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Author Topic: Letter from an orthodontist  (Read 547 times)
MJSW
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Posts: 288



Email
« on: September 26, 2012, 02:11:45 PM »

Dear All

Yesterday I received this email from a specialist in town. He is a nice guy  but very direct. I was wondering what people thought about it and whether anyone has encountered similar reactions to when they started POS?

""I'm getting more and more feedback about your orthodontic aspirations and thought I’d be direct in raising my thoughts.   Whilst I recognise your enthusiasm for taking on the extra work I hasten to again point out that most orthodontic treatment is a fairly serious undertaking with significant long term  implications for a patient’s dental appearance, not to mention their wallet and their health fund rebate.  You will have all sorts of people tell you it is easy, but generally these people will also be profiting from you (in the form of a correspondence/weekend  course or a fool proof method,  or similar) and their advice should be accepted with that in mind.   I can show you any number of GP treated cases because they turn up in my practice every week, these patients  are generally unhappy customers who have blown their money on a substandard result.  Some of the poor bastards are none the wiser, the sad part here is that they put their trust in their dentist when he/she said they could perform orthodontic treatment. The reality is the best results will only come from extensive experience and dedicating your practice exclusively to the discipline.""

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raberdds
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Posts: 244


« Reply #1 on: September 26, 2012, 06:05:03 PM »

I say you need to meet with him and tell him about how extensive POS is. Take your computer and show some of the cases you have worked up.  Let him know that your goal is to meet or exceed the standard of care of the specialty. Tell him that if there is ever a case you cannot handle or do not want to handle for whatever reason, you will send those cases to orthodontists  because you recognize that in a general practice, you can only handle a certain number of ortho cases and still provide quality care to all your other patients who need crowns, implants etc,,, Tell him that when you finish POS you will be as well trained as when any orthodontist first finishes their residency.  This is not 6 month smiles. He may be quite fed up with all the 6 month smiles out there.  I am sure it's cutting into his income.

When I first started POS, one of my area orthodontists  sent me an anonymous threatening letter so this guy is being quite nice I say.   
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drjstern
Instructor-in-Training
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Posts: 29


« Reply #2 on: September 27, 2012, 11:58:33 AM »

My advice is the less said the better. I would advise against showing him any of your cases on your computer. He is concerned about one thing and one thing only,his money. Nothing that you show him will change his mind that hes more qualified than you. I would agree that you tell him that you are providing comprehensive treatment and that you will continue to refer patients to him . In my experience, I have had nice conversations with some old friends that are orthodontists. They have been curious about POS and were willing to have honest conversations which were very informative for both of us. However, the two orthodontists that i had referred to before POS were downright antagonistic. Because for them, I am a threat. Nothing can change that. Just ignore them, be as professional as you can, and enjoy providing an incredible service to your patients
« Last Edit: September 27, 2012, 12:00:32 PM by drjstern » Logged
gtakenaga
Instructors
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Posts: 1061


« Reply #3 on: September 27, 2012, 12:35:48 PM »

"the less said the better"

Yes.
« Last Edit: September 27, 2012, 12:39:03 PM by gtakenaga » Logged
nbhagan
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Posts: 122


Email
« Reply #4 on: September 27, 2012, 01:40:31 PM »

One orthodontist here asked if it was legal? that a gp could be putting in braces

Nathan
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raberdds
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Posts: 244


« Reply #5 on: September 27, 2012, 01:49:18 PM »

Well I choose to stay as courteous and professional as possible with my local orthodontists.   They actually DO receive many messed up cases attempted by GP's who dabble in ortho.  In a way they  have reasonable grounds to stand on when criticizing GP's (even if deep down inside it's about money).  When I met with them and showed them my cases, they were taken aback by the extent of my documentation and the complexity of the cases.  On guy wants to meet with me again and I will gladly share a few tips with him. The reality is that in my rural area I receive new patients already in ortho with various orthodontists or new families who have already bonded with an orthodontist and want to continue going there.  I need to keep communication flowing with my area specialists as long as they are reasonable.  

The one exception is this crazy one who I am sure sent me an anonymous letter and who only sends me final photos on her GOOD cases.  Her former assistant (who now works for me) told me that nasty letters are her specialty. She got one when she quit.  I have documented in my POS software some of her worse cases so if she decides one day to create any trouble for me I can pull them up.  In a way, she also knows that if I would ever get taken to court on a standard of care issue, I will be measured against the very minimal diagnostic work up and record keeping of the local orthodontists.   She had incited a court case against another GP.  I feel that the fact that she has seen my cases protects me from her taking any frivolous action against me.  
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