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Originally Posted by Ustwo
First, its illegal to give any kickback for a referal to another doctor. So unless your dentist and the orthodontist are breaking the law, your dentist just thinks you NEED orthodontic work. I refer to oral surgeons all the time, I get nothing for it, and the patient gets needed work done.
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Thank you for the information. I didn't know how the referral system worked internally, just that it's frustrating from the consumer end.
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Orthodontics is not only a cosmetic procedure, even from your limited discrption of your problem, cosmetics is not why they want you to go. I see adults every day who thought their teeth were fine too, and they didn't need braces, only to discover that their bite was off to the point that it caused teeth to wear down unevenly and they had a lot of damage requiring dentail work to fix it after they get braces. It can also cause TMJ problems in women. I won't get technical without knowing your case because there are a lot of different ways this can happen, to many to list really.
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That's already a more detailed explanation than what my dentist gave me. Why would teeth wearing unevenly be a bad thing?
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You will have to forgive them for giving you the 'hard sell'. Its called having your best interests at heart.
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How can I really know that? They have a product to sell, just like any other business, that product being dental care. It makes sense that they might be trying to do what's best for me, but it also makes sense that they might be trying to do what's best for their bottom line.
In either case, their customer service was quite bad, at least in how they treated me.
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You will also have to forgive them for not recognizing that when you said 'this is your first time' it was your first time EVER at a dentist. Thats not typical for just about anyone.
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I would think that medical professionals are going to occasionally get patients who've never been to the doctor before, or at least to that type of specialist.
Given that I didn't qualify my statement in anyway, I would think the meaning was unambiguous. When I answer "When was the last time you had your teeth cleaned?" with "This is the first time," it seems to me that it should be clear that I mean "This is the first time I've had my teeth cleaned," given the question that prompted my answer. After three repetitions it seems to me that it would be obvious that I actually meant exactly what I was saying.
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Did you mention you never saw the other doctor?
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They didn't ask, so no.
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Transfering implies you were an active patient, not just a name on the list of people in your insurance plan. Its not often one runs into college professors who have never been to a dentist.
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That seems a strange assumption. Some people come from poor framilies in which dental care is a luxury. I'd been in college for four years at a very expensive school which would make it even less likely I'd have access to dental care.
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They swallowed 30% of their fee to treat you, you might want to be a little less resentful.
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I was thankful for that, and told them so. My complaint wasn't with the financial end of it (except as regards the crappy insurance plan) or the quality of the work. I actually don't know if the work was any good, so I have no place to complain there. I assume it must be, because I haven't gotten any toothaches, but I never did before, so really how can you tell?
My complaint was with the customer service, the way they talked down to me as if I were stupid not to have been going to the dentist all my life rather than poor.
Also, just to be clear, though it was always unpleasant, I never said anything to them. I mean, of course it's unpleasant, that's just the nature of going to the doctor. I treated them politely, listened to their complaints about my not coming in more often or going to the orthodontist, nodded understood, put up with it for the hour or two I had to be there, (and for a second appointment if I had a new cavity or two) and went on with my business once I got away from there and stayed away as long as possible. I was far from a problem patient, always polite and cooperative. With it already unpleasant, I didn't want to get a reputation as a problem customer and have the quality of care go down.
Maybe it was just the general attitude I got, as if I weren't really supposed to be involved in the decision making, and was supposed to just go along with whatever they told me I needed, instead of working together with me as an equal partner in deciding what was best for me. It was about them wanting me to come in every six months and them wanting me to go to the orthodontist, as if what I wanted had little to do with anything.
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One of the reasons I did orthodontics was so I wouldn't have to deal with much of this. Adults come to me mostly because they care about their teeth and want to be there. They don't want braces, no one does who is over the age of 14, (lots of kids do want them), but they are glad to be there since I am fixing a problem for them.
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I can understand this. Sissy was delighted to get braces at 16, and has always enjoyed the dentist. But those two don't necessarily go together. I go to the dentist because I care about my teeth, just as I brush three to four times a day and floss at least once before bed because I care about my teeth, but that doesn't mean I want to be there.
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Originally Posted by _God_
I suspect that you were in a program that pays the dentist (a pittance) whether you go to the office or not. Dentists who work with such plans love people like you. In fact, the arrangement doesn't pencil if patients actually show up.
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Yeah, the way medical insurance works sucks. My school district paid close to $6000 a year in medical, dental, and vision insurance. I went to the gynecologist once a year for a checkup, and once for a yeast infection. That's some really poor value.
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Some people in the dental field complete an entire career without ever seeing someone over the age of 12 or so who hasn't been to a dentist. If that explains her incredulity.
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Ok. I'll accept that this is true, but it seems strange to me. What about people from poor families who can't afford dental work or other most other medical care until they're adults? Surely I can't be the only one who moved from a poor family into a middle class professional career where health care is readily available for the first time as an adult.
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Just so you know, that's called insurance fraud. Ethical dentists won't do it. The repercussions would not be large for you, but they can get very expensive for the dentist. He or she is financially foolish to take a risk that substantial.
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Out of curiosity, why? The insurance company isn't being affected in any way by their giving me a discount. I assumed it was like a sale at a department store, giving new customers a discount to get them to come back.
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With crooked teeth that catch food, and because you smoke, unless you change something, you will have gum disease by age 40. Your dentist is trying to prevent that.
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I don't smoke, and never have.
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As long as you don't mind the possibility of glaucoma or some kind of retinopathy or other eye disease going undetected.
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I don't know what retinopathy is. Like Ustwo's TMJ reference, this is the first time I've seen a reference to it.
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I have never experienced pain in a dental office. Been going without fail since I was eight. I sure prefer the dental office over a colonoscopy, but I've had one friend die from colon cancer, and two almost die, so I deal with the unpleasantness.
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Our experinces have been quite different, then. I've had pain at the dentist, quite a bit that first five visits. I hate, hate, hate having that needle stuck in my gums
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Your dental decisions are your own, but you won't be happy with the long-term consequences.
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I take care of them at home, and as much as I dislike it, I do go once a year. I treat it like excercise.
The difference between you and my dentist was that he didn't see it as "Your decisions are yours," but as a "You need to do this and do it on my schedule because I know what's best for you."
Is it really a one size fits all form of health care? Aren't there going to be people who need a checkup every six months, others every year, some more often than six months? My sister goes to the gyno every three months because she has different needs from mine, while I go once a year and whenever I have a yeast infection or UTI, and most of time I can take care of the yeast infection at home with over the counter meds.
What if I'm one of those for whom once a year is enough? How do we know what schedule is best for everyone if we don't allow for individual differences?
Gilda
Edit: I hate this automerge "feature".