Chapter Seventy-three:
Jim leaned over and hugged Tara Monday morning and said "Marc is going to take Alex to work. I am going to take Mona. I will be back as quick as I can."
Tara looked up at him lucidly and said "I weh be fine. I wish ya would go to work too."
Jim smiled at her and said "You will be fine baby. I know you will. And I will be working, just from home. This just gives me an excuse to spend more time with you. Call me or text me if you need me to pick up anything while I am out."
Tara smiled and said "I am fine, go."
As Jim drove Mona, he said "today will go fine Mona. I know it will. But if you need anything, let me or Marc know. You have our numbers."
Mona said "ah am schared if ah will be able to do mah joh. Buh ma bossh ish in deh shame boh ash me ah guessh." (I am scared if I will be able to do my job. But my boss is in the same boat as me I guess.)
While Mona's speech was still garbled, it was much better than it had been Friday after receiving her tongue crib. At least Jim could understand her. The afternoon before, Jim and Marc had weened the girls off of the strong opioid prescription pain medication. They had only a two day prescription, just enough to get the ladies through the worst of their recovery. One of the things they did was practice speaking aloud with each other.. Alex had tried to help, but the truth is her speech, even after practice, was the worst of the three. That evening, Jim had again fixed them a dinner of soup. While Mona and Alex had some success eating, Tara again struggled and gave up. She eventually just asked for a smoothie, which Jim had made for her and fed to her through a syringe.
Jim responded to Mona "I am sure it will be an adjustment. But you will do great. I know it." He then shifted gears. He said "Mona, you are a nurse. And you have a Miller appliance. I am really worried about Tara. She is not eating. She says she can't. I can see she is losing weight. I am worried about her. What can she do?"
Mona responded "eh ish really hah with all thish. It juss takesh practish. But thish tongue crib makesh it abou imposshible. Lasht night eh though abou trying an NG tube myshelf. Maybe Tawa should too." (It is really hard with all this. It just takes practice. But this tongue crib makes it about impossible. Last night I thought about trying an NG tube myself. Maybe Tara should too."
Jim had no idea what she was talking about. He asked "an NG tube?"
Mona said "a feehin tube. It goesh in the noesh, down tha throat, into the shtomach. You hook a feedin solution to eh and 'eat' thah way. Shome of our more serioush EDSh patientsh alsho have gashtrointeshtenal isshues that prevent them from eating sholids. They utilize NG tubesh. It ish not uncomfortable. Talking abou eh, I think I will try one tonight. I know eh am nah eatin enough eder." (A feeding tube. It goes in the nose, down the throat, into the stomach. You hook a feeding solution to it and 'eat' that way. Some of our more serious EDS patients also have gastrointestinal issues that prevent them from eating solids. They utilize NG tubes. It is not uncomfortable. Talking about it, I think I will try one tonight. I know I am not eating enough either."
Jim wanted to reply 'that sounds horrible.' But he kept his thoughts to himself. Instead he said "well, you are a nurse. I think you would know."
They rode in silence the next ten minutes. As Jim pulled into the parking lot, Mona said "the employee entransh ish around back. Shorry, I should have said something earlier." She guided him through an employee parking lot up to one of several back entrances. Mona said "there, that ish thah door."
Jim pulled to a stop in front of it as several other ladies in scrubs looked in their direction. Putting the car in park, Jim said "hang on, I will help you out."
After getting Mona out of the car and getting her purse slung over her shoulder, Jim asked "do you want me to help you inside?"
Mona responded "no, I eh be ok." (No, I will be ok.)
Jim smiled at her and said "have a great day! I know you will!" Jim thought it was a lie, he thought Mona would have the furthest thing from a great day. But he wanted to try to stay upbeat. He finished with "I will be back at 4:30. But if you need to leave earlier, just call or text one of us."
Over at 'TMJ and Sleep Plus', Marc escorted Alex inside. As soon as they entered the waiting area, Becky ran around from her station at the reception desk and gave Alex a big hug. Becky said "Alex, I am so sorry I wasn't able to see you Saturday."
Alex hugged her back and said "at ish ah aight. Ha wash da wehhing?" (That is all right. How was the wedding?)
Becky let go of Alex and said "it was beautiful. So romantic." She looked at Marc and back at Alex and said "I can't wait to attend yours."
They were interrupted by Dr. Miller coming out of through the treatment room door. He smiled and said "I thought I heard my lead assistant. How are you doing Alex?"
Alex pivoted her body towards him and said "eh am ok eh guessh. Nah sure ha today eh go doe." (I am ok I guess. Not sure how today will go though.)
Dr. Miller gave her a big smile, his blue petit facemask shifting on his face a little as he did, and said "I know you will do great. You always do. But, take as many breaks as you need. And if you need to go home early, please do. Please. You are an indispensable part of the team here, but we can manage a few days without you if you need to recuperate."
Alex said "thah ya shir. Buh eh theen eh weh be ok. Eh am goin ta try at leash." (Thank you sir. But I think I will be ok. I am going to try at least.)
Becky said "Alex babe, you are going to do great. I know it."
Dr. Miller said "that is right. I know the other ladies want to see you too."
Marc escorted Alex back to the lounge. He watched as the other girls showered Alex with love and encouragement. Dr. Andi arrived a few minutes later and gave Alex a hug. After a few minutes, Marc felt like Alex was in good hands. He leaned in and said "baby, I know they will take care of you. But I am just a phone call or text away. I love you so much. Have a great day."
As he started to make his way out, Dr. Andi slid in beside him. As they walked Dr. Andi asked "so Marc, how are your braces treating you?"
Marc said "they are fine I guess. I mean, I don't love them. But I am managing. Alex likes them, so I guess that is all that matters."
Andi said "I was looking at your case over the weekend. Would you have a few minutes to hop in the chair?"
Marc was suddenly nervous. He replied "um, I really need to go. I have my appointment next week. Could it just wait until then? And what do you want to look at?"
Andi said "yes, it will be fine to wait. I just thought if you had a few minutes we might could get a jump on things. I am worried about your bite. I want to discuss a few options for getting it to where it needs to be."
Marc stopped walking and turned towards Dr. Andi. As he looked at her and the mask covering her face, he envisioned himself wearing it. He asked nervously "options? What kind of options?"
Dr. Andi smiled at him and said "we can discuss them at your appointment." As if sensing his emotions, she added "but don't dwell on it, it is really no big deal. You are doing great." She turned and headed toward her office. As he left, Becky stopped him to chat a minute to see how Alex was really doing. He had explained that she was dealing with everything the best she could. As he said goodbye to Becky, Dr. Miller had walked into the reception area. Marc used this as an excuse to leave. As he walked through the parking lot his thoughts were on what Dr. Andi had said.
Back inside, Dr. Miller smiled at Becky and said "Becky, how are you doing with your retainer wear?"
She smiled to show him she was wearing them and said "I am being a good patient. I am wearing them like I should." This was a fib. She was wearing them like she should during the week. But not on the weekends.
Dr. Miller said "I believe you. But, and don't be upset Becky, I think I took your braces off too soon. I was afraid of that, but I know how much you wanted to get them off in time for your sister's wedding. Even in just the few weeks since you got them off, and despite the retainers, I can see some slight shifting. Becky, I would like to put you back in braces. I think we need to hold everything stable with braces, the retainers just aren't doing it. It should just be for a few months. And the sooner we get you back in braces, the less time you will be in them. We have time this morning. Would you like to go ahead and start?"
Becky was shocked. And crestfallen. Braces again? She loved being braces free. She asked "Dr. Miller, I lied a little bit. I have been cheating some on the weekends. What if I promise to wear them all the time, even on the weekends? Would that fix it?"
Dr. Miller shook his head back and forth before he said "no Becky, unfortunately not. Retainers can hold teeth in place. But they don't move them. We need to shift a few of yours. And we need to work on your bite, your overbite is creeping back. Retainers can't do that. You need braces. But it should just be for a few months. And the sooner you start, the quicker you will be done. What do you say?"
The last thing Becky wanted was to go back into braces. But she felt she had no choice. She said, almost inaudibly, "yes sir."
Dr. Miller smiled at her and said jovially "that a girl. I knew you would want to."
Twenty minutes later, Dr. Miller raised Becky up to a sitting position while Katie held a mirror up for her. Becky smiled. She thought her braces looked more obvious than before. She said "why do they look bigger?"
Dr. Miller said "I used a different bracket than before. These are a little larger in diameter, but they are a little lower. They are supposed to improve patient comfort. I want you to try them and see what you think. Let me know how they compare to your previous brackets. Now, I went ahead and fit your spacers. On Friday, I will install your molar bands. That will give us the option of utilizing combination headgear like you had before. But for now, since you don't have bands, we will use a Hickham style J-hook headgear."
Becky looked at Dr. Miller and asked "headgear? I need headgear again?"
Dr. Miller said "we need to work on your bite. So yes. But Becky, this won't be full time like before. Wear at as much as you can, the more the better. Obviously wear it here and when at home and sleeping. But you can take it off when you are in public. I just need you to get 16-18 hours a day in. But again, more is better."
Becky was devastated. Headgear again. She asked "what is Hickham style J-hook headgear?"
Dr. Miller said "it is an older style headgear. Similar to a modern Interlandi headgear. It was popular in the 1960s and 70s. My father was still using it even through the 80s. You are lucky, I still have all of his old stuff. I may be one of the few orthodontists in the world who still has new Hickham headgear still in the package. It will be perfect for you. Here, let me show you what it looks like before I install it."
He pulled out his phone and held it up.
https://dereferer.me/?https://www.jco-online.com/media/2911/679-jco-img-19.jpgDr. Miller explained "that is a 22 year old patient of my father's from the late 70s. Notice that she has full bands. And my father wired her headgear in for three years. That poor patient graduated college and went into the workplace still wearing her headgear. You are lucky, you will be able to take yours off. Let me go grab yours and we will get you fixed up."
Becky felt like a science experiment as Dr. Miller fit her with the complicated mass of straps and hooks. After 15 minutes he leaned back and smiled proudly. He said "Becky, it looks great! And I know it will work. One thing my father and his antiquated methods always got was stellar, may I even say perfect, results. I may should consider using some of them now." He grabbed a mirror and said "here, look how good you look!"
When Becky looked at her reflection, she uttered "OH MY GOD!"
Dr. Miller said "I know right? It looks great doesn't it!!!?"
Becky thought things couldn't get worse. But she would soon find out they could.