Dental appointment yesterday. Routine bullshit. I've been going to the
dentist for sixty years so there are very few surprises. Cleanings, repair of
chips and cracks are mostly all I need these days. I've lost a few teeth and I
think there's another one that has become more trouble than it's worth.
Fortunately my vanity is intact because all of my extractions have been in the
back, molars, a bicuspid or two, but nothing, so far, disfiguring. That would
cost money. I know about implants, I'd like to be able to afford a few, but I
am getting by. I eat well. I wouldn't be 20 pounds overweight if I couldn't
eat, right? I pass up the cosmetic, effective alternatives and apply any extra
funds to travel. If, when, I get my final diagnosis in a couple of years I don't
want to say, “Wow, it's a good thing I spent thousands of dollars on my teeth
and my appearance rather than apply it to another life changing trip to Paris for three months.”
Yesterday I was treated by Kit, the dental hygienist. She is friendly, attractive, smart and thorough. I
was happy that she wasn't chatty, like the other two hygienists in the office,
one of whom wears glitter in her makeup and leaves little sparkles all over me,
which I then have to explain to my wife.
I have a lifelong familiarity with drugs. I've taken them for many reasons,
mostly self loathing. At some point, all of the substances that I used,
including brandy, beer, wine, stopped doing what I expected and became either
dangerous and deadly or boring and ineffective. I've been off of dope and drink
for over 17 years and, while it feels great and my life is good and I'm
grateful blah blah, I still love the opportunity to experience, even at a
miniscule level, some of the euphoria or mental and physical modifications that
are attainable with pharmaceuticals. My dentist offers the option of Nitrous
Oxide and that's one of the main reasons I see him. It is often referred to as
“Laughing Gas” but I've never experienced outbreaks of laughter or even
amusement while inhaling NO2.
I began experimenting with nitrous forty years ago while working in a
hospital. During my college years I was employed in medical warehouse and had
the opportunity to familiarize myself with many of the supplies that were used
in the Emergency Room, Surgery and the Pharmacy. I never ran out of adhesive
tape, scalpels, bandages, plastic bags and certain medicines such as aspirin,
and nitrous oxide.
A truck would pull into the loading dock and we would carefully lift off
the huge tanks of oxygen and other
medical gasses. We had to be careful since there were warnings about
flammability and explosions clearly labeled on the sides of the tanks. The
nitrous came in small, easy to carry, blue tanks about twenty-four inches high
by four inches in diameter. We loaded them on a cart and put them in an area
where they could be easily accessed, near the Central Supply department. We
made sure they were in a cool, dark alcove, arranged in order of size and
contents. They were not locked up or secured.
A friend who worked in the Emergency Room told me about the effects of
nitrous oxide and we took a tank one afternoon, went to his apartment where he
hooked up a tube and a mask and we inhaled the sweet, heady gas for an hour
while drinking beer. Brian, my friend, was a medical student and knew that the
gas could kill if it wasn't mixed with oxygen and put aside every few minutes.
I didn't want to die at that point in my life, not until after my college
graduation, anyway, so I heeded his warnings and we watched each other drift
away on a cloud of beer and vaporous euphoria.
When we were finished and had emptied the tank, we took it back to the
hospital the next day and put it in the area with empties. We were never
caught.
Brian and I once took a tank with “Y” connector and a dual mask hook-up to
a party. It was a Halloween party and
everyone was in costume, living fake fantasy lives and they were willing to try
anything. We arrived with drinks, marijuana, cocaine, and as we entered the
house we were both wearing our own masks as the nitrous flowed through the
shared tube. The other party-goers were amused and some got in line for their
turn at the tank.
Apparently one of the other guests, a fellow hospital employees enjoyed the
NO2 more than he should have because two days later he and his friends went to
the back of the hospital late at night and took all 12 of the tanks of nitrous
oxide. It was a big scandal, an investigation ensued and a heavy, chain-link
cage was built around the medical gasses and locked forever. We were distraught
and angry.
Now, I get my nitrous, legally and honestly, from my Dentist. It helps me
to pass an anxious hour and, along with some lidocaine injected in the work
site, I am pain free during any procedure.
Once my dentist realized that I was going to request it every time I came
in, even for cleanings and consultations, he gave me my own mask. I keep it in
a plastic bag in the console of my care. It's a small, rubberized, gray device that fits snugly over my nose
during a procedure and I feel very professional when I arrive for my
appointment and hand it to the dental assistant. She hooks me up, turns on the
gas and I breath deeply
The feeling is slight elation, time distortion and very low level visual
and auditory hallucinations. Nothing to worry about. The dial that controls the
gas can be set from 1 to 9. I usually start at 4 and increase to 5 or so. I've
been up as high as 9, but at that point I begin thinking too much and start to
have a panic attack. I then ask, “Could you please turn the nitrous down a
couple of clicks?” The hygienists comply. Depending on how well my life is
going, I take it at level 8 and enjoy myself. Once, while at one of the higher
settings, the woman who was working on my teeth, scraping and picking with her
sharp, pointed dental tools, said, “Can we open a window? I'm getting too much
of the nitrous. It's affecting me.”
By all means. Protect yourself.
It's good fun, helpful, and slightly illicit. Yesterday, I was
sniffing away and didn't feel as though I was experiencing any of the familiar
heady feelings. I asked Kit to check the connection. She said that it appeared
to be functioning but she called in another dental assistant to double check.
The other woman leaned over me and said, “Are you remembering to breath through
you nose?”
Well, Christ, yes, I am, I know enough about this, I've been doing it
longer than you've been alive, drug delivery is one of my fields of expertise.
I said, “Of course.”
She called the Dentist and he checked everything, wiggled the tubes, turned
the knobs, checked the mask and said, “Nope, it's working fine.” I asked, “What
level is it set on?” Expecting him to tell me it was at 2 and I could have it
boosted a little. It costs me an extra thirty dollars for each visit to use
Nitrous Oxide and I want my money's worth.
“It's at nine.”
Shit. Shit, shit, shit. Nine. That's the highest it will ever go. I’ve
reached the end. There is no ten, no eleven. Nine. And I'm not panicking, I'm
not even high, the staff isn't complaining about their levels of intoxication.
Nine. The Max. Turn the plug around, goddamnit, shut the windows, give me a new
mask, start an I.V.
It looks like I've reached the end of the road with another drug. It's not
working. Dentistry without the soft landing. Absence of anesthesia. The end of
minimal and low level rapture.
Ice cream upsets my stomach, too
much caffeine keeps me awake at night, cocaine makes my nose bleed and my heart
race, alcohol causes me to become arrested and ruin my marriage, and now
simple, relatively harmless, drugs available through lawful and legitimate
methods are failing and no longer serve my needs.
Everything eventually fails. People, government, friends, cars,
intoxicants. Perhaps the connection on the tank was loose. A piece of lint or
dental glue may have gotten into the threads preventing a perfect seal. My mask
is old and the rubber may have become porous and ineffectual. I don't miss the
panic attacks, but I 'm willing to give it another try. My next appointment
with the dentist is on July 5, for an extraction, which will be accompanied by
a pervading sense of mortality and degeneration. I'm slightly nervous, not
because I fear the pain or psychic anguish regarding my upcoming death, but
because it will be just me and the dentist without the familiar emollient
effects and alterations in my temporal perception and a momentary deep,
expansive feeling of freedom and delight. Probably just a loose connection.
I'll need to check it myself before we start.