I
have been an observer of weather patterns for many years going back to
my days at UC Irvine when friends of mine and I did a little weather
study and challenged the local NBC affiliate and their anchor people Tom
Brokaw, Bryant Gumbel and Kelly Lang their weather person to a little
contest. We ended up winning the contest, having rather simplistic
weather models as our guide. Since that time there is a general concept
that the United States has had some really bizarre weather patterns.
Since 1992 (the start of our current global cooling pattern) we have
experienced some of the most costly hurricanes and winter storms of the
century, worse flooding in the history of the Mississippi and Missouri river
valleys, one of our coldest winters and record breaking heat and
droughts in the west. The question is, what is making the weather change?
Is our weather becoming actually wilder? The answer, according to those
in the know, is that the weather is not becoming wilder. The charts,
grafts and histories show that the USA has long lived with floods,
hurricanes, tornados, dust storms, blinding winter storms and droughts.
Nothing we have experienced so far signals that a long term change is
underway. Usually the worse weather is spread over decades. Sometimes
however the worse weather is drilled into a few years. The 1930s was
such a time, followed by a long calm. Perhaps it is because we have gone out of a calm, the relatively quiet 70s and 80s, that weather we
currently are having seems so foreboding. Also during those calmer times
we forget about the lessons of harsh weather. In known hurricane alleys
we replace old fashioned beach houses with million dollar homes and after
a flood people often rebuild in flood planes with the hope that floods
like those of the past won’t happen in the future (take North Natomas for
example.) When the inevitable storm comes and destroys again the
monetary damages can seem astronomical. Many of us in the west think of
“wet” years as being normal and normal years being considered dry. Past
weather records and other kinds of less direct evidence show that what
people may consider a drought has occurred many times in the past
sometimes lasting scores of years that may be actually normal weather. A
hurricane that hits an area that has not been hit in 20 or 30 years or
floods exceed those of the past few years or drops in an area that has
unusually wet years for several years people start thinking the weather
must be getting worse. But is it the weather or our ignorance of it? As we
enter into our next wet season the forecast seemed to call for El Nino
and substantially heavy weather patterns. Hopefully, we are not ignorant
of the potential for flooding and that our government officials will be
very cautious about where they allow new housing to be built. In the
meantime, at our office when we did our remodeling almost 10 years ago we
updated the building to withstand 140 mph winds and 8.2 earthquakes. In
addition when the building was first built the floor is actually 9
inches higher than the highest flood waters ever recorded in the city of Elk Grove going back to the 1850s 100 years before Folsom lake was
built. So I think we will be able to weather whatever storms mother
nature decides to bring our way. Hopefully you will be able to stay high
and dry also and will not suffer the follies of the past.
Thursday, August 27, 2015
Thursday, August 13, 2015
Good-bye to an Implant Innovator
Christmas
time 2014 was a sad time for those of us who regularly restored dental
implants. The innovator of the osseointegrated dental implant passed away. Per-Ingvar
Branemark died at the age of 85 of a heart attack in his home town of
Gothenburg, Sweden. The interesting trivia is this development of dental implants
was basically an accident. At the start of his career Branemark was studying blood
flow affects on bone healing in 1952. As part of this study he was encased in
embedding titanium into the legs of various mammals and when the research ended
he went to remove the titanium devices and discovered that it had fused to be
bone and could not be removed. He called this process osseointegration and at
that time his research took on a totally different direction. Interestingly
enough, wanting to broaden his test subjects he actually enlisted 20 students
working in his laboratory to have titanium instruments inserted in their upper
arms. Apparently every male in the laboratory was considered a volunteer and
many of them have scars to this very day. But even after years of
experimentation it was difficult to convince the medical and dental
establishments that titanium could be integrated into living tissue. The
conventional wisdom that the introduction of any foreign material into the body
would inevitably lead to inflammation and ultimate rejection. Dr. Branemark was
further challenged in his work and at lecture in 1969 he was challenged
by one of the senior academics of Swedish dentistry who referred to a Reader’s Digest article involving Dr. Branemark saying, “this may prove to be a popular
article but I simply do not trust people who publish themselves in Readers
Digest.” As it happened, that senior academic was also well know to the Swedish public
for recommending a particular brand of toothpicks, so Dr. Branemark immediately
rose up and struck back saying, “I do not trust people who advertise themselves
on the backs of boxes of toothpicks.”
Following that, the United States Institute of Health financed his
projects and in the mid 70s Swedish National Board of Health and Welfare approved Branemark's implants which would therefore replace the implant
systems that I learned at UCLA in dental school in the early 70s, which were blade
implants and subperiosteal implants, which were often prone to rejection, which is the
reason for the distrust of Brandenmark's research. The turning point came in
1982 in Toronto where he finally won wide spread recognition for his materials
and methods. His dental implant system is currently sold by Novel Biocare, a
publicly traded company, but there are many many different implant suppliers in
the United States at this time. I personally restore more than 6 brands of
implants from different surgeons. In addition to dental implants, this research
has gone a long way to provide the millions of people with other osseo
integrated replacements. So even if you are not a dental implant patient, you
may have an artificial hip or knee, then you should take a moment to thank Dr. Per-Ingvar
Branemark for his help in resolving your complex medical needs. Thanks again
Dr. Branemark we miss you and our prayers go with your family.
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