OJW three important Q and A's

OJW: Three important questions and answers

Question 1:

What is the guarantee that the subject in question will not proceed in their old way of eating after wiring is removed?

Answer 1:

There is none. Only death and taxes are guaranteed in exchange for the life we we are given.

In fact regaining the weight is the main problem. Moreover, diet programs in academic centers - which are most likely to report results - find that most people lose 5 percent of their weight in six months, Dr. Foster said. A year later, a third of them regain the weight. And within five years, 80 to 100 percent gain back any weight they have lost. Just knowing that statistic tells you that keeping your weight under control is monumental task, but a task you cannot afford to shirk lest you are willing to succumb to a much earlier demise than the life expectancy you can expect if your feeding habits are sensible throughout your lifetime (for males: 73 for females 80). Your life expectancy is drastically reduced: See the Framingham published in the January 7, 2003 issue of the Annals of Internal Medicine study for a sobering look at the years of life you are losing: [Read the Framingham Heart Study]

It would help if you knew the underlying psychodynamics of your need to eat excessively. That sometimes requires a psychotherapist and many overweight sufferers are not ashamed to seek the help of such counselors. I think of this question as Ground zero: So read the following for both enlightenment and amusement.

Ground Zero: Why do we eat when we are not hungry?...Answer

I believe that OJW gives you shot at restructuring your feeding habits because when you are on a liquid diet for any length of time your stomach shrinks and the message that it sends to your brain "feed me" becomes less urgent and less frequent.

Furthermore, having attended programs like Weight Watchers I can report that it was a learning experience in proper feeding. So in the retention period of weight loss it becomes mandatory to establish rules for our proper nourishment with respect to the cravings that summon us to appease the demands of our appetites. Weight Watchers and the like can help you.

Try to remember that for every pound of excess weight you bear your body must grow at least five (5) miles more of bleed vessels to nourish it. That means your heart will have to develop the power to force blood through those blood vessels to keep that excess fat alive. No wonder that hypertension is one of the leading causes of death from obesity.

Question 2: With their mouth being shut how or what will the person drink to replace the nutrients lost in a solid food diet to keep them in a healthy state?

Answer 2 :I am not a nutritionist. In fact the Informed Consent you completed and signed says: "I have been advised that prior to orthodontic jaw wiring I should have a complete physical exam including a complete blood study, and an analysis of my present caloric intake by a registered dietitian [Find a registered dietitian in the American Dietitian's Association] so that a liquid diet can be designed for my body type and activity level that is compatible with my weight loss goals.** I realize that while Dr. Rothstein may try to help me with the liquid diet suggestions that it will be my total responsibility to create a liquid diet compatible with my goals. I agree to keep an accurate daily log of my liquid diet showing the calories in each meal and the total of my daily and weekly intake. I agree to show Dr. Rothstein this log at each office appointment. I realize that I may not reach my weight loss goal, but I do not hold Dr. Rothstein responsible since he has not made any guarantee regarding the success of attaining my goal. I realize that exercise is a very important factor in losing weight and that Dr. Rothstein will/has apprise(d) me of the relationship between weight loss and gain and the number of calories and activities I do. [See Dr. Ted's exercise] "

Of one thing I am certain - there many companies claiming to supply all the nourishment you need in the liquid diets being offered on in the market witness the variety of brands you see at the Costco, Rite-Aid, Duane-Reed, Vitamin shops, organic food stores, etc. In New York you can easily find liquid diets, such as Ensure (choice of 6 types), Slim Fast, Metrecal (over-the-counter), and others such as Optifast by Sandos-Novartis (prescribed), and those developed and tested at Hospital Weight-Control Centers such as the one at St. Luke’s-Roosevelt, NYC, (212) 523-8440, The Van Italie Center at 425 w. 59^th St. (Dir. Xavier Pi-Sunyer; Chief dietitian: Cathy Nonas).

Question 3: Is this procedure open to all people looking for a way to lose weight or just for people undergoing orthodontic procedure? (A patient undergoing orthodontic treatment can begin OJW only upon completion of their orthodontic treatment).

Answer 3:Here are some of the criteria that providers of OJW should consider when selecting patients for OJW:

Does the would-be OJW patient have an BMI* (Body Mass Index) above 30 the NIH, the National Institute of Health definition of obesity, as would occur, for example, in a woman who is 5’5” and weighs more than 180 pounds, or a 6-foot man weighing more than 221pounds. Among those who have a BMI greater than 25-29.9 (overweight) as well as those with a BMI greater than 30. here are some reason not to choose them:

Q Who is not a good candidate for this procedure?...ANS

Answer: Your mouth has many functions both obvious (talking) and not so obvious (sneezing) and is therefore the source of many pleasurable activities. The loss of any of them may provoke anxiety. Therefore one should think carefully about undertaking this method of weight control.

A partial list of poor candidates for OJW would include:

a. Persons who need to floss their teeth due to gum problems or other compulsive reasons.

b. Persons who speak abundantly for business or other reasons whose speech might be rendered less than perfectly clear because of being wired closed.

c. Persons whose sex life would be rendered intolerable if intimate oral functions were impaired… even a little.

d. Persons with multiple-missing, loose or decayed teeth

e. Those with psychological or emotional disorders who might feel powerless/ panicky with their mouths wired closed.

f. Those whose work functions might be impaired such as an actor, singer, waiter, teacher etc.

g. Persons with systemic diseases such as diabetics whose diets could not accommodate a liquid diet.

h. Persons who cannot breathe through their nose and whose breathing might be compromised by being held continuously in a closed bite teeth position.

i. Those who are highly allergic are more at risk.

j. Persons who have respiratory ailments such as snoring and/or sleep apnea as well as those who must use use a broncho-dilator spray such as asthmatics.

k. Persons who have a history of Temporo-Mandibular Joint dysfunction (TMJ). Learn more about the TMJ: [Information source number 1], [Information source number 2].

l. Persons who are taking oral pill/capsule form medications could encounter some difficulties trying to pass a large capsule into the mouth behind the last teeth. It would be virtually impossible if the wisdom teeth were fully in place.

m. Persons who compulsively clench/brux/gnash their teeth.

n. Persons who have, or are suspected of having, anorexia or bulemia to begin with.

o. Persons with frank unresolved periodontal (gum-tooth socket) problems.

p. Persons who drink alcoholic beverages. (Alcohol suppresses the gag reflex). In the event of alcoholic intoxication vomiting can occur. [See note from respected oral-surgeon/orthodontist educator.]

q. Persons who 1. will not provide a telephone number 2. do not have an Email address. 3. below the age of 21 unless accompanied by a parent. 4. are NOT more than 125 pounds overweight or less than 25 pounds overweight (i.e moderately obese and obese, but not "morbidly" obese).

s. Persons who have a BMI less than between 25 and 29.9 9 the NIH The ideal situation for the orthodontist is when the patient comes to the end of their othodontic treatment and OJW becomes an integral part of holding the teeth in place ("retention") by virtue of the vector of forces created when the wiring is placed. So that in the case of Brendon Batson the wiring is placed to hold the upper front teetth forward and the lower front teeth backward, since his original problem was an an anterior x-bite. (diagnosed as Pseudo Angle Class III.

Knowledge is power so go see:

52. CALORIE, CALORIES, CALORIES GALORE: What IS a calorie? How many calories in a pound of fat?...Answer 1 How many calories in a pound of fat?... Answer 2 How many calories do you need to "keep" a pound of fat? How do you figure out how many calories YOU need each day? How many calories do you burn off when you exercise? Click here To see a living example of how the calculations work go visit MF

*click on the link: http://nhlbisupport.com/bmi/bmicalc.htm To calculate your BMI