Statistics show nearly half of the U.S. population needs dental care, but choose not to see the dentist. For many, this choice is made out of fear or anxiety of potential pain during their visit. Dr. Robert Korwin, cosmetic and dental implants dentist in Red Bank, NJ, recently introduced sedation dentistry to provide his patients with a more relaxed, pain-free experience during their dental visits.
Dr. Robert Korwin has received more than 2500 hours of training in conscious sedation, and is now able to provide patients with oral or IV sedation, making their visits more comfortable. As a trained sedation dentist in Red Bank, NJ, Dr. Robert Korwin can provide this service to patients who have anxiety about pain, need multiple procedures completed at once, have strong gag reflexes, or suffer from jaw or neck pain.
"The motto of our practice is that 'What affects the mouth affects the whole person'," said Dr. Robert Korwin. "Sedation dentistry is encouraging more of our patients to receive much needed dental care instead of prolonging it due to their fear or anxiety. As we're able to improve the health of their mouth, we're also able to improve their overall health as well."
Dr. Korwin works closely with patients who are candidates for sedation dentistry to determine the method and dosage of their sedation. Those who are selected for oral sedation are given a prescription to pick up and take shortly before their visit. Patients using oral sedation are still conscious during their procedure, but are very relaxed and oftentimes don't remember the procedure afterwards. Dr. Korwin is trained to administer sedatives via IV, but Advanced Dentistry also has a board certified anesthesiologist on call.
Patient reviews of Dr. Korwin's sedation dentistry have been outstanding.
"After putting off dental work for quite some time, I finally went in for my procedure but the sound of the drill and potential for pain was too much for me to handle," said A. H., a patient of Advanced Dentistry. "Dr. Korwin said I was a candidate for sedation dentistry and his performance did not result in an ounce of pain, nor did I remember the procedure. "
Dr. Robert Korwin is a renowned dentist in the Red Bank, NJ area and has been practicing for more than 30 years. He completed his dental education at the University Of Pennsylvania School Of Dental Medicine and has a post-graduate certificate in general practice. Dr. Korwin has invented and marketed several dental products, and currently holds three patents. He is a member of the ADA, New Jersey Dental Association, Academy of General Dentistry, and The Dental Organization for Conscious Sedation, among many others. Recently, Dr. Korwin was selected for the 2013 Best of Red Bank Award in Dentistry for the second consecutive year.
To learn more about Dr. Robert Korwin and the services he offers at his Red Bank, NJ office for sedation dentistry, please visit http://www.drkorwin.com and http://www.youtube.com/watch?v=9wv7WnY5VGU.
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Wyatt Falardeau was born premature and had to have his right forearm and hand amputated. He was later diagnosed with ASD.
Wyatt Falardeau was diagnosed with an autism spectrum disorder at 4
The Falardeaus paid for eight therapy sessions a week, each costing around $90
They estimate they spent $28,000 per year on therapy alone
Editor's note: A study published in JAMA Pediatrics this week found the average lifetime cost of supporting an individual with an autism spectrum disorder is $2.4 million. Cynthia Falardeau, a long-time iReport contributor and a volunteer with Autism Speaks, wrote about the costs of raising a child with autism. Any opinions expressed in this article are solely hers.
(CNN) -- I can't even begin to explain what it was like to see our son, Wyatt, open the elementary school production of "Rock & Roll Forever."
This was the same child who was once so fearful of noises that we couldn't get him into the school cafeteria.
Yet there he stood in front of 200 people. At 11, he was tall, proud and belting out the opening lines.
It was a far cry from Wyatt's first six years of nonverbal communication. He hated wearing clothing and ate nothing but PediaSure, peanut butter and aerosol cheese. He was completely inconsolable unless he was attached to my body.
Looking back, I really don't know how my husband, Jim, and I ever managed.
We knew early on that Wyatt was not making the developmental milestones. But at the time, they did not diagnose children before the age of 4 with an autism spectrum disorder.
As Wyatt neared his second birthday, I knew two things: I couldn't fix him, and I needed a job to pay for what insurance would not cover. Although Jim was a successful securities broker, we knew we were going to need additional income to fund the therapy services.
Desperate, I began to reinvent myself. I had been successful as an assistant store manager. However, I knew I could not maintain my weekly 60-hour schedule and care for our son. I began to network with key community leaders and tried to apply for administrative assistant positions. These jobs would allow me to work 8 a.m. to 5 p.m.
I was determined to not be deterred by the fact that the pay was half of what I made in my previous career. I was desperate to find a way to secure $20,000 to $25,000 a year and foot the estimated bill of providing intensive therapy.
Six months before Wyatt's third birthday, I landed a job with a nonprofit. For the first time in my life, I didn't even negotiate the salary. I took it. It was my son's ticket to a new life.
The test of my mental and physical endurance had just begun.
We enrolled Wyatt in the school district's voluntary prekindergarten program when he turned 3. The school was 30 minutes from our home. To manage, I worked from home between 5 and 7 a.m. I took a quick shower and then drove him to school. I would run back to get him, deposit him at a local day care for a few hours and then run him to therapies. I worked off the hood of my car and at night. I was frazzled and completely sleep deprived.
Using tablets to reach kids with autism
Wyatt was evaluated and diagnosed with an ASD just weeks after his fourth birthday. The series of evaluations were yet another bill not covered by insurance.
His therapy regimen involved speech, physical therapy, occupational therapy and behavior therapies. He saw each therapist for an hour twice a week.
The average cost for these one-hour sessions was $90. The monthly cost of services was $2,880 ($28,710 each year after insurance).
Our private insurance company only covered 65 visits a year.
By the time Wyatt was 5, we had started to brace ourselves for the reality that he might never speak. Without any hesitation, we purchased a $7,800 communication assistance device called a DynaVox.
We also invested in an evaluation by a pediatric clinical psychologist. That was another $2,000 not covered by insurance. We felt these tools were necessary in helping to give our son a voice and to assist the school district in developing his Individualized Education Plan.
The good news is that Wyatt was hooked on the DynaVox from the beginning. He went from 6 tiles to 42 in a matter of months. Then the most miraculous thing happened: He wanted to use his voice. We pushed on, with the support of the school team, to find things that would motivate his compliance and speech.
By Wyatt's seventh birthday, he could string together words, and his speech could be understood in contextual situations.
We continued this rigorous therapy schedule until Wyatt was almost 8. As he neared his ninth birthday, I think Wyatt and I both hit a wall. We were burnt out on therapies. He wanted to try new after-school activities. Jim and I also needed a break.
How Bobby Smith learned to talk at 9
The author's son Wyatt takes the stage.
A couple weeks before Wyatt finished third grade last year, I got a call I could not have anticipated. Our trusted school team felt Wyatt was ready to go to his neighborhood school. After years of driving to the north and south part of our county for Wyatt to attend schools with intensive services, our boy was going to attend the school across the street from our house.
In that moment, I flashed back to the little boy who I dropped off at preschool -- his red little face smeared with tears and snot; his green eyes seared with anger. I remembered feeling despicable for leaving him there.
Then I turned and looked a recent photo of Wyatt on my desk. The school coordinator said, "Mrs. Falardeau ... are you still there?" Speechless, I paused and said, "I never thought this day would come."
I fell apart and started to cry uncontrollably. They were tears of thanksgiving.
We are now debt free. Looking back, we never really questioned the mounting debt. We believed with all of our heart that it would eventually pay off. The financial sacrifices we made were worth every penny. We feel that Wyatt's story is a testimony to the value of intensive early intervention. His progress continues, but we will never forget that emotional anguish.
Our story is not unlike many other parents of children with special needs. In fact, I often feel guilt or experience survivor's syndrome. I know that other parents have spent more, tried alternative therapies, and risked more than we have. Their children are still nonverbal and noncompliant. That angst continues to drive me to write and raise funds on their behalf.
My prayer is that through my writing and fundraising for Autism Speaks, we can encourage other parents. And in some small way, play a part in supporting valuable research and services for those families who still yearn to hear their child speak and to be independent.
When allergies combine to aggravate symptoms or come and go with the seasons, it can take years to figure out the triggers, but as they say, better late than never. My own experience has been that pet dander annoys me more in winter and that apples and carrots only give me that scratchy feeling in my throat when poplar or birch tree pollen is in the air. Since my symptoms and those of the boys seemed random, it's no wonder that doctors and even my husband were perplexed and at times skeptical. One doctor prescribed an asthma inhaler for our older child, but the medication was no more effective than a lozenge at stopping the coughs.
So what can you do if you suspect that allergies are at the root of a persistently annoying cough? It doesn't hurt to ask your doctor about it as testing for allergies is improving in range and effectiveness. If it takes months for you to get an appointment with a specialist, don't despair. Try to establish a cause and effect relationship between symptoms and exposure to common allergens. Once you have a suspect, remove it from your environment and see if symptoms disappear.
If symptoms keep coming back with repeated exposure then you have scientific confirmation of your suspicions. Of course I don't recommend this for serious or in any way life-threatening allergies.
Meanwhile, to cope with the coughs you may give your child what one specialist recommended for children over one year of age: a bit of honey. Turns out that the sweet stuff thins mucus and reduces inflammation in the throat.
Yeah, for some things grandma's advice was right on target.
The survey shows that 17% of unemployed workers had a substance abuse disorder last year, whereas 9% of full-time workers did so. The numbers are self-reported, and therefore, could be even higher in reality.
Substance dependence is defined by several factors, including having withdrawals, repeatedly using a substance over the course of one month and witnessing related adverse effects at home, work or school. Addictions to alcohol, illegal drugs and misused prescription drugs are all included.
So are people unemployed because of their drug and alcohol use? Or do long bouts of unemployment lead people to substance abuse?
Some evidence could point to the latter, according to research from St. Louis Fed economists Alejandro Badel and Brian Greaney.
The trends for drug use have held relatively steady for a decade, even in spite of the recession. One would think that as millions of clean workers suddenly lost their jobs and joined the unemployment rolls, the rate of drug use among that group should have fallen pretty dramatically. Instead, it barely changed.
Related: Inside Silk Road's drug market, U.S. pot and cocaine are cheap
Badel and Greaney say the data aren't completely conclusive, but the results could be consistent with the idea that previously drug-free workers could have turned to drugs after losing their jobs.
"During episodes of large increases in unemployment, the number of drug users can increase dramatically," their paper reads.
Another study, conducted by University of Miami sociologist Michael French and Nova Southeastern University economist Ioana Popovici, came to a similar conclusion about alcohol.
As people become unemployed, they're faced with competing challenges, French says: On one hand, their income falls and they're less able to afford alcohol or drugs. But at the same time, they're faced with more idle time to fill with recreational activities.
As it turns out, the loss in income isn't enough to stop them from drowning out their sorrows with alcohol.
"Among those who are unemployed, the leisure effect is dominating the income effect," French said. "We find that when the unemployment rate increases, all else equal, drinking increases."
Share your story: What's your biggest job search mistake?
It's not just the unemployed who are indulging. A surprising number of addicts are employed.
About 21 million American adults were dependent on alcohol or drugs in 2012, the highest number on record, according to the government's data. Half of them had full-time jobs.
Among them, alcoholism is the most common form of substance abuse.
But taking alcohol out of the mix, about 40% of people who are addicted to illicit drugs like marijuana, cocaine and heroine, are holding down full-time jobs too.
Casual use of illegal drugs is also fairly common among full-time workers. About 9% of workers used at least one illicit drug in the prior month, when the survey was conducted in 2012.
Slightly older government data -- from 2002 to 2004 -- shows casual drug use tends to be most common among workers in food service, construction and creative industries like arts, design, entertainment and media.
Workers in security, education and legal professions are least likely to have used an illicit drug.
"Drug use cuts across all employment groups," French said. "It's remained relatively constant over the last 10 years, and despite all our efforts (every president has a war on drugs) we're not making a lot of progress in that area."
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