July 23, 2021

I was sure I’d fall in love with London. We saw it first from the sky. Our plane flew over it just as the sun was coming up. Below us the Thames bisected the city and the iconic landmarks were easily recognizable.

My mum lived in London as a young woman before the war, and she loved it. It was certainly more exciting than sleepy Vancouver. From being an only child in a very conventional household, she went to London to stay with her free-thinking Uncle Bruce and Aunt Elspeth and their seven rowdy and independent daughters.

Her father, my Gagadaddy, began reading Dickens to me when I was five, sitting on his knee by the fire. I’ve been fascinated by the evolution of the city from its earliest incarnation through its rebuilding after the Blitz. In the Eurocentric history I grew up studying, London was the hub around which western culture developed. All my life I’ve read books and watched movies set in London, and I couldn’t wait to finally see it.

The thing is, I didn’t love it. Or at least, not at first.

London is incredibly noisy, louder, it seems to me, than New York. Perhaps because we’d come into town after a week in the Devon countryside – and after a year of seclusion in Austin – I felt disoriented by the streets full of cars, bicycles, cabs and busses and the crush of people hurrying along the sidewalks. There was a period of adjustment.

After a few days, however, the city had its way with me. I love the juxtaposition of ancient buildings, some dating from the 11th Century, and ultramodern skyscrapers. The contemporary architecture is imaginative and playful.

I love the people. Most everyone we encountered was friendly and welcoming. I love the diversity. The apartment we rented was in Hackney, an area Dempsey said reminded him of parts of Brooklyn. There is a large community of Hasidic Jews. I was fascinated by the elaborate dress of some of the men, many of whom wore fur hats reminiscent of 19th Century Russia.

The men generally ignored us, but helped their wives shepherd their large families through the streets. The women were friendly. They were dressed fashionably but modestly, heads covered with wigs or hats. The little girls wore charming embroidered dresses and tights.

There were many people of Asian and South Asian descent, and many of Middle Eastern backgrounds. There were women dressed in every flavor of hijab, from burkas to loose scarfs.

Our landlords were Central American, and there were a number of black people. Dempsey had a lot of opportunity to practice what I call the “bro greeting,” a small salute exchanged among middle-aged black men as they pass on the street. I tell Dempsey I think of it as a sort of “Namaste”: the mature black man in me recognizes and honors the mature black man in you.

We met a black man in his twenties who is a tour guide. Like many of the people we encountered, he was fascinated with America and interested in traveling there. He’d made one trip to New York, and was struck by how segregated the city is. In London he lived among and went to school with people of many ethnicities. He’d also been following American news, and he wondered if he’d be safe in the U.S. We assured him it’s well worth visiting, and it’s likely he’d be safe wherever he traveled. I felt sad seeing our image reflected back, and knowing there is at least some truth in his concerns.

The growing diversity of the city is reflected in many ways. Our first outing was to the Tate Britain, which houses British art from the 1500s through the present day. They have a diversity committee to weigh in on the displays, which now include a wide variety of art made by and featuring women and artists of color. Reading the descriptions reminded me again of how our perception of culture, like history, is influenced by what we are shown.

We visited Buckingham Palace and the nearby parks. Like every place we’ve been in England, the parks are green and bursting with flowers. I saw Hyde Park Corner, where for hundreds of years people have stood and spoken their beliefs, some of them quixotic but many eventually accepted. Women spoke there on behalf of suffrage.

There’s no Hyde Park corner in Texas. But the times I marched in college for Civil Rights and against bombing Cambodia, the times I stood on the steps of the Capitol and spoke out against American military intervention in the Middle East, when I lay down within a chalk outline on Congress Avenue to demonstrate lives lost, or protested the use of capital punishment, my activism was informed by the stories of those passionate speakers.

My favorite tour was on a boat down the Thames, which provided a panoramic view of Winchester Cathedral, Parliament and Big Ben, the London Eye and all the bridges. It was an eye level view of what we’d seen from the plane.

In the end, it was difficult to leave London, but we wanted to explore more of the U.K. I know I will be back. It would require months to take in everything there is to see in the city, and a year to begin to see all this beautiful country.

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About the Author

Jillian Coleman Wheeler

Hello, and welcome. I’m Jillian Coleman Wheeler, Trauma Recovery Coach, speaker, consultant and writer. I work with individuals and organizations. I offer classes, and I also speak and write about personal development, spirituality, and health and success in life and work. For people suffering depression, I created the Reboot Your Bliss™ process.

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Dental Tourism – Choosing a Dentist

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In the case of whole mouth teeth replacement, the most popular procedure is called all-on-4 or all-on-6. This would entail all of his remaining teeth being extracted, then placement of 4 or 6 zirconium implants into the top jaw and into the bottom jaw. An arch of temporary acrylic teeth are affixed to the implants for approximately four months, and two arches, upper and lower, when all the teeth are replaced. When the implants have grown into the jaw bone, permanent teeth are affixed. Zirconia is a relatively new treatment, and long-term data is not yet available. However, dental surgeons expect the implants to last for 15 to 20 years or more, probably a lifetime for people of middle age and beyond.

This treatment is suitable for Dempsey because the dental surgeon is able to take advantage of the areas of his jaw that have not suffered severe bone loss, and have not received too high a dose of radiation. It took us some time to get a “map” of his mouth from the group that designed the pattern of radiation used in his treatment (they are consultants to Cancer Treatment Centers in Phoenix, and theirs is a highly specialized area of work).

Radiation is measured in Grays. We researched and consulted two dental surgeons in Texas, and we learned that in areas of the jawbone that received more than 60 total Grays of radiation, the patient should not have any invasive dental work performed because there is a danger of necrosis of the bone (bone death) which would be catastrophic. The total doses Dempsey received were less than 60, except in the case of four teeth in his lower right jaw. Those received 70, so it was important that the dental surgeon we choose understand that any implants had to be placed away from that area. This is all pretty technical, but it was important – and a bit daunting, since neither one of us is an expert in the field!

Our two primary considerations were expertise and price, in that order. As I wrote yesterday, average price for this treatment is $40,000 where we live in Texas. A woman we met at the clinic we finally chose told us one well-known dentist near where she lives in Colorado charges $70,000.

There are a couple of ways to approach searching for a dentist internationally. One is to research on your own, and the other is to make inquiries through some of the organizations that represent dentists all over the world. Dental Departures (headquartered in Singapore), Patients Beyond Borders (located in Chapel Hill, North Carolina) The International Association for Medical Assistance to Travellers, (IAMAT), and The Medical Tourism Association are just a few of the groups that provide information about dental care abroad. Some organizations make direct referrals in exchange for a commission from the clinics.

When we first began looking, we considered clinics in Eastern Europe, where we knew we wanted to travel. Croatia, the Czech Republic, Poland, Hungary and Turkey are frequent dental tourism destinations, as are Mexico, Thailand, Spain, Costa Rica, the Philippines, and Malaysia. However, as we spent four months in Europe last year, we decided to concentrate on North America.

We found dental clinics with good reputations in Costa Rica and Mexico. Once we identified dentists who were accredited with the American Dental Association (many Latin American dentists have trained in the U.S. and maintain their accreditation, as well as returning for frequent post-graduate training), we turned to social proof. One of the things we appreciate most about living in the age of the internet is being able to find reviews by previous patients. Then we called and talked to representatives of the clinics. Many clinics specialize in catering to Americans and Canadians, and they employ some fluent English speakers.

We considered a large clinic with an excellent reputation in San Jose, Costa Rica and a clinic located in Cancun, Mexico. However, when we spoke to them we realized they do not send patients home with attached temporary teeth. Instead, they provide dentures (we’d already rejected dentures as uncomfortable and difficult to retain in place) to wear until the implants achieve osteointegration (when the jaw bone grows around the implant).

We were very interested in a dentist in Juarez, across from El Paso, as we have friends who go there for all their dental work. Also, Juarez is just an hour and a half away from the little town in New Mexico we frequently visit. However, that dentist also provided a denture for the first few months.

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The cost of treatment by Dr. Valenzuela for the all-on-4 implants is $19,000. That was not the lowest price we found, but combined with the reputation of the clinic, we felt good about it. Of course, Los Algodones is not near the Texas border, so the trip involved our flying from Austin to Phoenix, renting a car and paying for lodging. Still a bargain, we felt. In our next post, we’ll share Dempsey’s experience, and what it was like to travel to Los Algodones.

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