Back to Directory of Site URLs  #138

Some patients are more engaging than others. Tina is engaging. Come eavesdrop on our communications. Dr. Ted and "Tina" (as she always writes it)

CC: OJW patients in film May 1

 
Dear Dr.Ted
Ooh lala Dr. Ted! Thanks for the advice, I will surely purchase and read those 2 books as soon as finals are over (in exactly 2 weeks from today)! :) I do not mind if you share this letter with the other two women! :)  I am so happy!

Also, I wanted to mention that... (maybe 5 weeks isn't enough time but...) my mouth is not feeling fuzzy and my tongue doesn't feel gross. I read in one journal that a woman (who was wired) said her mouth felt fuzzy and dirty or something along those lines. Yeah, I haven't had that feeling at any point and I don't feel my mouth dirty at all... I use Listerine about 3 - 4 x a day... To the contrary, my teeth, in my opinion, look better than ever! :-/ My lips do get dry though and peel occasionally...
 
Dear Tina,
 
What a wonderful report.  I am so proud of you. I am "tickled pink" at your persistence and perseverance and WHAT YOU HAVE ACHIEVED.  
 
May  I send your note to Ray McDowell and Erica Smith who "starred" in yesterday's movie (and perhaps a few others that started in the recent past) ?
 
I am sure it will galvanize them even more knowing of your stellar success.
 
You will be pleased to know we shot the movie on OJW yesterday and it went exceedingly well.
 
The movie will air on Brooklyn Community Access Television  June 25 (Time-Warner Cable channel 34 and Cable Vision channel 67).   I will either post it on the web site  as a Quick time movie and /or create a DVD for distribution.
 
When it comes to success in buying real estate the key is location, location and location.
When it comes to success in making a movies it is story, story, and story.
When it comes to success in losing weight it is maintain, maintain, and maintain.
 
Here is the best I can do to help you on that subject:
 
October 20, 2007:  This morning I attended to an OJW patient who has lost her wires and had an urgent sense of needing to be rewired.  We got to talking seriously about how important and difficult it is to modify your behavior regarding your eating and exercise habits in order to MAINTAIN THE WEIGHT LOSS YOU ACHIEVED...no matter by what method you accomplished the goal.  ALL weight loss methods SHARE this insidious problem. I don't have the answer. But Brian Wansink, PhD and authority on what causes Americans to overeat, and author of Mindless Eating: Why We Eat More Than We Think has some helpful ideas (Bantam, 2006, $13 Barnes and Noble, soft cover). CHRIS ROSENBLOOM of the, Palm Beach Post-Cox News Service  in an article entitled Mindless Eating Can Make You Fat by,  Friday, October 19, 2007 has written an excellent review of the major topics in Wansink's book.
 
With care and affection, Dr. Ted
 
In a message dated 5/2/2008 7:04:07 A.M. Eastern Daylight Time, Diana_Morales@brown.edu writes:
Hi Dr. Ted, :) It has been 5 weeks and I am down to 138.5 lbs. My "initial" weight at your office on 3/26 was 170.0 lbs. I have been exhibiting some frustration the past few days (with the <900 liquid diet) and so I decided to confront my fear and weigh myself this morning. I would like to get back to my pre-college weight of 125 lbs so I have about... 13 lbs more to go. :) I am officially at a normal weight but :-/ all my old clothes is XS and S so I should probably lose those last 13 lbs. :)

In either case, I am so pleased with the procedure! I was uncertain as to whether I would last on a liquid diet or if it was an unrealistic approach to compulsive eating and weight loss but... I am so amazed! :) The hard part is yet to come after losing the last 13 lbs... weight maintenance. :-/ I am sure it will go fine though, I have learned to distinguish food cravings from thirst! :) Thank you so much!

Tina" Morales
Diana_Morales@brown.edu
From: Drted35@aol.com [mailto:Drted35@aol.com]
Sent: Sat 4/26/2008 8:12 AM
To: Morales, Diana
Subject: Enjoy it...you deserve it.

In a message dated 4/26/2008 5:29:23 A.M. Eastern Daylight Time, Diana_Morales@brown.edu writes:

Thanks. :)
    
"Tina" Morales
Diana_Morales@brown.edu
    
From: Drted35@aol.com [mailto:Drted35@aol.com]
Sent: Fri 4/25/2008 3:40 PM
To: Morales, Diana;    Subject: THE REWARD
        
In a message dated 04/25/2008 9:12:13 A.M. Eastern Daylight Time, Diana_Morales@brown.edu writes:
    
Yes, thanks Dr. Ted, I appreciate it!  YOU'RE WELCOME
        
Also, one last question. The week that the wires are removed, what is the ideal week or expectation suppose to be like? In other words... I think I read somewhere on the web site to continue drinking fluids but consider chewing gum and talking so as to work out your jaw and of course, perform the jaw exercises you taught me how to do. But, I also read somewhere (I guess from a former OJW patient) that it is your time to ... I guess reward yourself. A reward for me, at this point, would be grilled salmon. So... my question basically is... liquid or solid? Variation? :-/  YOU WORKED HARD...GRILLED SALMON AMEN!
        
Also, I would like to visit your office maybe in late May or early June to get rewired because... I don't know if I could rewire both sides of my mouth. My mom is back permanently in Texas and can't help me rewire...  I will try to rewire myself end of May and I'll see if I can do it... but I have some doubts, if unable to, could I just schedule an appointment in? NO PROBLEM. I WILL BE HAPPY TO COME IN FOR YOU EVEN IN NON-PATIENT CARE HOURS: FR,SA, SUN
    
WITH CARE AND CONCERN FOR YOUR SUCCESS :-)
CC: YOUR FILE       
Thanks. 
        
"Tina" Morales
Diana_Morales@brown.edu
        
From: Drted35@aol.com [mailto:Drted35@aol.com]
Sent: Fri 4/25/2008 7:09 AM
To: Morales, Diana
Subject: useful information
        
At least I have given you some useful information. With care Dr. Ted
        
 In a message dated 4/25/2008 7:04:31 A.M. Eastern Daylight Time, Diana_Morales@brown.edu writes:
        
Ahhh, I'm worried now. I just don't want to gorge during the week before finals or after finals... :-/ I don't want to tempt my luck... 
            
 Okay well... :-/ I guess I will figure out what to do...
            
Tina" Morales
Diana_Morales@brown.edu           
 
 Orthodontic Jaw wiring: A.T.'s diary of her experiences during the first two months. <http://www.drted.com/index.html.bak2/jaw wiring diary first two months.htm> 
            
The object of OJW is to limit the apartness of the jaws i.e. to suspend the mandible (lower jaw) from the upper with very soft but durable wire at a distance of about 2-4 mm, the position being a little less than the position your jaw is in right now as you reading this note.  This position in dentistry is very close to the position we call the "physiologic rest position" of the mandible ... when a patient is wired in such a position the mandible is free to move forward, right and left and open and closed about 2-4 mm... Just enough to talk reasonably well and get sufficient jaw joint exercise to prevent the joint from stiffening over a 6-9 month treatment period. 
            
The dentist's responsibility is to: teach the patient how to rewire them selves particularly when they come from afar and oversee the health of the gums, teeth and the TMJ jaw joint when they can return to the office every five week to be examined and rewired. The responsibility  of weight loss is the patient's.
            
Oral surgeons utilize "full arch surgical arch bars" to permit wiring the upper and lower jaws together...permitting no movement in any direction whatever. The only similarity between the two is the requirement that the patient is limited to a liquid diet.  I have the patient arrange their own liquid diet. I urge them to understand the need to remain below 1300 calorie/day. 
 
 
 Dear Tina,
            
My guess is if you extended to 7 weeks the movements of you jaw might be stiffer.  Use the 3- finger test.  Five weeks on and 5 days off has never been put to any real "in vitro" studies.   If you were to ask me whether irreparable harm would occur if you left it on for 7 weeks I would say no. Read below
            
Orthodontic Jaw wiring: A.T.'s diary of her experiences during the first two months. <http://www.drted.com/index.html.bak2/jaw wiring diary first two months.htm> 
            
[The physiologic normal range/envelope of motion of the lower jaw: see norms <http://www.dent.ohio-state.edu/courses/d532/MandTrans/sld043.htm> 
Vertically: 40mm <http://www.drted.com/OJW wireremoval.htm> 
Laterally: 8mm in Protrusive: 6-8mm]    
                                    
[The envelope of motion in OJW: Rothstein's OJW position of rest:
 Vertically: Most often 2.0mm, extendable to 4.0 on demand. <http://dentistry.uic.edu/Depts/omfs/gr/2005/06-20-05-TemporomandibularJointDisease.doc> 
  Laterally: 1.5-2.5mm <http://dentistry.uic.edu/Depts/omfs/gr/2005/06-20-05-TemporomandibularJointDisease.doc> , extendable to 2.5mm-4.5mm
 in Protrusive: 2.5, extendable to 4.4mm] <http://dentistry.uic.edu/Depts/omfs/gr/2005/06-20-05-TemporomandibularJointDisease.doc>   These three hyperlinks all go
 link to one location
TEMPOROMANDIBULAR JOINT DISEASE AND TREATMENT,  Ala Al-musawi,
            
In a message dated 4/24/2008 3:40:00 P.M. Eastern Daylight Time, Diana_Morales@brown.edu writes:
Dr. Ted,
                
Good afternoon. I was wondering, would it be harmful to my jaws if I did not remove my wires until the 7th week instead of the 5-6th week? The issue is that finals are around 2-3 weeks from now and I don't want to be tempted to eat junk due to the stress imposed by rigorous studying and final exams. Could I just hold off on removing the wires until the 7th week - when school is out? 
                
Thanks.
                
"Tina" Morales
Diana_Morales@brown.edu            
            
 Ted Rothstein, DDS, PhD
 Cosmetic Orthodontist for Adults and Children
 American Association of Orthodontists
 Founder DPOJW www.drted.com/DPOJW.html
 35 Remsen St., Brooklyn, NY 11201
 718 852 1551    Fx 718 852 1894 drted35@aol.com     www.drted.com <http://www.drted.com/> 
    
 

Ted Rothstein, DDS, PhD
Cosmetic Orthodontist for Adults and Children
American Association of Orthodontists

Founder DPOJW www.drted.com/DPOJW.html
35 Remsen St., Brooklyn, NY 11201
718 852 1551    Fx 718 852 1894 drted35@aol.com     www.drted.com

 

 




 

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