I suppose one could blame a lot of things – genetics, Irish ancestry, the lack of foresight of a childhood dentist who might have predicted crowding problems, four pregnancies draining one’s calcium, and a host of other old wives tales but the fact of the matter is I don’t have the best teeth. Yes, I visit the dentist a lot, every three months to be precise, for the last twenty years and I don’t seem to ever be able to complete treatment since by the time work gets done, it’s time for another exam and more procedures. At one point, friends were convinced I was having an affair with the dentist.
While it might appear that I have a habit of outstaying my welcome once treatment ensues, more realistically, probably not, since my husband swears that we could have quite a beach house with what I have spent to retain all of my teeth over the years. That means there are a few dentists out there digging their feet into the sand on me.
About eight months ago, in order to prevent a descent into poverty since I needed so much work, I began getting treatment at Columbia Dental School. There are other similar type opportunities in the area, NYU and UMDNJ come to mind, but Columbia was where I ended up. The upside is the cost is less than a third than of what private dentists tend to charge for the same services. My husband even received a free root canal because the senior to whom he was assigned needed to complete one more to graduate. They do not generally ask for payment until long after services are completed and you have the benefit of multiple dental professors and opinions on the best options for your situation. The downside is probably more obvious – a little harder to get to from the suburbs than pulling into your private dentist’s driveway and calm facility, additional waiting time while more senior dentists are required to sign-off on the student’s seemingly every move sometimes, and a very clinic type atmosphere where your pain or lack of tolerance thereof don’t seem to take the highest priority.
All in all though, there’s something endearing about developing a patient/doctor relationship with a humble and fresh, not quite full fledged dentist. My initial skepticism and fear at a dental student navigating a mouth with quite a bit of baggage has evolved into respect and fond affection. At the holidays, when he told me would be gone for three weeks because he was going back home to Korea to see his family, I found myself thinking of him around when his flight would be taking off as I would one of my own sons, and wishing for his safety. I imagined how happy and proud his family must be when he goes back home. As much as I liked and respected other dentists I have had, I don’t remember giving any of them any additional thought after I managed to flee the building.
And the dental students text you – to make appointments, remind you of appointments, and to check on you post more serious procedures. I think I like the lack of formality and unpretentiousness of it all while receiving work I think is at good as if not superior to work I have had before.
The bottom line, if you need dental work that is going to cost a whole lot more out of your pocket than you want or your insurance covers, consider helping to educate the next generation of dentists. And save your money for the beach house.
Sunday, March 11, 2012
Back When They Thought We Were Mary Poppins
My friend Noreen loves to tell a story from 30 years ago. She and another mutual friend were out a bar in lower Manhattan when they started up a conversation with a pair of guys from Wall Street. After some initial innocuous chitchat, the inevitable “so what do you do for a living” question arose and the two males learned that Noreen was a New York City kindergarten teacher and Joan, an ER nurse in a city hospital. Well, that just made for a barrel of laughs for the evening for them as they nicknamed the two of them Mary Poppins and Florence Nightingale respectively, and asked when the bar departure time was to assure the shelter would still take them in for the night since surely they couldn’t afford apartments on the salaries they were making. Needless to say their condescending attitudes didn’t make for any potential matches made from heaven and they parted ways for the night. But it is a conversation Noreen has never forgotten. “I often wonder if those guys ever got laid off when the going got bad and if they are some of the people so inclined to begrudge the security and slow and steady increases and pension accumulation teachers like me have been able to sustain over the years.” “I knew I would never be rich but I did ok for myself and have always loved my job and was willing to survive meager wages in the beginning in exchange for a rewarding career that I was intended for. “ “I live to teach, “ she added.
She loves to tell that story and I have always love to hear it because it seems so pertinent to the environment in the country for the last couple of years related to education. Though improved scores, increased literacy, a greater mastery of Math and love of Science are all viable and in fact noble goals, I can never help but feel that many of the cries in the general public for eliminating tenure and improved evaluations and accusations about union’s callousness toward education improvement to protect the concerns of teachers are a bit ill spirited in their origin.
I say that because thirty years ago teachers and nurses were not making great wages, and in fact many of their salaries were substandard. Gradually, over the years, there was an increased cognizance of the fact that to secure and retain quality professionals, a certain wage is necessary and to its credit over time, the New York City teaching scale provided an extremely competitive salary and a chance for teachers to enjoy a solidly middle class lifestyle. But when the economy soured, and so many more highly paid professionals started losing their jobs and their bonuses and their matching 401(k) plans, all of a sudden, a teaching job with its perception of security and its decent salary and its promised pension at the end, was the envy of many. A professor I once had for a Criminal Justice class as an undergraduate, once told the class, “The persecuted persecute” in reference to a concern for the mental health and ideal longevity for corrections officers in tough prisons, before the job starts affecting their personal lives. I am not convinced it’s a coincidence that the unrelenting attention on education has correlated with the downturn in the economy. A better education system is wonderful and I can see how in this increasingly competitive global society in which we live more necessary but graduates from Harvard have had trouble getting jobs in recent years so it is not likely we can blame all the supposedly bad teachers out there for all of our economic woes.
I know that a lot of things have changed in 30 years, I know public pensions have been difficult to support iuu8and I know all of the reasons why people find tenure antiquated. I understand that nothing could be more important than the education of our young. And that people may abhor the idea that a poor or non-functioning teacher keeps a job. There are not many professions left with tenure although they are significant in numbers served since police and fireman and all civil servants operate through seniority. But the fact is, at least in my experience having been in business, where everyone is judged under a performance plan and now in education, where you are graded on evaluations, teachers do not operate, conduct themselves or act with callous disregard about the way they are rated because they feel, “there’s nothing they can do to us.” On the contrary, they take the same personal pride in the ratings they receive as any other professional. As a guidance counselor, I have seen teachers receive evaluations they were not comfortable with in great distress upon hearing the news and with the same determination to improve as I saw when it happened to business professionals. We get rated. We get reprimanded. We are subject to if not formal, informal evaluations by peers if we fall short in any way. It only takes not doing right by a student to make a teacher make another teacher feel inferior in a heartbeat.
Personally, I have been rated and evaluated most of my professional life so it does matter one way or the other really in that I still have a motivation to do my job as well as possible from both an ethical and practical perspective. Yet, the fact remains that tenure has always been a nice job attraction as a tradeoff for a job which while rewarding can be much less diversified than many other careers, offers the ability to make a living but significantly restricts earning potential for many professionals whose education may have allowed them to earn much more, which requires a godly amount of patience, virtually no glamour, no bonuses, no unexpected big promotions, no trips, no frequent mileage points.
But that’s ok as the vast majority of teachers in their positions now wouldn’t have it any other way as they love what they do and they are good at it. I am not sure so sure future graduates will have the luxury of feeling the same way with the turbulent waters created now.
When all of the attacks, first among people in the public through letters to editors and loud voices at NYC and other Board of Ed meetings began a couple of years ago, I remember one fellow teacher putting it all very simply, “If they are so resentful that we have benefits no one else does, why didn’t they become teachers?’ At the time, I thought we couldn’t just position things like that and we had to defend ourselves. Now, I am not so sure she didn’t nail the crux of the matter right there.
She loves to tell that story and I have always love to hear it because it seems so pertinent to the environment in the country for the last couple of years related to education. Though improved scores, increased literacy, a greater mastery of Math and love of Science are all viable and in fact noble goals, I can never help but feel that many of the cries in the general public for eliminating tenure and improved evaluations and accusations about union’s callousness toward education improvement to protect the concerns of teachers are a bit ill spirited in their origin.
I say that because thirty years ago teachers and nurses were not making great wages, and in fact many of their salaries were substandard. Gradually, over the years, there was an increased cognizance of the fact that to secure and retain quality professionals, a certain wage is necessary and to its credit over time, the New York City teaching scale provided an extremely competitive salary and a chance for teachers to enjoy a solidly middle class lifestyle. But when the economy soured, and so many more highly paid professionals started losing their jobs and their bonuses and their matching 401(k) plans, all of a sudden, a teaching job with its perception of security and its decent salary and its promised pension at the end, was the envy of many. A professor I once had for a Criminal Justice class as an undergraduate, once told the class, “The persecuted persecute” in reference to a concern for the mental health and ideal longevity for corrections officers in tough prisons, before the job starts affecting their personal lives. I am not convinced it’s a coincidence that the unrelenting attention on education has correlated with the downturn in the economy. A better education system is wonderful and I can see how in this increasingly competitive global society in which we live more necessary but graduates from Harvard have had trouble getting jobs in recent years so it is not likely we can blame all the supposedly bad teachers out there for all of our economic woes.
I know that a lot of things have changed in 30 years, I know public pensions have been difficult to support iuu8and I know all of the reasons why people find tenure antiquated. I understand that nothing could be more important than the education of our young. And that people may abhor the idea that a poor or non-functioning teacher keeps a job. There are not many professions left with tenure although they are significant in numbers served since police and fireman and all civil servants operate through seniority. But the fact is, at least in my experience having been in business, where everyone is judged under a performance plan and now in education, where you are graded on evaluations, teachers do not operate, conduct themselves or act with callous disregard about the way they are rated because they feel, “there’s nothing they can do to us.” On the contrary, they take the same personal pride in the ratings they receive as any other professional. As a guidance counselor, I have seen teachers receive evaluations they were not comfortable with in great distress upon hearing the news and with the same determination to improve as I saw when it happened to business professionals. We get rated. We get reprimanded. We are subject to if not formal, informal evaluations by peers if we fall short in any way. It only takes not doing right by a student to make a teacher make another teacher feel inferior in a heartbeat.
Personally, I have been rated and evaluated most of my professional life so it does matter one way or the other really in that I still have a motivation to do my job as well as possible from both an ethical and practical perspective. Yet, the fact remains that tenure has always been a nice job attraction as a tradeoff for a job which while rewarding can be much less diversified than many other careers, offers the ability to make a living but significantly restricts earning potential for many professionals whose education may have allowed them to earn much more, which requires a godly amount of patience, virtually no glamour, no bonuses, no unexpected big promotions, no trips, no frequent mileage points.
But that’s ok as the vast majority of teachers in their positions now wouldn’t have it any other way as they love what they do and they are good at it. I am not sure so sure future graduates will have the luxury of feeling the same way with the turbulent waters created now.
When all of the attacks, first among people in the public through letters to editors and loud voices at NYC and other Board of Ed meetings began a couple of years ago, I remember one fellow teacher putting it all very simply, “If they are so resentful that we have benefits no one else does, why didn’t they become teachers?’ At the time, I thought we couldn’t just position things like that and we had to defend ourselves. Now, I am not so sure she didn’t nail the crux of the matter right there.
A Good Enough Mother
More Than A Good Enough Mother...
She says it every time I leave. “Be careful.” That’s nothing new. I am fifty three and I can barely recall a time she did not say it, whether my departure was connected to a half hour grocery errand or an overseas trip. For those of you who don’t know, the Irish have the ability to say anything but that which they feel most deeply. So, "Be careful" is really code for “I love you.” Who ever said people with Alzheimer’s can’t remember things?
There are so many people diagnosed and so there are so many stories, and the similarities are probably astounding in many ways. For us, it started with sending three Christmas cards to the same person. Leaving the kettle on. Not being able to order herself in a restaurant. The waiter would always have to come back to her. I’d say, “red wine” and she’d have that also. I would whisper, “Change hers to white” to him when he was leaving.
That was just the beginning and then like stages of grief, there are stages of Alzheimer’s and stages for how you handle it. It would come as no surprise to anyone who knows her that her language aptitude and usage is the last to go. In fact, when I took her to a doctor/researcher from Mt. Sinai a few years ago for an assessment and recommendations on the latest clinical trials and what should come next, she defied all odds. “She is scoring in the 93rd percentile for language – I mean 93rd in the general population.” Scratching her head, the doctor seemed to feel the need to clarify that. In the other sections of the assessment, her abilities and skills had considerably declined but even at the point she was at, she could out express everyone save seven percent of the population. You learn to thank god for small favors.
She has the best seat in the house in the facility where she is. You can compare it to the corner office, though she was way too straightforward and humble to have ever earned one of those. Tucked away with a flat screen TV and a dining table right outside her bedroom. Again, you learn to thank god for small favors.
And then you thank God for big favors. She lost her only son and my only sibling four years ago. She knew but not for long. She asks about him all the time and sometimes when I arrive, she tells me he just left and she points to where he was standing and describes the conversation. That she has no awareness of his death is one of the bigger favors I have ever experienced.
I miss her companionship. She was not only the friend you could call at 3 in the morning. She was the friend that at 3 am would get into the car with you if you wanted to impulsively drive clear across the country. I missed her when Ted Kennedy died because we shared the same vision of the worthiness of a life of hard work toward attempted redemption. Most recently, she would have shared the same sentiment as I did of the loss of the great Irish comedian Hal Roach. There are multiple reminders of the loss of her presence every day in my life. I miss her all the time.
For the twenty years she lived with us, as a coffee drinker myself, I hated making tea. The bag always seemed messy to me, it was an extra task in too busy of a life. Having to get up long after the coffee was seemingly so easily brewed, I used to wish to God she liked coffee and that her Irish friends did also, quite an unlikelihood but a wish nonetheless. But life has a funny way of coming back at you. Ironically, it is now bringing her something sweet to eat and making tea for her in the kitchen of her facility that is often the greatest pleasure of my day.
There are many other ironies – the fact that she lived with us for two decades and that when many older people move in with their families, her debilitating physical ailments along with Alzheimer’s made her have to live out. It doesn’t seem right. Or, that I worked for long term care insurance at MetLife and spent years writing the copy for brochures and newsletters and press releases, completely unconnected on an emotional level to what losing the ability to perform 3 out of the 5 daily activities of living really means. I know now.
One of the greatest joys of having a great mother is the identification you get to experience in literature, and psychology, movies and religion and music. Mothers make for the greatest material. I love Winicott for his “good enough mother” theory. I have always loved “Terms of Endearment” for the scene where Shirley MacLean remains bug eyed for hours rather than risking falling asleep when she knows she is going to lose her daughter. It is Mary and St Ann I identify with and pray to. I always loved the Irish song, “A mother’s love is a blessing” even if the refrain “you’ll never miss your mother’s love until she is buried beneath the clay” always seemed unnecessarily morose to me.
But now, every time I still hear “Be careful” when I am leaving, I know what those seemingly morose words mean. She is not buried beneath the clay. And so I do not yet miss her love.
She says it every time I leave. “Be careful.” That’s nothing new. I am fifty three and I can barely recall a time she did not say it, whether my departure was connected to a half hour grocery errand or an overseas trip. For those of you who don’t know, the Irish have the ability to say anything but that which they feel most deeply. So, "Be careful" is really code for “I love you.” Who ever said people with Alzheimer’s can’t remember things?
There are so many people diagnosed and so there are so many stories, and the similarities are probably astounding in many ways. For us, it started with sending three Christmas cards to the same person. Leaving the kettle on. Not being able to order herself in a restaurant. The waiter would always have to come back to her. I’d say, “red wine” and she’d have that also. I would whisper, “Change hers to white” to him when he was leaving.
That was just the beginning and then like stages of grief, there are stages of Alzheimer’s and stages for how you handle it. It would come as no surprise to anyone who knows her that her language aptitude and usage is the last to go. In fact, when I took her to a doctor/researcher from Mt. Sinai a few years ago for an assessment and recommendations on the latest clinical trials and what should come next, she defied all odds. “She is scoring in the 93rd percentile for language – I mean 93rd in the general population.” Scratching her head, the doctor seemed to feel the need to clarify that. In the other sections of the assessment, her abilities and skills had considerably declined but even at the point she was at, she could out express everyone save seven percent of the population. You learn to thank god for small favors.
She has the best seat in the house in the facility where she is. You can compare it to the corner office, though she was way too straightforward and humble to have ever earned one of those. Tucked away with a flat screen TV and a dining table right outside her bedroom. Again, you learn to thank god for small favors.
And then you thank God for big favors. She lost her only son and my only sibling four years ago. She knew but not for long. She asks about him all the time and sometimes when I arrive, she tells me he just left and she points to where he was standing and describes the conversation. That she has no awareness of his death is one of the bigger favors I have ever experienced.
I miss her companionship. She was not only the friend you could call at 3 in the morning. She was the friend that at 3 am would get into the car with you if you wanted to impulsively drive clear across the country. I missed her when Ted Kennedy died because we shared the same vision of the worthiness of a life of hard work toward attempted redemption. Most recently, she would have shared the same sentiment as I did of the loss of the great Irish comedian Hal Roach. There are multiple reminders of the loss of her presence every day in my life. I miss her all the time.
For the twenty years she lived with us, as a coffee drinker myself, I hated making tea. The bag always seemed messy to me, it was an extra task in too busy of a life. Having to get up long after the coffee was seemingly so easily brewed, I used to wish to God she liked coffee and that her Irish friends did also, quite an unlikelihood but a wish nonetheless. But life has a funny way of coming back at you. Ironically, it is now bringing her something sweet to eat and making tea for her in the kitchen of her facility that is often the greatest pleasure of my day.
There are many other ironies – the fact that she lived with us for two decades and that when many older people move in with their families, her debilitating physical ailments along with Alzheimer’s made her have to live out. It doesn’t seem right. Or, that I worked for long term care insurance at MetLife and spent years writing the copy for brochures and newsletters and press releases, completely unconnected on an emotional level to what losing the ability to perform 3 out of the 5 daily activities of living really means. I know now.
One of the greatest joys of having a great mother is the identification you get to experience in literature, and psychology, movies and religion and music. Mothers make for the greatest material. I love Winicott for his “good enough mother” theory. I have always loved “Terms of Endearment” for the scene where Shirley MacLean remains bug eyed for hours rather than risking falling asleep when she knows she is going to lose her daughter. It is Mary and St Ann I identify with and pray to. I always loved the Irish song, “A mother’s love is a blessing” even if the refrain “you’ll never miss your mother’s love until she is buried beneath the clay” always seemed unnecessarily morose to me.
But now, every time I still hear “Be careful” when I am leaving, I know what those seemingly morose words mean. She is not buried beneath the clay. And so I do not yet miss her love.
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