lip/chin area that my bottom teeth ache as well. I told him about the "cramps" under & on the side of my tongue; and I described the deep ache I get down in the surgery site (would that be considered my surgery hole? Lol {{ YES!!}}) all the way down my neck. Come to think of it, my neck hurts where the lymph nodes were acting up earlier on...>>
IS THE AREA NEAR YOUR LYMPH NODE ON YOUR NECK TENDER? SOMETIMES IT CAN TAKE MONTHS FOR THE LYMPHATIC SYSTEM TO CALM DOWN ESPECIALLY WHEN THE IMMUNE SYSTEM HAS HAD TO DEAL WITH REPETITIVE TRAUMAS, MEDICATIONS, ETC.
<< The OS said that he wasn't an expert in whatever is going on and he wants me to see a doctor involved in pain management. He said that he would call my Internist, explain what's going on and ask him if he can refer me to the right specialist. End of visit.>>
THE OS CANNOT BE SURE OF WHAT YOUR CONTINUED SYMPTOMS ARE RELATED TO. HE KNOWS THEY HAVE SOMETHING TO DO WITH THE EXTRACTION OF THE TOOTH, THE REPEATED SURGERIES AND INJECTIONS... BUT HE CANNOT PINPOINT WHICH ONES ARE THE CULPRIT. HE SOUNDS LIKE HE'S HOPEFUL THAT YOU WILL RECOVER COMPLETELY AND PERHAPS SEEING A PAIN SPECIALIST AND YOUR INTERNIST WILL GET YOU THROUGH THE TIME PERIOD BETWEEN NOW AND COMPLETE HEALING. YOU JUST NEED TO BE CAREFUL ABOUT TAKING MEDICATIONS AS THEY CAN BECOME ADDICTIVE AND ARE USUALLY NOT WITHOUT SIDE EFFECTS. BUT IT'S IMPORTANT TO RULE OUT PATHOLOGY IN THE LYMPHATIC SYSTEM AND THEN PERHAPS MASSAGE THERAPY WOULD BE HELPFUL...?? THE TYPE OF CARE THAT YOU WILL RECEIVE FROM PAIN DOCTORS IS REALLY UP TO YOU. MEANING IF YOU WANT TO BE TREATED HOLISTICALLY, WITHOUT MEDS, THEN STATE THAT'S WHAT YOU WANT. OTHERWISE MEDS WILL MOST LIKELY BE THE WAY THEY WILL TREAT YOU.
<< OS left a voice message yesterday. Said he was having a hard time getting through to my doctor and that he has not been able to get him on the phone. He also said that he wants me to see a neurologist---and that he wants to see me in a month for follow-up.>>
YEA, TELL YOU DR TO GET WITH THE PROGRAM !!

YES, FOLLOW UP WITH THE OS IN ONE MONTH, GOOD. HOPEFULLY BY THEN YOU WILL BE ALL BETTER!
<< I'm not sure how all of this will fall into place, but somehow, some way....I will get through to my elusive Internist and follow his lead regarding him speaking with the OS, deciding on a pain management Dr., a Neurologist, all the above......>>
THINK SERIOUSLY ABOUT NON MEDICATED ROUTES FIRST BECAUSE THE BENEFITS MAY BE LONG SERVING WHEREAS MEDICATIONS ARE NOT. NEUROLOGISTS GENERALLY DO THE MEDICINE ROUTE AS THAT IS USUALLY ALL THEY KNOW. BUT YOU COULD GO FOR THE CONSULT AND SAY... NO MEDS, OTHER OPTIONS.
<< Bryanna, am I getting close to the finish line with this whole experience?

Do you have any wisdom/viewpoint that you're willing to share? I am all ears........and all pie hole.

>>
I WANT TO SAY OPTIMISTICALLY ........ YES!! BUT I REALLY DON'T KNOW. I HAVE SEEN THIS SITUATION MANY TIMES IN VARYING DEGREES AND MOST OF THE TIME THE PATIENT ENDS UP OKAY. BUT IT IS BEST TO CONTINUE TO BE YOUR OWN ADVOCATE AND NOT JUST GO ALONG WITH WHATEVER IS PRESCRIBED. GET ALL YOUR OPTIONS SO YOU CAN DECIDE WHAT IS BEST FOR YOU.
We may have talked about this already, but my mind CRS sometimes. Are you into taking any homeopathy or supplements? Would you be comfortable seeing a massage therapist or biofeedback person?
Thanks for the update... thanks for hanging in there and keeping your humor about everything. I think it's helping you to cope

I pray you will be just fine in no time and this will all just be a blur of an experience for you.
Hope you and your pie hole have a good weekend...... may the pain be gone........... !!!!