july/ august 2013
life + leisure
wild borneo yukon in
+ the thriving
dental practice + speed shooting at the RACE TRACK + MICROBREWS in Canada, eh + dealing with office intimacy
and the
win
a visa gift card or $1,000 in CE gift certificates! page 37
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inside: Continuing dental Education Calendar wher e will you me e t ? s a s k at o o n / s t. pa u l /
at h e n s
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Just for C
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contents
july/august 2013
july/august 2013
Publisher Linh T. Huynh
Editor Barb Sligl
Art Direction BSS Creative
Contributing Editor Janet Gyenes
Editorial Assistant Adam Flint
Contributors Timothy A. Brown Michael DeFreitas Dr. Holly Fong Janet Gyenes Tim Johnson Darryl Leniuk Manfred Purtzki Dr. Kelly Silverthorn Roberta Staley Dr. Derek Turner Cover photo Shangri-La Tanjung Aru Resort & Spa Senior Account Executive Monique Nguyen
Attend the ADA Annual Meeting in New Orleans
Account Executives Lily Yu Wing-Yee Kwong
• Choose from more than 300 educational courses and meet with 600 exhibitors. • Expand your network of colleagues from all over the world. • Register now at ADA.org/internationalattendees.
clockwise from top lefT: Shangri-La Rasa Ria Resort; Darryl Leniuk; Shangri-La Tanjung Aru Resort & Spa
October 31 - November 3, 2013
• Acquire valuable new skills, ideas and knowledge at North America’s premier dental meeting.
14 28
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Just For Canadian Dentists is published 6 times a year by Jamieson-Quinn Holdings Ltd. dba In Print Publications and distributed to Canadian dentists. Publication of advertisements and any opinions expressed do not constitute endorsement or assumption of liability for any claims made. The contents of this magazine are protected by copyright. None of the contents of the magazine may be reproduced without the written permission of In Print Publications. In Print Publications 200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada
FEATURES
14 Borneo wild
28 Yukon wild
Ground zero for some serious mountain-biking
COLUMNS
DEPARTMENTS
8 photo prescription
5 July/August mix 17 CE calendar 37 sudoku 38 small talk
Go wide
11 motoring A photography workshop on the road
12 pay it forward Dr. Sean Sikorski
with Dr. Curtis Shell
25 the wealthy dentist
Profile of a successful practice
33 practice management Office intimacy
34 the thirsty dentist
Microbrews from east to west
www.justforcanadiandentists.com
35 the hungry dentist
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In the jungles of Malaysia you’ll find orangutans, tribal lore and luxury digs
cover photo
Malaysian paradise. Coco-Joe’s cabana at sunset, ShangriLa’s Tanjung Aru Resort & Spa in Kota Kinabalu, Borneo. Story on page 14.
Tuna crudo
July/August 2013 Just For Canadian dentists
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from the editor
what/when/where > July/August
style | food | shows | festivals | places | getaways | gear…
wild at heart
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t’s time to get wild. Kick it up a notch and go deep. Deep into Borneo’s jungle and deeper still into Canada’s north. Malaysian Borneo is a bit of untamed paradise, an island where you can cavort with orangutans, lounge on pristine white-sand beaches, tour exotic temples, indulge in spas at seriously luxe resorts (page 14). If that doesn’t entice, perhaps meeting a headhunter—of the friendliest sort, of course!—or two will? And bonus: taking in the cosmopolitan cityscape of Kuala Lumpur. Malaysia offers must-see extremes, from skyscrapers to serene simian sanctuary. Far north, in the Canadian version of a jungle, is the mountain-biking scene in the Yukon. Go hardcore or take it easy—this outdoor-adventure paradise is the next
mix
clockwise from top
Welcome to Malaysian Borneo, aka paradise. Scenes from Tunku Abdul Rahman Park (top) and the island idyll of Shangri-La’s Tanjung Aru Resort & Spa. Story on page 14.
getaway to Kluane in the Yukon
Moab for free- and trail-riding enthusiasts (page 28). From your base near Whitehorse (in a rather well-appointed yurt!), tour historic gold-rush and untouched landscape on two wheels. And while this far north, don’t miss spectacular Kluane National Park (page 5). Embrace your inner rock-jock and camp on the glassy lakeshore with front-row seats to this UNESCO World Heritage Site (the largest, combined with Alaska’s WrangellSt. Elias National Park and Preserve, Glacier Bay National Park and Preserve, and British Columbia’s Tatshenshini-Alsek Park). After exploring some of Canada’s most spectacular sights, celebrate your national pride with our cool locally designed and made picks (page 6 and 7). Plus, these thoughtful items are charitable. O Canada!
GO
wild
Just For Canadian dentists July/August 2013
ken_CDN_Dentist_ad_4.625x4.875_r1.indd 1
Gov’t of Yukon/Derek Crowe
feedback@InPrintPublications.com
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The ultimate room with a view. Pitch a tent on the shore of Kluane Lake and wake up here this summer.
shangri-la Tanjung Aru Resort & Spa
Providing Dental C.E. Since 1996
On the giving front, we’re happy to profile Dr. Sean Sikorski, who’s making a difference in Canada’s poorest postal code in the inner-city neighbourhood of Vancouver’s Downtown Eastside (page 12). We’re all better for having dentists like him bringing “added meaning to dentistry as one of the healing arts.” Back on a lighter front, if you’re craving more Canada, sip a local microbrew this summer (page 34). From Halifax to Vancouver, there’s a pilsner or stout that’ll appeal. (Editor’s pick: the hoppy goodness of Bushwakker’s Chico IPA; be warned, it’s “Not for some craft-beer novices.”) Amidst all the beer sampling and wild adventures this summer, pick up that camera and practise your shooting skills. Our resident photography expert tells us how to go wide to better capture those Malaysian and Yukon landscapes (page 8), and our motoring expert tries his hand at shooting speed at the racetrack (page 11). What will you snap this summer? Let us know where in the world you’re travelling, photographing, volunteering, working, what beers you’re sipping…and stay in touch through justforcanadiandentists.com. And be sure to enter our two contests (page 37). Happy reading!
Vast, remote and absolutely breathtaking, Kluane National Park in the Yukon is a place with few rivals… page 6 >> July/August 2013 Just For Canadian dentists
13-06-13 11:27 AM
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July/August
Covering more than 22,000 get- square kilometres of away southwestern Yukon, this national park—a place of lush valleys, blue glaciers and seemingly endless untamed territory—is more than four times the size of Prince Edward Island. It’s a park that teems with life, from grizzly bear to caribou to the more than 105 species of birds (including golden and bald eagles) that call this special place home. And with more than 80 percent of it covered by mountains and glaciers, Kluane presents visitors with a landscape that is as breathtaking as it is intimidating. The main attraction is Mount Logan, Canada’s tallest mountain, with a peak that soars to a height of 19,551 feet. The intrepid come from all over the world to climb Logan and its sister peaks in the Icefield Ranges (Mount St. Elias, Mount Luciana, King Peak and others, all of them higher than 16,500 feet), which are all part of the largest non-polar icefield in the world. Summiting these peaks takes dedication—Parks Canada recommends a minimum of 10 days and up to three weeks to tackle them. But Kluane also contains much for active, adventurous travellers who are seeking a somewhat lower-octane visit. The park is home to an extensive network of trails, which provide everything from short, easy walks to challenging multi-night treks (and, whichever one you pick, chances are that you won’t see another hiker for days). Fishermen can net Arctic grayling and rainbow trout on the park’s many deep, cold lakes, bikers can peddle down the park’s old mining roads, and thrill-seekers are welcome to take on the wild Alsek River. And while it’s remote, the charming village of Haines Junction straddles the Alaska Highway on the eastern side of the park. So while you may choose to bed down in one of Kluane’s campsites, you also have the tempting option of sleeping and dining in a place like the Junction’s Raven Hotel, which offers very comfortable rooms and gourmet dining that includes local fare like venison and even bear. —Tim Johnson
if you Discover more about the Yukon’s natural GO wonders at travelyukon.com and read the story on page 28 to see why the Yukon may just be the next Moab of mountain-biking.
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artful upgrade
July/August
mix
HOMAGE to CANADA
5 hot picks
From bikes that fold, to fragrances that give back for good, we’re proud of these cool products designed at home Written + produced by Janet Gyenes
ESCENTS AROMATHERAPY: VANCOUVER,BC GUS* DESIGN GROUP: TORONTO, ON
Alana Rothstein’s art bedecks a suite inspired by fashion exec. muse “Susan.”
rest
Athlete or aesthete? These pillows, designed by Toronto’s Gus* Modern, tick all the boxes with their sports-centric style. Plus, the non-toxic inks used during the hand-screening process, coupled with the ultra-comfy down and feather fill, make these a sustainable choice. They’re casual enough for chilling at cottage and chic enough for any modern home. Pillow fight, anyone? $350/set of 4; gusmodern.com
OPUS HOTEL [ART, DESIGN, HOSPITALITY]: VANCOUVER, BC With legions of accolades, including Condé Nast Traveler’s “Best Hotels in the World,” the Opus Hotel has set the bar high. Not to worry; its recent nip and tuck has kept it stay in fighting form. Renowned designer, Robert Bailey, reprised his role for the revamp, keeping the 1970s design inspiration and residential feel intact. He also continued the theme of embellishing each room based on a lively persona, like Mike the gay NYC doctor and Susan (above), a fashion exec. Rooms are adorned with art from local talents Tiko Kerr, Taizo Yamamoto, Mark Mizgala and Alana Rothstein, which contribute to the hotel’s residential feel, so guests feel like they’re staying at a friend’s chic city condo. Explore the city with a cellular-enabled iPad or Samsung Galaxy 3 in tow (with complimentary roaming, thank you very much), and don’t forget to bring something special home. The hotel’s ART + IDENTITY + TRAVEL package is the ultimate memento. Guests enjoy a stay in a new deluxe king room and a Q&A session with contemporary artist, Alana Rothstein, who’ll create an original piece of plexi-art to capture your experience. —Janet Gyenes ART + IDENTITY + DESIGN packages from $539; vancouver.opushotel.com
Just For Canadian dentists July/August 2013
graphic goods
flower power Vancouver’s Escents Aromatherapy is no shrinking violet when it comes to getting involved in a good cause. Its four new eau smell de parfum fragrances celebrate women and support The Salvation Army’s efforts to help victims of human trafficking. “Joy” is a mix of violet and jasmine, “Grace” marries lily and cedarwood, “Hope” is a fusion of vanilla and bergamot, and our fave: “Courage,” is a bold blend of ylang ylang and ginger. Ten percent of profits go directly to Deborah’s Gate Safe House to support women who have been rescued from human sexual trafficking. $18.95 ea.; escentsaromatherapy.com, thetruthisntsexy.ca
HOT summer pick
VELA FOLDING BIKES: MONTREAL,PQ
pedal
freshly folded Cruiser
bikes are cool, but the new Vela 20-inch aluminum folding bicycle is ultra-hot. Who wants hefty and slow when there’s sporty and speedy? Not to mention compact and chic. At just 12.6 kg, Vela is portable enough to take on a plane, tuck (two!) into the trunk of your compact car or stow in the hallway for easy everyday access. And you don’t need to be an origami expert to enjoy Vela’s shape-shifting nature, which goes from box to ride-ready in five minutes flat. Choose from new summer shades: Glossy Pearl White, Matte Golden Black and Glossy Candy Apple Red. $359; vela.ca
LE VIEUX PIN WINERY: OKANAGAN VALLEY, BC
sip
SAVOURING SUMMER If the taste of summer could be seized in
a single sip, the 2011 release of Ava, Le Vieux Pin’s signature wine, might just do the trick. Winemaker, Severine Pinte encapsulates the Okanagan terroir in her Rhone-style wine (named for her daughter) made from a blend of Viognier (78%), Marsanne (11%) and Roussanne (11%) grapes. Pinte, who worked with these grapes in her native France, notes how the Viognier imparts the elegance of apricots, while the other two lend floral tones and a backbone of acidity. “Aging gives the creaminess. It’s very complex,” she says. Need an excuse to indulge? The winery donates two percent of its online sales to support the PALS Autism School. $35, 750 ml bottle; levieuxpin.ca, palsautismschool.ca July/August 2013 Just For Canadian dentists
O Canada!
YUKON WILD
Kluane National Park (wow!)
epic Opus
laura Manariti photography
mix
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p h o t o p r e s c r i p t i o n m i c h a e l d e f r e i ta s
The International Dental Institute (IDI) Inc. is one of Canada’s leading dental continuing education organizations. Our programs are based on extensive clinical experience, ongoing scientific research, and the understanding that comes from working with dentists, clinicians and patients for more than 40 years.
Michael DeFreitas is an award-winning photographer who’s been published in a wide variety of travel publications. With his initials, MD, he’s been nicknamed “doc,” making his photography prescriptions apropos.
If you can take only one lens on a trip, make sure it’s a wide-angle zoom
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Discover the wide world of photography: top Experiment in a vibrant South American market like this one in Guatemala. Adjust your settings first and then shoot from the hip for a different perspective. above right Wide angles distort lines, adding to the drama of a photograph; creative bending at the Temple of Edfu, Egypt (using a 16mm fisheye at f11, 1/30sec, ISO 200). above left Get low. Whether shooting cuisine or a little-legged canine, get your camera on the same level of the subject.
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Just For Canadian dentists July/August 2013
he early morning air is thick with the pungent odour of chicharrones (deep-fried pork rinds) and incense as I make my way through the narrow aisles in Guatemala’s crowded Chichicastenango market. The sights, smells, overflowing stalls of food and crafts, and people going about their daily lives, provide a unique window into the country’s culture. And looking at the marketplace through a wide-angle lens let’s you get up close into the heart of the action to record the dramatic excitement. The key to shooting in crowded places like markets is to avoid drawing attention to yourself, because it can change the behaviour of the people you’re trying to photograph. Unlike photographers who prefer to stay back and use a telephoto lens to capture individual scenes, I do my shopping with an ultra-wide angle zoom. I find telephotos bulky, obtrusive and less convenient in crowded spaces. Also, a wide-angle lens offers a much greater angle of view and depth of field to capture and record a more inclusive scene. When shooting in close quarters, I try not to bring the camera up to my eye to shoot, opting instead for the “shoot from the hip” approach. I select f11 or f16 in aperture priority or manual mode, turn off my autofocus, and preset the focus distance manually. If your lens does not have a distance scale, focus on an object the preferred distance away then switch off your auto focus. When you “shoot from the hip” with a pre-focused lens all you have to do is make sure that your subject is roughly the preset distance away. For shots of brightly coloured fruit in the foreground and a smiling vendor in the background preset a focus distance of one metre and point the camera at the middle of the fruit display. For overhead “crowd” shots I pick a busy intersection between stalls, preset the focus distance at three metres and point the camera slightly downwards as you hold it high above your head. Once you have enough “tight” shots, find a higher vantage point, like a balcony or staircase, to shoot some wider action scenes. I usually shoot these types of scenes at a slower shutter speed (1/2 to 1 second) to blur movement and accentuate the chaotic action. If you
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Special Guest : Dr. Elliot Mechanic
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Practice Management Hit the Ground Running Getting your Patients to Get it! michael defreitas
go wide
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photo prescription [continued]
PRO TIPS on going wide
> To reduce the vertical distortions around the edges of your
wide-angle images try to keep your camera level and parallel to your subject. The more you tilt your camera (up or down) the greater the distortion.
> Avoid placing people at the edge of your frame. The wideangle lens will distort them.
> Cover the shiny parts of your camera equipment with black electrical tape.
> The front element of wide-angle lenses is curved and highly
susceptible to flare. Always use the recommended lens hood to avoid stray light entering the lens.
> Add a bit of warmth to market scenes by setting your white balance to “cloudy day.”
> When shooting in crowded places, leave all your valuables, personal effects and extra camera equipment at the hotel. Wrap your camera strap around your wrist and place your wallet or money in an inside pocket.
gear up The ideal range for wide-angle lenses is 10mm to
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Just For Canadian dentists July/August 2013
D r . k e l ly s i l v e r t h o r n
Dr. Kelly Silverthorn is Just For Canadian Dentists’ automotive writer. He tries to keep one convertible and/or one track-day car in the family fleet.
don’t have a tripod, use a wall or balcony rail to brace your camera. Wide-angle lenses are ideal for travel and documentary photography. They produce sweeping landscapes and spectacular interior shots, and the depth of focus creates images with a world of detail. I use many techniques to spice up my images. For a unique low visual perspective both indoors and out, place your camera on the ground and prop up the front of the lens a bit (I use my memory card case or a small stone). Set the aperture for f11, and manually set the focus for about two metres. Use your camera’s timer to release the shutter. Do the same for more interesting food shots. Although wide-angle lenses are highly versatile, they do have their weaknesses. Compressing scenes can cause distortion by making objects that are closer to the lens much larger, so don’t use them for close-up people portraits, unless you’re going for that camel-face look. On the other hand, a close-up wide-angle portrait of a cow, camel or donkey can be hilarious. Compression also causes vertical and horizontal lines to curve or bend unless you keep your camera perpendicular to the ground. Shooting up at tall structures gives them an unattractive pyramid look and the wide-angle effect can cause horizons to form an arc. This is not necessarily a bad thing—you can exploit this optical effect to create a specific feeling in the shot. For example, shoot up at tall buildings, for an impressive “closed-in” feeling, or use an arced horizon to accentuate distance. One of the key techniques of viewing the world through a wideangle lens is to get close. This may take a bit of practice, as many photographers tend to stand back and take shots. Break the habit of shooting from a distance, and discover the creative range of wideangle photography—you will produce more engaging and dramatic images.
“We all need to find our creative side!”
speed shoot
The F8 Motorsports Photographic Workshop gets the camera skills revved up
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kelly silverthorn
24mm for Dx format sensors and 14mm to 35mm for Fx sensor formats. Since these lenses have such wide depth of fields, some manufacturers have stopped making them with distance scales. I highly recommend lenses with distance scales. While you can purchase a number of fixed or prime wide-angle lenses, I prefer a zoom that produces the range of focal lengths necessary to capture street scenes and interiors. Top of the line zooms can set you back $1,500 to $2,000, but you can get good ones (with distance scales) from Nikon, Canon, Tokina and Sigma for half that price.
motoring
he passion for motoring embraces a with the hyper-reflective light. diverse following. Some collect cars, Once the day’s racing begins we are some tinker, some race. I’ll argue husplit into groups—somewhat along Nikon mans need creative outlets too. Photography or Canon tribe lines. Between race heats is a creative pursuit available to just about f8 vans shuttle each tribe from one primeeveryone. So when I learned of the inaugural shooting location to the next around the F8 Motorsports Photographic Workshop shooting classic racing car action at fabled Laguna Seca, I eagerly registered on-line that same day. The f8 founders Llew, Dennis and Jeff explain their choice of company name as an obtuse reference to the “f/64 Group.” These 1930s Bay Area photo innovators were known for their stunning mountain landscapes (Ansel Adams and the like). The name f/64 refers to a technical term for a small light aperture, leading (especially in 1930) to long exposure times, objects in-focus to infinity, and a foreshortening of distant objects to appear closer than if shooting viewed by the human eye. spree Dr. Motorsport photography typically Silverthorn’s photos aims for none of those landscape-friendafter the f8 workshop ly attributes. In racing, we need shorter include a panning exposure times and we like only our subshot that vividly ject in focus. A common aperture used conveys motion and in racing situations is f8…and thus the Laguna Seca hills. speed. A+! company name chosen by classic motorsWe boast full-event port shutterbugs Llew, Dennis and Jeff. photo credentials so At the Friday evening classroom sessions we get up close to the we receive advice on equipment selection, action. Ear plugs are worthwhile. It’s hard to as well as care and feeding of both the opbelieve just the weekend prior we students erator and equipment. Like so many things were all just rank amateurs shooting through in life, photography has gotten more comchainlink fences, seemingly miles from the plex, with ever-more computer-aided and action. Fortunately, safety protocols are programmable features. Each instructor has stressed by f8. The mantra is “No photo is his own philosophy and approach, as well worth an injury to obtain.” as style and market niche. The 10 students The main photographic goal when benefit from each unique perspective, as shooting racing action is to convey the imwell as from other notable photo-pros/guest pression of speed. Typically that entails mildlecturers John Lamm and Allan Rosenberg. moderate blur of background objects, while Sufficiently schooled and intensely keeping the subject just slightly blurred. Such inspired, we have two full days of shooting blurring is achieved by panning the camera ahead of us on the sun-drenched Monterey with the subject’s arc of motion, and by Peninsula. The best light is often within a controlling the shutter speed, the aperture few hours of sunrise and sunset, so it’s up and lens focus. While technical prowess is at 6 am both days. During those hours the important, so is the context and content track is quiet and the human interest and/ of the image captured—the car (or cars), or “artistic” shots are in the paddock (pits). attractive colours and aesthetic body styles, The former is about telling a story with a picproximity, angle/aspect, historical signifiture…while the latter is all about playfulness cance and iconic track landmarks.
I expose ~1,600 photos over the two days. I expect to spend almost as many hours winnowing down that number to just 15 of the best to prepare for f8’s judging of students’ work. The post-processing of those 15 RAW images will also take hours, though
the methods have certainly changed since my younger days in the film- and chemistrybased darkroom. Fittingly, Lightroom is the most popular digital-photo manipulation software among our group. Now cropping, tweaking exposure, contrast, colours, horizons, etc. is done with well-judged keystrokes. Missteps can be reversed with keystrokes too—a good thing when learning the software. (As I move toward job-sharing, acquiring hobbies that occupy so much time and instill patience is also good!) All the students will have some of their creative endeavors published in Sports Car Digest, a weekly e-zine worth infinitely more than its free subscription. The best body of work qualifies that student for subsidized attendance at the next f8 workshop in July at the Mont Tremblant track outside Montreal. Llew, Dennis and Jeff laud this Quebec’s track as the best place to shoot motorsport in North America, bar none. We all need to find our creative side. Perhaps I’ll see you there?
July/August 2013 Just For Canadian dentists
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pay i t f o r w a r d
r o b e r ta s ta l e y
Roberta Staley is an award-winning magazine editor and writer with experience reporting from the developing world and conflict and post-conflict zones. Staley specializes in medical and science reporting and is a magazine instructor at Douglas College and Simon Fraser University.
phoenix rising
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n Vancouver’s Downtown Eastside, thing unique about this dark-haired, boyishnear the intersection of Columbia and faced 40-year-old, whose career careened off Hastings, men with sunken cheeks and the path of convention soon after graduatstrings of greying hair, in grimy winter jackets ing from the University of Saskatchewan and jeans stiff with dirt, push grocery carts College of Dentistry. Drawn to “the medically loaded with liquor bottles and pop cans past compromised,” Sikorski started working with pawnshops with barred windows and single- the residents of Vancouver’s Dr. Peter Centre, occupancy flophouses. Canada’s poorest which provides beds and cutting-edge postal code, indeed. health care to HIV-positive persons who are It is also the postal code of the homeless, poor, mentally ill or drugPortland Community Dental addicted. Later, Sikorski detoured up Clinic, where Dr. Sean Sikorski north with Health Canada, giving Dr. Sean Sikorski’s works. Right now, Sikorski is dental care to First Nations and arms bear abstract in the middle of an extracInuit communities. In 2002, he orange wings… was recognized with a Queen symbolic of a phoenix Elizabeth II Golden Jubilee rising in honour of Medal, awarded for exemhis late father and his plary contributions to Canadian patients. society. Sikorski’s work has brought him national recognition, but it hasn’t generated the upper-middle class lifestyle enjoyed by most of his peers—“I’m not your father’s dentist and never will be.” He belongs to a car co-op, and lives in a small, concrete Vancouver condo—determining riches by other benchmarks. A former national gymnast, he attended the University of Saskatchewan on a gymnastics scholarship. He was a circus acrobat until recently, and currently studies visual arts at Emily Carr University. Sikorski’s arms bear abstract orange wings, an extension of the phoenix tattooed onto his back in memory of his father, who died when he was a teen. But the phoenix symbolizes Sikorski’s patients, too, and the small, incremental steps that they take to rise above addiction and mental illness. Certainly, few family dentists have tion, and his patient can be overheard gurSikorski’s patient list—6,200—four times gling incomprehensibly. “Are you OK there, the average dentist’s. Moreover, Sikorski’s Ali?” Sikorski says, cheerfully. A short while patients’ dental problems are complex: later, a hulking man in red toque and beige infection and rot from years of neglect and parka, face expressionless, strides out the drug use. The rampant enamel erosion and door. Sikorski soon follows and plunks himself fractured teeth are caused by smoking the down on one of the black pleather waitingstreet drug methamphetamine, leading to room seats. Enormous round black-framed “bombed out” mouths that some refer to as protective glasses dwarf his face. The specs, ‘meth-mouth.’ Such decay also occurs from Sikorski explains, were originally bought “for a smoking other ubiquitous street drugs like Pet Shop Boys concert.” crack cocaine. “The drug leaves a burnt resiThe eclectic eyewear is a hint of somedue; it eats people’s teeth away,” says Sikorski.
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Just For Canadian dentists July/August 2013
Start taking street drugs, and the teeth “go very quickly.” Caught early, the teeth can be saved—maybe. Usually, however, by the time he sees a patient, their teeth are beyond redemption, says Sikorski, who just finished a research project funded by the University of British Columbia School of Dentistry looking at the effect of methadone—the drug used to treat heroin addicts—on oral health. It would be easy to succumb to the relentless need and become overworked. To avoid burn out, Sikorski, who also teaches at UBC’s dental school, works three clinical days a week and brings in a support dentist one day a week and a surgeon monthly to do “some of the surgery that’s a bit beyond me.” Sikorski’s patients endure a host of problems in addition to addiction. Many have hepatitis, are HIV-positive, homeless, and involved in prostitution. The vast majority are below the poverty line. They are on government disability, and allocated $1,000 to cover two years of dental work. This paltry amount can’t begin to cover the extensive work required to restore their mouths to a state of health, which oftentimes includes dentures, Sikorski says. His clinic will set up a payment plan with patients, but few are able to honour it, and the clinic absorbs the debt. Frustrating, yes, but Sikorski, who co-founded Portland Community Dental Clinic 13 years ago, considers the work “exciting. I find it challenging but rewarding and the people here treat me really well. I have a comfort here, I guess.” Sikorski’s patients require patience as well as masterful dental skills—they are often incapable of maintaining a consistent hygiene regimen and will miss crucial appointments. “One of my favourites is a girl who’s very mentally challenged and difficult,” says Sikorski. “She needed her teeth out. It took years but I got them out and when I see her she always has her dentures in and she hugs me.” The ability to alleviate the suffering of the truly desperate, as Sikorski does, brings added meaning to dentistry as one of the healing arts. Dr. Sikorski’s Portland Dental Clinic is at 20 West Hastings St., Vancouver, BC; 604-683-0073.
Tallulah Photography
Working with the “medically compromised” in Vancouver’s Downtown Eastside
travel the world
travel the world
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wild & wonderful
Tunku Abdul Rahman Park, a short boat ride from Shangri-La’s Tanjung Aru Resort & Spa in Kota Kinabalu, Malaysian Borneo.
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At once completely untamed and beautifu lly refined, this tropical island offers equ al parts relaxation and exploration by Tim Johnson
clockwise from left: shangri-la Tanjung Aru Resort & Spa; Shangri-La Rasa Ria Resort; MALAYSIA TOURISM PROMOTION BOARD
Borneo
he headhunters met us at the gate. While small in stature, they nonetheless radiated an air of intimidation. Naked to the waist, they wore tall, extravagant, feathered headdresses and necklaces made from sharp teeth. Some carried pointed spears, others long blow-guns. As they strode out to meet us, the warriors surrounded the lead man in our group, one of them clapping him on the shoulder, another reciting something in a language we couldn’t understand. Local guides had briefed us beforehand on what to expect. “Keep your hands out of your pockets, so they know you have no weapons,” they said. “And when they leap out at you, do not punch them.” Far from striking out, everyone in the group stood very still, awaiting the warriors’ next move. I was in the Malaysian province of Sabah on Borneo, one of the world’s largest, wildest islands. Just the word—Borneo—conjures up a kaleidoscope of images: fierce headhunters, untamed packs of orangutans and other uber-exotic wildlife, impenetrable jungle dense enough to swallow a man whole. And while all of these things persist, in some form, on the island, Malaysian Borneo is becoming known for much more, including fabulous beaches and sumptuous luxury. I was here to experience all of it, to the fullest. Flying from Kuala Lumpur into Sabah’s modern capital of Kota Kinabalu—often known locally as simply “KK”—I made my way down the coast to the nearby Shangri-La Rasa Ria Resort. Set on a sweeping curve of Pantai Dalit beach, Rasa Ria is sandwiched between two extremes—behind, more than 400 acres of lush rainforest, in front, the warm waters of the South China Sea. Once I’d settled in, I decided to head immediately to its biggest attraction: the 64-acre Orangutan Education Centre. Working handin-glove with state wildlife authorities, the centre, which is owned and operated by Shangri-La, takes in rescued orangutans, raising them for years before they’re transported to the Sepilok Orangutan Sanctuary, a world famous facility and one of the world’s first rehabilitation centres of orangutans (it’s also in Sabah). I watched a brief video, and then joined a group for the short hike to the feeding platform. We waited with great anticipation while a ranger—a bucketful of food by his side—called out to the young simians. And sure enough, soon enough, they came—first, one bold little monkey making a beeline for the goods, followed soon after by a number of his more-timid friends. The orangutans were amazingly playful, hamming it up all around us. On one side of the platform, a baby climbed from tree to tree, a bunch of berries in his mouth. On another, a larger orangutan swung back and forth from a rope, much to the delight of those snapping pictures. And 10 feet above us, a juvenile scampered about, a smile on his face, at one point playfully tossing a branch into the group of people looking up at him from below. Everyone oohed and aahed, and one woman actually cried, “So cheeky!” I chatted with Dino Joummy, a ranger, who said that the orangutans were just doing what comes naturally to them—having fun. “They’re very emotional animals. It’s clear when they’re enjoying things, but they also throw tantrums and seem needy when they want someone to play with them.” He pointed out one that was rescued from a palm oil plantation, noting that all of them are orphans. “We keepers are father and mother to them—you get very attached,” he admitted, noting that he and his fellow rangers routinely take trips to Sepilok, where their former charges always recognize them and come over to say hello. Charmed by the orangutans, I ventured further into the jungle, taking a boat cruise down murky Garama River, gliding through a tunnel of trees by day, spotting active proboscis monkeys and sedate gold-ringed cat snakes high up in the lush greenery, then returning at evening to take in the breathtaking spectacle of swarms of white fireflies, lighting up the blackness and mirroring the stars above. I also explored the island by train, taking a ride on the North Borneo Railway, a fun throwback. Pulled by an authentic steam engine, I sat in a colonial-era car, staring
“Mogli,” one of the simians at the Orangutan Education Centre at Shangri-La Rasa Ria Resort in Borneo, Malaysia. below Mari-Mari Cultural Village, Malaysian Borneo.
July/August 2013 Just For Canadian dentists
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travel the world saskatoon / st. paul / athens / carlsbad / rosarito … | c a l e n d a r warning to their enemies, then tasted the (surprisingly good) mixture of rice, chicken and sugar traditionally prepared by cooking it inside a large bamboo stalk. And then, near the end of the tour, the headhunters came out to meet us. Fortunately, I recognized one of them—he had driven the van that took me to MariMari. After a bit of posturing and a reasonable attempt at intimidation, they broke character, explaining with a laugh that the days of the headhunters on Borneo are long over. The men then showed us some of the ancient skills practised by warriors, including shooting poisoned darts through a blowgun, and finished up the tour with a dance show and a feast—a mix of the wild, the traditional and a dash of delicious decadence. Heading back to the hotel, I went over my checklist. I had gotten close to orangutans, in an impenetrable jungle. I had experienced exotic wildlife, as well as wonderful beaches and sumptuous luxury. And I had met headhunters—of a sort—and made it through with my head-body connection intact. A successful trip, indeed.
Most journeys to Malaysian Borneo will take you through Kuala Lumpur, the country’s capital and largest city. A fascinating place, it’s definitely worth stopping here for a few days.
+
if you go More malaysia Go to tourismmalaysia.ca + sabahtourism.com.
Check www.ContinuingEducation.net for updates to our Continuing Dental Education Cruises 2014 schedule
summe r 2013 + beyond
Things to do Experience the city’s ancient charms in Chinatown, shop along bustling Petaling Street, tour its mosques and churches and Hindu temples, then ride to the highest point in Malaysia, to the 86th floor of the iconic Petronas Towers.
Where to stay The Shangri-La Kuala Lumpur offers true luxury and quiet respite in the heart of the city, with a lovely pool, full-service spa, sumptuous guest rooms and suites and service that’s second to none. shangrila.com/kualalumpur/ shangrila/
4
Getting There Cathay Pacific offers flights to Kuala Lumpur from both Toronto and Vancouver, via Hong Kong. For those willing to pay a bit more, their new Premium Economy cabin offers a better seat and more privacy than traditional economy.
T
B. Sligl
July 5, 2014 Treatment Planning and Sequencing 14 AGD PACE Credits 7-Night Alaska from Seattle August 8, 2014 Oral Dermatology and Oral Pathology 14 AGD PACE Credits 7-Night Alaska from Seattle August 15, 2014 Boston University Henry M. Goldman School of Dental Medicine, Division of Continuing Education presents Treatment Planning in the 21st Century 9 AGD PACE Credits 9 ADA CERP Credits 7-Night Alaska from Seattle October 19, 2014 Predictable Treatment Planning: From the Seemingly Simple to the Worn Dentition...and Everything in Between 14 AGD PACE Credits 7-Night Western Caribbean from Ft. Lauderdale
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Saskatoon is surprisingly happening—from tasty microbrews and farm-to-fork fare to a university scene and light machine that’s out of this world. (CE events in Saskatoon are highlighted in blue.)
October 5, 2013 Cosmetic Pearls for General Dentistry 14 AGD PACE Credits 7-Night Mediterranean from Venice March 15, 2014 Comprehensive Dentistry: The Pursuit of Excellence 14 AGD PACE Credits 7-Night Western Caribbean from Florida April 29, 2014 The Pediatric Dental Course You Wished You’d Had in Dental School 14 AGD PACE Credits 12-Night D-Day Anniversary European Cruise Rome to Copenhagen
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Call 1-800-422-0711 (727-526-1571)
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2
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kuala lumpur
out at passing villages while lunching on curry served in a tiffin by waiters in pith helmets and knee socks. The next day, I moved into central KK, to Tanjung Aru—another Shangri-La property. There, I raced around their new marina and waterfront on a jet ski, flying past a floating village and old school wooden boats. Then I took some time to relax, first reclining by the resort’s lovely infinity pool, then taking a dip in the warm sea, following that with a spa treatment that amounted to pure indulgence. The spa at Tanjung Aru is located on its own exclusive island, and I partook in a two-and-a-half hour massage and bath treatment in a spa villa that came equipped with a change and relaxation building, an outdoor hot tub big enough to hold a party in, an al fresco shower and surrounding gardens, plus the treatment villa itself. Properly pampered, I decided that it was time to meet the headhunters. I headed to the nearby Mari-Mari Cultural Village, where I was introduced to various aspects of the traditional way of life on Borneo. Visiting longhouses big enough to accommodate 60 families, I saw how headhunters would hang the dismembered heads of their quarry from the rafters of their homes as a
he Ninkasi Imperial Pilsner goes down very nicely. So does the Black Cat German Schwarzbier, Loki Double (Imperial) IPA and Bête Noire Dry Oatmeal Stout. Yes, there’s a lot of great brew to choose from in Saskatoon, especially from Paddock Wood Brewing Co. at the Woods Alehouse [thewoodsalehouse.com] 1 . At Saskatoon Brewery, there’s the Berry Dark Ale. If you prefer crisp cider, Living Sky Winery [livingskywinery.com], just outside the city, is garnering plenty of attention for its Bunny Hugger Sask-cherry cider (“bunny hug” is a Saskatchewan term for a hoodie)—so much so that a band touring through the area bought up the last of the current stock. Owners and farmers Vance Lester and Sue Echlin won the Outstanding Young Farmer of Canada last year (Vance now sports the eye-catching belt buckle-cum-trophy 2 ). All these local growers and brewers are part of a burgeoning group of bright, young folk revitalizing this prairie town. In downtown Saskatoon, there’s the Woods Alehouse with locavore fare as well as beer, and a tiny joint with a double identity: “Poached” in the mornings for breakfasts that, you guessed it, boasts perfectly poached eggs, and “Flint” by night [flintsaloon.com], with
hand-crafted cocktails like the Berry Saskatoon martini , made with house-infused gin 3 . Across the South Saskatchewan river 4 , white-hot restaurant Weczeria [weczeria.ca] is leading the food movement on the hipster stretch of Broadway (sample dish: Chef Daniel Walker’s Wild Boar Cheek). The street showcases local fare from cupcakes (home-baked goods are part of the Eastern European roots of Saskatoon) and cheese at the Bulk Cheese Warehouse (locals’ go-to gourmet grocery store) to the must-try “prairie blend” coffee at Broadway Roastery [broadwayroastery.com]. Walk northeast along the river and you’ll get to the University of Saskatchewan, founded in 1907 [usask.ca]. Renowned for its medical, dental and veterinary schools, U. of S. has kept this prairie city on the cutting edge. The Canadian Light Source, Canada’s national synchrotron research facility [lightsource.ca], is located here (it’s like real-life sci-fi: the synchrotron is a giant electron beam). A short walk away is the award-winning high-tech research/ science park, Innovation Place [innovationplace.com]. Back on the other side of the South Saskatchewan river the creative set gets arty again at the Mendel Art Gallery
[mendel.ca]. Check out the “Shaping Saskatchewan: the art scene 1936-1964” exhibit on until September. And opening in 2015 will be the province’s largest art gallery, the Remai Art Gallery of Saskatchewan [remai.ca], alongside Persephone Theatre at the River Landing [riverlanding.ca]. Also on this side of the river is the downtown core, where the Delta Bessborough hotel has been an imposing structure since 1935 [deltahotels.com/Hotels/DeltaBessborough] 5 . The grand dame claims “All the festivals, one castle,” referring to Saskatoon’s moniker of Festival City (in the summer there’s a new fest going on every week). A small sample: Jazz Fest (with guests like Herbie Hancock), Blues Fest, Fiddle Fest and Shakespeare on the Saskatchewan (this season it’s Macbeth and The Comedy of Errors). Then, post-fest, embrace all that Saskatoon spirit downtown in The James—a boutique style hotel on the river’s edge where you can sip an old-school Sazerac and channel this city’s newfound spirit. [thejameshotel.ca]. —B. Sligl For more info on Saskatoon, go to tourismsaskatoon.com; and Saskatchewan in general, sasktourism.com.
July/August 2013 Just For Canadian dentists
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topic
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Treatment Of The Medically Compromised Patient Outpatient Dentistry And Anesthesia
Eastern North Carolina Oral and Maxillofacial Education Society
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nc.rr.com
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Jul 28Aug 04
Alaskan Cruise
The Future Of Dentistry In 2013 & Beyond
Sea Courses Cruises
800-647-7327
seacourses.com
Aug 10-17
Alaskan Cruise
Oral Dermatology And Oral Pathology
Continuing Education, Inc./University at Sea
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Oct 31Nov 03
New Orleans Louisiana
Annual Meeting
American Dental Association
312-440-2665 See Ad Page 2
ada.org/session
Nov 09-12
Victoria British Columbia
University of Victoria
250-472-4747
uvcs.uvic.ca
Dec 09-21
South East Asia Cruise
Oral Dermatology Review
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800-647-7327
seacourses.com
Jan 05-21 2014
Antarctica Cruise
Dental Challenges In Isolated Communities
Professional Education Society
877-737-7005
pestravel.com
Jan 20Feb 03 2014
Australia & New Zealand Cruise
Current Concepts In Medicine
Sea Courses Cruises
800-647-7327
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Feb 01-08 2014
Maui Hawaii
34th Annual Hawaiian Dental Forum
Dental Seminars & Symposia, LLC
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Feb 07 2014
Montreal Quebec
Making “Real World” Dentistry Productive And Enjoyable (Special Guest: Dr. Gordon J. Christensen From The USA)
877-463-1281 See Ad Page 9
idi.org
Greece to Turkey Cruise
Oct 19-20
Patchogue New York
Local Anesthesia In Dental Hygiene Practice
Missouri College
314-596-8665
sblearninglink. com
Nov 20
Detroit Michigan
A Hands-On Review Of Local Anesthesia
University of Detroit Mercy
313-494-6694
udmercy.edu
Through 2013
Western Canada
FOCUS Dental Education Series: Part II
F.O.C.U.S.
604-922-3465
drracich.ca
Sep 25-28
Vancouver British Columbia
The Art Of What We Know - Work, Play And Learn
Canadian Academy Of Restorative Dentistry And Prosthodontics
902-435-1723 See Ad Page 25
cardp.ca
Oct 05-12
Mediterranean Cruise
Cosmetic Pearls For The General Practitioner
Continuing Education, Inc./University at Sea
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continuingeducation.net
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Montreal Quebec
Modern Concepts In Restorative Dentistry (Special Guest: Dr. Elliot Mechanic)
International Dental Institute
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Dec 21Jan 05 2014
Hong Kong to Singapore Cruise
Building Blocks Of Aesthetic Restoration
Mindware Educational Seminars
888-574-8288
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Jan 23Feb 02 2014
East Africa Safari
Current Concepts In Prosthodontics Addiction, Methadone And The Dental Office How To Survive Your Next Medical Emergency Combining Art & Science
Kennedy Seminars
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Feb 07-22 2014
Southern Caribbean Cruise
An Overview Of Restorative Dentistry
Kennedy Seminars
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Feb 08-15 2014
Kauai Hawaii
34th Annual Hawaiian Dental Forum
Dental Seminars & Symposia, LLC
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dentsem.com
Mar 08-15 2014
Turks and Caicos
Problem Solvers For Restorative Dentistry
Kennedy Seminars
877-536-6736 See Ad Page 4
kennedyseminars.com
Feb 17-21 2014
Kauai Hawaii
20th Annual UCSF/Pacific Island Dental Colloquium
University of California San Francisco
415-476-1323 See Ad Page 22
ucsf.edu
Aug 30-31
San Francisco California
Oral Stratified Build-Up Technique
Interdisciplinary Dental Education Academy
650-578-9495
ideausa.net
May 04 2014
Saskatoon Saskatchewan
SDTA Annual General Meeting
Saskatchewan Dental Therapists Association
306-672-3699
sdta.ca
Sep 13
Vancouver British Columbia
Enhancing Outcomes And Productivity Through The Evolution In Techniques And Materials
Straumann Canada Limited
905-335-7407
straumann.com
Oct 24Nov 01 2014
Greece and Turkey Cruise
Contemporary Topics In Dentistry
University of California San Francisco
415-476-1323 See Ad Page 22
ucsf.edu
Nov 15-17
Minneapolis Minnesota
New Materials, Technologies & Laser Training - Postgraduate Program In Contemporary Restorative Dentistry: Level III
University of Minnesota
dentalce.umn. edu
Aug 5-18
800-685-1418
San Diego California
2013 Continuous Fellowship Program
California Implant Institute
858-496-0574 See Ad Page 19
implanteducation.net
Shaping, Cleaning, and Obturation of Root Canal Systems
North Shore Endodontics & Vancouver Root Canals
Aug 21-24
Rosarito Mexico
2013 LIVE Externship Program
Sep 20-21
Vancouver British Columbia
California Implant Institute
858-496-0574 See Ad Page 19
implanteducation.net
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Sep 2013May 2014
8 Sessions To Implant Therapy (Introduction: Mondays; Intermediate: Thursdays; Or Advanced: Fridays)
Renaissance Dental Implant Institute (RDII) and Dentsply Implants
877-879-9660
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Nov 14-16
Las Vegas Nevada
2013 Fall Conference - Contemporary Concepts In Periradicular Surgery: Diagnosis and Treatment
Vancouver British Columbia
American Association of Endodontists
800-872-3636
Dec 29 2013-Jan 05 2014
Caribbean Cruise
Ultimate Shore To Ship Convention; Featuring The Digital Dental Environment—How You Can Make It Yours
Alpha Omega International
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Sep 16-28
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Current Concepts In Dentistry
Prosthodontic Success: From Concept To Delivery Medical Emergencies In Dental Practice Office Oral & Maxillofacial Surgery A Critical Look At Dental Adhesives, Composites & Light Curing
new CE to International Dental Institute be placed
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don’t miss the 34th annual
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California Implant Institute offers a comprehensive fellowship program in oral implantology. This training program includes 4 sessions (five days each) designed to provide dentists with practical information that will be immediately useful to them. The fellowship program offers more than 300 combined hours of lectures, laboratory sessions, online webinars, and LIVE surgical demonstrations performed at the California Implant Institute facility.
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contact
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Oct 04-06
Vancouver British Columbia
The Complete Advanced Cadaver Grafting Program
I.D.E.A.S.
Oct 13-24
Wine Tour of Israel
Trilogy Of Implants, Bone & Soft Tissue; Orthodontics In A Comprehensive Treatment Plan; And Bone Reconstruction For Dental Implants
Mindware Educational Seminars
888-574-8288
mindwareseminars.com
Nov 09
Montreal Quebec
Technologies That Improve Our Implant Practices (Special Guest: Dr. Jon M. Julian From The USA)
International Dental Institute
877-463-1281
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Nov 14-17
San Diego California
Advanced Hard And Soft Tissue Grafting Program With Cadavers Hands-On
California Implant Institute
858-496-0574 See Ad Page 19
implanteducation.net
Nov 20-23
Rosarito Mexico
2013 LIVE Externship Program
California Implant Institute
858-496-0574 See Ad Page 19
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Jan 10-12 2014
Vancouver British Columbia
Science & Treatment Planning
Implant Institute International
604-868-9700
pacificimplantinstitute.com
Jul 11-13 2014
Vancouver British Columbia
Surgical Operations & Wound Healing
Aug 05
St. Paul Minnesota
Infection Control & OSHA Compliance For Everyday Practice
Aug 23
Plymouth Michigan
Infection Control In Dentistry
Sep 19-28
Italian Dreams Cruise
Dentistry & Disease Prevention
Ongoing
Podcast and Online Based
Medical Emergencies
Aug 18-23
Mainz Germany
USU Executive Skills Training Course – Critical Decision Making For Medical Executives: Keys To Improving Healthcare Delivery
PRIME
Sep 16-28
Athens Cruise
Treatment Of The Medically Compromised Patient Outpatient Dentistry And Anesthesia
Eastern North Carolina Oral and Maxillofacial Education Society
919-734-5073
Feb 18Mar 05 2014
Vietnam & Cambodia River Cruise
Dental Healthcare Delivery
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Through 2013
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FOCUS Dental Education Series: Part I
Aug 10-15
San Francisco California
Orthodontic Treatment Based On Occlusal Plane Control: A Key For Successful Treatment Of Different Types Of Malocclusion With Or Without Dysfunctional Problems
Interdisciplinary Dental Education Academy
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Nov 15-16
Tempe Arizona
Ultimate Occlusion - Level 1
Gold Dust Clinical Mastery
480-968-6131
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F.O.C.U.S.
800-685-1418
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313-494-6694 877-737-7005 239-593-2178 954-718-6055
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Orthodontics
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Ongoing
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Understanding And Assessing Risk In The Treatment Of Periodontal Disease
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Las Vegas Nevada
Dental Office Managers 4 Day Intensive Workshop: Learn How To Make Your Dental Office More Productive & Efficient And Cause You And Your Staff Less Stress
Dental Management Secrets
403-984-0115
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Mar 15-22 2014
Western Caribbean Cruise
Comprehensive Dentistry And The Dental Team: The Pursuit of Excellence
Continuing Education, Inc./University at Sea
800-422-0711 See Ad Page 16
continuingeducation.net
May 02-04 2014
Saskatoon Saskatchewan
SDTA Annual Professional Development
Saskatchewan Dental Therapists Association
306-672-3699
sdta.ca
Nov 14-16
Las Vegas Nevada
2013 Fall Conference - Contemporary Concepts In Periradicular Surgery: Diagnosis And Treatment
American Association of Endodontists
800-872-3636
aae.org
Feb 10-14 2014
Hawaii Hawaii
21st International Symposium In Oral And Maxillofacial Surgery; Contemporary Concepts In Oral And Maxillofacial Surgery
University of California San Francisco
415-476-1323 See Ad Page 22
ucsf.edu
Nov 21-23 2014
Vancouver British Columbia
Advanced Soft Tissue Surgery
Implant Institute International
604-868-9700
pacificimplantinstitute.com
Aug 10-15
Foster City California
650-578-9495
ideausa.net
Sep 06-07
Toronto Ontario
877-372-7625 See Ad Page 20
rondeauseminars.com
Oct 04-05
Las Vegas Nevada
Orthodontic Case Finishing Conference
Rondeau Seminars
877-372-7625 See Ad Page 20
rondeauseminars.com
Oct 25-26
Vancouver British Columbia
Level I Introduction To Orthodontics 1 Of 4 Session Series
Rondeau Seminars
877-372-7625 See Ad Page 20
rondeauseminars.com
Nov 09-10
Toronto Ontario
Dentist’s Role In Snoring And Sleep Apnea
Rondeau Seminars
877-372-7625 See Ad Page 20
rondeauseminars.com
Jan 19-30 2014
India Tour
Gummy Smiles & Lingual Orthodontics; And Esthetic Implant Placement
Mindware Educational Seminars
888-574-8288
mindwareseminars.com
Aug 07
New York New York
Pediatric Dentistry For The General Practitioner
Henry Spenadel Continuing Education
212-573-9816
nycdentalsociety.org
Sep 27
St. Paul Minnesota
Managing Child Behavior In The 21st Century Dental Practice
University of Minnesota
800-685-1418
dentalce.umn. edu
Aug 09-16
Alaskan Cruise
Shedding Light On The Future Of Periodontics
Kennedy Seminars
877-536-6736
kennedyseminars.com
Dec 05
Minneapolis Minnesota
Clinical Grand Rounds For The Dental Team: Lasers In Periodontal Therapy
University of Minnesota
800-685-1418
dentalce.umn. edu
Interdisciplinary Dental new Education CE toAcademy Level I Introduction To Orthodontics 1 Ofbe 4 placed Rondeau Seminars Session Series Orthodontic Treatment Based On Occlusal Plane Control
U LT I M AT E
9
Dental CE Credits
ALPHA OMEGA CRUISE
December 29, 2013 through January 5, 2014
ms Eurodam
www.aocruise2013.com • 301-738-6400 20
Just For Canadian dentists July/August 2013
July/August 2013 Just For Canadian dentists
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Dental Assistants & Hygienists
contact
website
Ongoing
Online Based
Florida Board Of Pharmacy Misfills Course
Nova Southeastern University
800-356-0026
nova.edu
Ongoing
Online Based
Advances In Xylitol
DentalEdu.Tv
239-593-2178
dentaledu.tv
Aug 04-14
Danube Cruise
How To Prepare Your Practice For Sale & Prepare Yourself For Retirement
Mindware Educational Seminars
888-574-8288
mindwareseminars.com
Sep 22-29
Venice & the PO River Cruise
Blending And Merging Technologies With Traditional Concepts
Kennedy Seminars
877-536-6736 See Ad Page 4
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Sep 25 & 26
Calgary & Edmonton Alberta
What Your Practice Is Worth Today And Why Sep 25: Calgary Sep 26: Edmonton
ROI Corporation
heather@ roicorp.com
roicorp.com
Sep 27-29
Collingwood Ontario
The Ultimate Opportunity To Optimize Your Practice
ROI Corporation
Oct 04-05
Montreal Quebec
Hit The Ground Running – Getting Your Patients to Get It!
International Dental Institute
877-463-1281 See Ad Page 9
idi.org
Oct 18
Saskatoon Saskatchewan
Meet The Masters Series - Achieving Optimal Esthetic Results Through Digital Dentistry
Straumann Canada Limited
905-335-7407
straumann.com
Jan 23-26 2014
Cabo San Lucas Mexico
Complete Dental Practice Rejuvenation Bring Your Entire Staff For A Complete Office Rejuvenation Experience
Dental Management Secrets
403-984-0115
dentalmanagementsecrets. com
Feb 15-22 2014
Sandals Whitehouse Jamaica
Practice
ROI Corporation
Mar 28-29 2014
Montreal Quebec
Transition Planning In Dentistry
International Dental Institute
May 28Jun 04 2014
Alaskan Cruise
Jul 05-12 2014
new CE to be placed The Ultimate Opportunity To Optimize Your
See Ad Page 39
heather@ roicorp.com
roicorp.com
See Ad Page 39
heather@ roicorp.com
roicorp.com
See Ad Page 39 877-463-1281 See Ad Page 9
heather@ roicorp.com
idi.org
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Practice Management, Technology and Planning
Pharma
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APPRA
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LOOKING TO KNOW THE FAIR MARKET VALUE OF YOUR PRACTICE?
q
READY TO SELL YOUR PRACTICE FAST FOR TOP DOLLAR?
An accurate valuation of your practice is an indispensable tool that will help you make the best decisions regarding your practice and career. Meridian Sales & Appraisals not only provides exceptionally accurate valuations, but also provides invaluable advice, often increasing a practice's worth prior to a sale. Sometimes, even slight adjustments in the day-to-day operations of a practice or simple cosmetic upgrades will dramatically increase your practice's value. Even if you're not contemplating selling your practice in the near future, having a current valuation on hand proves very useful should any unforeseen events happen. If you are thinking of selling your practice and cashing in on your life's work, it is advisable to have a valuation done three to five years before you actually plan to sell. After going through the process of a full evaluation, we can often suggest simple steps to make a practice more valuable prior to a sale.
Practice Valuations - Practice Sales Alan Rustom Broker
alan@practice4sale.ca
The Ultimate Opportunity To Optimize Your Practice
ROI Corporation
Alaskan Cruise
Dental Treatment Planning And Sequencing
Continuing Education, Inc./University at Sea
800-422-0711 See Ad Page 16
continuingeducation.net
Oct 19-26 2014
Western Caribbean Cruise
Predictable Treatment Planning: From The Seemingly Simple To The Worn Dentition... And Everything In Between
Continuing Education, Inc./University at Sea
800-422-0711 See Ad Page 16
continuingeducation.net
Aug 21
New York New York
The Dental Hygienist’s Role: Assessment And Treatment Strategies
Henry Spenadel Continuing Education
212-573-9816
nycdentalsociety.org
Oct 03-04
Columbus Ohio
Front Office Academy
Paragon Management Associates Inc
614-433-0790
theparagonprogram.com
Nov 16
St. Paul Minnesota
Winter Dental Assistants’ Seminar
University of Minnesota
800-685-1418
dentalce.umn. edu
roicorp.com
See Ad Page 39
For feedback, requests or to have your course featured please email ce@inprintpublications.com
TORONTO - ORTHODONTIC OFFICE Well established. Nicely set-up with high end finishes. Doctor working 2-3 days a week. Ideal for a full time Orthodontist. Current Production $1.1M with potential growth to $2M. Email Alan for details. TORONTO – Leaside Area Very nicely designed practice consisting of 2 fully equipped and 2 plumbed operatories. Livework set-up with a gorgeous 2 floor home above the practice. Price includes practice and property. Same owner for 13 years. Seller retiring and will transition for a short time. Excellent location and high exposure with lots of growth potential. Co-listed with Hill Kindy Group. $1.795 Million.
AJAX, ON Well established office with 2 operatories. Fully computerized. Located in busy plaza and surrounded by high density residential buildings. $400K Annual billings. KEELE & LAWRENCE 4 operatories. This is an office setup only with approximately 150 patients. Great potential. Priced to sell. Asking $79,000. Good rent. Long term lease. Owner moving to a practice up north. Contact Alan for details. 2 Hours NW of Toronto Annual billings of $1.2M. 5 operatories. No weekends. Property also for sale. Highly profitable. SOLD Conditional
ETOBICOKE Recently renovated. 3 fully equipped operatories. Pan X-ray. Annual production around $650K. Very low overhead and highly profitable.
SCARBOROUGH, ON 3 operatories. Analog pan. All digitial x-rays. Recently renovated office. Annual billings over $400K. Computerized. Busy medical building. Short hours.
30 MINUTES NORTH OF TORONTO Very nice office with high end finishes. 3 fully equipped ops and 3 plumbed. Very busy plaza. Excellent exposure. Ceph/pan. All digital. $300K annual billing with working 2 days only. Email Alan for details.
WEST CENTRAL TORONTO Two fully equipped operatories. Annual production around $425K. Property is also for sale. Excellent opportunity next to TTC station.
SCARBOROUGH, ON 2 operatories. Digital pan. All digital x-rays. Annual billings of $500K. Ideal for an owner/operator. Fully computerized. Email Alan for details. Just For Canadian dentists July/August 2013
(7653)
CURRENT OPPORTUNITIES
SOLD
22
Toll Free 1-855-310-SOLD
SOLD
SOLD
TORONTO - Rosedale Well established under the same owner for over 22 years. Annual production of $425K. Fully computerized. Amazing area with high end neighborhoods.
For up-to-date listings, please visit www.Practice4Sale.ca
t h e w e a lt h y d e n t i s t m a n f r e d p u r t z k i
TURNING VISION INTO VALUE ACCOUNTING, TAXATION & BUSINESS SOLUTIONS For Dentists, Doctors and Healthcare Professionals
4Buying & Selling Dental Practices 4Setting Up Professional Corporations 4Corporate Tax Returns & Personal Tax Returns 4Tax Strategies For Dentists 4Assistance With CRA Audits 4Business Plans & Bank Financing 4Financial Statements Guru is a Chartered Accountant from the Canadian Institute of Chartered Accountants and a Certified Public Accountant from the State of Illinois, USA. He is also a Certified Management Accountant & Certified Financial Manager from the Institute of Management Accountants, USA.
G.E. Pujari
Chartered Accountant
Guru has Healthcare Professionals in his family, who also own Dental Offices in Canada. He is conversant with tax strategies and financial planning for Healthcare Professionals and Dentists having their own practice or working as an Associate. Dentists need an Advisor who understands their business.
Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at manfred@purtzki.com.
What’s the secret behind the dental practice that has 100 new patients each month, an overhead of barely 50% of revenues, and staff that loves coming to work? Read on!
the thriving practice
What makes one dental office so successful over another?
W
hy is one dental practice thriving beyond expectation over another? It has 100 new patients each month, an overhead of barely 50% of revenues, and staff that loves coming to work. Its impressive growth stands in stark contrast to the doom and gloom of declining revenues and low staff morale that reigns in the practice next-door. What’s the difference?
• As individuals, we value trust and respect, recognizing that both are the foundation to integrity. • We use the latest technology to maximize our effectiveness and provide the best in dental care and quality. • We strive to achieve the highest level of patient satisfaction. • We embrace change and do not fear it, as change is an opportunity to improve. • We welcome each staff member’s ideas for improvements in the practice. • We consider problems as challenges to find more creative solutions.
1. A “WOW” first impression. The receptionist is considered the “Director of First Impressions,” who makes the patient feel at home with a warm welcome. Patients notice immediately a higher level of comfort and service than they experience elsewhere.
3. A capable office manager, who supervises and manages non-dental, treatment-related tasks.
2. A mission statement that is treated by the team like the 10 Commandments. Here’s an excerpt:
4. An employee manual, which clearly defines job descriptions and expectations relating to specific performance measures.
• We have a passion for quality and excellence.
5. Clearly defined financial goals, including
revenue goals, ordering and staffing budgets, which are directly related to forecasted revenue. 6. Monthly cash flow statements, with practice monitors for each staffing position. 7. A time-keeping system to accurately track employees’ hours. 8. Clearly documented financial and payment policies to ensure that all team members are aware of the policies and able to communicate this to the patient. This creates consistency and transparency regarding patient payment methods and the collection process. 9. A Hygiene Soft Tissue Management System aimed at providing consistency of treatment in the hygiene team and universally understood standards of care. >>
The right advisor can mean the difference between success and failure in your practice. We believe in being a partner in your growth. Please contact us for an initial consultation.
Annual Scientific Meeting - "The Art of What We Know" Vancouver, BC - September 26 - 28, 2013
We have an exceptional agenda in store for you at our upcoming 21st Annual Scientific Meeting. Starting with September 25, offering a Hands-On Course, September 26, Social Activities, September 27, Six-One Hour Essayist & September 28h, Eight-Twenty Minute Presentations followed by 15 Afternoon Table Clinics. Join us for our social events to experience Vancouver & Meet Our Members.
TRUST A PROFESSIONAL TO DO IT RIGHT!
Gurunath E. Pujari
Friday, September 27th - 55 minute presentations Dr. David Clark, Tacoma, Washington - Injection Molded Composite Dentistry: The Dawn of a New Era. Dr. Charles Shuler, Vancouver - What are these drugs our dental patients are taking? Dr. Leslie David, Toronto - Questions and Realities in Contemporary Oral Surgery and Implant Care Dr. Harold Baumgarten, Philadelphia - Dental Implants in the Aesthetic Zone - Achieving and Maintaining Long Term Aesthetic Results Dr. Christian Coachman, Rio de Janiero, - Improving Dentist/Technician Communication for Optimum Smile Design and Ceramic Restorations. Dr. David Sweet, Vancouver - How do I kill you? Let me count the ways!
CA, CPA, CMA, CFM, LLB (G)
G.E. PUJARI CHARTERED ACCOUNTANT 165 Dundas Street West, Suite 902 Mississauga, ON L5B 2N6
www.gepujari.com
Off: (905) 232-9393 / (647) 800-4345 Cell: (416) 876-7489 Fax: (905) 232-9456 e-mail: guru@gepujari.com
Saturday, September 28th - 20 minute presentations Dr. Mike Racich, Vancouver (Fellow Member) - TMD Evaluation and Management in Everyday Practice Dr. Donald Anderson, Burnaby - Pearls of Implant Dentistry for the Restorative and Surgical Dentist Dr. Roxana Saldarriaga, Vancouver (Active Member) - The Challenge of Restoring the Anterior Tooth Dr. Ben Pliska, Vancouver - What Every Dentist Should Know About Obstructive Sleep Apnea Dr. Chris Wyatt, Vancouver - Marginal fit of ceramic crowns using digital and conventional techniques Dr. Kim Kutsch, Albany - Dental Caries: Not the Usual Suspects Dr. Chandur Wadhwani, Bellevue - Residual Excess Cement and Dental Implants- An inconvenient truth Dr. Allan Burgoyne, Kitchener - Topic to be advised
Visit www.cardp.ca to Register and for additional information on our Social Activities Host Hotel: Vancouver Renaissance Harbourside Hotel July/August 2013 Just For Canadian dentists
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11. All patients leaving the office have a return visit booked. 12. A strong internal and external marketing plan, designed to maintain practice name recognition and attain a patient volume of 100 new patients per month. The marketing strategies to achieve these goals include direct mailings, newspaper advertisement, social media and creative community-based sponsorships and promotions. 13. The practice adjusts the fee schedule on an annual basis and does not discount fees. FEES While on the fees topic, many dentists discount these or don’t implement annual fee increases in the often-mistaken belief that this attracts new long-term patients. The benefit of increasing fees and eliminating discounts to patients is shown in the table (below). Assuming an office production of $700,000, you can boost your pre-tax
cash flow by $4 million over a 30-year career by increasing fees by only 1% each year, and so on. As shown in the table, a gradual increase flows right to the bottom line. The beauty of annually increasing your fees is not only the additional income, but also a higher selling price of your practice down the road. Dentistry is a dynamic business and it continues to go through many dynamic changes, but one thing will always be constant: the better you take care of your patients by meeting and exceeding their expectations, the more your career and that of each of your staff members will prosper and flourish. Impact of Increasing Fees Year
Revenue
1
700,000
Increasing Fees 1%
3%
5%
707,000
721,000
735,000
5
700,000
735,707
811,492
893,397
10
700,000
773,235
940,741
1,140,226 1,455,250
15
700,000
812,678
1,090,577
20
700,000
854,133
1,264,278
1,857,308
25
700,000
897,702
1,465,645
2,370,448
30
700,000
943,494
1,699,084
3,025,360
Total
21,000,000
25,292,918
35,001,875
49,532,553
sudoku 2 harder solution 1 4 5 7 8 9 6 3 2 8 3 6 2 5 1 9 7 4 7 2 9 4 3 6 8 1 5 4 5 1 6 7 2 3 8 9 2 9 7 8 1 3 4 5 6 3 6 8 5 9 4 1 2 7 6 7 3 9 2 8 5 4 1 9 1 2 3 4 5 7 6 8 5 8 4 1 6 7 2 9 3
Puzzle by websudoku.com
solution from page 37
>> 10. The purchase of dental supplies and sundries is governed by ordering budgets. One team member is responsible for maintaining the inventory and ordering supplies. The ordering budget is based on actual revenue.
solution from May/June 2013 contest
t h e w e a lt h y d e n t i s t [ c o n t i n u e d ]
WEB PRINT BRANDING MARKETING HOW’S YOUR INTERNET PRESENCE? When we design your WEBSITE, we aim to give your practice the best possible representation on the web, ensuring that your mission and values are reflected online.
www.iQuestMedia.net
Our Websites are functional, user-friendly and search engine friendly. Let us build your website and enjoy...
sudoku 1 easier solution 7 3 9 5 8 1 6 2 4 5 6 8 4 3 2 7 9 1 1 2 4 6 7 9 3 5 8 3 5 6 8 9 7 4 1 2 9 8 2 1 4 3 5 7 6 4 7 1 2 5 6 8 3 9 2 1 5 7 6 8 9 4 3 6 4 3 9 2 5 1 8 7 8 9 7 3 1 4 2 6 5
QUALITY, FUNCTIONALITY & AFFORDABILITY.
Web Design & Development Services:
Web Presence Strategy Custom Website Design Web Hosting Custom Programming E-Commerce Mobile Websites Corporate Portals Social Media
Puzzle by websudoku.com
Email us at info@iquestmedia.net or Call us Toll Free 1-888-502-2526
DO PEOPLE IN THE NEIGHBOURHOOD KNOW ABOUT YOU? NO MATTER HOW GOOD YOU ARE, THERE ARE MANY PEOPLE IN YOUR AREA THAT DON’T KNOW ABOUT YOU! This is where direct mail comes in. DIRECT MAIL is one of the most powerful marketing methods. We will design, print and mail your marketing material. We specialize in direct mail campaigns that provide an ongoing consistent message to your target audience, delivered by Canada Post.
Target 5,000 Households
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PRICES INCLUDE DESIGN, PRINTING AND DELIVERY BY CANADA POST
Email: info@iquestmedia.net
WEB
Website Design Custom Programming E-Commerce Mobile Websites Corporate Portals Social Media
26
Just For Canadian dentists July/August 2013
Creative Services Flyers & Brochures Print Ads Greeting Cards Postcards
Call Toll Free: 1-888-502-2526
BRANDING
Full Company Branding Image Consultation Logo Design Business Card Design Stationery Design
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travel at home
Riders take in the view of Tagish Lake from high on Montana Mountain, near Carcross, 75 km south of Whitehorse. opposite page, clockwise from top left: Riders take a break in the late evening sun, at around 10 pm, along the Yukon River Trail. >> Riding along the Yukon River Trail, near Whitehorse. >> A rider descends a rock face on Grey Mountain, above Whitehorse. >> More riding along the Yukon River Trail. >> Yurts in Boréale Mountain Biking’s “Yurtville,” set in the forest outside of Whitehorse. >> Riding past wildflowers in the alpine on Montana Mountain.
travel at home
Riding the North The Yukon may be mountainbiking’s next Moab story + photography by
Darryl Leniuk
The pilot’s voice crackled over the intercom, “Please don’t be alarmed by the smoke you smell in the cabin.”
The plane was just beginning its descent into Whitehorse when I noticed the distinct odor. The good news was that the smoke was outside the plane, caused by several forest fires burning throughout northern BC and the Yukon from an unseasonably hot summer. The bad news was this is exactly where I’d come to go mountain biking. Looking out the window, I saw only thick grey fog. I hadn’t even arrived, yet I knew this trip was going to be an adventure. >>
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Just For Canadian dentists July/August 2013
travel at home The ride finished some three hours later at Schwatka Lake, a tranquil body of water that was formerly a fierce section of the Yukon River. The rapids here were said to resemble the manes of charging white horses, and gave the city its name during the Klondike gold rush of 1898. A dam built in 1958 flattened the white water and created the Schwatka Lake reservoir. Many of the prospector’s wagon trails are now mountain bike tracks. That night at the yurts, the group discussed whether to continue riding. A story in the local newspaper warned against physical activity with the smoke surrounding town. By morning, my worries were replaced with elation, as I walked out of my yurt into a brisk breeze and cloudless sky—winds had come in overnight and blown the smoke away. Turcotte was beaming, “I think we will go to Carcross today.” A few hours later I was high on Montana Mountain, 75 km south of Whitehorse, bouncing in the cab of a 4WD truck up a steep road of football-sized rocks, passing arctic lupine flowers and dwarf willows. I stepped outside into a treeless, glacier-scrubbed landscape. Bikes were unloaded, backpacks sorted, and the group
was soon pushing further up a road too rough to drive. It snaked up and down for miles; I pedaled past waist-high fields of fireweed and splashed through gin-clear streams. Far below, Tagish Lake glistened in the midday sun. Above, a lone caribou stood on an unmelted snow slope, a dark motionless figure, cooling itself from the boreal summer. Startled, it began charging downhill, hoofing up snow, until reaching the rocky slope below, and bounding out of sight. The Mountain Hero Trail, one of the Yukon’s signature rides, is named for the former silver mine here and begins on a barren knoll just shy of the 2,205-metre summit. After the Klondike gold rush, silver was discovered in Carcross in the early 1900s. “Alright, let’s go riding,” said Turcotte. Seats were lowered and the group descended over loose rocks and spongy lichen. The trail was difficult to discern, marked only by knee-high rock cairns. I rolled past huge wooden trestles, remnants of the tramline built in 1905 to haul silver ore down the mountain to Tagish Lake. The mine went bankrupt before delivering a single load. Picking up speed, I dropped through the
mountain’s climactic zones; from the sparse summit, I was soon pedalling past waisthigh shrubs and finally into a forest of alpine fir and black spruce. The ride was fast and furious and the smell of burning disc brakes filled the air on trails built for packhorses more than a century ago. “Nice of them to build this for us,” Turcotte yelled careening through one of the corners. But some trails go back even further. Montana Mountain is on land belonging to the Carcross/Tagish First Nation, which has had trade routes here since before European settlers arrived. In 2006, an innovative mountain-bike trail building program was begun, employing native youth. Each summer old trails are restored and new ones built. “Part of the revitalization of our culture is bringing our young people back to the land,” explained Justin Ferbey, who heads up the Singletrack to Success project for the Band. “As we build these trails, a lot of them are historical, from time immemorial for us. The trails are more than just biking for us; they bring cultural relevance to some of our historical practices today. That’s why we’re pushing for these trails.” The sport has been a positive experience for many youth in the community.
00601
MAY 13
“The youth really wanted somewhere to go biking, to spend their time wisely, not go out and get into trouble,” says trail builder Shane Wally, age 19. He has introduced others to the sport and is proud to show off his trails to the world. “We were in UK and US bike magazines.” Turcotte tailored the trip to my style of riding: fast flowing downhill that’s technical enough to keep me on my toes. My Santa Cruz Nomad, a high-performance fullsuspension bike, was a great fit for the trails. Most days we rode in the morning, rested in the afternoon, and then went out again in the evening. With long days, dry weather and spring-like temperatures, the Yukon has an ideal climate for mountain biking. But like most new ‘it’ destinations, I expected the riding to be a bit rough around the edges. Instead I was blown away by the quality and scope of the trails. One of those rides was Grey Mountain, overlooking Whitehorse to the south. After a shuttle up, the group rode SFD (Straight F__ing Down), Girlfriend and Juicy, dropping in and out of the tight lodgepole pine and black spruce forest, crossing narrow bridges and barreling between trees so tight my handlebars hardly fit. The trail traversed high above Chadburn Lake before
+
TOP RIGHT HAND PAGE
Al Heaps & Associates Inc.
Experts know the
BEST SPOTS
SUMMER TOURS Kayak, canoe, or raft everything from thrilling whitewaters to glass-flat lakes. Or pull on your boots and hit the trail to follow Klondike gold rush routes and backcountry treks under the midnight sun. Our experts will show you the way!
WINTER TOURS
Henry Doyle 604-724-1964
Ruth Chatel 604-220-4830
henry@heapsanddoyle.com
ruth@heapsanddoyle.com
We have over 55 dental practice opportunities across Canada Please visit our website: www.HEAPSandDOYLE.com Practices are selling for the
Discover Yukon’s wildest spots with our adventure experts You’ll experience bucket-list worthy adventures and awe-inspiring natural phenomena year-round in our vast land. Let one of our experts safely guide you into the secret places where the wild heart of nature and yours beat as one. Find the right guide for you at yukonwild.com
Just For Canadian dentists July/August 2013
Getting There Air North works with Boréale Mountain Biking to provide special packages on return flights with your bike from Vancouver, Calgary or Edmonton. flyairnorth.com Mountain Biking Season runs from May to September. The “Weekender” three-night package includes accommodation in spacious hardwoodfloored yurts, meals and guided rides for $695/person. Most riders bring their own bikes, but Boréale has hardtails available for rental. There’s also a multi-day riding and yoga retreat with pro mountain-biker and yoga instructor Ryan Leech, “Ride and Reach with Leech,” set for July 20 – 25, 2014 at $1,795. Custom packages are also available. borealebiking.ca more For more on what to do in the Yukon this summer, check out travelyukon.com and go to page 5 to see why a side trip to Kluane National Park is a must.
Practice Sales and Valuation Specialists
LOCAL KNOWLEDGE — INTERNATIONAL EXPOSURE
Our guides can design a unique aurora borealis experience just for you. Enjoy the northern lights from the back of a dog sled team, or a cozy secluded cabin. We can even show you how to capture them with your camera!
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joining the Yukon River Trail. I followed the river into the setting sun, squinting to see. I glanced at my watch; it was 10 pm. The path was narrow, and loose and ran along a steep embankment with nowhere to put a foot down. I stayed focused, trying not to fall. The Yukon River meandered below, its rapids now tamed; I kept cranking on the pedals, the trails still wild.
if you go
The Yukon Territory has been ranked as a top new destination for mountain-biking. Recent reports in mountain bike magazines hail Canada’s north as the next Moab. Some 800 km of trails exist in the Whitehorse area alone, comprising steep downhill chutes, fast flowing single-track and epic crosscountry trails in wilderness with seldom another rider in sight. Keen to check it out, I booked a five-day trip in mid-August with Boréale Mountain Biking, a Whitehorsebased outfitter specializing in guided rides from yurt lodging set in the pine forest overlooking town. The next morning I met Sylvain Turcotte, Boréale’s owner and lead guide, a fit and friendly 31-year-old Quebec transplant, who along with his partner Marsha Cameron has been operating Boréale since 2008. After unpacking and assembling my bike, which I brought on the Air North flight from Vancouver, I was soon peddling with the group through a pine forest bathed in yellow light. The sun was a golden orb in a sepia sky. The forest fires were distant, but the smoke was not. I rode trails called Hula Girl, Magnusson and Bogaloo: broad sweeping loops, interconnected with short ups and long fast downs with switchbacks and berms.
travel at home
highest value in 25 years! Contact us for a complimentary consultation.
Al Heaps 604-644-6297
George Osterbauer 416-312-6166
al@heapsanddoyle.com
george@heapsanddoyle.com
Palm Springs Transition Seminar and Golf Tournament Transition seminar with panel and one-on-one discussions with transition experts Rancho Las Palmas Resort and Spa — February 2014 Dental Practice Transition Seminars Toronto, ON — September 20, 2013 – 9am – 12pm contact ruth@heapsanddoyle.com for details and registration.
Saskatchewan Oral Health Professionals Annual Conference — Regina, SK – September 19-21, 2013 Northwest Dental Exposition — Edmonton, AB – September 27, 2013 Toll Free: 1-866-638-6194 Fax: 1-866-545-6759 BC: 300-1055 West Hastings Street, Vancouver, BC V6E 2E9 | Alberta: 2nd Floor 11210 107th Avenue, Edmonton, Alberta T5H 0Y1 Ontario: 200-1920 Yonge Street, Toronto, Ontario M4S 3E2
July/August 2013 Just For Canadian dentists
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practice management Timothy A. Brown specializes in dental practice appraisals, brokerage, consulting, locum placements, associateships and practice financing across Canada. You can reach Timothy at timothy@roicorp.com.
accidental intimacy
How and why those who work in very, very close proximity form a bond
I
t’s no secret that people who work daily in close proximity can and sometimes do become accidentally compatible— even intimate. Many professionals hear of or have been involved in office relationships. Outsiders may wonder why this happens and what cause and effect these relationships have on the office staff and, of greater concern, the marital impact for those married who engage in such romances. When delivering practice management seminars, I invariably offer this mantra: Live modestly and stay married. Why? Because it works! The live modestly part is easy for most to understand and most do try to follow it. The second half of the mantra—NOT SO EASY! I have sold countless practices (often at a rushed pace and an undervalued price) as a result of marital breakdown because of an office affair. It can be ruinous to a practice’s business value and the involved professionals’ reputation. To be fair, sometimes these office romances end up as a happily ever after union and partnership, but sadly, this is not the case for most I have witnessed or heard of. I’ve watched the dental office environment featured in the 1950s and ’60s Time in Motion films used by my father to design dental equipment delivery systems and cabinetry. A photo (right), from a legitimate and reputable Instructions Manual, illustrates suggested body positions for better delivery to the patient in a fourhanded operatory set-up. Imagine if this photo were used in today’s dental schools! Using today’s ergonomics the dentist and assistant are not much further apart; they’re still put into close physical proximity while working. Intimacy is often a result of such proximity, and a dental professional and assistant working in close quarters for hours on a daily basis may form a bond. That bond may simply be professional competency leading to a successful patient treatment delivery system. The nature and substance of the bonding varies greatly. It is easy to understand how people who work together have knowledge of
each other’s personal lives. Additionally, many dentists and assistants in a twohanded operatory chitchat about life’s daily events (movies, restaurants, the kids, etc.) as a form of bonding and even as a way to keep the patient pre-occupied while dental treatment is performed. This banter becomes part of the treatment process to alleviate patients’ fears. In a four-handed operatory, a partnership evolves using similar stories and strategies that have worked effectively in the past to ensure
too simplistic explanation of a very complex issue. Here’s one relationship that typifies some of the stories I hear: Two professionals working together for over 20 years develop a very co-ordinated professional approach to deliver quality dental care. A professional, not personal, bond has been created. For unrelated reasons both become divorced from their respective spouses. The end result is a happy, compatible union of two dental professionals based on their long-
It’s no secret that people who work daily in close proximity can and sometimes do become accidentally compatible—even intimate patient care and comfort. This process leads standing friendship, familiarity and respect to professional and personal familiarity for one another. A happy ending. amongst the individuals involved. The preceding article is a very informal, There may simply be a physical undocumented account of the realities of attraction between any two individuals the dental office environment based on within the dental office. Often young, numerous private conversations and cases attractive and energetic personnel are hired over my 35 years as a broker. and something magical and enticing is the result. Does anyone knowingly seek to end a marriage or cause workplace tension as a result of an office romance? I think not! And yet this happens with some regularity. Once this accidental intimacy crosses the physical barrier, the rest of the office staff will know—one way or another it’s picked up on! A practice management expert told me that when she’s called into an office to improve its overall Too workings, it doesn’t take close for her long to figure out comfort? This photo the office dynamics. from an old-school dental manual suggests Some would now-amusing body posiargue that accidental tions. Source: WorkSimplification intimacy is a result inaDental PracticebyHaroldC. of some middle-aged Kilpatrick, 1974. male “itch” that has to be scratched and results in a new hobby or Harley or something more personal. This is a July/August 2013 Just For Canadian dentists
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t h e t h i r s t y d e n t i s t ja n e t g y e n e s
thirsty [continued]
Janet Gyenes is a magazine writer and editor who likes to dally in spirits, especially when discovering something like corenwyn jenever (a gin-like Dutch spirit)—straight or in cocktails like the “bramble.” Have a boozy idea or question? Send it to feedback@inprintpublications.com
sipping on suds
Dr. Holly Fong is a practising speech-language pathologist with three young children who’s always trying, adapting and creating dishes.
beer
tasting— Canadian
style
Great Lakes Brewery | Toronto | greatlakesbeer.com Toronto’s oldest craft brewery, still makes its beer old style, using an open-fire copper brew house built in the 1900s. craft choice Orange Peel Ale. local flavour Crazy Canuck Pale Ale, a hoppy tribute to the daring ski racers, brewed for “those who enjoy adventure.”
nova scotia
MicroBrasserie Charlevoix | Charlevoix | microbrasserie.com/microbrasserie/english An old-timer, this brewery has been making local beers since 1998. craft choice Dominus Vobiscum Blanche, a Belgianstyle wheat beer. local flavour Vache Folle Milk Stout, a dark black brew sweetened with lactose sugar. Propeller Brewing Company | Halifax | drinkpropeller.ca Happen to be in Halifax on August 16? Join the ‘Sausage Fest Edition’ of Propeller’s Prop’r Cask Night. craft choice Bohemian Style Pilsener (silver-medal winner, Canadian Brewing Awards 2013). local flavour Revolution, a Russian Imperial Stout that’s a bracing brew with 60 IBUs.
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Just For Canadian dentists July/August 2013
Colour, whether pale straw or chocolate brown, can indicate what style of beer you’re drinking. Lagers and wheat beers are at the lighter end of the colour spectrum, porters and stouts are at the other, and ales and IPAs tend to fall somewhere in the middle. Beer colour, it turns out, is a highly technical thing, and scientists have developed the Standard Reference Method (SRM) to measure it in full-on geek glory. Of course, you can find black lagers and blonde stouts, just to keep it interesting. Another important element is the “head” or foam that crowns the glass, and how long it lasts post-pour. Staying power generally points to good quality, whereas fleeting foam might mean the beer is on the flat side. The other culprit? A greasy glass. The Portside pilsner makes the grade with a persistent head and big, clear bubbles. Clarity is also important, especially since it could indicate an issue with the beer. The flip-side? Wheat beers can be cloudy because they’re commonly unfiltered. Tylor passes around a small glass of cone-like dried hops, which give beer both its bitterness and Our resident flavour. Many “drinkologist’s” brewers use a handy 33 Bottles of blend to creBeer journal, in which ate complexishe took copious notes on ty and impart (while taking sips of) the Cobblestone Stout from flavours that Mill Street Brewery in range from Toronto. tropical fruits, citrus, floral and bitter to woodsy, spicy and dry. The next taste, Gypsy Tears Ruby Ale from Parallel 49 Brewing, has a big citrus aroma of hops, but bitterness is minimal since the hops were added late in the brewing process. In comparison, India Pale Ales, commonly called IPAs, are appreciated for their bitter bite. And once again, scien-
food photo: dr. holly fong
YUKON
Bushwakker Brew Pub | Regina | bushwakker.com Drink enough suds and you might see the resident ghost “Jim.” craft choice Stubblejumper Pilsener. local flavour Honey Thistle Wit, made with secret spices and voted CBC Radio’s number one summer beer.
QUEBEC
SASKATCHEWAN
Powell Street Craft Brewery | Vancouver | powellbeer.com One of Vancouver’s newest breweries focuses on making super-small batches of hand-crafted beer. craft choice Old Jalopy Pale Ale (named Beer of the Year at the 2013 Canadian Brewing Awards). local flavour Dive Bomb Porter, named for the antics of East Vancouver crows.
ONTARIO
Yukon Brewing | Whitehorse | yukonbeer.com Get a growler to go, sample limited selections, and tour the brewery between Labour Day and Victoria Day. craft choice Ice Fog India Pale Ale. local flavour Midnight Sun Espresso Stout, made with espresso from Midnight Sun Coffee Roasters.
bc
Beer deserves the same attention and respect as wine and spirits ’m perched on a bar stool at Vancouver’s Portside Pub, ready for a special women’s-only craft beer 101 tasting. Six small glasses are lined up to my left, a pocket-sized 33 Bottles of Beer journal sits at my right, and a craft beer and food pairing chart is front and centre. This is serious beer business. On a scale of one to 10, my beer knowledge and appreciation lands somewhere between a five and a seven, but one of my gal-pal tasters has bluntly blurted out that she “hates beer.” My first flirtation with beer came one lunchtime courtesy of my European parents. Droplets of condensation shimmered on the bottle of pilsner that stood among the jar of pickles and spread of cured meats and cheeses. My ration was just a splash in my glass, but to a teen, it was enticing enough. Intrigue quickly turned to disappointment as the bitterness hit my tongue and effervescence tingled my nose. Curiosity quenched. Today, though, I’m thirsty and waiting for the first golden brew to hit my glass. Stereotypes aside, women don’t tend to turn to beer as their drink of choice. Many don’t know pilsner from porter, but Canada’s craft beer craze is stirring up interest from people who’ve shied away from big breweries’ boring beer. Craft beer, simply put, is typically made by small-scale brewers using traditional methods and focusing on quality key ingredients: malt, hops, yeast and water. Portside’s resident beer expert, Aja Tylor, is about to take us through a tasting, which she promises to be a sensory experience. The first pour is Portside’s house pilsner, gleaming as gold as a sunlit bale of hay. A beer’s appearance offers several clues.
the hungry dentist
tists have gotten out the spectrophotometers, this time to measure beer’s bitterness in International Bitterness Units (IBUs), typically a scale of one to 100. An IPA can easily hit 100, whereas a lager would be about five. Instruments aside, a “bitter number” is only part of the flavour picture. Tasting also involves considering malt and yeast profiles Tylor explains. “The malt aspect, which can be described as complex, roasty, caramel-y, bready, and toasted, provides another set of delicious flavours. Fermentation flavours deriving from yeast are known as aromatic, fruity, and even have similarities to fresh baked bread.” That’s why darker beers, like the Cobblestone Stout I’m now sampling from Toronto’s Mill Street Brewery, might be high on the IBU scale, but the richness of roasted malt balances out the bitterness. Small batch-brewing allows craft brewers to embrace variety. Curiosity bested my bitter bias at another event, when I spotted a cask of Cucumber and Mint IPA, made by BC’s R & B Brewing Co. In a word: quaffable. A quick conversation with Todd Graham, head brewer, revealed that his inspiration for this refreshing IPA was British summer stalwart, the Pimm’s No. 1 Cup cocktail. Ontario’s Great Lakes Brewery, which was named 2013 Canadian Brewery of the Year, also won a gold medal for its Bourbon Barrel-Aged Robust Porter. The dark brew ages in Buffalo Trace bourbon barrels, resulting in rich flavours of vanilla, espresso and roasted malts. These seasonal batches are excellent examples of the experimentation that captivates craft beer lovers. Stop into any bar that serves local craft beer and you’ll also get a sense of place. There’s often a tall tale to be told (such as Bushwakker Brew Pub’s resident ghost in Regina), a point of pride (Sun God Wheat Ale from BC’s R & B Brewing Co. won the gold medal in its category at the Canadian Brewing Awards this year and last) and a taste of terroir, exemplified by Yukon Brewing’s Birch Marzen (made with tart birch sap). The best way to learn about craft beer in Canada? Drink up.
easy tuna A new take on tuna sushi
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hen the weather turns hot, the last thing I want to do is cook over a hot stove or grill. Salads and cold soups are refreshing, but the carnivores at my house start clamouring for some meatier fare. They usually settle for takeout sushi and sashimi, which are probably my children’s favourite summer meal. On my way to the takeaway sushi counter at my Japanese grocery store, I spied some sashimi grade tuna in the fish cooler and thought of turning it into a tasty tuna crudo that’s more flavourful than sushi (and no added rice, if you’re trying to get into last year’s bathing suit). When making the crudo, cut the fish into small cubes. I wanted flavour without overpowering the freshness of the fish with too much dressing. I added some chopped shallots and peppers to give it some crunch and flavour without making the fish soggy. To turn it into a meal, I added mashed avocado and radishes, which could be dressed more aggressively with a versatile ginger-lime dressing. The dressing can be made ahead and is great with fish, chicken or meat.
The sweet citrusy notes of the tuna crudo ginger-lime dressing, plus the heat from the chilis, pair well with a balanced Reisling or Pinot Gris.
The sweet citrusy notes of the dressing and the hint of heat from the chilis will pair nicely with a well-balanced Reisling or a Pinot Gris. The Signature Pinot Gris 2011 by Rene Muré has flavours of mango and mandarin orange with good acidity and a long finish. Great on its own, even better with the crudo. Enjoy.
Tuna Crudo with Ginger-Lime Dressing (serves 4) 1 pound sashimi grade red eye tuna 3 tbsp olive oil 1 large shallot, finely chopped 1 large Serrano pepper ½ tsp finely chopped cilantro 2 ripe avocados squeeze of lemon juice 4 radishes, rinsed with tops and root removed sea salt to taste chili oil dressing zest of 1 large lime, finely grated or 4 large kaffir lime leaves* 2 tbsp fresh lime juice 2 tbsp water 1 tbsp sugar 2 tbsp soya sauce 2 tsp fish sauce 2 tbsp Champagne vinegar or white wine vinegar 2 tbsp peeled ginger, grated *Kaffir lime leaves are often sold fresh or frozen in Asian food stores.
Prepare dressing by combining lime juice and water in a small saucepan. If using kaffir lime leaves, place in a spice grinder. Add the sugar and grind into a coarse paste. Add to saucepan. If using lime zest, put it into saucepan with sugar. Bring to a boil. Set aside to cool. Combine soya sauce, fish sauce, vinegar and grated ginger. Strain lime mixture through a fine mesh sieve into soya mixture. Whisk to blend. Cover and chill. The dressing can be made two days ahead. With a sharp knife, cut tuna into ½-inch wide strips. Stack strips and cut into approximately ½-inch cubes. Put tuna into a large bowl. Add 2 tablespoons olive oil and toss to coat. Trim the ends
of the serrano pepper. Cut open lengthwise. Discard membranes and seeds. Cut into strips and finely chop. Add to tuna. Add shallots. Toss to combine. Season with sea salt. Cover and chill. Cut radishes into thin round slices. Set aside. Scoop avocado flesh into a bowl. Add remaining teaspoon of olive oil, cilantro and squeeze of lemon juice. Mash with a fork. Divide avocado among 4 plates. Spoon dressing over the avocado. Top with some of the tuna mixture. (If you want to be fancy, use a round mould or clean tuna fish can with ends removed.) Put ¼of the radish slices on top and drizzle lightly with the chili oil.
July/August 2013 Just For Canadian dentists
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CE Gift Certificate Contest entry form (no sudoku necessary!) Name: __________________________________________________________ Address: ________________________________________________________ City, Province, Postal Code: _________________________________________
________________________________________________________________ E-mail: _________________________________________________________ Tel: ____________________________ Fax: ____________________________ CE gift certificate Contest Rules:
1. Contest entries will be entered into a random draw. 2. Send entry form to Just For Canadian Dentists, 200 – 896 Cambie Street, Vancouver, BC, V6B 2P6 or by fax to 604-681-0456. Entries must be received by December 15, 2013. 3. Prize 1 of 3 $1,000 CE Gift Certificates to be applied to the Dentist’s choice of Profitable Practice’s Destination CE seminar in Jamaica (valued at $2,312) or Alaska (valued at $4,699). Winner will be contacted by December 31, 2013. 4. Contest can be changed and/or cancelled without prior notice. 5. All entries become property of In Print Publications and ROI Corporation.
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________________________________________________________________ E-mail: _________________________________________________________ Tel: ____________________________ Fax: ____________________________ sudoku Contest Rules:
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1. Entry form must be accompanied with solved puzzle. Only correctly solved puzzles entered into random draw. 2. Send puzzle and entry form to Just For Canadian Dentists, 200 – 896 Cambie St., Vancouver, BC, V6B 2P6 or fax to 604-681-0456. Entries must be received by August 21, 2013. 3. Prize: $100 Visa Gift Card compliments of ROI Corporation PLUS a chance to win 1 of 3 $1,000 CE Gift Certificates to be applied to the dentist’s choice of Profitable Practice’s Destination CE in Jamaica (valued at $2,312) or Alaska (valued at $4,699), which closes December 15, 2013. 4. Contest can be changed and/or cancelled without prior notice. 5. All entries become property of In Print Publications and ROI Corporation.
July/August 2013 Just For Canadian dentists
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Dr. curtis shell has travelled the world from rwanda to borneo (see our story on Malaysian Borneo on page 14). He skis, plays hockey and tennis, golfs, jogs, climbs mountains (Kili, no less!) and bikes (think hardcore, like our story on page 28). This dentist doesn’t sit easy. His ultimate dream vacation is traipsing through deep Equatorial jungle, and his secret to relieving tension is vigorous exercise. Perhaps that’s why his most-frequented store is MEC. Seems appropriate that if he wasn’t a dentist he’d be roaming the globe as a National Geographic photographer. Onward! My name: Curtis Shell
Borneo, Sumatra
I live and practise in: Edmonton, Alberta
My favourite book: Guns, Germs and STEEL
My training: BSc, D.D.S.
My favourite film(s): The King’s Speech, Braveheart, Last of the Mohicans, The Mission
Why I was drawn to dentistry: Health profession using physical skills My last trip: Skiing, Lake Tahoe
My must-see TV show: Global News, Hockey Night in Canada My favourite album/ song: Pink Floyd, The Wall; Stairway to Heaven, Led Zeppelin; Crime of the Century, Supertramp, Dreamer My first job: Paperboy; bike assembly at Sears The gadget or gear I could not do without: Smartphone My favourite room at home: Bedroom/office/ exercise room My car: Small German SUV My last purchase: Tickets to Africa
Dr. Shell’s travels: camping above Lake Manyara, Tanzania; skiing Lake Tahoe; silverback sighting, Rwanda; coconut harvest, Fanning Island; Ha The most Long Bay, Vietnam; at the exotic place I’ve Top of Africa, Mount travelled: Fanning Kilimanjaro.
Island, Rwanda, Laos
The best souvenir I’ve brought back from a trip: “Masai woman” original oil A favourite place that I keep returning to: San Clemente, California My ultimate dream vacation: Equatorial jungles If I could travel to any time, I’d go to: Central Amazon,
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Just For Canadian dentists July/August 2013
sports activity: Ha! Hockey, tennis, golf, skiing (both kinds), jogging, cycling My favourite sport to watch: Tennis My celebrity crush: Keira Knightly I’d want this with me if stranded on a desert island: A good fishing rod My secret to relaxing and relieving tension: Exercise—vigorous! A talent I wish I had: Playing a musical instrument My scariest moment: A double somersault— locked in and sitting on my mountainbike (off a ledge) My fondest memory: Trips to Sandpoint, Idaho, as a family A big challenge I’ve faced: Raising three great sons One thing I’d change about myself: Take a few more business risks The word that best describes me: Integrity
My last splurge: Eight-day, fourcountry party in Africa
I’m inspired by: Natural beauty and positive people
My mostfrequented store: The Bay and MEC
My biggest ego blow: Letting my family down
My closet has too many: Worn-out t-shirts My fridge is always stocked with: Fresh veggies and fruits My medicine cabinet is always stocked with: Vitamins and lots of expired stuff… My guilty pleasure is: Milk chocolate, Nibs, macaroons My favourite exercise/
My biggest ego boost: Praise from my own family
I’m happiest when: My family is in complete equilibrium My greatest fear: Any monumental changes My motto is: Live and let live—please!! A cause close to my heart: Globalization Something I haven’t done yet that’s on my must-do list: Retire before 80 If I wasn’t a dentist I’d be: A National Geographic photographer
courtesy of Dr. curtis shell
s m a l l ta l k
dentists share their picks, pans, pleasures and fears
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