Update

Dear Family, Friends and interested persons,
Its Friday evening and I'm home now after a 4:30 meeting with an Oral Surgeon.  He was recommended by Dr. Todorovic, my local dentist whose office is here in Discovery Bay.  I went there because during the x ray process a mass appeared above #3 tooth, Since Mike could not determine what it was in caution he referred me to Dr. Deragopian, DMD, MD.  I was given excellent care and am somewhat relieved now.  He had the assistant do a new set of x rays and then he used a small tool to probe that one tooth, a molar Dr. Clarke thought should be removed a full year ago.  He could not pull it because he had just broken his wrist or elbow in a fall, referred me to get it pulled and when it did not hurt I just did nothing.
The dentist today looked closely at the tooth and was able to insert the little tool way deep in the tooth, much further than he should have been able to to, about 10 when he said 2 was all he should have been able to insert.  That plus the x ray told him the tooth has failed, the root canal has failed and the tooth must come out.  Not only that but he is pretty sure that the area that shows up like a mass and caused me such a scare about cancer in the sinus is in fact on the tooth side of the bone and in fact is just something that has built up from a failing tooth.
So if all goes well by July 11 he plans to remove the tooth, carefully clean out all the mess above the tooth and by the bone and let it heal.  The process becomes much more expensive and complicated if he has to use a patch to cover a hole into the sinus through the bone.  One way the total cost is $960 and the other is $1,760.  Either way I have no choice as this has to happen before the heart surgery can take place.  Of course for him to be able to do his work the Coumedin in my blood has to be held for two days to get the INR, blood thickness down to 1.7 to 2.2 when it normally runs about 2.7 or 2.8, thinner than he wants to deal with doing surgery in my mouth.  So my heart cardiologist needs to be contacted to allow the blood to become thicker for a brief period since that increases the risk of a stroke if A Fib happens to occur during the time when the blood is thicker.
I see the heart surgeon, Dr. Allen on Tuesday at 11:45 in San Francisco, then that evening I have the second session with the lady doing a deep cleaning of my teeth and then on the 7th I see her again for the last cleaning.  What a complicated life I live right now and all the while I have more appraisal work to complete than ever before in my career.  Moon calls it a blessing and thanks God and she is right but I sure need every minute of my time doing work and doing it well.  Jessy is wonderful in her help and after the heart surgery she will be my driver for awhile until they allow me to drive again.  Steve would help if he could but he has been discovered by lenders and he is buried with work now too, that is a blessing so long in coming for him.
I appreciate your prayers for me and for Moon, we continue to wait for immigration to get to her case and give her the freedom to move about freely here which she does not have currently, we continue to pray for her daddy who is so ill and for her mom who is a 12 hour a day caregiver to him, then there is Crystal, her 20 year old daughter who is just about to be given a green card and allowed to come here after a many year battle.
We are thankful to a loving God who continues to help us, care for us and bless us.
I must say that I've had a life that is remarkably free of illness and the heart thing, the very narrow opening in the valve is a surprise to me.  Yet we live in an age where many medical things are now possible that were not available years ago.  I love life, I love my family and soon Jason and Jo with kids are driving from Southern California where they have been enjoying Disneyland (Jason and the kids while Jo attended in service classes she needs as a teach), now they drive to Colorado to see her mom and aunt so we keep them in our prayers.
Thank you for praying and remembering me, life is so different now from the many years with Nan, weekends are very tough to be alone day and night and I never get over coping with being alone.  At least now Moon and I are hoping for a different future together, we don't know when or exactly how but we are trusting our  heavenly Father to guide us and open doors for our future.  She is very excited about the heart value replacement and the promised great energy and health on the other side.
So I send love to all,
I hope you enjoy your family and treasure relationships, they are eternal.

Love

tim