Part 5.
A few minutes later, a side door opened and the tall blond Jamie had noticed earlier called her name. She was now wearing a blue medical mask over her face and a scrub hat on her head, covering the top half of her ears and most of her head. It was hard to tell, with her wearing all that, but from across the room it appeared she was still wearing the headset. Strange Jamie thought to herself as she stood. As she approached, the nurse turned 90 degrees, holding the door open with her body, one arm holding a file folder and the other extended welcoming her through the door. As she had turned, Jamie had noted a glint of metal at the corner of the nurses mask. As she approached, she noticed their was a white plastic strip with holes in it running down the side of her face from above her ear. There was a matching white strip coming out from her neck, with both hooked onto the metal hook she could now see barely sticking out from the side of the mask. Oh my god Jamie thought, is she wearing headgear? Like really serious headgear?
As she got within a few steps, the nurse spoke to her. “Hello, I am Andrea. I will be your assistant today. If you would step through the door and follow me please”. As she spoke, Jamie couldn’t help but notice that the mask seemed to move up and down over the ridge that ran horizontal across the front of the nurses mask. Jamie was pretty certain this tall, striking blond, who appeared to be around 35-40, was wearing fricking headgear. Jamie stepped through the door and stopped, waiting for the assistant. Andrea stepped by her and asked Jamie to follow her. As she passed by her only a few feet away, Jamie confirmed she was wearing headgear. Top and bottom. She had never had braces as a kid, but knew many kids growing up that had. One of her friends when she was around 12 or 13 had actually had to wear headgear on a sleepover she was on. So while she had never had braces, she knew what headgear looked like. And that was headgear. On a grown adult.
She followed the assistant down the hall into a room with a sink and a desk with chairs on each side. The assistant asked Jamie to sit and she then did the same. She scanned the file and then looked up, saying it looked like Jamie had been having jaw pain, and her jaw had locked on her the day before. Jamie confirmed by nodding yes. She went on and noted she had no insurance. Jamie shook her head no. The assistant told her not to worry about this visit; consultations here, even including x-rays, were complimentary. She motioned Jamie to the sink, and asked her to brush her teeth. As Jamie brushed, the assistant explained they would take a few x-rays, and while those were developing she would take a look at her teeth. Then she would meet with the dentist and financial coordinator. The x-rays went quickly, and the next thing Jamie knew she was in a dentist chair being reclined back. Once she got reclined and had a bib installed, the assistant asked if she was comfortable. Jamie looked up and said “yes ma’am”. Andrea replied, “please, call me Andrea. I don’t feel old enough to be a ma’am”. The examination went quickly and quietly, only twice did Andrea ask Jamie questions. One was if she smoked. She sheepishly admitted she did. Andrea admonished her that she should really quit. She said she knew from first hand experience how hard it was to quit, but she would be glad she did. The second was if the popping she could see and feel in Jamie’s jaw was normal. She nodded and said yes. During the whole examination, Jamie couldn’t take her eyes off the headgear. She thought back to the receptionist, and wondered if everyone here had braces. Like really serious braces. They finished up, Andrea raised Jamie’s seat, and had her follow her to the doctors office. Andrea knocked on the door and opened it, ushering her into the office. Andrea thanked Jamie for her cooperation, and said Dr. Weaver will take great care of you. With that, she turned and left the office, closing the door behind her.
Dr. Weaver stood, extended his hand, and unleashed a blindingly perfect white smile at Jamie. She thought at least there was one person here without braces. Dr. Weaver thanked Jamie for coming in, and he would do what he could to fix her up. He told her he was going to go over some things, and if anything was incorrect to stop him. He said he understood she had jaw pain, and after looking at the x-rays and the examination notes he could see why. He said she had severe TMJ. He said her jaw locking up on her was her jaw actually dislocating. He continued on that it would not fix itself, and would only degenerate more, getting worse over time. He said first thing I want to do is make an orthotic, or splint, for you. It will help you immediately by stabilizing your bite and positioning your lower jaw where it isn’t putting pressure on your condyles, or jaw joints. I want to do this immediately. It will greatly help with your pain, and greatly slow down the rate of condyle adsorption. Second, you have a cavity in tooth number 14, your first molar. I want to fill it. It is a simple procedure, and I see you have a couple fillings already, so it won’t be something new to you. Third, I want to refer you to one of our TMJ specialists here in the building. I can treat you and reduce or even eliminate much of your pain short term. But I am not a specialist in it like they are. Something like the splint I am prescribing will help you, and might help you for years to come. But it won’t fix the underlying cause. They can, and with TMJ joints the earlier we can address it the better. Do you have any concerns he asked. Jamie replied she only had two. Would it fix her jaw enough to sing by this weekend, and could she afford it? Dr. Weaver said I won’t make any promises on the first one, but I think so. For the second, I would like you to meet with Joann our financial coordinator. She can go over the costs. As a teaching and research clinic, our fees are below the norm. In addition, I promise you the relief you will feel in the first few days will be worth it.
Dr . Weaver escorted Jamie down the hall a few doors. They stopped at one with the name plate “Joann Hall - Financial Coordinator. Dr. Weaver knocked and then stepped inside as Jamie followed. The doctor set a file on the desk, and then turned to Jamie and said “thank you very much. Mrs. Hall here will go over all the costs. If you want to go forward with treatment, and I strongly recommend it, we can get started immediately.”
Jamie thanked the doctor and turned to face Mrs. Weaver. She appeared to be in her 50s, just a few pounds overweight, with grey streaked black hair and tortoise shell glasses. She stood and extended her hand saying “he is always so formal calling me Mrs. Hall, but please call me Joann”. As she shook Jamie’s hand she continued on “let me take a look at your file and I can give you some numbers” and sat back down with a smile. As she had been speaking, Jamie had thought she had seen something metallic in Mrs. Hall’s mouth. Her smile confirmed it, she was wearing clear braces. Holy crap Jamie thought to herself, the orthodontist here is busy. After looking at her file, Joann looked up and started talking. She said “in case no one has told you, today’s consult is complimentary. The cost of the filling would be $125. The cost for the fabrication and fitting of the splint would be $400. I know that may sound like a lot, but comparable services at a private clinic would run you well over $1000. You obviously are more than welcome to get a few more opinions, but I think you will be happy with the results here. In addition, on a personal note, I promise you it is worth it. I started having TMJ issues about 4 years ago. At that time I wasn’t even an employee here; I worked for a periodontist across town. The rescue splint they made me was a life saver. In fact, they so impressed me that I came to work for them. I am finishing up my braces over the next couple of months” she paused and smiled “and I feel like a new woman. Do you have any concerns or questions?”
Jamie thought quietly for a moment, said she had no questions, and said she wanted to start treatment. She then explained her job situation and the fact she had to be at work in just over an hour so she might have to make another appointment to come back. She then stopped, and said she did have one question to ask. With that she said “I apologize if this is a rude question, but does everyone here have braces?”.
Joann laughed and said “no, honey, in this situation it isn’t rude at all; and no, not everyone here has braces. But most employees here have gone through or are going through some type of orthodontic treatment with the doctors in the orthodontic department. While this is the general dentistry department, most all of us get all our dental care done here. Including orthodontic treatment to make us both feel and look better. I think that speaks to the quality of care here. While we are a teaching and research clinic, and our prices tend to be lower than the private practices around here, we trust the doctors here with our own care.. And with that, I know you need to go. But, if you have 15 minutes we can go ahead and get your impressions made for your splint, and if you can I will book you an appointment for this same time tomorrow morning. We can get you fitted for your splint and get that cavity filled in one visit.”