Here is a recording made of her voice.

Clinical Notes: Valerie Freeland, nurse, Columbus, Ohio 37, 5'5'' 220 lbs:  Goal 160 pounds, Moderately active, Willing to dedicate 6 months to jaw wiring for weight loss.  Weight loss if patient perseveres with discipline: 48 pounds. Email address: orangemoons@aol.com

February 1, 2002:
    Examination of teeth, gums, all soft tissues, extent of movement of jaws, and TMJ (Temporo-Mandibular joints) reveals that VF is in good health. Her medical dental history is unremarkable and the informed consent for jaw wiring has been signed and dated. No radiographs were warranted. She came with her daughter  "Unique" age 21, and her friend Charlotte. They were provide a review of the entire procedure and Valerie was advised of the the dangers she might encounter and how to avoid them. Begg brackets were bonded on upper teeth 4,5,6 and 11, 12, 13 and lower teeth 29,28,27 and 22,21, and 20. (the canines and first and second premolars). All of the teeth to which brackets were bonded had normal enamel with no fillings or crowns. The brackets were "double bonded", in that a second layer of adhesive was place on the flanges of the bracket.  Unique and Charlotte  watched the method of bonding the braces on to the teeth. Unique was shown the wiring method and practiced on her mother under supervision with precautionary advisements. Finally, VF was asked to put her teeth gently together and the wiring was done with "deadsoft" .016 inch diameter stainless steel round wire.  Her daughter and friend observed the placement and procedure of rebonding brackets and rewiring the jaws in the event that  a dentist/orthodontist is not available to do the work. She said her jaws were very comfortable and that the jaw wires permitted her a slight bit of jaw movement. She was given instructions and practice regarding how and when to remove the wire. She was given instructions on how to exercise her jaws  during the 3-5 days she would be released from the wires and advised re the possibility of the joint becoming more limited in motion over time (two fingers of opening rather than 3 fingers).  Ps. VF was counseled to adhere to a 1400 calorie  low/no salt liquid diet.  She was advised to always carry her wire-cutter with her. Lacking a wire cutter a simple fork could accomplish the emergency removal of the wire. It was hoped that local dentist/orthodontist would be enlisted to replace brackets/clean teeth and rewire as needed. As a precaution they were provided with a kit of instruments for the replacement of detached brackets and to rewire.  Valerie's voice was remarkably unaffected after being wired as you can tell by listening to her. Here is a recording made of her voice.

March 19, 2002:
        Email...Valerie reports 17 pounds of weight loss and all is well. She is running out of wire so wire was mailed to her. She reports that one bracket on the lower right and the lower left is off.  I advised her to have them rebonded     ASAP at the local orthodontists with the spare brackets I gave her at the start. I told he If she gets me their tel nos I will help her make the arrangements. I doubt they will want to rewire her.

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