Ask Dr. Tommy

Thursday, May 19, 2005

Dear Fake Dr. Tommy:

How do platelets coagulate in the mouth? I just got my wisdom teeth torn from my head a few hours ago. I've gone through a few stacks of gauze, but now I'm just hanging my jaw open hoping it will stop bleeding with some fresh air. Anyway, I was wondering what the physiological process is that allows a scab (or whatever) to form in a saliva-filled mouth.

Love your column,
D-toothed in D-town

Fake Dr. Tommy replied:

D-toothed in D-town, platelets don’t necessarily need oxygen from the outside world to work properly. How your platelets work in your mouth is exactly the same for how they work in the skin. So please just close your mouth for God’s sake! No one wants to see that. Just keep using fresh gauze to keep pressure on the wound and eventually you will achieve hemostasis (halted bleeding). Make sure you’re not taking any aspirin for pain, as that would actually reduce the pool of platelets available for clotting. (This is why older people with risk factors for heart attack take aspirin—they are effectively trying to reduce their pool of platelets so they don’t get clots in their heart or brain.) Should the bleeding continue, you should consult your oral surgeon for further advice.

4 Comments:

  • How do the heat & humidity alter our ability to utilize oxygen? For example, why is it that I am short of breath and fatigued after my 2-block, downhill walk to the subway, when I can jog about a half-mile on a treadmill in the gym before I start feeling even slightly winded?

    Thanks for your insight.

    P.S. Are you still a fake doctor or am I asking a real doctor now? If you are fake, when will you be legitimate?

    By Anonymous, at 12:07 PM  

  • Fake Doctor Tommy,
    If I have a wart on my penis, does that make it genital warts the STD or can I just have a wart on my penis? I mean I have warts on my hands and warts on my feet. Are they one in the same? If I have warts on my hands but then I have unprotected sex with let's say a cheap call girl can I give her gentital warts? Help, I am so confused.

    By Anonymous, at 2:21 PM  

  • Isn't UT Houston just a D.O. school anyway? I mean, can you really consider yourself a doctor after having graduated from there, given the low standards? Also, aren't books by Ayn Rand only for quasi-intellectuals that read about a book every six months and heard it was good from some other friend that "reads a lot" even though he/she only reads maybe two books every six months but knows the right books to name-drop? Isn't that what we're talking about here, name dropping?

    By Anonymous, at 3:01 PM  

  • Well, no to all of that. Duh.

    By mytommyroshek.com, at 5:54 PM  

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