I am blown away. I just read this editorial in the AJODO (see article here
) and I am stunned and nearly speechless… nearly. I only know Grubb and Greco by reputation but Vaden was my program director at UT Memphis and I know his attitude, philosophy and ability intimately. A more antiquated, paternal minded, indifferent to patient wants and comfort, self assured, ideological Tweeter the world has never seen. Vaden thinks nothing of:
- Putting a gazillion separators in a patient
- Causing patients incredible pain
- Banding all teeth but the incisors because he “doesn’t believe in stick on braces”
- Removing 4 premolars on practically every case and sometimes U6s on top of that
- Forcing stainless steel wires into band slots using 012 steel ties on the initial appointment while the patient’s eyes cross in pain
- Prescribing double J-hook headgear
and that’s just naming a few things… but now he sees fit to talk $h!t in general about others and how they practice based on some unrealistic hypothetical where a patient must have been tricked into choosing to get braces and pay (because she had no free will)?? REALLY??? Wow. Wow! WOW!!!!
To say that another orthodontist is doing wrong simply because they don’t do it the way you do without ever setting foot in their office is the height of arrogance. To say that others who do more or do things faster or do things that patients like better than what you do is wrong and pure closed minded egotism. OF COURSE the doctors who are faster and provide services that are more attractive to patients are hacks and running mills – what other possible explanation can there be? They certainly can’t be better than the great Jim Vaden!!! To practice an antiquated, dogmatic, unchanging methodology that ignores any and all advances in technology or treatment such as Jimmy and the Tweeters preach just so they can feel important and lord over a bunch of Brazilian and Korean students and the ortho residents unfortunate enough to attend the programs where Jimmy’s cronies are in charge is laughable and narcissistic. If Jimmy and the Tweeters lived the rest of life like they practice orthodontics, then they would drive a Studebaker and live without AC or microwaves.
The funniest part is that these pro-establishment Tweeters worship THE ORIGINAL orthodontic rebel. That’s right, Charlie Tweed rebelled against the Angle establishment and was banned for it. Dr. Tweed is surely rolling over in his grave watching these Tweeters and their concrete, unchanging Dogma served up in his name. If he were alive today, Charles Tweed is much more likely to be friends with Dwight Damon, David Sarver, Terry Discharger, Marc Ackerman, David Butler, Derek Bock, Jason Tam, Jeff Kozlowski or even me than the Tweeter elite. Dr. Tweed believed in utilizing new technology and techniques to achieve better results – that’s what his system was initially based on – and he would be horrified at how his system has been frozen in time. That’s the core of who he was but the Tweeters have corrupted Tweed’s memory for their own purposes. It’s despicable, as is this editorial.
These guys talk like anyone who does anything faster or better than them are shameful and harming patients but if you want to see shameful cases and harm to patients then all you need to do is travel to Memphis, TN and look through the thousands of cases that were miss-treated by residents under Jim Vaden’s direct supervision. Don’t take my word for it, see it for yourself.
Shame on you Drs. Vaden, Grubb and Greco. You obviously believe that respect for you, your authority and your position are the most important ingredients in an effective orthodontic new patient visit. You seem to believe that “properly done and properly evaluated” records, not the result or the patient’s happiness, are of primary importance. I know for a fact that you believe strongly in the Paternal Model for healthcare delivery but you take the position that others are forcing patients into treatment they don’t want? You are what is wrong with the orthodontic profession and you are the obstacle that stands in the way of improving it. Sermons like these from the pulpits of “I am older than you so I know more” or “I associate with has-beens and suck up to them so I’ll get my turn in the big chair when they die so I know more than you do” will carry less and less weight as the rest of us wake up to reality and the motives of those who seek power in the AAO and ABO. Thanks for this editorial. It makes me positive that leaving the AAO was the right move.