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I had knee surgery in Finland, and when I was ready to go home, they gave me a single Oxycontin pill to take if needed. Along with that, I received clear instructions on how to care for my surgical wound and handle emergency situations. I never ended up taking that Oxycontin pill because the pain wasn’t as bad as I had expected. Looking back, I think it was a good decision not to prescribe a large amount, like 30 or 100 pills, which could have led to problems with opioid addiction. I managed the pain just fine without it.

Super interesting. In America I was never sure if what they were doing was in my interest, or for the benefit of making the organisation they worked for as much money as possible or the drug companies promoting certain drugs (kick backs?). It sounds like you were a patient to be cared for. You were the priority. You were not someone to extract as much money as possible from. It is also fantastically interesting to hear the different philosophy they have towards pain meds. Thanks for enlightening us. The other equally mega important thing from the sound of it is that you did not have to worry about being bankrupted by medical bills and deductibles and co-pays and hidden charges/fees, and can now focus entirely on yourself and your recovery which is how it should be.

I work as a public dentist in Australia. They audit our antibiotic prescribing, we are essentially not meant to prescribe them as prophylaxis for dental infection. Even with an active infection, we are not meant to use them unless it is severe or if dental procedural intervention can’t clear it. Also, we are told that paracetamol and NSAIDs are superior for dental pain and are discouraged from prescribing codeine, even following extensive dental surgery (I can’t help but wonder how objective the evidence they use actually is, given the government’s agenda to reduce antibiotic resistance and use of potentially addictive pain killers.) Sorry you had that experience of the local not working. Inflamed tissues are more acidic, which interferes with the anaesthetic’s ionisation and therefore activity.

Sh*tballs!! 😂😂 never thought of that 😂

American system is so expensive, costs the US Government a fortune yet patients are so reliant on 'insurance' to get good treatment. Americans seem loathe to have the Government on their side to get a better deal.

Jeez man. Your story makes my dentist anxiety even worse ;) At least you got decent care. Get well soon.

I don’t understand why they did not give you IV morphine for those procedures. ( retired nurse here ).

Gift = married (not marriage)

det är inte farten som dödar, det är smällen. På engelska. its not the fart that kills, its the smell.

Hehe, självklart valde du slut som sista ord. Klyftigt :)

it is effeminate to say 'hej hej'

“It’s not the fart that kills, it’s the smäll!” - A wise swede🇸🇪

For me (Swede who lived and worked in the UK for 12 years) it's not as much our words as names. Last names to be exact. Especially the ones not ending in "son". Like... Sjögren "lake branch", Blomström "bloom/flower stream", Stridsberg "fighting mountain", or if you want an older one; Oxenstierna "ox star". Normally they're just names and that's how they register in the brain, but if you start looking at them, your brain will break them down into their constituent parts. Then you're just "oh... oh, this looks funny but in a strange way." I know there are a few of these in English, like Smith, but they're usually just one word names. And older names, like Fletcher, aren't as easily understood today by English speakers, I think, unless they're a history buff.

The cookie Dammsugare looks a bit like the first vaccuum cleaners, they were even green*, so that's why. * not dipped in chocolate though...

spännade höra dig säga kött och fack/facket.. med ditt uttal så lät det faktiskt mer som de American naughty words... du borde kanske lysna lite mer på hur göteborgare uttalar kött tex... ö:et i svenskan liknar nog mycket mer det amerikanska "uh".. man kan komma undan med det där avslappnade vokalljudet .. schwa, tror jag det heter.. a:et i facket sägs med läpparna mer som när man ler.. .. hoppas du tycker om tipsen.. kul att lyssna på dig!

Hi, I just recently find your page👍 i my self is a nurse and have lived in many countries, including Massatuchets, usa. I love your reflextions ❤

As an American, everything you're talked about so far im adding up the cost in my head and cringing. Our country is so terrible with medical costs

14:30 Speaking from german perspective here. In most of europe, you are never a _customer_ *_of_* health care .... you're always a _patient_ *_in_* health care... The difference is, it's usually not about the money in the first place but about health... ;) 22:00 Again from german more or less elderly with full on dental prosthesis now... Yes you have to ask for pain medication... But it's just that. Tell them that you need some and they will prescribe a fair amount..... Maybe it's easier as older as you get... ;)

I have similar experience with "puss" from men/women, much more common from women. Most men I know would barely say it to their wife/woman on the phone. They are much more likely to say "I love you" on phone. With my external knowledge of men, my guess is that they feel that if it's not a real kiss (physical), the word is nothing (or silly).

Man är ju rätt trött på amerikaner som drar samma trötta skämt om Sverige. Det finns ju så många smarta och roliga amerikaner - Varför får vi bara de talanglösa?

So sorry for your illness, good that you are better! My first thought was "typical medical trained person" to not call for an ambulance! If you have fever and can't drink (enough) you need to go to the emergency, and also when your condition is getting worse - but as a nurse and especially if you worked in intensive care on in E.R. you know that. It just the thing to apply it to oneself... As I've said to patients some times; no use for you to call when you don't breathe, you're supposed to call before that (they laugh and understand 10/10 times). So glad you got there in time! I also write this to remind other people, at least here where you don't have to think of the economy part. It's easy to watch a youtube video and say what should be done, but my thought regarding the pain with the incisions is that when there's an abcess at the other end (anal), usually the patient have to have full anesthesia because of the pain. And I guess there are equvalent amount of nerves in both "ends"?, so I'm curious if there ever was a discussion to go to the operation room? I'm not a dentist but when you felt worse the day after I'd would have at least considered antibiotics. Also I think you should have had better pain relief, yes "Alvedon o Ipren", but when those weren't enough, especially after the incision, they should have given you more (+ as you know something to prevent constipation from the morphine). The problem with tolerance and dependance is real, but here it was for maximum some weeks, and pain from visceral damage is where morphines works best, and that's when it should be given (with regards to all other aspecs of this of course). I think you should consider discussing the pain relief you (didn't) have with that doctor, and if they don't understand, complain to "patientnämnden" in your region (health care complaints office). Good luck with your healing! I see that this was three weeks ago, will check on your updates!

My namn is Pär, that’s an a with two pricks

Wow! You made a big stretch going to a country where everybody speaks English. Where did you get the courage? Are you thinking about moving to London next?

😂...

You misted thd best word.. "bra"

Its hsppens that guys use "puss hej" ironically. Its like a joke that the wife say that.. and its kind of really gay if a dude say it to a othet dude.

Interesting to hear it from a different perspective, good video. Pusshej!

If you have a compartment where you put left over bits its a slattfack.

True story that I had the good fortune to witness. Back in the mid 90-ies I did a UN tour in Bosnia. When the peace agreement was signed the mission switched from UN led to NATO and we got the 1st Armoured Division coming in from Germany if I remember correctly. We had some US personel attached to our battalion and gave them a tour of the area. At one of our company compounds we took them into the rec area which also had a bar. One of my soldiers did his best to translate the sign showing the cost of braking various rules. When he got to one of the rules he paused and I could see his brain turning coming up with a translation: "And if you spy in the bar you´ll have to pay 5 deutsch marks (which was the currency used there)". Queue very disbeliving facial expressions on the americans until I laughingly corrected the translation. In Swedish it said "Spy i baren, 5 DM." Spy is to throw up, vomit. But not knowing the correct translation he just used the word as written. The US guys of course were wondering what sort of spying could happen in a bar etc.

The Ö in kött is pronounced like U in Cut. And the K is pronounced like Sh in shadow.

Kiss in swedish = Urine.

I think the general idea of healthcare in (most of) Europe is that everybody has his own way of taking pain. One can bust his knee and can't walk for a month, another can loose a leg and just walk on (I know ... a bit over the top, but you'll get what I mean). That way it isn't standard to prescribe painkillers to everyone as that makes the system only more expensive and most won't need it. Human bodies are, and as a nurse you should know this, are very well equipped to fight many invections and other "mishaps". You'll only need some medicine if there's the chance your body can't cope with what it has and that is, unfortunately, what you have experienced. I have a lot of health issues myself and often are puzzled on how much a body can take.

fun observations of things we don't think alot about!

Canadians are always mystified by how Americans put up with their crappy medical system! Your Swedish system experience is like most of the OECD. The rest of the First World cannot wrap its head around how Americans are so willing to roll over and accept: their useless medical system (and I don't mean ACA, but the complete dysfunction including pharmaceutical costs), the incredible level of gun violence, and unbelievable penal/criminal justice system. And then, of course, there's the Cheeto ... Well, you did ask for him ...

As a Norwegian I'm familiar with these. Som of them are the same, and some are cery similar, and som we just know anyway. Norwegian for "chef" is the sam, justpelled differently. You can sort if find the same issue the other direction too. English "cook" sounds just like the Norwegian word for the same body part. In Swedish the vowel is long, so possibly not ass easily getting the same assiations.

If you had sepsis, make sure your blood gets monitored for potassium, magnesium as sepsis steels those elements from your body. Sometimes sepsis attacks your joints. Just keep an eye on yourself.

Having almost died from sepsis I fully understand what you went through.

Your first sepsis symptom was the light fever the first day after the operation. Why did you - and do you - keep talking it down?

You poor guy. Being alone and trying to think through it all.

You should say Hallå instead of Hej :) Problem solved.

As a nurse you must know that in the US, you would likely (and properly) have been hospitalized via the ER at the initial Sunday night visit, IV antibiotics would have been started. A culture/sensitivity of the abscess would have directed the type of antibiotics needed (was that done for you at any point?) Also you likely would have been given appropriate pain medicine from the get-go, i.e., immediately post op extraction. Further, if things went south as they did here, you would have have been properly sedated given his extremely painful response to the two procedures. IMO the risk of abx resistance and addiction is far lower than your risk of complications from undertreatment/no treatment. By your own assessment you were certainly bordering on septic shock and not treating pain of that magnitude over that long a period can lead to chronic pain syndrome. Then there's the iatrogenic case of COVID from having to visit an ER! Further we don't know the long term outcome as you're (unfortunately) still experiencing sequellae. So as much as I admire the Swedish bedside manner, efficiency of access, and generally conservative approach to medicine, you could have been been killed by kindness. It is no substitute for the 2 things you needed most: prophylactic antibiotics starting Thursday if not earlier and concurrent prescription pain meds. This then might have healed in a normal time frame with no more than that, no ERs, no ear doc, no oral surgeon, no COVID, no prolonged suffering and a week of agony. We can't know for sure but I'm betting on the US protocols. To marry the two systems, we should have long ago embraced Medicare for all. Thanks for sharing and I wish you a full recovery soon. What will you now do about the other wisdom tooth? ~ US RN

I had a similar experience in Portugal a few years ago, but it wasn't as bad. Following root canal treatment at the dentist, I developed a high fever, headache and vomiting. I contacted the dentist to ask for antibiotics since it was clear to me I had an infection and they just told me to take an anti-inflammatory and they refused to prescribe antibiotics. I got worse but somehow managed to get to another dentist who removed a large amount of accumulated pus and prescribed antibiotics. I immediately improved (it was only the second time I had taken an oral antibiotic in my life, and I was about 55 at the time). I then had diarrhea for about 3 weeks because clearly the AB had destroyed the intestinal flora that I'd had for years, but at least I hadn't got sepsis. I felt I had had a narrow escape , and the irony was that in Portugal usually they OVER-prescribe antibiotics. The dentist never admitted his negligence in not giving me AB when I asked for them, given that I explained how sick I had become.

This very much highlight one of the major issues in the US. Even though it was in Sweden. Because you as an American have had it knocked into you. "Don't go to the hospital unless you are dying." - In the US you are not a patient. You are a bag of money, where they try to pull as much out of as possible. But in the rest of the civilized world, we learn to go to the doctor or hospital before it gets to bad. As that just means things get worse, and will take up more ressources in the end. had you gone to the hospital sooner, things would most likely had been better. But still, good you went, and good it was fixed, without you going bankrupted as it should be. Myself, living in Scandinavia live with good free healthcare, and as someone living in EU, it extends when I travel. When I went to Spain, I needed to go to the hospital a Sunday night. I was treated for free, was there for 6 hours. Only issue was communication, as not many of the people there spoke English. A doctor was called in from home, a Sunday night to perform what I needed, and still. It cost me nothing at all.

My stepmother actually brought something along this lines. An englishspeaking person wonderd why swedish people repeated the word: fxck this. Pretty strange to have a casual conversation with someone and bringing that along "all the time" and no one seems irritated about it. The word is: Faktiskt related to english factical or spoken in american actually or really. A swedish person kan say: Jag gillar Faktiskt Köttbullar. In english: I really (or) actually like meatballs. Its a word you are using when you want to pronounce something. Nice video hope you are having great time here, you live in the best part of Sweden. I can recommend you to visit Fyledalen. Actually means Ugly valley in (old?) danish. Österlen is neighbouring. My "spiritual" home.

On tandkött, swedish makes no distinction between meat and flesh, so it's tooth flesh.

Somehow I get the feeling that we swedes did this just to troll the English speaking world. Another funny thing is that swedes who are less fluent in English sometimes sat things like "A little prick" when they mean to say "A small dot". And there are other amusing mistakes swedes make, like confusing the pronounciations of "bear" and "beer", "sheep" and "cheap", or "soup" and "soap".

Here is one good one, you can explain for your English speaking community. It is not the fart that kills you, it is the smell.

Its not the fart that kills its the smell.

Ojdå, är det skillnad mellan språk.

You should be careful about marveling at the Swedish language (which is 2000 years older than the English language). If you come from a country where girls are called "Pippa", you should probably keep quiet!