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                                                                                          The OJW Questionnaire Survey   

(SEE ALL THE QUESTIONS IN THE FINAL FORM OF THE SURVEY)

The first dictate of medicine is “primum non nocere”  Hippocrates (ca. 460-ca.377 B.C)

                                                            (This is a work-in-progress and questions are being added, deleted or repositioned.)

Re: A RETROSPECTIVE STUDY TO EVALUATE

     The Safety and Effectiveness of, and the Problems Associated with, Orthodontic Jaw Wiring pp(OJW)-- a weight-control method for individuals exhibiting compulsive overeating     

Patent Pending Serial Number 11/534,225

 IN BRIEF:  Jaws are wired APART about this much |--| Wires are to be released every five weeks for  5 days to permit jaw joints to move fully. Cordially, Dr. Ted

Dear Former and Current OJW Patients,

I introduced OJW into my practice some ten years-ago, and my records show that you were one of the almost one-hundred patients to whom I provided this service.

I am now asking you to complete this ambitious survey and return it to me in time to be included in the results section of my study.

I plan to present the results of  this study to my colleagues at the 109th conference of the American Association of Orthodontists in Boston, May 4, 2009.

My mission is to report to my colleagues as objectively as possible how OJW patients fared with this protocol.

I remain dedicated, passionate  and proud to provide the OJW service.  This can be seen by the growing body of information* I have compiled for the benefit of would-be patients and dental professionals who express an interest in providing the OJW service to carefully selected patients.

*A new method to enable patients and dentists to rewire

My chronological compendium of OJW related information

The course I created in OJW for dental professionals

 

I have repeatedly asked myself why it is necessary for a person to become "morbidly" obese before their insurance company approves them for gastric bypass surgery, at a cost exceeding $35,000, and where the risk of death is 1/400, when it could approve a more conservative less invasive procedure, that I believe is safe and effective, and the risk of death is virtually nil at a cost of one tenth the fee.

 

I envision that the service will eventually be recognized by major dental and orthodontic organizations including the ADA (American Dental Association) and the AAO (American Association of Orthodontists), as well as by the major insurance companies that it is hoped, will offer coverage for this procedure.

 

I envision the orthodontist/general dentist as a member of a healthcare team that includes: the patient's physician (who medically clears the patient to begin a liquid diet), the patient's dentist, a dietician, and when required psycho-therapeutic counseling and a bariatric surgeon. The treatment can be implemented by orthodontists and combined with orthodontic treatment or as a unique service to the overweight in their practices and their communities. The French say Pour les grandes problemes les grandes remedes.

 

Let us begin with the hypothesis that OJW is neither safe nor effective and by your answers to the questions I have provided here begin to assess whether it is in fact otherwise. If OJW proves to be safe and effective I propose that the dental professionals embrace it and offer it to selected patients in their practices and communities.

 

If you view the OJW protocol to be safe and effective then the members of the dental profession should be prepared to provide this service with care to carefully selected patients.

 

An $35-$50 honorarium will be offered to those who submit completed surveys.

 

Your answers are exceedingly important to this scientific study and should reflect frankly the lasting  impressions of your experience.

 

I would prefer to abandon this procedure if your answers indicate  that the procedure has little or no benefit, and moreover is potentially harmful.

 

Yours truly,

 /Ted Rothstein, DDS, PhD/

Ted Rothstein, DDS, PhD

Specialist in Cosmetic Orthodontics

Specialist in OJW

35 Remsen St.

Brooklyn, NY 11201

(718) 852–1551

www.drted.com

drted35@aol.com

  

Responder's Instructions for Completing the OJW Questionnaire- Survey:

 

This  is an ambitious but tedious study.  It will take you 30 minutes or more to complete.

 

The central hypothesis of the research being undertaken is that OJWPP is unsafe and ineffective.

 

This study will reveal how those who experienced OJW felt about its safety and effectiveness.

 

If I haven't received this survey back from you one month from the date it bears I will resend it a month later.  If you do not send the second request to complete the survey back to me by one month from the date it bears I will  I will assign you to the category "Non-responders"  in the presentation. 

 

Non-responders who decide to complete it at a later can submit at any time they "damn-well feel like it".

 

Invitations to respond to this survey will be mailed beginning July 1.The invitation will have the Passcode key

 

SurveyMonkey  will activate the passkey to those patients who indicate they desire to participate in the study.

 

There are 5 Sections: Background, Safety, Effectiveness, Problems, Conclusions and Miscellaneous

 

Most of the questions allow you to grade your response on a scale of 0 to 5 in order to allow you quantify how strongly you feel about your response.

     Some simply ask you to choose the response that best describes how you feel.

     Some are answerable by yes or no.

     Others require that you to check off the answers that are applicable to you.

     Some of the questions require you to provide a brief but thoughtful response.

     Some of the inquiries are rephrased/repeated to give you a different way of thinking about them.

 

Please be as frank as possible. Your identity will not be revealed.

 

I will publish the results of the study on my web site.  http://www.drted.com/OJW Questionnaire survey and results.htm 

 

Cordially,

/Ted Rothstein, DDS, PhD/

Ted Rothstein, DDS, PhD

 

Click Here to take survey

 

A.  ON MATTERS OF SAFETY

B.  EFFECTIVENESS AND BENEFITS

C.  PROBLEMS ARISING OUT OF OJW

D.  BACKGROUND

D. * CONCLUSIONS:

E.  MISCELLANEOUS

 

OJW QUESTIONNAIRE-SURVEY

Name/Nickname

Age ___________

Sex _____________

Ht.  _____________

    Feet

    Inches

City_____________

State  _____

Weight at start of OJW: ____________

Present Weight in pounds _________

 

A.  ON  MATTERS OF SAFETY

 

     My choice below represents how I feel about OJW for the control of weight in compulsive overeating.

□  OJW is both safe and effective.

□  OJW is neither safe nor effective.

□  OJW is safe but not effective.

□  OJW is effective but not safe.

 

    Were you harmed by your experience with OJW?:   Yes     No

 

    In what way(s) did you feel you were harmed by your OJW experience?

            □  My teeth were harmed.   0 1 2 3 4 5

            □  My gums were harmed.  0 1 2 3 4 5

            □  My jaw joints were harmed. 0 1 2 3 4 5

            □  My bite was harmed. 0 1 2 3 4 5

            □  All of the above. 0 1 2 3 4 5

            □  None of the above. 0 1 2 3 4 5

            □  Other harm not named above:_________________________________

 

 Do you believe you suffered a harm that is permanent Yes     No

 

 If yes please describe in a few words. _____________________________

 

Do you think the OJW harmed you in any way after the device was removed?      0 1 2 3 4 5

 

B.  EFFECTIVENESS AND BENEFITS

 

Did you lose weight during the OJW?   Yes…. □  No.

 

Did you adhere to the OJW regime (5 weeks wired/5 days rest)?      0 1 2 3 4 5

 

Do you/did you exercise while having OJW?  ?     0 1 2 3 4 5

 

 If you experienced a benefit in what way did you benefit?

            □  I had hope for the first time.

            □  I lost a significant amount of weight loss for the first time.

            □  I felt better about myself in general.

            □  I had some new realizations about my weight problem.

            □  OJW gave me the jump-start I needed to bring my compulsive eating under control.

            □  All of the above.

            □  Other:_______________________________________

 

 How many pounds did you lose during OJW?

            □  0 pounds

            □  0-10

            □  10-20

            □  20-40

            □  40-60

 

Choose that response that most applies to you regarding OJW

□  I didn’t lose any weight.

□  I lost some weigh

□  I I lost a lot of weight.

□  I achieved my goals.

□  I lost weight and regained it all back.

□  I lost weight and kept it off.

□  I now weigh more than when I began OJW.

            □  Some other: ___________________________________________________    

 

Did your experience with OJW teach you anything about yourself and your eating habits?     0 1 2 3 4 5

 

Did OJW  help you with eating behavior modification?      0 1 2 3 4 5

 

In retrospect is/was OJW a successful procedure for you??     Yes     No

 

Did you benefit from your experience with OJW?        not at all 0 1 2 3 4 5alot

 

 If you experienced a benefit in what way did you benefit?

            □  I had hope for the first time.

            □  I lost a significant amount of weight for the first time.

            □  I felt better about myself in general.

            □  I had some new realizations about my weight problem.

            □  OJW gave me the jump-start I needed to bring my compulsive eating under control.

            □  All of the above.

            □  I got better control of my need to eat compulsively.

            □  Other:________________________________.

 

Did OJW help you get better control of your eating habits? Yes     No

 

I now feel sure that my choice below represents how I truly feel about OJW for the control of weight in compulsive overeating:

OJW is both safe and effective.

OJW is neither safe nor effective.

OJW is safe but not effective.

OJW is effective but not safe.

Comment:

 

C.  PROBLEMS ARISING OUT OF OJW

 

What problem(s) did you have with your OJW? Choose all that apply to you.

            □  It was too costly.

            □  It was too difficult to rewire myself.

            □  Brackets kept detaching.

            □  The wires kept breaking.

□  My speech was impaired too much.

□  Maintaining my life on a liquid diet was all but impossible.

            □  Social embarrassment.

            □  My sex life was impaired.

            □  My breathing was impaired.

            □  My breath was impaired.

            □  My own dentist disapproved.

            □  My jaw got stiff.

            □  My bite felt impaired.

            □  Negative effect/embarrassment at work.

            □  The inside of my mouth felt unclean.

            □  My significant other/family did not support me.

            □  The device was too visible.

            □  Keeping wired for 5 weeks and then 5 days off proved too difficult for me to follow.

            □  The doctor was not sufficiently responsive to my needs.

            □  Other: A problem not named above which is: _______________________________.

 

Please respond the degree to which you experienced each of the following:

My social life was impaired.    0 1 2 3 4 5

My sex life was impaired.      0 1 2 3 4 5

My significant other did not support me.     0 1 2 3 4 5

My jaw became stiff and painful.      0 1 2 3 4 5

My teeth became painful.      0 1 2 3 4 5

I gave up on OJW because my jaw joint became stiff and painful.      0 1 2 3 4 5

I made a big mistake by choosing OJW.      0 1 2 3 4 5

It was a waste of time and money.      0 1 2 3 4 5

My speech was impaired.      0 1 2 3 4 5

My mouth felt unclean inside.      0 1 2 3 4 5

My breathing felt restricted.      0 1 2 3 4 5

My significant other complained about my breath not being fresh.      0 1 2 3 4 5

I gave up because it was too difficult to rewire myself.      0 1 2 3 4 5

 

How difficult was it to rewire yourself?     0 1 2 3 4 5(very difficult)    

 

Regarding the rewiring process, choose the most appropriate response(s)

□  I could not master it.

□  I could not find a professional to do it for me.

            □  At first it was very difficult and then I mastered it.

            □  It  was easy to rewire myself from the start.

            □  I had a significant other who did it for me.

            □  I found a dental professional to do it for me.

 

 

D.  BACKGROUND INFORMATION

 

Below are listed some common medical problems associated with being overweight. Choose the one(s) that apply to you.

            □  Snoring

            □  Sleep apnea

            □  Migraines

            □  Asthma

            □  Pain/discomfort in knees and/or hip joints

            □  Hypertension (abnormally high blood pressure (All levels above 120/80 mmHg raise your risk, and the risk grows as blood pressure levels rise.)

            □  An excessively high blood count (160-189 mg/dL or higher) of “bad” cholesterol (LDL) 

            □  Type II diabetes mellitus

            □  Hypothyroidism

            □  Coronary artery disease

            □  Depression

            □  Lower-back pain

            □  Menstrual irregularities

            □  None of the above

            □  Other:

 

Were the risks/or fear of surgery an important consideration in choosing OJW?       0 1 2 3 4 5

 

Are you in OJW now? Yes     No

 

Did you have the help of

□  a physician?

 a dietician?

□  a psychologist or psychotherapist?

□  your dentist?

□  a bariatric surgeon

 Other:-__________________________________________________-

 

How difficult was it to find an OJW provider?

 

For how many months were you/have you been in OJW?

            □  1-2 months

            □  2-4

            □  5-9

            □  9-12

            □  12 +

 

How long ago did you stop OJW?

            □  1-2 months

            □  2-4

            □  5-9

            □  9-12

            □  12 +

 

Did/Do you feel that you were provided you with sufficient information prior to the start of OJW?      0 1 2 3 4 5

 

Was this service valuable to you?      0 1 2 3 4 5

 

Would/Did you recommend it to others?      0 1 2 3 4 5

 

After OJW what method did/would you try/or are trying at present?_____________________

 

Did you have bariatric surgery after OJW?  Yes     No

 

Did you have "lap band” surgery after OJW?  Yes     No

 

 

E. CONCLUSIONS: THE FATE OF THE OJW SERVICE... JURY: THE OJW PATIENTS

 

Did you have any experiences related to OJW with special attention to nausea, vomiting or choking?  Yes     No

Please comment: _______________________________________________  

 

Given that aspiration of vomitus could have dire effects on an OJW patient do you believe that:  choose the response(s) that best apply to you.

            □  The Informed Consent I filled out told me all I needed to know.

□  Anything is possible.

□  Nothing ventured nothing gained.

□  You fight fire with fire.

□  Let the buyer beware.

□  Let the professional do his job carefully as he cares for his patient

□  All of the above.

 

Was it useful to be able to contact previous patients?      0 1 2 3 4 5

 

 I might have continued if an easier method to rewire myself was available.      0 1 2 3 4 5

 

 I might have continued if there was a provider close to my home.      0 1 2 3 4 5

 

 Do you believe that OJW gave you a "jump start" with your weight loss efforts?     0 1 2 3 4 5

 

Why did you choose the OJW method to begin with? Choose the response(s) that apply to you.

            □  My physician recommended I lose weight.

            □  I realized that my excessive weight might have serious related health consequences.   

            □  My being overweight was causing me to be depressed.

            □  I just did not like the way I was looking.

            □  I dreaded the thought of gastric bypass surgery.

            □  Taking over-the-counter pharmaceuticals seemed too risky.

              Previous methods were ineffective for me.

            □  I heard about it from a friend.

            □  I felt this approach might help me to bring my compulsive overeating under control.

            □  I was finally able to locate a dental professional who would provide the service.

            □  All of the above.

            □  Other: ---------------------------------------------------------------------

 

Weight control services should be left to the patient's physician/dietician.    Yes     No

 

I believe OJW is a useful procedure for carefully selected patients.     0 1 2 3 4 5

 

Do you believe that it is the right and responsibility of dental professionals to provide this service to compulsive overeaters?       Yes     No

 

Dental professionals should be encouraged to provide weight control services to their patients.     0 1 2 3 4 5

 

Over-all would you like see OJW more available/widespread Yes     No

 

If you did regain the weight you lost did you hold the OJW provider responsible?      0 1 2 3 4 5

 

Do you think OJW should be covered by your insurance company?  Yes     No

 

Why do you think OJW is not covered while much more costly operations like gastric bypass are covered?

  ________________________________________________

 

Did OJW help you toward the goal of modifying your behavior as it relates to the amount and type of food you eat at present?      0 1 2 3 4 5

 

What fee, assuming payment all at once, do you think an OJW provider should charge for the OJW service?

□  $700 - $1,200

            □  $1,200 - $1,700

            □  $1,700 - $2,400

            □  $2,400 - $3,000

 

 

 E. MISCELLANEOUS

 

Like I said at the start “This is an ambitious survey.”  Thank you for taking the time and thought needed to complete it.

Cordially,   /Ted Rothstein, DDS, PhD/

 

Results presented at:  http://www.drted.com/OJW Questionnaire survey and results.htm  September 22nd.

                                                       

 

   I am delighted to help you in your quest for the truth about OJW;  please send me the $50 honorarium

 for completing the survey and sending it back to you. 

 

Name_____________________

City _______________

State______

Zip__________

 

  I am delighted to help you in your quest for the truth about OJW.  You do not need to send me the $50 honorarium. 

Comment: _________________________________________________

 

June 1, 2008

 

Ted Rothstein, DDS, PhD

Specialist in Cosmetic Orthodontics

Specialist in OJW

35 Remsen St.

Brooklyn, NY 11201

(718) 852-1551

www.drted.com

drted35@aol.com