Hi my only information re it possibly being congenital is a simple search of LVOT obstruction and seems to be linked with cardiomyopathy. If it was me I would be asking more questions about this being familial

Absolutely

From reading this and the fact that your mum had normal BP it may be she had an underlying undiagnosed congenital heart defect which lead to cardiomyopathy. This is something which it appears can be a cause of sudden cardiac arrest. It would appear it may not have been picked up at all if she had not needed the surgery she had. http://www.patient.co.uk/health/Cardiomyopathy-Hypertrophic.htm I think in this situation the most important thing may be to get other family members checked out as it could be a familial condition.

Well done on the translation ! I think A(?) is Axis

I know where you are coming from as I am on half pay at the moment having been through 2 operations this year and only mangaged to do that in a sensible time frame because DP has very kindly paid for me to have private tx. The only thing I can suggest but you might not want to do is see if you can get a private consultation it might to at least get a diagnosis and the consultant to see the state your wife is in.

To clarify -were you were seen for an NHS check up and then told you needed the private fillings? You should have been given the option for NHS fillings there and then - I would contact the practice explain that you feel you were not given the option of the NHS treatment and know you should have had it offered. If you have any problems rearranging to have the NHS fillings you may be able to get a charge back on your card if you cancel the appointment with enough notice.

Sorry to hear your reply - is there no chance of getting a referral elsewhere?

Hi just wondering if you have managed to make any progress?

The OP was seeing a completely private dentist so would not have had the option necessarily to refer to an NHS endodontist. There is a real post code lottery as to what services are available depending on what dentists are in the area and what their interests and expertise are. I am not sure many root fillings can be described as "simple" they need time, skill and experience to be done well. The current NHS contract really provides a disincentive to dentists doing complex treatments and especially root treatment even more so if multiple as the dentist gets paid a set fee for providing whatever treatment is needed - so a dentist could spend 30 minutes removing say 4 front teeth and get £x or spend 1-2 hours over several visits, use a lot more materials and equipment and still get paid the same £x to root fill the same 4 teeth. At the end - there is still a risk the treatment might not work and the teeth need to be removed.

Undisplaced fractures/cracks can be difficult to spot and I am not sure how much difference there would have been to the treatment given has your consultant said you should have had different treatment. A bad sprain would be treated in a similar way and would also result in a weakened ankle/ possible arthritis. Having said that my mum had problems with pain in her knee following a knee replacement and had an xray which was pronounced as "fine". She asked for a second opinion about the xray- the xray was sent to the consultant who put the knee in and he assessed the same xray as the replacement knee joint had completely failed and needed to be replaced! She made a complaint about the original x ray report which was upheld and a copy of the xray is now used for training radiographers as to what a failed replacement knee joint looks like.

Unfortunately It might be difficult to find an NHS dentist with the expertise, equipment and skill to deal with some types of endodontic treatment. Some root treatments can be complicated especially if needed by a young person and the abscesses are down to previous trauma to the teeth. Often they get referred to dental hospitals for treatment or salaried dental services. However waiting lists may be long and access to speedy treatment can be the difference between saving and losing the teeth. £400-£500 is a lot of money but if the teeth have been saved and the the treatment has been done by a specialist endodontist and it is for treating several teeth it does not sound like an unreasonable amount. Out of interest how many teeth were involved, how many appointments were needed and did the dentist use any special magnifying equipment such as telescope glasses and use rubber dam when doing the treatment?

Just wondering what the treatment was for the ankle sprain and torn ligaments? Even such a soft tissue injury can lead to long term problems. If the fractures were that difficult to see - were they cracks and there was no displacement of the bones? My son slammed his hand in a door and I took him to A&E as it swelled up very quickly. They took an xray and said it was fine so we went away but he kept his hand in a sling for a about a week and needed pain relief. The swelling and bruising took a time to go down. About 2 weeks later I got a phone call from the hospital asking how he was because they had reviewed his xray and now thought it was a fracture. Luckily as it was a crack and the bones had stayed tight together it had healed fine just with keeping it in a sling.

You say you still have the anxiety despite having had the orthodontic treatment as |I guess they are not as perfect as you would hope. I fail to see how having NHS dental treatment would have solved the problem if the private treatment has not. NHS orthodontic treatment is only available if the malooclusion fits certain functional, positional and aesthetic criteria and usually only to children under 18.

It canbe sensible to wait 6 months after having the teeth out as most bone remodelling takes place in the first 6 months. If you have a set of dentures made quickly after extractions they tend to become looser more quickly and you would need another set 12 months later or possibly a reline. I would phone the practice and see if the pratice manager is there to have opened the letter. Quite often they can be running more than one clinic.

Whilst I agree with what you are saying - many of the problems are lie with the system which does not really work for patients or dentists. It works for the government as it fixes the amount of money it puts into dental treatment. The dentist has removed 6 teeth so has done the work for the band 2 fee. She has had to break the treatment up into multiple appointments due to you medical history and probably had to allow more time to ensure you stop bleeding etc. You say you have to find a general practice dentist - was this a community dental clinic or another general dental practice? It can be better to leave time for the areas where you have removed teeth to have time to heal and the bone to settle before making dentures. In that situation it is likely the treatment would be broken up different courses of treatment incurring multiple fees - but that should have been discussed at the outset. It is an upsetting situation to be in and the system is far from ideal.