Part 3: Contract Clarity
Elise tried to sit up on her elbow but Hannah gently pressed her back into the chair. “I’ll be right back Dr.” The hygienist said winking at Elise.
E: “Dr. Brandt, I thought that we were done? I can’t possibly take someone else’s appointment r-really.”
DB: “No no, you lay back. We’re just talking yeah? You and I can discuss these contracts of yours.”
Dr. Brandt picked up a tablet from the computer station and fussed with it a bit before handing it to Elise. Her hands shook as she read it, and just so it really sunk in, Dr. Brandt read from the compliance section of each contract.
Original Agreement:
Any and all appliances are to be wired or cemented in.
If a relapse does occur within 15 years, the office will place her on the relapse treatment program. (This cost her parents an extra $500.00)
If the patient goes anywhere else to seek orthodontic treatment for themselves, the parents will be sued for the cost of braces plus damages. ($3,500)
Adult Orthodontic Compliance Program
I will submit to any and all treatment suggested by Dr. Brandt and staff.
I will attend all appointments. If I am late or break my braces I will be fined $200.00 and have time added to my treatment.
I have chosen the compliance program which means that I will only have Dr. Brandt and any of his future partners tend to any and all dental needs, including general dentistry and or oral surgery.
I have proven to be non-compliant and have brought myself here to force what is in my best interest in regards to my oral health.
If I do want out of the compliance program, I will have to pay the cost of treatment plus a penalty fee of $500.00. This penalty and other cost have to be paid in one lump sum and I must schedule a two-hour appointment to removal all orthodontia. (Or $5,500 for Elise)
I understand that orthodontics can take time to work, and depend on my cooperation. My treatment can take up to 10 years to complete.
I have no say in what methods are used.
Permission to Treat
It is my understanding that Dr. Brandt’s office and treatment models have been created to help patients who were having trouble under normal orthodontic and dental practices. This includes procedures, appliances, braces, etc. We will work hand in hand to reach a pristine level of hygiene and aesthetics. After all, teamwork makes the dream work.
A tear escaped Elise’s eyes. Why in the bloody hell did she not read this contract through? She wasn’t a problem patient! Surely, she would just need a retainer, right? At most, she would need braces for a year or something.
Elise’s voice was small as she tried to reason with Dr. Brandt. “Dr. I didn’t realize that you only treated patients with issues um...committing. I-I don’t want to impose on your other patients.”
Dr. Brandt smiled as the molds of her mouth were brought in by Kara. Why were there three molds? Dr. Brandt brought all three over. “Elise, all of my new patients do not leave until the problems they come in with are addressed. “ He positions the tray so Elise can see it clearly. “You signed the contracts, so unless you can pay to get out of them, I will address your issues.”
She numbly nodded and a few tears trickled as Dr. Brandt talked on. Hannah rescheduled everyone for Dr. Brandt’s next free day. “These were your teeth age twelve, this one is your teeth at the end of your treatment with Uncle Roman, and this is today.” He makes a disappointed face and scoots to the right of his patient. The chair adjusts and he picks up a mirror. Hannah comes back in and quietly sits at the computer station ready to type.
DB: “Okay, Elise open, please.”
She swallows hard and shakes her head no, still in shock. Why would she do this to herself?
DB: “Listen, dear. I don’t want to force you to open that mouth of yours, but I will. We’re on the same team, here Elise.”
Elise opens and silently cries as Dr. Brandt lays out a treatment plan to Hannah who happily typed. She couldn’t understand what he was talking about. “You know Elise if you would’ve just worn that retainer we could have avoided this. I’m very disappointed. “ Elise tries to say sorry, but no one can understand her. The Dr. looks to Hannah and points somewhere that Elise can’t see. “Hannah, I need you to get this for me, and if Kara hasn’t left yet, I need her too.” Elise cries harder and Dr. Brandt just moves the tray over her chest.
“Oh, Elise, I know shh… It’s frustrating to let yourself down. We’ll get it right this time. You’ll do great today, yeah?” Before she can answer, Hannah holds a gas mask to her nose and forces her to breathe. Kara is there to hold Elise’s hands to her chest. She tries to soothe her as a lips spreader is forced. “Sweetie it’s Kara. Shhh...You’re going to have such a great smile. I was in your shoes a few years ago.”
Dr. Brandt looks at her mouth more and tries to fit an appliance in as Elise slips into a chemically induced high. She notices that Kara stays to hold her hands as Dr. Brandt forces bands on her top teeth. Elise then tries to plead one last time. But it’s useless.
E:”I Uh eeeacher, eaase” (I’m a teacher, please!)
DB: “Then you will be a great example for those kids you teach! It’s just June, who knows how far you’ll be by September!”
A blue light flashes here and there and Elise has trouble keeping track of time, or how much is going into her mouth. Hannah smiled; she loved watching her husband take care of those who can’t take of themselves. She passed him a Herbst and couldn’t help but blush. How did she get so lucky?
Elise was once again a sobbing mess in this office, but instead of an angry little girl, she was a 26-year-old new teacher who now had a mouthful of metal.
After three hours of adjusting, gluing, and crying, Hannah held a mirror for Elise so that the damage could be seen. Dr. Brandt slowly brought her back to reality with oxygen. Pulling back her lip he pointed to each addition to her smile.
Dr. Brandt: “We have a herbst, bands on all teeth except those front ones. You decide if you get the rest in bands or they stay as brackets. You also have a bottom expander and these” He moved the mirror so she could see the bite blocks on the backs of her top teeth. He then without warning cupped her chin and turned the expander twice. Elise whimpered and slid down a little. “Elise I want this turned in the morning and before bed”.Dr. Brandt smiled a little at this and they let her sit up.
Kara walked her out, and at the door turned to her and warned, “You have to be back here in four weeks. I suggest you read what you’ve signed.”
E: “How long will my treatment be?”
Her hand flew to her mouth hearing her garbled voice
Kara::” We don’t talk time frames here, Elise. We just operate on teamwork. You get better with flossing, okay?”
When Elise left the office it was 5pm. She’d spent her entire day at the dentist and was sore and exhausted. She was tempted to call her mom for comfort, but she felt like her mom would just be disappointed in her. She was a tough lady, and wasn’t the warmest.
When Elise had braces as a teen and would sob because of the severity of the treatment, her mom would roll her eyes and tell her to deal. After all, she and her dad did as kids.