Author Topic: How do you even pick a surgeon in a semi-informed way?  (Read 14352 times)

dantheman

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Re: How do you even pick a surgeon in a semi-informed way?
« Reply #30 on: September 28, 2014, 02:57:03 PM »
What about other complications of BSSO? like condylar resorption? TMJ problems?

OrthodontistExpert

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Re: How do you even pick a surgeon in a semi-informed way?
« Reply #31 on: September 29, 2014, 05:26:24 AM »
Yeah there are those complications... But they are likely pressure induced... Or induced by too much IMF... The there is the legitimate chance of rheumatoid arthritis

LoveofScotch

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Re: How do you even pick a surgeon in a semi-informed way?
« Reply #32 on: September 29, 2014, 11:22:11 AM »
Sorry, if I'm misunderstanding, but how could jaw surgery cause rheumatoid arthritis? Did you mean osteoarthritis?

OrthodontistExpert

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Re: How do you even pick a surgeon in a semi-informed way?
« Reply #33 on: September 29, 2014, 01:26:50 PM »
Osteoarthritis does not cause condylar resorption.
Active destructive joint disease causes active reduction of condylar cartilage and bone.
Rheumatoid arthritis is just one disease from a range of destructive arthropathies.
Osteoarthritis is a long term, slowly adaptive loss of joint surface from the wear and tear of livings long life.

Again... Dentists are not doctors. Rheumatologists do medicine, physician training and then sub specialist in rheumatology and immunology, and pharmacology.

Getting insight from a dentist on orthodontist on joint disease is like asking a chiropractor to tell you how doctors think.

dantheman

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Re: How do you even pick a surgeon in a semi-informed way?
« Reply #34 on: September 29, 2014, 06:23:30 PM »
Osteoarthritis does not cause condylar resorption.
Active destructive joint disease causes active reduction of condylar cartilage and bone.
Rheumatoid arthritis is just one disease from a range of destructive arthropathies.
Osteoarthritis is a long term, slowly adaptive loss of joint surface from the wear and tear of livings long life.

Again... Dentists are not doctors. Rheumatologists do medicine, physician training and then sub specialist in rheumatology and immunology, and pharmacology.

Getting insight from a dentist on orthodontist on joint disease is like asking a chiropractor to tell you how doctors think.

I'm unclear on this. RA is a systemic autoimmune disorder, often with a genetic predisposition. Am I missing something?

Rico

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Re: How do you even pick a surgeon in a semi-informed way?
« Reply #35 on: November 03, 2014, 04:52:02 PM »
I sent this in private but I might as well rehash it here for those who're interested. It's not my intention to be a surgeon shill.

I didn't have to pay for any of my consults with Dr Triaca oddly enough - though I could be the exception and not the rule. Who knows?

During my consult I was given a couple hours to have scans done, photos taken, occlusion looked at, and then discuss everything in great detail. He sat down with me and let me go ask all the questions I wanted, showed me things on models, and discussed some of my options in terms of an aesthetic outcome based on some simulations. He also took lots of notes and asked me to come back again to think everything over and go through a surgical plan one final time. It didn't feel at all rushed.

Truthfully I couldn't have asked for much more.

Mommaerts listened me for 1h 15m for 80 Euros, However there was a big problem when I realised 3 weeks before surgery that we had little missunderstanding in surgical plan and I asked about rebooking surgery because I needed one more consultation. I even propose his department to move another patient on my surgery date/time. For sure the could have found someone from the queue who wanted to have  surgery earlier. But not. He told me that I have to pay whole amonut of money and we will talk about my doubt just before surgery. I got high anxiety because of that . You know one doubt about surgery and also what will happen with my money If I cancel my surgery. They put me in the stressful situation and I did not know what to do... they just canceled my surgery and they "banned me"  - no surgery in future for me in his Clinic. I wanted good, but they acted strange. Patient should have some support in that situations. You have doubts too late, pay now, we will see... it doesnt work in that way.
 
However one thing, I was driving to him 10 hours by a car. and to his private Clinic. Generally everything looked great. I had very good conversation with him. He understood me. But there was problem when I started to have only one small doubt and asked him about preparing another surgical approach/plan. (the plan wasn't nothing special - only how to cut my malar bone, in which place, thats all. His surgical approach could destroyed my small zygomatic nerve at high probability, which i wanted to avoid) Then everything has changed.
Something inside me told "You can't go there having doubts, and do not pay, before everything will be discussed well"

I wanted to stay with him..I just wanted him to give me more time and talk about another solution. But his department didn't give me a choice.

I think Mommaerts is good surgeon. He operate a lot of people, so he may has more botched cases..some even very. However he could be more patient for the patients :) There is no surgeon without fails. The question is, that, is he very good . Some say, not.
« Last Edit: November 03, 2014, 05:07:59 PM by xdon82 »

Modigliani

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Re: How do you even pick a surgeon in a semi-informed way?
« Reply #36 on: November 04, 2014, 06:40:48 AM »
xdon82, I am in contact with yet another Mommaerts victim, he will tell his story here soon when he feels a little stronger. You must put all thoughts of M out of your mind now and move on, his clinic has 'banned' you, be grateful.

I realise that none of that helps you find another surgeon though  :D

Rico

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Re: How do you even pick a surgeon in a semi-informed way?
« Reply #37 on: November 05, 2014, 05:44:38 PM »
xdon82, I am in contact with yet another Mommaerts victim, he will tell his story here soon when he feels a little stronger. You must put all thoughts of M out of your mind now and move on, his clinic has 'banned' you, be grateful.

I realise that none of that helps you find another surgeon though  :D

Hmm I wonder what MM done wrong in his case....

Quote
You are so wrong Modigliani ;D why you talks such rubbish..

about what exactly?

molestrip

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Re: How do you even pick a surgeon in a semi-informed way?
« Reply #38 on: November 07, 2014, 02:31:39 PM »
That strikes me as a strange statement as well. I visited a few world class surgeons and heard 13mm-15mm several times without DO. They all seem to be using grafts now, though, so perhaps that's why. In any case, this topic is particularly relevant for me now. I did a tour and got opinions from a few top surgeons. People in town are giving me a lot of flack about it. One orthodontist refused to work with me even. I brought it up on Reddit and all the dentists there said I was nuts. I wouldn't say local recommendations are random but random within a small group.

I was going to use the world class guy who's only a few hours driving time away. His plan looks very similar to what a well regarded local guy suggests so after my last ortho visit, I thought maybe I'd stay local and save a lot of money. I'm so confused. What should I do? At least this ortho said he'll work with anyone I pick.
« Last Edit: November 11, 2014, 01:58:23 PM by molestrip »

Rico

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Re: How do you even pick a surgeon in a semi-informed way?
« Reply #39 on: November 09, 2014, 08:17:16 AM »
molestrip: You are from the USA ?

PloskoPlus

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Re: How do you even pick a surgeon in a semi-informed way?
« Reply #40 on: November 12, 2014, 04:37:49 AM »
My surgeon has a good rep from other high-profile medical professionals, even those not in the dental and max fac field.  One other max fac told me that he's one of the few not in it for the money.  He does a massive amount of craniofacial operations on kids as well.  Travels to 3rd world countries to do them for charity.  Charges less than others.  The downside of this could be that his aesthetic sense maybe somewhat skewed from treating the horribly deformed.  Oh well.