2016 Winter Membership Quarterly

MEMBERSHIP

Quarterly WINTER 2016

VOL 14 / ISSUE 2

inside...

The President’s Message Make Sure Your Practice is Ready DQAC News 1111 Har vard Avenue Seattle, WA 98122-4205 206.448.6620 www.skcds.org

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Seattle-King County Dental Society Membership Quarterly Managing Editor: Ms. Sandra R. Anderson Contributors: Ms. Jennifer L. Freimund Dr. Alan M. Munk Ms. Rebecca Williams

WINTER 2016 Volume 14, Issue 2

CONTENTS

President’s Message with Dr. Judson Werner .......................................................... 4 DQAC Updates ................................................................................................ 5 Publisher: Bill Newcomer, BNC Printing & Graphics, Vancouver, WA Welcome New Members .................................................................................. 9 EMV Chip Cards: Are You Ready?.....................................................................10 COMMUNICATIONS COMMITTEE Dr. Shane Ness, Chair Foundation Gala Tickets .................................................................................11 Dr. Victor Barry New Dentist Programs....................................................................................12 Dr. Daniel Geare Job Fair Event Coming Soon ........................................................................... 13 Dr. Derek Hou Online Reputation ..........................................................................................14 Dr. Molly McIntosh Dr. Christopher Pickel

Foundation Supporters ...................................................................................15 Dr. Oleg Shvartsur 2016-2017 Elective Office Opening Slate ........................................................17 Dr. Douglas Walsh Viewpoints: Dentists in Headlines .................................................................... 19 Dr. Judson Werner Exposures with Dr. Al Munk ............................................................................. 22 OFFICERS Dr. Judson A. Werner, President Dr. Timothy A. Hess, President-elect Dr. Audrey K. Tatt, Past President Dr. Craig E. Neal, Treasurer THANK YOU TO OUR ADVERTISERS Dr. Lauren M. Vainio, Secretary Nakanishi ....................................................................................................2 EXECUTIVE COUNCIL Keller ~ Rohrback Law Firm ............................................................................. 5 Dr. Shane T. Ness, Executive Council 2016 Northwest Radiography PS ................................................................................. 6 Dr. Kimberly A. Winton, Executive Council 2016 WDIA............................................................................................................. 7 Dr. Noah Letwin, Executive Council 2017 Health Resource Services LLC ..............................................................................8 Dr. Megan L. Mulligan, Executive Council 2017 Katharine Christian DMD - Sleep Apnea and Snoring ................................................9 Dr. Ryan M. Fox, Executive Council 2018 Dental Connections ........................................................................................ 9 Dr. James W. Reid, Executive Council 2018 O’Brien Dental Labs ........................................................................................10 Dr. Amanda Spivey, Executive Council 2018 Shikosha Dental Lab.................................................................................... 11 Sleep Apnea and Facial Pain Center ................................................................. 12 Ms. Jennifer Freimund, Executive Director AFTCO ......................................................................................................... 13 Change of Address: To ensure continued receipt of issues, change of Ann Durham Attorney at Law ......................................................................... 15 address must be reported to: SKCDS Central Office, 1111 Harvard Pacific Continental Bank ............................................................................... 15 Avenue Seattle, WA 98122-4205, as soon as possible -Max Technologies...........................................................................................16 206.448.6620. Email: skcds@skcds.com Dental Employment Services .......................................................................... 17 The information in this publication is for the exclusive benefit of Seattle- Vern Frickel ..................................................................................................18 King County Dental Society members. Neither the Society nor the publisher Omni Practice Group ...................................................................................... 19 makes any express or implied warranties as to the information herein, NORDIC ........................................................................................................ 20 including the contents of any advertising. Opinions in the Quarterly do not necessarily express the official policies of the Seattle-King County Dental Professional Practice Specialties......................................................................... 21 Society, nor the opinions of the editor, unless so stated. Publications of Home Owners Club .........................................................................................21 advertising is not an endorsement, qualification, approval or guarantee of LifeTek..........................................................................................................21 either advertisers or product.

Dental Group LLC............................................................................................23 Constantine Builders .......................................................................................24 For advertising and publishing details, contact: Mr. Bill Newcomer, BNC Printing & Graphics, 503.318.5916, 360.573.1201, bill@bncprinting.com; www.bncprinting.com

2016 SKCDS WINTER QUARTERLY l 3

The

President’s Message

I have a solution to suggest. Rather than talking about what we do individually, let’s talk about what we do collectively. Let’s talk about what our philanthropic arm --- the Seattle-King County Dental Foundation—is doing. This approach will take the focus off of us providing charitable care as individuals, and turn it to all that we are doing as a profession. It is a good story—one of which we can be very proud—and we need to tell it.

Did you know, for example: • The Swedish Community Specialty Clinic (SCSC), since its inception in Fall 2011, has treated over 4,905 patients, removed over 20,000 teeth and donated over $7 MILLION in care?

• Our program where our member volunteers clear kidney dialysis patients of oral disease before transplant has resulted in 51 successful transplants?

• The 2015 four day Clinic at the Key Arena—where so many of you volunteered —treated 2,130 dental patients and provided over $1.7 million in care?

Dr. Judson Werner

We Are SO Much More Than Lion Hunters…

• The Donated Dental Service program has 221 active dentists and specialists as well as 77 labs in King County? This volunteer group has treated 1,063 patients and provided $6,046,295 in donated care since 2000.

Dentistry has a public perception problem. I am not talking about that one guy who enjoys big game hunting and the way that guy was seen by the media and society. That didn’t help, but that was more of a symptom of the way dentistry is seen than the cause. Unfortunately, dentists are seen by many to be uncaring, wealthy individuals who cause pain and charge too much. That is a common perception, but the reality of the dentists I know is that they are dedicated, hard-working professionals who care about the well-being of their patients and who put their patient’s interests ahead of their own interests. Perception does not match reality.

• That our Foundation has funded approximately 54 Medical Teams International dental van visits each year? Each year, those vans see thousands of patients in remote areas of the County and have provided $1,150,000 in donated care.

One of the things that we dentists do not excel at is bragging about our achievements. This is nowhere more evident than our reluctance to discuss our volunteer and/or charity care efforts. I was chatting with Jennifer Freimund the other day; and, she remarked that the kindness and compassion of dentists is often lost in the public’s perception that we cause pain and charge too much for treatment. We have a public relations problem.

I could go on and on about what our Foundation is doing. I could point out that your Dental Society dues absorb all the operating costs of the Foundation— ensuring that all the money raised in the events supported by our members— goes directly to service. Since our Foundation was formed in 1992, we have given away over $1,200,000 to proactively eliminate dental pain and infection in the King County population that lacks resources and/or access to dental care.

That is a good story to tell.

There are growing pressures on our profession. Many legislators and other parties believe that a midlevel provider will ‘solve’ the access to dental care issue.

(I would argue that there is not an access to dental care problem in our County —rather it is a desire to access free care—but that is a topic for another column.) Dentists are most often portrayed as uncaring, wealthy healthcare providers. I know that each of you—as I do—donate thousands of dollars of free care to our patients going through a rough patch, work with organizations like Medical Teams International dental vans or even through the 4 day Clinic recently held at Key Arena. The clinic at Key Arena had more dentists volunteering than they needed. Yet, we don’t talk about that, because we are modest, we aren’t PR oriented, and the reason we do it is out of compassion for those in need. We got into dentistry to help people. As dentists we are reticent to discuss our charitable efforts. Yet we need to change public perception of us.

4 l 2016 SKCDS WINTER QUARTERLY

• Our Foundation has funded operatories in new and existing dental clinics for Neighborcare Health, HealthPoint, International Community Health Clinic and the Union Gospel Mission. These clinics treat dental patients—including emergency walk-ins—every day.

Won’t you help me spread the word?

PS Put March 19th on your calendar and join us at our Foundation’s annual Gala and Auction. See details on page 11 of this publication. I hope to see you there!

Cover Photo: Key Arena Volunteers (L to R) Drs. Robert O’Neal, Jansen Richins and UW Periodontal Resident, Dr. Alaa Yassin provided dental services as part of the four-day clinic. Inset: a view of the Key Arena floor converted into a dental clinic.

DQAC NEWS DQAC Update: Stay Informed We thought it would be helpful for you to see some of the things that the Dental Quality Assurance Commission (DQAC) is considering.

While it may be too late to attend a hearing, you can always contact DQAC with your thoughts.

Administration of anesthetic agents WAC 246-817-740, 745, 755, 760, and 772 - The Commission is amending the monitoring and equipment requirements. A rules hearing was held December 11, 2015.

Maintenance and retention of records WAC 246-817-310 - The Commission is amending and creating new sections to provide clarity in what should be contained in dental records. Treatment record requirements are necessary to evaluate standard of care for treatment provided. Record retention change from five years to six years is proposed.

Scott Henderson

Rob Crichton

Delegation of duties WAC’s 246-817510, 520, 525, 540, and 545 - The Commission is amending delegation of dental duties for dental assistants and expanded function dental auxiliaries. Current rules need to be modified to clarify and amend practice standards to address concerns and confusion.

Graduates of non-accredited dental schools WAC 246-817-160 - The Commission is considering modifications to clarify clinical training and examination eligibility process. The current rule does not identify a clinical training requirement or an alternative for examination eligibility.

Dental licensure WAC 246-817-110 and Faculty Licensure WAC 246-817-150 Engrossed Substitute Senate Bill 5810, (Chapter 72, Laws of 2015) modified RCW 18.32.100 deleting the sworn oath requirement. The rules amendment, deleting the requirement that the license applications be notarized, is necessary to be consistent with statute.

Dental licensure without examination WACs 246-817-130, 246-817-135, and 246-817-140 - The Commission is considering amending the licensing examination standards. Current rules related to licensure without examination are confusing and refer to license by examination requirements. Rule Examination content WAC 246-817- modification is necessary to clearly identify license 120 - The Commission is updating the name of without examination requirements.

Northeast Regional Board to the Commission on Dental Competency Assessments. The Commission Dental Hygiene allowable tasks WACs wants to clearly identify that a candidate must 246-817-550 and 246-817-560 - The pass all portions of a practical examination. Two Dental Quality Assurance Commission (Commission) examination organizations allow periodontal considered a request by the Dental Hygiene as an optional examination. Additionally, the Examining Committee (Hygiene Committee) to Commission is considering whether examinations (continued on page 7) from other states and Canada are acceptable.

Ben Lantz

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(DQAC News continued from page 5)

move specific tasks from close supervision to general supervision, and to add new tasks for dental hygienists. Close supervision requires the dentist to be physically present in the treatment facility during the performance of a delegated task while general supervision does not.

The Commission created the Dental Collaboration Committee (Collaboration Committee) in October 2014 with two Commission members and two Hygiene Committee members. A Board of Denturists member joined the Committee in January 2015. The Collaboration Committee began communication and collaboration across professions. The Collaboration Committee evaluated the original Hygiene Committee request from January 2015 through August 2015. The Commission approved to moving forward with rulemaking on July 17 and September 11, 2015 to consider modifying existing rules for the following: • Head and neck exam and cancer screenings – add to general supervision • Local anesthetics – move to general supervision • Impression tasks – add to general supervision • Administer local anesthetic reversal agents – add to general supervision • Administer dental local anesthetic buffering systems – add to general supervision • Deliver pre-medications – add to general supervision Quality of care and patient safety is a priority of the Commission, Hygiene Committee and Board of Denturists. The Commission determined that dental hygienist education and training includes the above listed tasks and should be considered for delegation undergeneral supervision. Identifying a list of acceptable tasks that may be delegated for licensed dentists and licensed dental hygienists in rule establishes enforceable practice standards while ensuring patient safety.

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Healthy Patients, Healthy Bottom Line We Share the Same Goals

Amerinet / Health Resource Services is a healthcare GPO (Group Purchasing Organization) that has the bargaining power to negotiate some of the lowest pricing you will find on products and services to run your practice.

Your executive council has carefully vetted us on your behalf. You may continue to use your current suppliers and/or a combination of the Amerinet suppliers while benefiting your professional membership society.

“The HRS/Amerinet program offers great pricing and it could not be easier to use.”

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“We have 14 doctors in 5 locations. We have been with Amerinet for a year now. The customer service is exceptional!”

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Membership is free. No obligations.

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Members of SKCDS are encouraged to invite nonmember dentists who are practicing in King County to join the Dental Society. A quick call to the WSDA Office at 206.448.1914 is all that is needed for them to apply for membership at all three levels: Seattle-King County Dental Society, Washington State Dental Association and the American Dental Association.

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11/11/13 2:10 PM

Make sure your practice is ready to accept EMV chip cards Starting in October 2015, payment brands — Europay, Mastercard and Visa — are shifting fraud liability to businesses, including dental practices, if they have not started using terminals that accept EMV chip card.

provide a signature to confirm his or her identity to accept the transaction.

According to ADA Business Resources, during the early stages of EMV migration, terminals will be able to accept both chip cards and the traditional magnetic stripe. This ensures customers can continue to use their existing cards until the country has fully migrated to chip technology.

EMV technology uses a chip/microprocessor — those small, metallic square embedded on new cards — to make payments at the point of sale (POS). It helps minimize fraud and chargeback losses; prevent skimming of card data; and prevent After October, however, businesses may be liable for the cost of fraudulent transactions if they are business liability. not using a device that accepts chip cards to During an EMV transaction, the chip card is inserted prevent fraud. Specifically, the liability for a inside a POS terminal to authenticate the card and fraudulent transaction may go to the dentist complete the payment. The POS terminal helps whose equipment is not EMV-compliant. enforce any rules stored in the chip of the card. For example, one rule could be whether the purchaser It is inevitable that the migration to EMV chip has to enter a personal identification number or card acceptance is going to require additional

investments. The cost of the terminal is about $400-$500. To help minimize costs, ADA Business Resources recommends that, if you are already planning to upgrade your point of sale hardware or software, you should consider including support for EMV and contactless technology at that time.

For more information on the EMV transition and for special offers, visit bestpaymentprocessing.com/ada or call 1-800-618-1666. For an FAQ on the EMV transition, go to this link to the ADA website: www.ada.org/~/media /ADA_Business_Resources/Files/EMV_FAQ_PDF.ashx.

Make Sure your practice is ready to accept EMV chip cards. Posted online September 21, 2015 at http:// www.ada.org/en/publications/ada-news/2015-archive/ september/make-sure-your-practice-is-ready-to-accept-emv-chipcards. Copyright © 2015 American Dental Association. All rights reserved. Reprinted with permission.

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Get Your Foundation Gala Tickets NOW!!

Tickets are now on sale for our Seattle-King County Dental Foundation’s 20th Annual Auction and Gala! This big fun event will be Saturday, March 19, 2016. Once again, we will be holding our Gala in the lovely Spanish Ballroom of the Fairmont Olympic Hotel.

Our theme this year—Moulin Rouge—should conjure up can-can dancers, burlesque and all sorts of fun! You will definitely want to purchase your tickets as soon as possible—remember: our 2014 Gala sold out about a month before the event. SO, go to www.skcds.org/foundation to order your tickets now.

We will be holding a brief auction during the gala, but we promise to also offer lots of fun and opportunities to catch up with old—and new— friends! All proceeds from the Gala go to funding initiatives and programs that reduce dental pain and infection among King County residents.

During this past year, your Foundation has helped

fund dental operatories in two new reduced cost dental clinics as well dental students’ and Medical Team International’s dental van’s efforts to provide dental care to those who have trouble accessing care.

The Foundation has given away over $1,200,000 since its founding in 1992—all to help the most vulnerable among us.

One last head’s up: while you are on the website, considering buying an OO-la-la table for you and nine of your guests. This special table will include white glove service, extra courses and a memorable cocktail—in short: totally worth it!

P.S. Hot off the press: There will be 2 tickets to the July Adele concert auctioned off.

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NEW DENTIST PROGRAM 2016 January 20: Everything You Need to Know about Associateships, 6:30 - 9pm, SKCDS office. Todd McVay, of the Knutzen-McVay Group, Drs. Princy Rekhi, Blake Davis and Chris Lee join us to share their experiences and suggestions. Thanks to our sponsor The Dental Group, LLC. February 2: “What’s Going on in the Front Office?!” 6:30 - 9pm, SKCDS office. Ms. Diana Ehli shares her wisdom of over twenty years in both front office and back office dental management. Thanks to our sponsor Bank of America Practice Solutions.

March 30: Dr. Rhonda Savage & Human Resources in the Dental Office, 6:30 - 9pm, UW South Campus Center, Room 316. Dr. Rhonda Savage is widely known for her humor and sage advice on all aspects of dentistry and practice management. Special thanks to our sponsors Weave and the UW Dental Alumni Association.

May 18: Practice Management Panel, 6:30 - 9pm, UW South Campus Center, Room 316. Attorney David Cohen, CPA Brian Bircher and real estate broker Woody Harris will share the nitty gritty on starting your practice. Thanks to our sponsors P & D Credit Bureau and The UW Dental Alumni Association.

June 2: Cheers with Peers @ SKCDS, 6:30 - 9 pm. Kick back and celebrate spring! Drink and light refreshment will be available for this time of socializing and meeting other young dentists, dental students, graduates and residents. Thanks to our sponsors Bank of America Practice Solution.

To attend any – or all – of these events please RSVP to Sandra Anderson, director membership services, at sandra@skcds.com or by calling 206.448.6620.

The SKCDS Office is located between Seneca and Spring Streets at 1111 Harvard Avenue. Pay parking is available in the neighborhood and in the parking lot adjacent to our building. We look forward to seeing you!

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Job Fair and Practice for Sale Events Upcoming Finding the right associateship or practice to purchase is one of the most challenging steps in dentistry. In February and March of 2016, the WSDA and SKCDS will offer two events to make that process easier: a Practice for Sale event and a Job Fair. The Practice for Sale event will focus on matching practice sellers with prospective buyers, while the Job Fair will focus on matching dentists with prospective employers. In the past, these types of events have been highly successful, with members from across Washington State participating. We expect a similar response in 2016, so RSVP early! Spaces are limited, and these are members-only events.

WSDA/SKCDS Practice for Sale Event Saturday, February 20, 2016 9:00 a.m. – 1:00 p.m.

WSDA Office, Seattle At this event, member dentists looking to sell their practice will be given the chance to network with other members who are prospective buyers. Prospective buyers will sign up for 12-minute appointments with practice sellers to discuss a potential sale.

RSVP for the Practice for Sale event: As a seller: www.wsdasource.org/practiceseller As a buyer: www.wsdasource.org/practicebuyer WSDA/SKCDS Job Fair, sponsored by The Dental Group, LLC Saturday, March 5, 2016 9:00 a.m. – 1:00 p.m.

WSDA Office, Seattle At this event, dentists seeking an associateship will sign up for 12-minute appointments with employer dentists to meet, talk and share their qualifications. Dentists interested in hiring an associate as well as hiring an associate with the potential for future buy-in will be represented.

RSVP for the Job Fair: As an employer: www.wsdasource.org/jobfairemployer As a job seeker: www.wsdasource.org/jobfairemployee For questions regarding this event, contact Emma at emma@wsda.org or at 206.973.5218.

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Bad Reviews, Scams, and Online Reputation for Dentists

By Ian McNickle, MBA Co-Founder & Partner at WEO Media

3. Legal Action? In most cases there is not much you can do to get a negative review removed from a review site. However, if the review is slanderous and/or false then you may consider legal action. We have observed with a few of our clients that they have been able to get reviews removed by engaging with a law firm. In general, the approach would be to have the law firm draft up a letter on their letterhead, clearly articulate why the review is not credible and should be What to do when bad reviews happen? removed, and mail it to the review company. This may not work but it is worth a try. While this article Nobody likes receiving a negative review about should not be considered legal advice it does themselves or their business. This is just human provide ideas for you to consider and evaluate. nature. However, these negative reviews will almost certainly come so you must be prepared Which review sites are the most important? to deal with them. Based on our experience of working with hundreds of dental practices there In the dental industry the most important review are some best practices we generally recommend: sites are Google+, Yelp and Healthgrades (in that order of priority). Getting reviews on Facebook is 1. Be proactive. The best defense against also beneficial. It is important to completely fill negative reviews is a good offense. You should be out your review site profile pages with business consistently asking your patients to write reviews information, photos, office hours, specials and any for you online. There are a variety of options other relevant information about your practice. for doing this including: ask them after your appointment, send them emails with links to Google represents about 65% of all online search review sites, give them printed handouts with traffic and features its own reviews from Google+ instructions on how to do it, or use a software so those reviews will generally attract more service that greatly streamlines the process. If you eyeballs than other review sites. Reviews on have dozens of positive reviews then a bad review Google+ have the added benefit of helping your website SEO perform better in online searches here and there really won’t matter. related to dentistry.

2. Take the high road. We normally recommend that you reply to all negative reviews Yelp is also a very popular site for people to and take the high road. Simply respond saying you investigate dentists. In fact, many people don’t are very sorry they had a negative experience, and know this but ‘dentistry’ is the second most that this is quite unusual for your practice. Offer commonly type of searched business on Yelp. to resolve the issue by asking them to come visit the office so you can make it right. Only respond You should think of your Google+ page once and you’re done. If the reviewer responds and Yelp page as your second and third negatively again to your comment, then simply websites – they are that important! ignore it and move on. Anyone else reading the comment thread will give you the benefit of the Likewise, Healthgrades is a prominent review site doubt for responding professionally. If you get into that is well worth your time to generate some a back and forth comment battle it won’t look positive reviews. Healthgrades is the largest good for you so don’t do it. healthcare directory and review site on the In this modern age of digital everything it is no surprise that these technological advances come with some drawbacks. Whether you have a restaurant, law firm or a dental practice you can be sure that people will write reviews about you online. While most people will generally write positive reviews there are a percentage of people that will do their best to blast you out of business with their scathing online reviews.

14 l 2016 SKCDS WINTER QUARTERLY

internet, and has over 1,000,000 visitors per day.

As with Google+ and Yelp, a solid Healthgrades profile helps both online reputation and website SEO. Beware of scams!

Unfortunately there are plenty of companies out there that prey on the fact that businesses will almost certainly get negative reviews at some point. However, the worst of these companies actually write the bad reviews themselves, and then call you to offer their “help” at getting the bad reviews removed. This is a BIG RED FLAG. The vast majority of online review sites only allow the person who posted the review to alter or remove the review. This is true of all the major review sites like Google+, Yelp and Healthgrades. If you receive an email or phone call saying they can remove the negative reviews for a fee this is very likely a scam. Often the caller will state they have “proprietary software” that allows them to get reviews removed. This is not true. The only reason they can get the review removed is because someone from their company wrote the bad review in the first place. This is a common scam so beware.

Need Help with Your Online Reputation?

There are a lot of companies out there that claim they can help you manage your online reputation.

Your Dental Society has vetted WEO Media and recommends the company to you. Special pricing has been arranged for SKCDS members. If you have questions or need help with your online reputation or marketing in general, you can go to the SKCDS website/promoted relationships to learn more about WEO Media and its services.

About the Author Ian McNickle, MBA is a national speaker, writer and marketer. He is a Co-Founder and Partner at WEO Media, a national dental marketing firm. He can be contacted at ian@weomedia.com or by calling 888.246.6906.

2015 Foundation Annual Appeal Donors Dr. Jeff Abolofia Dr. C.R. Anderegg Jr Dr. Donald C Ausink Dr. Barbara Billings/Ernest Vogel Dr. Chris Delecki Dr. Mike Doyle Dr. James Easley Dr. Philip Etheredge Dr. Brett Fidler Dr. Gregory Ganzkow Dr. Mindy Gerakos Dr. William Gilbert Dr. L. Douglas Gray Dr. Stacy Kanda Dr. Wally Kegel

Dr. Christine Kirchner Dr. Marshall Langohr Dr. Josephine Lee Dr. Robert Lewis Dr. Romanine Loch Dr. Boyd Munson/Dr. Tom Rude Dr. Yoshitaka Ogata Dr. Jeff Parrish Dr. John Lee Starks Dr. Peter Shapiro/Dr. Reid Winkler Dr. Van Vuong Dr. Rod Wentworth Dr. Teresa Yagi Dr. Deirdre Yen

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Electronic Voting for 2016 – 2017 Election and Installation Set for Tuesday, April 19, 2016 The response to electronic voting was so positive last year that your Dental Society will again be emailing you an electronic ballot to the email address at which you currently receive our weekly newsletter. (For those of you for whom we do not have an email address, please see the bottom of this article.) In accordance with the Seattle-King County Dental Society Bylaws, ballots for the 2016-2017 Elective Office openings will be emailed from the Central Office no later than March 22, 2016. Your ballot is individualized and can only be opened by you. You will receive two reminder emails after that initial ballot. Please vote and make sure your voice is heard!

Dr. Steven Albright, general dentist, Seattle Dr. Austin Baruffi, general dentist, Tukwila Dr. Brandon Cooley, general dentist, Bellevue Dr. Linda Edgar, general dentist, Federal Way Dr. Sarah Fraker, general dentist, Seattle Dr. Christine Kirchner, general dentist, Seattle Dr. Michelle Neal, orthodontist, Kirkland Dr. Cynthia Pauley, general dentist, Bellevue Dr. Jeff Schur, orthodontist, Bellevue Dr. Negar Sherkat, general dentist, Bellevue Dr. Audrey Tatt, general dentist, Bellevue Dr. Amy Winston, general dentist, Seattle

Members for whom we do not have email addresses will have an individualized paper ballot mailed to their preferred address. Those members will need to either mail the ballot back to the Central Office or bring it to the meeting on April 19th. If you would like to receive an electronic ballot and you see from our Membership Guide that we don’t have an email address for you, please call us at 206.448.6620 before March 20, 2016 and provide an email address.

The Executive Council thanks the members of the Leadership Committee for their efforts. Dr. Princy Rekhi chaired the Committee and Drs. Karim Alibhai, Austin Baruffi, Barry Feder, Kal Klass, Daniel Tremblay, Ed Truelove, Bradley Weinstein and Amy Winston participated.

Please note that the Bylaws state the Executive Council and Delegates to the WSDA candidates will The ballots must be cast by 5:00 p.m. on April appear on the ballot in a random order as drawn 19, 2016, so they may be presented at the by the Leadership Committee Chair. This change General Membership meeting to be held at the was made to allow everyone an equal chance in BE ACTIVE IN YOUR SOCIETY… VOTE! Stone Manor in Tukwila on April 19th, beginning elections when the election is contested. at 6:00 p.m. (Please see the registration form on During the general membership meeting on our website at www.skcds.org.)

Tuesday, January 26th, Dr. Werner opened Please be sure to return your ballot by email prior the floor for any additional nominations that a to the deadline of April 19th. Ballots - electronic member would like to make. After that meeting, or paper - that are received the day following the nominations are closed. election will not be counted. We want to hear from every member so please vote before the deadline!

The following (as of press time) is the slate to be presented by Dr. Princy Rekhi, Chair of the Leadership Committee: President-elect: One opening – one year term, automatically becomes President & three year WSDA Delegate term Dr. Craig Neal, oral surgeon, Seattle Executive Council: Two openings – two for 3 year terms.

Dr. Kirk King, general dentist, Renton Dr. Shane Ness, general dentist, Redmond Delegates to the WSDA: Up to 8 openings for three year terms and 1 opening for a one year term (seats set by WSDA in January based on membership)

               ♦           

 2016 SKCDS WINTER QUARTERLY l 17

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DENTISTS IN THE HEADLINES We, as individuals and a profession, are doing Medicaid reimbursement is actually more of a great deal better than the recent Seattle Times insult than insurance. It’s why many dentists just article (January 4, 2016) indicates. don’t even bother to submit a Medicaid claim and Dr. Shane Ness would rather just treat the patient for free. Right Disclaimer: We welcome articles from members and I, like many of you, felt blindsided by the portrayal or wrong, I’ve done this. But I can honestly say other experts on topics or treatment philosophies having of dentists, as trying to stand in the way of that I have NEVER turned someone away who truly to do with the practice of dentistry. These pieces do not people receiving quality dental care. The opposite needed help. represent the opinion of the Seattle-King County Dental is true. However, dental therapists, contrary to the Society, nor is the Dental Society advocating that you reporter, are the antithesis to the solution.

Drabold states that dental therapists “are the follow any recommendations offered here. Rather, we dental version of physician assistants (PA).” seek to encourage thought and discussion among our Here are some of the misperceptions that need to Wrong. A dental therapist can gain admission to member dentists. We welcome any letters to the editor be addressed: said program with a high school degree while in response to this feature; and, even more we would a PA typically requires a bachelor’s degree. welcome articles on other topics you think maybe be of First, the reporter refers to Medicaid coverage as The University of Minnesota offers a dental interest and are willing to submit. The Communication Committee reserves the right to edit or not publish any dental insurance. Even dental insurance is not really therapist degree (DT) and an advance dental insurance. It’s a coupon to have a little bit of therapist (ADT) degree. As an ADT, one may submissions. dental work done each year. On the flipside, (continued on page 20)

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(continued from page 19) remove mobile teeth, perform fillings, pulpotomies and a host of other procedures that are irreversible under general supervision, which is quite different than direct supervision. I just think this level of training would not make me confident about a dental therapist’s care, like extracting a tooth. I would not let a dental therapist perform that procedure on my kid, so why on earth should it be acceptable for another person’s kid?

strings attached with federal funds; and, I think the leadership of the Swinomish tribe is wise enough to understand that. I disagree with the model, but I respect the rights of the tribes. If I could say one heartfelt thing to all of the tribes in our State, please believe me when I say we are working hard to address the needs of all of the people in Washington and know that we all have the same goals although our mutual timelines and methods may differ.

There needs to be an open dialogue and a The Swinomish tribe is having a dental therapist common effort to improve the health of all people. start this week. They are a sovereign nation.

As a sovereign nation, they need to decide the We have amazing success stories and the best way to care for their citizens. If a dental article never mentioned our programs that are therapist model is what they choose to adopt, helping the poor and uninsured who are slipping then go for it. If the training and wages are through the cracks. For example, the Swedish covered by the dental therapist and the Community Specialty Clinic (SCSC) which is tribe, then I’m all for it. The reporter says addressing the needs of people not previously the Swinomish tribe is not accepting Indian treated. In its first 4 years, SCSC has provided Health Services resources to cover the costs of this 4,905 patients with complex extractions of over model. My opinion: if no federal funds are used 20,000 teeth and donated careover $7.5 MILLION. for the program, then I would be in support of the There are other projects like the Northwest model. However, there are always going to be Kidney Centers that pairs patients and dentists

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so they can receive dental care and clearance for transplants—that program has led to 51 succesful kidney transplants. Dental vans, staffed by dentist volunteers and funded in part by our Dental Foundation, travel to areas in our County where access is challenging—foodbanks, senior centers, homeless shelters, etc.—and provide over $1million in donated care. Finally, there is four day free dental clinic recently run in Key Arena. There, over 1,500 dental professionals treated 2,130 patients and provided $1.7 million in donated care. Our track record of donated care speaks volumes. Dentists care and are not out to ‘get rich’—they just wish to support their families and pay their employees.

I haven’t even mentioned the fact that dentists around this state volunteer their services by donating care to those people in their practices who can’t afford dental work. There’s no way to track this as a dollar amount, but if we assume that a dentist pulls a few teeth and does a few fillings each year for someone who can’t pay that would be about $1,500. There (continued on page 21)

(continued from page 20) are over 4,000 members of the WSDA. That’s $6,000,000 in untracked, donated care. That’s dentists putting the needs of the people in their community above financial gain. I think this number could easily be double.

The bottom line is the system is not perfect, but we are gaining ground and there is a lot of room for improvement.

Here’s my call to action: as dentists, you need to advocate for our profession and educate yourself on some possible solutions. So, put the WSDA’s Dental Action Day on Friday, January 29th on your calendar and plan to go to Olympia to talk with your legislator. (Don’t worry: we will match you up with a dentist to go with you on the appointment we set up.) Go to www.wsda. org to sign up. For education, keep your eyes peeled for the next Quartlery. In that issue, I will offers some concrete examples of how we can improve the system and improve assces to care. Stay tuned!

About the Author: Dr. Shane Ness is currently serving on the Executive Council of SKCDS and as the Chair of the Communications Committee. Dr. Ness is a second generation dentist who practices in Redmond. He graduated from Creighton University School of Dentistry in 2006.

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Magazines

By Al Munk DDS My desk is flooded with magazines. I let the stack grow until it teeters, and an earthquake would likely leave me buried in cellulose, riddled with a thousand paper cuts. This onslaught of periodicals is a curious thing, and has led me to think about it with you. I have a long history with magazines.

just last week in the Seattle newspaper that stated they were no longer going to display full nudity. I guess the internet porn revolution of the last 20 years has so upstaged them that they consider a naked woman laying on a bear-skin rug is just too tame for today’s gentlemen. Whatever.

They evidently did not survey boys who spent their formative years in the fifties and sixties trying to savor the full-color foldout, without their parents finding out. It is a little sad that my generation is no longer consulted regarding the contents of popular literature.

In my youth, I remember hanging out at the local store near my house. Its name was the Corner Cupboard. It was a place to get a candy bar for a nickel, and while eating it, read the magazines and newspapers that were on the rack. There were really only two that my pals and I were interested in at the time—MAD magazine and the National Enquirer. MAD magazine was a real gem with interesting art and wry humor that even eleven year old boys could understand. Though I am not a good saver of things, I still have every copy of MAD magazine I purchased in those precious years. I am going to find them in my basement sometime and sit down to read them. I hope I find them as entertaining now as I did then. After all, boys really don’t grow up It gives little comfort that instead, we provide the input for laxative and (according to my wife). other medications.

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After digesting the new MAD magazine with its gap-toothed protagonist, Alfred E. Newman, we then turned to the real gem of the Corner Cupboard, the National Enquirer. For those of you as old as me who don’t yet suffer from dementia, you will remember this newspaper displayed a certain flamboyance.

Now that I am beyond the age of consent, I suspect not all the headlines in the National Enquirer were true. But sitting on the bare, wooden floor of the Corner Cupboard more than fifty years ago, there was no question about journalistic integrity, only the thrill of the story. “I Cut Out her Heart and Stomped on It” blared one headline. “Boy Swallows Seed and Tree Grows out of his Mouth” trumpeted another. This was incredibly good stuff for me and my pals to digest.

As we poured over this fine literature, I remember the clerk of the store looking at us with disdain—those dirty, nasty little boys she thought. Of course, she was right, but what little boy would not relish this excursion into mayhem?

A long time ago, in a galaxy far away, I used to read all the magazines that came into my dental office. They were not so many, and I was not so busy, and was perhaps more curious about things than I am now. I read them, then tossed them in the garbage, as there was no recycling bin at the time. Nowadays, there are so many magazines that arrive at my place, that even if was curious, I could not possibly read them all. I once counted the non-dental titles that came in the mail each month and the count exceeded twenty. I like some of them—Motor Trend, Farm and Tractor, The New Yorker. But Yachting and Redbook leave me cold. They come for free, and I suppose the publishers want us to place them in the waiting room for all our patients to read. I kept Farm and Tractor for myself though having experienced both in my youth, and there is little interest from local Ballardites on either subject.

There was another magazine that we wanted to view at the Corner Cupboard, That’s all for now from Ballard. but unfortunately it was beyond our reach, both literally and figuratively. You know the one of which I speak, the Holy Grail of magazines, Playboy. I had seen a copy of this weighty tome at a neighbor’s house a few years before and knew what lay within its flimsy pages. There was an article about Playboy

The views expressed are those of the writer and do not necessarily reflect the opinion or official policy of the Seattle-King County Dental Society.

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