Just For Canadian Dentists 2012-05 May June by Just For Canadian Dentists

may/ june 2012

life + leisure

luxury lodge in BC

unexpected

israel

win $100

a gift certificate from Zebra Print Centre! see page 29

+ cycle france + reminisce in

MOTOR CITY + san diego suds + R.O.I. on the office + TRAVEL PHOTO TIPS from our PRO Publications Mail Agreement #41073506

inside: Continuing dental Education Calendar where will you meet? m o n t p e l l i e r / k a p a l u a / j a s p e r / d a n u b e /

s o r re n t o

Just for C

de nti sts life + leisure

contents

may/june 2012

Publisher Linh T. Huynh

Editor Barb Sligl Art Direction BSS Creative Editorial Assistant Adam Flint Contributors Lucas Aykroyd Timothy A. Brown Dr. Holly Fong Michael DeFreitas Tim Johnson Taylor Kennedy Mélanie Paul-Hus Manfred Purtzki Dr. Kelly Silverthorn Dr. Derek Turner Corey Van’t Haaff Cover photo Poema Foto

Senior Account Executive Monique Nguyen Account Executives Lily Yu Wing-Yee Kwong

Thank you, Doctor!

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FullPage_cover16.indd 1

12/14/2011 2:18:09 PM

clockwise from top left: courtesy the lodge at gold river; igto / Israel Ministry of Tourism; poema foto

When you’ve blown your own horn enough....let someone else do it. There are many more referrals on our website.

Production Manager Ninh Hoang

Circulation Fulfillment Shereen Hoang

CE Development Adam Flint

Sales, Classifieds and Advertising In Print Circulation Office 200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada Phone: 604-681-1811 Fax: 604-681-0456 Email: info@AdvertisingInPrint.com

FEATURES

13 luxury lodge Fishing + fine food on Vancouver Island 34 holy holiday Culinary + natural pleasures in Israel COLUMNS

DEPARTMENTS

8 photo prescription

5 May/June mix 19 CE calendar 28 classifieds/at your service 29 sudoku 38 small talk with Dr. Athenie Brake

Face to a place

Just For Canadian Dentists is published 6 times a year by 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

17 dentist unleashed

Monastery magic

25 the hungry dentist

Soup’s on

26 the thirsty dentist

San Diego suds

27 the wealthy dentist

The new dental economy

30 practice management

www.justforcanadiandentists.com

Return on investment

31 motoring

Printed in Canada.

Motown muscle

want to reach us? check out our website!

cover photo:

An Orthodox Jew walks along the ancient wall of Jerusalem, Israel, near the Jaffa gate in the Old City. Story on page 34.

May/June 2012 Just For Canadian dentists

from the editor

what/when/where > May/June

summer heats up

the wine count

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a storied château + winery in the Languedoc-Roussillon region of southern france [for more on this region and montpellier go to pages 17 + 19]

tour +

taste

It’s not everyday you meet a count. But at Château de Flaugergues you’re likely to bump into Pierre de Colbert, the 10th-generation comte who oversees this “House in the Foliage.” It’s one of the many châteaux or “Follies” built in the Montpellier countryside at the end of the 17th century as part of a new order of aristocracy. Today it’s part family home, winery, restaurant, event venue and even museum. “We have been trying to keep the place alive,” he says. And you can see just how by touring this slice of life in the south of France. Inside the gorgeous château is an imposing central staircase, finely wrought tapestries, ornate Louis XV furniture, Limoges porcelain and exquisite artwork, from engravings by Rembrandt to portraits of past occupants (including one who was beheaded). But the main charm in touring the home is hearing its history from the comte himself (his tales peppered with lovely French expressions like “Et voilà…” throughout). This comte courant is very down-to-earth. Outside, gorgeous gardens showcase both French and English styles, from kumquats and meticulously maintained hedges to an orangerie and olive-tree alley. And, of course, the vines. Flaugergues has French wine with great value; “This is the nouveau wine style in old-world wine,” says the count. He sees a bottle of wine as a book, and Flaugergues’ Cuvée Sommelière, for instance, is “a book you can read every day.” There’s also Cuvée Foliae, Cuvée de l’Uncle Charles and Cuvée Les Comtes, of course. Try them all at Folia, Flaugergues’ courtyard restaurant, where you can live the Follie lifestyle, at least over a lengthy lunch under the Mediterranean sun. As the comte says, rather abstractly, “Tradition means everything and nothing.” There’s no pretentiousness here, but plenty of thoughtfulness. This 10th-generation count is definitely of today. flaugergues.com —B. Sligl

taylor kennedy

When the holiday and the CE are both important!

or most of us summer is synonymous with the great outdoors, whether that be cycling through wineries in France or fishing in chilly mountain streams in BC. Two types of adventures that happen to be part of our summer-getaway lineup this issue… You could do worse than escape to the storied south of France. Our resident dentist-on-an-adventure Dr. Derek Turner takes us through a lesser-known part of this region (until now!). Join him at a magical monastery (page 17) and then continue on to Montpellier (page 19), where you’ll meet a French count (page 5). It’s your dose of the fabulous French lifestyle this summer! Then it’s back home to BC. Central Vancouver Island, surrounded by the dense forest of century-old Strathcona Park, is virtually undiscovered. Which is why there happens to be a rather luxurious lodge to hole up in. Not only is the fishing worldclass but the lodge is a mix of high-end and down-home, making it the place to retreat this summer (page 13). Somewhere else that’s unexpected: Israel. It’s long been a place of pilgrimage but this tourist friendly haven in the Middle East offers everything from fabulous food and wine to desert mountain biking and surfing (page 34). Discover the unexpected Israel. Wherever you go, be sure to pack that camera. And utilize the travel photography tips from our award-winning pro. This issue he shows us how to put a face to a place. We’ve all taken photo after photo of landscapes that tend to blend into one another after awhile…To make your photos and adventures stand out, start taking photos of the local people you meet on your travels (page 8). And send us your shots! We want to know where your travels take you this summer. Let us know what you’re up to—at home and on the road— and send us your photos and questions. And keep your subscription going at justforcanadiandentists.com. Enjoy!

mix

May/June 2012 Just For Canadian dentists

tour+ taste

a taste tour of

ood is not exactly what you think of when you envision a trip to Israel. But yes, you can nibble, chew and otherwise eat your way across this country, where a meal is full of fresh, organic veggies, fruit, fish and meat. The echo of Middle Eastern culture touches everything whether it’s at a kibbutz, an Arab falafel shop, or an ethnic minority restaurant tucked in someone’s home on a Musttry Middle narrow, hairpin road high Eastern dishes: up some mountain. hummus + One of your first tabouli. must stops: a falafel/shish kabob place in the Arab sector of Jerusalem’s Old City or on a day trip to Bethlehem. The fresh, homemade hummus, creamy and tangy, will utterly ruin you for the store-bought junk back home. It’s served with pita bread, tender chunks of lamb and/or grilled vegetables on a skewer, and of course, falafel, the fried ground-chickpea balls or patties. On to a Druze Spice it dinner…The up, from curry to smoked 100,000 Druze, paprika. believers in a 10thcentury Egyptian religion, live in 16 villages across Israel, usually high atop a mountain among a spiderweb of narrow roads. It’s not typical for Druze to be open to outsiders, making Amal Dabbour’s restaurant and B&B in Beit Jann quite special. The meal here is made up of small dish after dish…like eating a dozen appetizers for dinner. In fact, this is how

Just For Canadian dentists May/June 2012

Israel

you order. Think 14 dishes, soup and three meats for 100 shekels (about $26) apiece…semolina with onion, eggplant, hummus, lentils with wild (yes, Amal gathers it himself) anise. Then drive into the Golan Heights. Citrus trees crowd the hills, so loaded with oranges, grapefruit and lemons you can hardly see the leaves. And here’s where you discover the story of modern Israeli wine. The problem with kosher wine is it’s boiled to pasteurize it so that Orthodox people can serve it. This pretty much destroys any taste and aroma. But 30 years ago, a handful of wineries started producing nonkosher wine and today, 300 mostly boutique wineries are scattered across northern Israel. And the wine, well, it’s quite good…varied, light when it should be light, full bodied when it should be that. For what may be your single finest meal of the trip go to Muscat, the meat restaurant (restaurants in Israel are either meat or dairy/fish) of Hotel Mizpe Hayamim in Rosh Pina. The resort is part farm, part spa, part hotel. They grow organic produce on 30 acres, raise their own lambs, goats and cows, make their own cheese and soap. The goat here is so tender, it falls off the fork. Then there’s the Sea of Galilee, where you can sample “Peter’s fish,” farmed tilapia that’s breaded and fried whole

mix

style on the go 1.

into a crispy, tender creation. There’s also a roadside coffee shop that sells spices from dozens of open bins, and another spice shop buried in tunnels under the old city of Acre that’s so small, it has neither website nor email address. But owner Kurdi Hamudi has, among other things, 12 different kinds of curry powder. Back in Jerusalem, there’s the wonder of Mahane Yehuda Market with its meats, fish, produce, 1,200 different cheeses from one tiny hole in the wall, halvah and pastries. And, halvah, made from sesame-seed paste, survives quite nicely in your suitcase coming home. But before leaving, top the foodie tour by cooking dinner alongside Israeli celebrity chef Tali Friedman. Split into groups, you’ll either smash veal flat for carpaccio, cut vegetables for salad, make fish balls, cook peppers or handle delicate filo pastry for a caramelized apple-filled dessert. “I can’t believe I’m cooking in Jerusalem,” someone exclaims in wonder. And eating in Israel…a truly wonderful place to gain five pounds. — Yvette Cardozo IF YOU GO Eat your way through Israel: Dine at Druze Restaurant, hvaya.com/art. php?ID=9, then at Hotel Mizpe Hayamim: mizpe-hayamim.com, and take a cooking tour and class with a celebrity chef, haatelie. com. And for more on Israel go to page 34 and goisrael.com.

May/June

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tee is a way to wear what you think. And be quite literal about it. Make a statement with what you wear—whether it’s showing your reverence for The Origin of the Species or The Great Gatsby. Out of Print lets you celebrate these great stories through fashion. A classic summer pick, for beachwear if not a beach read, is Moby Dick…after all this tome is much easier to wear than read. outofprintclothing.com

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when you’re out there—hiking, biking, surfing, golfing, boating— you’ll need to hydrate. Keep your cool with this sleek stainless-steel water bottle. It’s insulated so the cold stuff stays that way for 24 hours (and anything hot stays steamy for 12). BPA-free, it comes in a rainbow of colours and variety of sizes (the 25-ounce S’well holds a bottle of wine very nicely) and, best of all, 10% of sales go to WaterAid, an organization that provides sustainable safe water, hygiene and sanitation to the world’s poorest communities. swellbottle.com

2 Whether you’re on the road or in the air, here’s the gear for gear travelling in style this summer

4. Luxe luggage The telltale grooves of the iconic aluminum

case from Rimowa are part of a timeless German design that’s been synonymous with stylish travel since the 1930s. And it’s hotter than ever. Lightweight and strong, with 360-degree wheels and TSAapproved locks, this Salsa Deluxe Business Multiwheel in Oriental Red makes a red-hot Mother’s Day gift—anytime of year. Get ready to roll and jet set. rimowa.de —B. Sligl

travel smart

Israeli feast

Grilled tilapia from the Sea of Galilee.

get geared up

sensory sampler

May/June

Yvette Cardozo

mix

May/June 2012 Just For Canadian dentists

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 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.

put a face to a place Whether haunting or heart-warming, here’s how to put a face on a destination

huge.

this is

Send your photos and questions to our photography guru at feedback@ inprintpublications.com and your shot may be featured in a future issue!

y most memorable experience on a recent trip to Peru was not Machu Picchu or the beautiful rugged mountains, but the time I spent with the amazing Uru people, who live on the floating reed islands on Lake Titicaca. I spent two hours photographing the women in their colourful dresses and simphanas(pompoms in their braided hair). The stark contrast between the drab, monotone huts and their vibrant costumes was both philosophically and photographically compelling. Each year, in my photography workshops and seminars, I review dozens of travel portfolios packed with hundreds of images of sweeping landscapes, wispy waterfalls, mouth-watering food and impressive ancient ruins. Unfortunately, I don’t see many people shots. And that’s too bad because the single most defining characteristic of any region is its culture, and few things define culture better than people. So why don’t we shoot more people portraits when we travel? First off, most of us are terrified of approaching a stranger and asking if we can take their picture, and second, good portraits are more technically challenging than landscapes or ruins. Good people shots require a ton of patience. The biggest hurdle in photographing people is getting them to stop moving long

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Why you should take photos of people: Put a face to a place. In photography of people, the goal is to capture their smile or interesting facial expression. And don’t let the lack of a smile stop you—a solemn or pensive look can speak volumes (just be sure the subject is okay with being photographed). ABOVE A Quechua or Uros Indian woman in one of the floating Uros Islands in Lake Titicaca, Peru. Fill flash was used with the sun behind and over her left shoulder. Shot was taken late morning. RIGHT A Quechua boy holding hands with his parents in Atuncolla, Peru. After a nod of approval from his parents, the photo was taken with the sun behind and a bit of fill flash. It’s another late-morning shot.

michael defreitas

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Just For Canadian dentists May/June 2012

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sPec Ial o Da

photo prescription [continued]

PRO TIPS on people portraits

> Try to shoot subjects in open shade, in a doorway or when the sun is low. To avoid that squinting look, never pose subjects facing the sun.

> Crop tightly and try to use a shallow depth of field (f4 or f5.6 aperture) to blur distracting backgrounds.

> Check the background for posts or poles. Posts that

appear to grow out of a subject’s head or shoulder have ruined many good portraits.

> Don’t shoot down on people––it can make them look

small. Shoot level or from slightly below the level of their face. This is especially important when photographing children (get down to their level).

> Ask about local customs before shooting. People in some countries believe that cameras capture their souls.

> Grab shots are okay if asking permission will spoil the

moment, but be cautious, you may get your shot at the expense of upsetting someone. We travel to learn, not to upset people.

> Imagine that your viewfinder is divided into a grid of thirds (two vertical and two horizontal lines). Try to place your subject’s eyes near one of those intersections.

Ready to take it to the next level?

gear up Wide-angle lenses can distort faces (camel nose) and long telephotos tend to flatten faces, so invest in a medium-range zoom (70 to110mm focal lengths). Most pointand-shoots include this range and DSLR zoom lenses that include this range run from about $300 to $500.

enough for you to get a well-composed shot. Most of the people we meet in our travels are busy with their daily lives and getting them to stand still for a portrait is difficult. Further complicating our task are language barriers, superstitious beliefs, skin tones, a person’s attire and their surroundings. All issues that test our ability to get good portraits. After 20 years of shooting in some 80 countries I have learned that most people don’t mind having their picture taken. A polite smile and a few friendly words work wonders in establishing a rapport with your subject. So instead of trying to “sneak” shots, learn a couple of local greetings then move in close to get an intimate portrait. Images of people looking directly into the camera, if done incorrectly, can accentuate round faces and produce that deer-inthe-headlights look. A good tip is to have your subject turn her head slightly away from the camera. Then, try to keep the tip of her nose within her outer cheek line. It’s always best to photograph people in shade, but I didn’t have that luxury on a floating island devoid of trees. So I positioned my subjects with the sun at their backs and used a bit of fill flash to brighten their faces. It took a couple of tries to get the exposure right, but my guide helped with instructions and conversation to relax the women. Good travel portfolios should include a selection of traditional close-up and environmental portraits. For traditional portraits remember to shoot vertical, fill the frame and place the subject’s face off center (use the rule of thirds). Environmental portraits work best when you include enough surroundings to connect the subject with his world. Too much surroundings can be distracting, though, so play around with the composition. I try to have fun with everyone I photograph. I even let some of the Uru women take my picture. Of course this produced many laughs, and nothing spices up a portrait better than a smiling face.

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May/June 2012 Just For Canadian dentists

travel at home

Fly-fishing lures.

helicopter or fourwheeler into the deep wilds of Vancouver Island. And reveals some of his past clients—like George Bush Sr. It turns out that Vancouver Island is a mecca for world-class sport fishing. And Killoran has taken out some rather illustrious fishing fanatics. Whether CEOs from Silicon Valley or past presidents (Bush

Century-old Strathcona Park is on one end and the Pacific on the other. You’re really away from it all. Tucked away amidst this wilderness is The Lodge at Gold River. The town of Gold River is a bit of a working-class way-station for the fishing and logging sets hauling saltwater catches and logs in Muchalat Inlet, but the lodge is

Just one example of the impressive taxidermy at The Lodge at Gold River.

Über fly-fishing guide Randy Killoran.

The main lodge’s great room.

Apropos custom-made front-door handle.

One that makes you think you’re one with the river. Kind of. It’s exhilarating to wade in amongst the smooth river rocks and brace myself against the rushing water. The hard part is casting. I let the line out just enough, arc back with my arm (bent

First Nations’ art.

Vancouver Island fishing club) that put him in the big leagues. Here, however, he keeps it small and simple for a neophyte like me. Patient and relaxed, he replaces the fly time after time after time. He tells stories of his other fishing adventures via

Just For Canadian dentists May/June 2012

Sr. is quite the accomplished fly fisherman, by the way), these clients come for the stellar sports fishing and stay for the isolated getaway. Here, in the centre of the island, there’s not much more than trees and more trees (and plenty of logging trucks).

serious luxury. Think log-cabin luxe with antler chandeliers, impressive taxidermy and First Nations art (so much of it that a Bill Reid piece is stashed away in a closet). A cougar skin near the entryway is Silex the resident dog’s trophy; she pinned the

big cat under the porch just outside… Arriving here, I’m greeted by the big, bounding Silex (named after a fishing fly, of course) and siblings Winston and Sage. The three black labs— possibly the happiest dogs ever—are a good sign of the welcome I have in store. Host Kent O’Neill, a longtime Vancouver Island resident, has a passion and pride for this region that’s infectious. It’s all about keeping things local, from the BC wine list to the farm-tofork menu. Dinner that night includes Pacific halibut with spotted prawns and patty-pan squash from a local farmer. Even the sorbet is made from fresh, local berries. As is the organic blueberry jam the next morning. The locavore cuisine served here, prepared by Red Seal-trained Chef Terry MacDonald, is unexpectedly high-end—from a deconstructed salad of golden and rose tomatoes and buffalo mozzarella (from nearby Comox Valley water buffalo, of course) to the halibut-and-spottedprawn main course. Post-meal in the main lodge there’s shuffleboard and billiards and even a drum set to bang on. And the bar and O’Neill are at the ready. But satisfyingly sated, there’s nothing to do but hole up in my cabin-chic room—complete with wood-burning fireplace. I sit on the back porch, listening to the gurgling river just below. The mind and body can’t help but unwind. As O’Neill puts it, this is “a great place to live in terms of personal

mental health.” And if he ever takes the beauty that surrounds him for granted, he’s reminded of it through the wideeyed wonder of guests. If the rest of us can’t live there, the next best thing is to visit. Again and again. Those who’ve already discovered this place keep coming back for the secluded pampering and worldclass fishing.

cast). A former NFL coach (with four Superbowl rings) is a regular here, as are Vancouver Canucks management and certain celebs. Because when you’re here, you’re cut-off—in a very good way (and there’s always wifi if you must stay connected). And, while happily cut-off from the outside world, you can do pretty much whatever you

fishing on his days off, and when Killoran isn’t tying flies for guests he’s tramping through the bush to find the next best fishing hole. Back on the Elk River, where I’m still trying to mimic the smooth swing Killoran tosses off without a thought, the fish are biting—in rapid fire. The elusive catch is thrilling to pursue. And addictive.

Coho salmon catch on a fishing day with The Lodge at Gold River.

On top of the world (via a heli ride) post fishing and picnicking in BC’s spectacular scenery.

They arrive, more often than not, via heli. There’s a helicopter pad on the property (first created for the group of California investors who own this slice of paradise), right next to the man-made trout pond (where newbies like me can practice their

Heli hiking group.

Log-cabin luxe at the main lodge.

want. O’Neill will make it happen. Whether that’s heli hiking and a spa treatment or deep-sea fishing and clay shooting. The real prize here, though, remains the fishing. The entire staff lives and breathes it, as well as the typical guest. Chef MacDonald goes

There certainly is something about learning the language of the river, finding those pauses and pools and landing a fly in just the right spot. Not something you can figure out in one session. The hook is in. I need to come back.

if you go

enough but not too much) and circle before releasing forward. Thunk. I lose the fly on the back swing. And more than a few times…on a log, branch or some other obstacle that seems to always get in my way but never my guide’s. That’s because my guide is Randy Killoran, who has catch records with the Tyee (the legendary longtime

this page: b. Sligl; opposite page: The lodge at Gold River

he water is cold and the current is strong. It swirls around my legs and tugs at the rubber overalls I’m wearing. I mean waders…It’s my first time wearing the fly fishing gear, and I feel rugged and ready for anything. Donning the waders puts you in a certain frame of mind.

the lodge at gold river Everything you need is taken care of, from the helicopter, should you want it, to the best-of-BC selection of wines with an island-sourced multi-course menu. thelodgeatgoldriver.ca more Find out about Vancouver Island’s central region, including the century-old Strathcona Park, at hellobc.com and env.gov.bc.ca/ bcparks/explore/parkpgs/strath/.

May/June 2012 Just For Canadian dentists

dentist unleashed

Dr. derek turner

Dr. Derek M. J. Turner lives in Ottawa where he conducts a private aesthetic dental practice. Derek guest lectures at CE dental institutions in America. He is also the founder and Chairman of TTi/ProDrive Systems, a dental product company.

monastery magic Cycling in France with Le Monastère as your home base…

ooking to add a little fitness to an unforgettable summer holiday? Just add some French finesse. You can’t go wrong biking through le beau pays de France. And here’s the perfect base: a monastery in the wonderful, true south of France. The Hôtel Le Monastère is a gem. The fully renovated five-bedroom, all-ensuite ancient monastery is in the heart of medieval Limoux. Part of the region of Languedoc-Roussillon, it’s just 100 kilometres from the Mediterranean Sea to the east and 25 kilometres south of the great walled city of Carcassonne. If first impressions are any indication, this place scores big…As is often the case in Europe, a great wooden door opens off from a small side street to reveal a deep inviting courtyard. A spiral staircase winds up to four of the large bedrooms, a sitting room and an outdoor sheltered terrace. And the courtyard features a central fountain— the perfect rendezvous point and departure area for cycling and hiking. But having two wheels or sturdy shoes is not de rigueur. If you just want to escape the maddening crowds it’s also a great choice for a week of delightful repose. Everything is close by. A short stroll from the hotel, the village square offers boutiques, cafes, bakeries and a variety of specialty shops. The Aude River meanders through the town, a photographer’s delight and landscape painter’s inspiration.

de Galamus, hikes through the vineyards of Corbières, spectacular lamb dinners in the shadow of the mountain at Bugerach, lunches in the moated city of Minerve, tackling the Cols of the nearby Pyrénées and exploring nearby Cathar castles in Montsegur and Peyrepertuse.

wine And, of course, there’s the wine. This is not Burgundy nor Bordeaux nor Champagne, Minerve, ancient stronghold and centre of the Minervois wine region.

but locals will tell you that the wines here compete favourably, and I have to agree. This is especially true of the internationally renowned Crémants and Blanquettes. The Crémant de Limoux is 70% Mauzac grape and 30% of Chardonnay and Chenin Blanc done in the double fermentation style of Champagnes. (Locals will tell you that the original Champagne method was stolen from the region by monks and adopted in Champagne.) >> A lone cyclist in the Gorge de Galamus.

dr. derek turner

french flair

Just For Canadian dentists May/June 2012

French native Fabienne Montserrat and her Canadian husband Chris Georgas are the owners, hosts and innkeepers. She’s a knowledgeable naturalist and leads guided hikes into the countryside and short cycling outings. He’s a competitive cyclist and coach and leads out-and-back cycling as well as longer remote-start cycling for enthusiasts. He’ll even arrange special days in the Pyrénées for hardcore riders. My wife and I have visited the region and hotel three times now and every stay and ride has been different and memorable. The cycling is fabulous and safe on quiet “D” roads and Georgas is a marvel at finding favourable winds. Highlight days have included a 105km ride from Limoux to Leucate on the Mediterranean, rides through the Gorge

Chris Georgas, leading a cycling tour.

Limoux scene.

“D” road cycling in the French countryside.

May/June 2012 Just For Canadian dentists

dentist unleashed [continued]

The Blanquette de Limoux is entirely Mauzac and single fermented. And it’s my preference. Do not drink these bubblies and then cycle…and you might want to leave the hike for later too! To the north of Limoux is the region of Haut Languedoc with wines that are now familiar in Canada. The Minervois and Corbières appellation regions have my favourite wines of this area and, for sweet-wine lovers, the local fortified Muscat wines, especially those from nearby Banyuls, are famous. And, having thought of everything, Fabienne and Chris have placed a bar fridge in the Hôtel Le Monastère’s sitting room to chill those white wines and bubblies you bring back with you.

dine The cuisine of the Languedoc-Roussillon region of France includes cassoulet (from Toulouse), confit de canard, truffles, tapanade (from local olives, of course—especially around Uzès) and even, given the proximity of the Mediterranean coast, the seafood stew bourride (found in Sète). At Le Monastère you’ll sample a variety of local and seasonal flavours. It’s like an

upscale B&B. A couple of dinners take place at the hotel (it has a private kitchen but no restaurant or café), and otherwise Georgas takes guests to out-of-town eateries and farmhouses where the food is truly farmto-fork. Breakfasts are a European-style buffet spread with café au lait and local breads, croissants, yogurt and fruit, and we sometimes add our own goodies—market cheese (like chèvre), local honey and ham. Outside the hotel, on our own, we have yet to discover great evening dining in Limoux, so we go to Carcassonne. After spending an afternoon touring the great walled city, there are plenty of good restaurants to choose from for dinner. Then, it’s back to our magical monastery, sated and ready for more explorations of the glorious countryside of southern France.

if you go Getting there > We fly into Paris and then Toulouse a day early and enjoy the city square and night-life of the capital of the Midi-Pyrénées region. Morning transfer to Limoux is provided and takes 1.5 hours by highway and along an old Roman way. STAY > Double occupancy and all

montpellier / kapalua / jasper / danube / sorrento … | c a l e n d a r

A n in ter n ation a l guide to con tinuing den ta l Education

breakfasts, six dinners, transfers from/to Carcassonne or Toulouse, good bicycles, optional all-day excursions and guided tours are all included for $2,800 CDN per person for the week. If you arrive by car there’s only off-site parking. Going as a group of 10, or five couples, is a terrific way to enjoy the week but even singles return year after year for the peace and serenity. But bookings may be a distant year in advance to get requested dates… with summer’s popularity, spring and fall are your best bet. Hôtel Le Monastère > lemonastere.com > monastere@ compuserve.com > 1-800-810-8076.

summe r 2012 + beyond

Montpellier

beyond Less than 200 km away is France’s fastest growing city and the capital of the Languedoc-Rouissillon region, Montpellier (see pages 5 and 19). If you have more time, a car will get you to Provence in a few hours on smooth highways. Paris is part of most flight routes anyway, so include it in your travel plans—it’s hard to resist a few extra days there! Or cross the border into nearby Spain and Andorra. In southern France, you really have it all…Hurry!

clockwise from top left Dessert at Château de Flaugergues; inside the historic château; café scene on the main square of Montpellier, known as L’Ouef; looking down on L’Ouef; and the medieval mikve.

Montpellier is tucked into the lovely southern France region of Languedoc-Rouissillon and

photos: mélanie paul-hus; except bottom centre: Montpellier Agglomération

growing faster than any other city...it’s a French revolution! (CE events in Montpellier are highlighted in blue.)

Just For Canadian dentists May/June 2012

h, the south of France. It’s a perennial favourite destination—with good reason. The weather, cuisine and lifestyle are all about la bonne vie. But there’s one city here that doesn’t get the attention it deserves. Montpellier is 11 km from the Med and just three hours from Barcelona, Italy and Paris. And it’s smack in the middle of the Languedoc-Roussillon region that boasts seven UNESCO World Heritage sites, including the Pont du Gard. Oh, and it’s been named one of the top 45 places to go in 2012 by The New York Times. With over 1,000 years of history, Montpellier is a feast for art-and-culture lovers. Here, you can see gorgeous mansions and courtyards from the 16th to 20th centuries, the oldest still-active university of medicine in the western world (dating to 1180), and a never-ending network of narrow medieval alleyways. But it’s also France’s fastest growing city with a vibrant student community (it’s been a university town for centuries) and plenty of modern appeal. Watch the interplay between old and new from a café on the central Place de la Comédie (known as l’Oeuf for its oval shape).

Or walk through Place de la Canourgue, a garden haven with a view overlooking the Faculty of Medicine, and Place Jean Jaurès, a gathering spot for Montpellier’s younger crowd. A must is the unexpected and relatively unknown Fabre Museum. The building itself is a renovated mansion and gorgeous combination of classic and contemporary architecture, and inside is one of the most important collections of art in France. This summer see “Bodies and shadows: Caravaggio, Caravaggism in Europe.” Then, back outside, there are close to 100 parks and gardens. This city does green very well—it always has. The Jardin des Plantes was created in 1593 to study medicinal plants, an offspring of the renowned medical school and the model for all such botanical gardens in France. Of course, this being France, there’s plenty of green space to be found in surrounding wineries. AOC Languedoc wines include Minervois, Saint-Chinian, Faugères, Limoux, and on and on. Make your introduction to this region’s under-appreciated viticulture at Château de Flaugergues on the outskirts of the city. This boutique

winery is the place to sample stellar wine and local fare in a charming courtyard. Tour the historic château afterward—you may even meet the comte (see page 5). Back in the city, hop on the tram. It’s been called Europe’s sexiest tram system, with trams flaunting whimsical designs by the likes of Christian Lacroix (think Mediterranean motifs of octopus, fish, starfish and marine monsters). The flashy new Lacroix line just opened this past April. Make stops to see the medieval mikve, a ceremonial Jewish bath dating from the 13th-century and one of the best-preserved in Europe. And more architectural wonders await, from the 1536 St. Pierre Cathedral and 18th-century Comedie Opera House to the modern Berlioz Opera House and futuristic Pierresvives building (by architect Zaha Hadid, the only woman to have won the prestigious Pritzker prize). View it all from atop the 17th-century Triumphal Arch. And then walk some more. After all, Montpellier has one of the largest pedestrian zones in Europe. Yes, this city has it all. —B. Sligl For more info on Montpellier, go to ot-montpellier.fr/en/.

May/June 2012 Just For Canadian dentists

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Through 2012

Montpellier France

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May 24-27

Jasper Alberta

Jasper Dental Congress

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May 25-29

Montreal Quebec

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Jul 23-26

Kapalua Hawaii

38th Annual Review Of Continuing Education In Dentistry – Maui, Hawaii

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Jul 26-29

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Interdisciplinary Dental Education Academy

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Jan 27Feb 13 2013

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Endodontics From A to Z: Hands-On Workshop For The General Practitioner

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Jan 30Feb 03 2013

Maui Hawaii

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Mastering Your Endodontic Excellence: How Far Can You Get? A Tailor-Made Course For Alumni

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Mar 15-25 2013

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New York New York

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Edmonton Alberta

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May 31Jun 03

Seattle Washington

Course V: Biomechanics II

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Sept 20-22

Minneapolis Minnesota

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Feb 15-16 2013

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New York New York

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New York New York

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Jul 14-24

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Ottawa Ontario

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Jul 14-17

Chapel Hill N. Carolina

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Oct 06-13

Hawaiian Cruise

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Aug 27-31

Seattle Washington

Orthodontic Mini Residency

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Sept 07-08

Toronto Ontario

Level I Introduction To Orthodontics

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Sept 14-15

Chicago Illinois

Level I Introduction To Orthodontics

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Key Biscayne Florida

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Sept 17-19

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Minneapolis Minnesota

TMD And Orofacial Pain Miniresidency

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Sep 27 2012 to Jan 01 2013

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Pharmacotherapeutics in Dental Practice: Management of Pain and Infection

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Nov 11-16

Key Biscayne Florida

Advanced TMD And Complex Treatment Planning

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Jul 20-21

Ardmore Oklahoma

Basic Perio Surgery Techniques

Tulsa Periodontal Institute

918-749-1850

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Sept 13-15

Seattle Washington

Course III: Restorative/Periodontal Interface

Kois Center

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Sep 28 2012 to Jan 01 2013

Podcast and Online Based

Understanding And Assessing Risk In The Treatment Of Periodontal Disease

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Through 2012

Online

Business Bootcamp For Dentists

Nickellsilver Business Solutions Inc.

250-248-1926

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Jun 20-22

Key Biscayne Florida

Advanced Dental Team

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Jul 14-24

Copenhagen Denmark

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Mar 07-11 2013

Caribbean Cruise

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Jun 08

Nashville Tennessee

Enable Your Hygiene Team To Be Dynamite Providers & Producers

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Sep 21 2012 to Jan 01 2013

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Preventing Medical Errors: Patient Safety In The Dental Office

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239-593-2178

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May 18

Orlando Florida

Impact Of Healthcare Reform On Health Systems, Insurance Companies & Consumers

American Association of Dental Consultants

812-923-2600

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Aug 15-19

Sonoma California

College of Diplomates Summer Conference 2012

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630-665-9039

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Jun 08

Nashville Tennessee

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615-883-7800

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Jun 13-19

Phoenix Arizona

American Dental Hygienists’ Association - Annual Session

American Dental Hygienists’ Association

312-440-8913

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Sep 13-15

Burnaby British Columbia

Pacific Rhapsody

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604-575-4570

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Dr. Holly Fong is a practising speech-language pathologist with three young children who is always trying, adapting and creating dishes.

soup’s on Chilled summer soup makes a surprisingly delish dish

hen the weather turns hot, cold soups make refreshing meals. Soups such as gazpacho require no cooking, making them ideal summer meals. And some cooked soups can be served warm or cold, like vichyssoise. Then, there are the soups that are traditionally served warm but can also be fantastic cold. Who knew? Such is the case with a spiced mango soup recipe I got from a friend’s mother. The original recipe was spicier and served hot. But upon tasting the leftovers straight from the fridge, I knew it would be fabulous during the dog days of summer. Not only was it delicious, but the actual

Spiced Mango Soup (serves 8 – 10) 2 tsp chickpea flour 1/8 tsp ground turmeric ¾ tsp ground cumin ¾ tsp ground coriander 2 c water plus 3 tbsp and ½ cup ½ c plain 2% yogurt (without agar, gelatin, xanthan or carrageen gum) 3 c chunks of ripe mango (6 – 7) 1 ¼ –1 ½ tsp salt ½ tsp sugar or to taste 1 small fresh red chili, partially slit, not completely sliced

dr. holly fong

For feedback, requests or to have your course featured please email ce@inprintpublications.com

Just For Canadian dentists May/June 2012

stove cooking time was only about 5 minutes, with 30 minutes of cooling down before transferring to the fridge. Make the soup the day before or throw together a salad and relax with a glass of chilled wine while waiting for it to cool. Because the soup has some heat from chilies, choose a wine with a slightly lower alcohol content. Otherwise you might wish you had a cool beer instead. With the sweetness of the mango, a wellbalanced dry or medium-dry German Riesling is the ideal pairing. Without breaking the bank, the Prinz von Preussen Medium-Dry Riesling from Schloss Reinhartshausen works well with this soup

Prinz von Preussen MediumDry Riesling from Schloss Reinhartshausen works well with this soup or on its own as a summer sipper.

or on its own as a summer sipper. The wine has floral notes of apples and apricots, and is well-balanced with good acidity, fullness in the mouth and tastes of stone fruit with a slight mineral edge ending in a long lemony finish. Mmm…

through 2 tbsp corn oil ½ tsp whole brown mustard seeds ½ tsp whole cumin seeds 1/8 tsp whole fenugreek seeds 1 whole dry chili 10 to 15 fresh curry leaves Crisp flatbread optional garnish: 1 tbsp finely chopped cilantro 1 red bell pepper, finely diced and ½ mango, finely diced

Pureemangowith3tablespoons water andset aside. > Put chickpeaflour, turmeric, groundcuminandcoriander ina bowl. Slowly stir in½cupwater until nolumps are left. Whisk inyogurt, mangopureeand2cups water. Addsalt, sugar andfreshchili. Mix well. > Pour oil into a heavy, medium-sizepanandset over medium-high heat. Whentheoil is veryhot, addmustardseeds, cumin seeds, fenugreek seeds, driedchili andcurry leaves. Removefromheat andstir inthemangomixture. Placeover mediumheat andsimmer for 5minutes, stirring. Removefromheat, cover andlet sit for at least 30minutes. > If servinghot, gently stir andreheat. Strainsoup. If servingchilled, strainandcool soupin refrigerator for 1– 2hours. Adjust seasoningwithsalt andsugar totaste. Servewithsomecrispflatbreadand garnishwithchoppedcilantroanddicedmango-red pepper mixture(optional).

Be prepared! Cardiac Arrest can happen to anyone at anytime. Philips AED’s are safe, voice prompted and simple to use. With the world’s fastest “CPR to Shock” sequence, we offer best possible survival. Choose Philips…lives are worth it! The current survival rate for out of hospital cardiac arrest is between 3–5% with EMS responding. Locations with AED’s (Automatic External Deﬁbrillator) can have survival rates as high as 70%+.

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May/June 2012 Just For Canadian dentists

t h e t h i r s t y d e n t i s t l u c a s ay k r o y d

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

Lucas Aykroyd writes about everything from adventure travel to sports (hockey is his forte) for publications ranging from the National Geographic Traveler to the IIHF. Here he delves into something that goes rather well with hockey (especially during playoff season): a good brew.

Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at manfred@purtzki.com.

San Diego suds

the new dental economy

Tasty, edgy microbrews lure visitors to this beer mecca

From marketing to the Kaizen, it’s all about being in the know

ranted, water is San Diego’s dominant liquid, from the US Navy presence to Sea World. Yet California’s secondlargest city also boasts a burgeoning beer scene. More than 30 area microbreweries quench the thirst of beer lovers. Check out three of the best.

Stone Brewing Co. This aggressively gorgeous, 55,000-squarefoot Escondido brewery is beer’s answer to a

with a four-beer tasting. In the gift shop, score T-shirts, glasses, and even skateboards with Stone’s gargoyle logo. Or take home the official history book, The Craft of Stone Brewing Co. ($25 US), which features food and brewing recipes. stonebrew.com.

f the “Good Old Times” of practice ownership meant that a dentist generated the highest income of any profession just by showing up for work, then these times are gone forever. Today, dentists are facing a new kind of reality:

Green Flash

1. It’s difficult to get new patients.

From the Rolling Stones to Death Cab For Cutie, rock music echoes

+ right The “aggressively gorgeous” Stone Brewing Co. brewery, where you can sample the signature Arrogant Bastard Ale. above right Le Freak from Green Flash is a Belgian-style brew that “rocks.”

below

tours by appointment. Ask to toot the steam whistle. greenflashbrew.com

Lost Abbey Beer is a religion at this well-hidden, 2006-founded San Marcos brewery. Surreal, suds-themed paintings of the Magi and the Four Horsemen overlook the bar, where patrons quaff everything from the boozeladen Belgian-style Inferno Ale to the coppercoloured Avant Garde—similar to a French Saison—with its distinctive aftertaste. In the “fight between good beer and bad beer,” as lead bartender Jason Danderand puts it, Lost Abbey’s crusade includes one of America’s largest barrel programs, with about 1,000 barrels. Sacred rites range from barrel-tasting nights to masquerade balls. lostabbey.com

New patients are the lifeblood of the practice. Aside from the additional revenue, new patients are also the best referral source. The average solo practice needs 15 new patients a month just to maintain the status quo. Especially in urban areas, where the supply of dentists exceeds the demand, it’s a struggle to meet the minimum benchmark.

2. The increasing costs of running a practice. It is not just the overhead expenses such as salaries, dental supplies, and rent that are outpacing the increase in billings, it’s also the high cost of adding new technology. Most practices miss the target of an overhead of 50 – 55% of gross revenues. Many dentists operate at a 70% overhead ratio that’s not sustainable in the long run, when you consider that the 30% of revenues must cover the dentist’s living expenses, retirement savings, income taxes, and new capital expenditures.

3. Many young dentists cannot become practice owners. In the past there was an almost automatic progression from an associate to a practice owner. While

ownership in rural areas is still available for a young associate, the prospect of buying a practice in the city is bleak. In the large urban centres, in particular, it’s a vendor’s market. When a practice in a good location is listed, it’s not uncommon to receive dozens of serious inquiries within days. The practice is often sold, not necessarily to the most qualified candidate, but to the highest bidder. The lack of available practices is largely due to the dentists continuing to work well into their retirement to make up for their poorly performing investments. The shortage of practices for sale resulted in a jump in practice values. For many years, the rule of thumb for the purchase price was 50% of gross revenues. Now it’s more >>

PROFITABLE PRACTICE

+ more ways to beer it up

SoCal theme park. March through the packed parking lot, under a curving canopy of greenery, and into the high-ceilinged entrance hall before unleashing your taste buds. Swig the signature Arrogant Bastard Ale (7.2%) or Stone Pale Ale in the 380-capacity bistro, built around a majestic rock water feature. Ready to investigate those towering stainless steel tanks beyond the interior floor-to-ceiling windows? Free 45-minute brewery tours are offered daily, guided by perky, humorous “indoctrination specialists” and culminating

through Green Flash’s new, warehousestyle tasting room off Mira Mesa Boulevard. Happily, the beer rocks too. “People who never even knew what craft beer was come in and say, ‘Wow, this is amazing,’” says certified cicerone Dave Adams. Craving flavourful ales? Try the West Coast IPA, super-bitter with a citrus character and malt backbone. Relish a twist on Belgian Tripel with Le Freak (9.2%), with its huge banana nose and hints of bubble gum and spice. Green Flash offers scheduled weekend tours and private

Create your own San Diego beer route, downloading a free map from the San Diego Brewers Guild, which outlines public transportation options (sandiegobrewersguild.org). Alternatively, contact Brewery Tours of San Diego and sample selected highlights over five hours while being chauffeured around (brewerytoursofsandiego.com). Want one-stop beer shopping? Savour more than 200 bottled beers and dozens of draughts at Hamilton’s Tavern (hamiltonstavern. com). Or meet local brewers at San Diego Beer Week in November, enjoying tastings, food pairings, and book signings. The festival offers 200-plus events (sdbw.org).

“A dentist deserves to retire with dignity - and profitably!”

and the nagging winner is… Thank you to all those who submitted answers to Dr. Neil Pollock’s wine quiz in the March/April issue. We’ll announce the winners (along with those answers!) at justforcanadiandentists.com. If you’ve proven yourself wine worthy you’ll soon be sipping a Nagging Doubt vintage from this new, boutique BC winery.

*plus tax & shipping ($10.00/copy)

And let us know what you’d like us to cover in The Thirsty Dentist column—from pinot noir to pale ale.

Just For Canadian dentists May/June 2012

May/June 2012 Just For Canadian dentists

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associate required

JOB OPPORTUNITY – A rapidly growing implant company in Canada, AB Implants is looking for professional and motivated sales representatives in most Canadian provinces. For more information or to apply with cover letter, please email Dr. Milli: abimplants@gmail.com.

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Calgary, AB (NW) – F/T Solo Practice, general dentist required, excellent opportunity for a lucrative practice, 3 operatories, hygiene program in place, 5 days a week. Join our motivated team. E-mail us at: 99associate@gmail.com. New graduates welcome.

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VANCOUVER, BC – PERIODONTAL PRACTICE FOR SALE. Gross billings $938,000+/yr. Net of $560,000/yr! Solid referral base. Excellent staff trained in periodontal procedures. Beautiful office in great location. Contact Henry at 604-724-1964 or henry@heapsanddoyle.com, www.HEAPSandDOYLE.com.

Edmonton – Well established office in desirable West Edmonton. Gross $1.6m/yr. 7ops. Beautiful practice in professional building. Newer leasehold improvements and equipment. Large office space - dedicated staff. Contact Ruth at 604-220-4830 or ruth@heapsanddoyle.com, www. HEAPSandDOYLE.com.

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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 ] >> like 100%. To pay $1,000,000 for a practice grossing a million dollars with perhaps only a $300,000 net is beyond the financial reach of most young associates, still struggling to pay off their student debt. Alternatively, setting up a practice from scratch is a daunting task. You need to budget at least $500,000 for the equipment and leaseholds. And that’s just the start. As patients will not be lining up, you have to make a substantial investment in time and money to market your practice. Count on two years to break even, which of course depends on the location.

dental technology, such as a crown in one visit, and practice hours that suits them, in particular evenings and weekends.

So, how do you build a thriving practice in this challenging environment?

Today, dentists are facing a new kind of reality

4. Patients have become savvy consumers. Patients are no longer coming to your practice mainly to seek pain relief. According to a USA Today survey, 62% of people contacting dentists want whiter teeth. They want the benefits of available

1. An unwavering commitment from you and your staff to make the deep changes required to raise the practice to a new level of productivity and efficiency.

2. Build a model of an efficient practice. A practice management consultant may help you to set up the system and procedures tailored to your particular practice. The strategies would also include detailed patient driven marketing plans to boost the new patient count.

3. Implement the plan. You should have a key person on your team who is dedicated to work with the consultants on the implementation. That is the most difficult

Just For Canadian dentists May/June 2012

phase, as it requires some tough decisions, in particular to terminate underperforming employees. You will fail unless you have the enthusiastic support of every staff member.

4. Constant monitoring and making improvements. Adopt the “Kaizen” philosophy. Kaizen is a Japanese term, which means “improvement,” or “change for the better,” referring to practices that focus upon continuous improvement of processes. In a dental practice it refers to activities that continually improve all functions, and involves all staff members from the dentist and associate to the lowest paid staff member. If it works for Toyota, which uses Kaizen to build the most efficient car assembly plants in the world, then it should work superbly in your practice. Practice management has definitely changed, but with a solid plan, a dedicated team within your practice, and knowledgeable advisors, today’s dentists can still experience good times.

Let us know what your printing needs are for point-of-sales or direct-mail marketing. Business cards start at $75. Call us today for a free quote!

GOOD LUCK! LAST ISSUE’S WINNER: Dr. Tom Pecek of Calgary, AB

sudoku 1 easier solution on page 32

Mail or courier to: 2475 Seine Road Duncan, BC V9L 3B3 T: 250-792-3346 E: jube.jube@shaw.ca

Use this space to deliver your message to 15,500 dentists across Canada.

sudoku 2 harder solution in next issue

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Tel: 604-682-1877 entry form (please print clearly):

Name: __________________________________________________________________ Address: _______________________________________________________________ City, Province, Postal Code: _____________________________________________

________________________________________________________________________ E-mail: ________________________________________________________________ Tel: ______________________________ Fax: _________________________________ Sudoku Puzzle Contest Rules: 1. Entry form must be accompanied with solved puzzle. Only correctly solved puzzles will be entered into random draw. 2. Send puzzle & 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 June 18, 2012. 3. Prize: $100 gift certificate from Zebra Print Centre. Odds of winning dependent upon number of entries. Winner will be contacted by telephone and announced in the July/August 2012 issue. 4. Contest can be changed and/or cancelled without prior notice. 5. All entries become property of In Print Publications. Employees of In Print Publications and its affiliates not eligible to participate. May/June 2012 Just For Canadian dentists

practice management Timothy Brown

m otori n g D r. k e l ly s i lv e r th orn

Timothy A. Brown specializes in dental practice appraisals, brokerage, consulting, locum placements, associateships and practice financing across Canada. You can reach him at timothy@roicorp.com.

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.

return on investment

Motown muscle

Why a dental practice may be the best you can find

Re-connecting with my hometown via Motown

n associate dentist recently asked me if it was prudent to invest in the purchase of a practice versus remaining an associate. So we performed an analysis of traditional investments (stocks and bonds) versus that of an income-producing dental practice (goodwill and equipment), and here’s what we found: 1. We assumed that he could purchase an established dental practice grossing $800,000 per year and that the practice was paid in full (for ease of comparison). The “true” operating expenses would be 60% of gross income and the dentist would draw an income of 40% of his monthly gross billings (dentist billings only) as the owner/ manager, leaving an annual “profit” of about 10% of the total practice gross or $80,000 per year after all other expenses (wages, rent, supplies, lab, etc.) were paid in full.

the owner’s earnings and non-essential or discretionary expenses. The typical, brand-new general practice will cost about $400,000 to $600,000 to set up. With the upcoming trend in the number of practices that will be for sale, and a possible resultant decline in practice values, the dentist who invests this sum today may experience a lower rate of return when compared with the previous generation. Market data suggests that dental practices will continue selling in the range of 80 to 120% annual gross income until 2013 or 2014. A key demographic influence is the aging baby-boomer dentists (over 50% of Canadian dentists are now over 50 years of age) and many are seeking an early-retirement exit strategy. These market indicators suggest that the volume of practices for sale will increase and that market value will subsequently decline. While a healthy return on investment (R.O.I.) is something we all expect from any financial decision, the dentist who is purchasing or setting up a new office today should be prepared to experience reducing rates of return on their capital given today’s very high sale prices—5% to 10% is the expected norm for the foreseeable future. The greatest benefits of ownership of a dental practice are intangible and different for everyone. You may want to consider ownership as job security if nothing more. As a commissioned broker, I would be thrilled if practices continued to go up in value. However, it’s my duty to observe the market, past, present and future and to understand the investment decisions that dentists are making. With this in mind, I believe it’s prudent to be aware that selling prices are likely at an all-time high and will stay that way for another one to two years. After that, the value of practices may decline and the return on investment will follow.

he final years of the 1960s were a coming of age for me: close friends, the break-up of The Beatles, the first moon landing, that crush on Pam. All occurring during two pivotal years in Guelph, Ontario. Little did I realize the impact that nearby Detroit had on me during those formative years. Motor City’s muscle cars were the rides everyone I knew wanted. We were all superenvious of the older kid on our street with his new 1970 SubLime Green Dodge Super Bee. Mopar’s Plymouth and Dodge always

Just For Canadian dentists May/June 2012

Sweet ride. The “Top Banana” Challenger from Chrysler.

dr. kelly silverthorn

PPB Enterprises Inc.

There are risks associated with all investments. Yet when you consider that dental practices have consistently delivered a highly predictable return that risk is significantly mitigated. Also consider that the income of the dental practice is even more secure because the dentist would be in sole control of the business with no immediate, external threats. Investing outside of dental practice such as the stock markets may promise higher yields (Facebook or Google, for example) but the risk is typically much greater. When we look at the actual open-market sales figures in our company database and account for the capital invested to buy or to build these practices, the rate of return on the original investment ranges from 8% to 14% based on our empirical and almost 40-year-old data. In each instance, we deduct

boasted the coolest names and colours. No surprise then that it’s the original Hemi-engine ‘Cudas and Challengers in wild period colours that are today’s most acclaimed muscle from back in the day. So, last August I did a “rediscover my roots” trip. I timed my journey to take in Detroit’s Woodward Avenue Dream Cruise, followed by a ride up Highway 401 to check out my old Guelph neighbourhood. My press friends at Chrysler obliged me by providing a 2011 SRT8 Hemi Challenger in “Top Banana” (a vivid yellow), and six-speed manual shift. Yes, Motown’s muscle cars are

Canadian Owned & Operated since 1981

Our best sellers:

in a renaissance period, and Chrysler has re-christened a new Challenger, several new Hemi engines, and period colors like Plum Crazy. My Challenger’s retro-styling and wild paint scheme got lots of stares throughout my trip. The big Hemi’s 425 horsepower and menacing rumble backed up those Vanishing Point good looks. I was intrigued that those eyeballing my bumblebee Dodge would then seek out eye contact with me. This eye-dance does not happen when I drive luxury cars or exotics. My theory is that muscle cars provide a comfort zone for most people to acknowledge they actually like exciting cars. Detroit’s modern muscle cars may look, sound and accelerate like their forebearers of 40 years ago. However, today’s muscle provides relaxed highway cruising in sixth gear, acceptable ride, noise, vibration, harshness, braking and even decent fuel mileage. Handling, however, will not be confused with a true sports car. At 4,200 pounds and large enough to carry four in comfort, that compromise is somewhat expected. The city of Detroit has had to make many compromises; it’s been in slow decline almost continuously since the zenith of the original muscle car era some 40 years ago. However, Motown is a city as defined by its primary industry as any major city in North America. Detroit eats, breathes and sleeps car manufacturing. Car enthusiasts abound. So it should not come as a great surprise that the Motor City hosts the world’s

Motor City’s muscle cars were the rides everyone I knew wanted

Dental practices have consistently delivered a highly predictable return

2. We looked at other investment options and calculated that it would take approximately $2 million to generate $80,000 per year in pre-tax income— assuming an average R.O.I. (return on investment) of 4% on the traditional investments.

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Just For Canadian dentists May/June 2012

largest annual one-day car event. For the past 16 years as many as 1.5 million people have lined the 16 miles of Woodward Avenue the third Saturday in August. Forty thousand classic and special-interest cars parade up and down Woodward from 9 am to 9 pm. The vast majority of those 40,000 cars are muscle cars, many of which have been modified for more horsepower or with louder paint. Cruising is not the only attraction of the Motor City event. The nine communities that share the event are partners in the largest annual event in the Michigan economy. It spins off $56 million dollars to these communities, more than even a Super Bowl would. Over 100 local charities also benefit. The host communities further support the event with numerous free concerts, car club displays and vendor booths. The whole event is free-entry, alcohol-free and family friendly. Arrive early for the best parking and viewing spots. A few hours after my final cruise of Woodward Avenue I was touring the Hemi sedately around my old Guelph neighbourhood. The new-age Dodge felt as at home as the originals. I’m pleased that Motown muscle still sells. Ford Mustangs, Chevrolet Camaros and Dodge Challengers make up roughly one in 10 of the cars sold by the “Big Three.” And that’s good news for the Ontario and Canadian economy, with every Challenger and Camaro assembled right here. As my flight time home loomed, I snuck in one last bit of nostalgia by pulling up outside Pam’s old house and tuning in to a Detroit FM station broadcasting a Supremes hit. Ahhh, seems like just yesterday. Life was simple and mostly local to me in the late 1960s. And those products and events that best recapture for us our simpler rose-tinted memories of yore will earn our loyalty. So, as the only true franchise holders of the muscle car, I wish Motown success in appealing to future generations. The world would be a far less interesting place without them.

solution from March/April 2012 contest

The Westin Grand, Vancouver, offers allsuite luxury in boutique style. Our prime location at the crossroads of trendy 433 Robson St., Vancouver, BC V6B 6L9 Yaletown and Robson streets 1-800-937-8461 puts you close to the city’s www.westingrandvancouver.com best dining, shopping, and entertainment. Rejuvenate with a few laps in the outdoor heated lap pool or a workout in the WestinWORKOUT® Gym with dazzling city views. Floor-to-ceiling windows in our suites offer wonderful views of the city and our signature Heavenly Bed® and deep soaker tubs encourage complete relaxation. Enjoy a meal at Hidden Tasting Bar & Social Lounge serving tapas style dishes and creative libations.

motoring [continued]

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June 2012 FACULTY:

Endodontics from A to Z

Hands-On Program

Dr. Ilan Rotstein, Dr. Thomas Levy, Dr. James Simon, Dr. Samir Batniji, Dr. Yaara Berdan, Dr. Daniel Kolzet, Dr. Stanley Malamed, Dr. Jan O’Dell, Dr. Daniel Schechter, Dr. Louis Schwarzbach, Dr. Anthony Tran

PART I - FRIDAY - SUNDAY, JUNE 1 - 3, 2012 • 9:00AM - 5:00PM. PART II - FRIDAY - SUNDAY, JUNE 15 - 17, 2012 • 9:00AM - 5:00PM. This comprehensive state-of-the-art course (21 hours of lectures and 21 hours of hands-on experiences) includes series of seminars and hands-on workshops specially designed for General Dentists who wish to advance their knowledge and clinical skills in the art and science of endodontics. A team of endodontic specialists from Ostrow School of Dentistry of USC will thoroughly discuss evidence-based clinical and biological concepts of modern endodontic therapy. These experts will walk you, from start to finish, through all the necessary steps and phases that will enable you to enhance the way you practice endodontics so you can provide the best standards of endodontic care to your patients. Participants will also enter a special raffle to win a copy of the latest edition of the world renowned textbook “Ingle’s Endodontics.” • LIMITED ATTENDANCE •

July 2012 FACULTY:

Hawaii Travel & Learn Program

Travel Program

Dr. Stanley Malamed, Dr. Ken Reed

MAUI - MONDAY - THURSDAY, JULY 23 - 26, 2012 • 8:00AM - 12:00PM. Join us for the 38th Annual Review of Continuing Education in Dentistry. The theme for this year is: Pain + Fear = Emergency Medicine. Up to 75% of medical emergencies may be prevented through use of sedation and effective pain control. Techniques of sedation will be reviewed as will local anesthetic drugs, techniques and recent innovations. In this program Drs. Malamed and Reed will also discuss the Management of Fear and Pain. The program will conclude with the preparation for, and management of, common medical emergencies seen in dentistry. • THE RITZ-CARLTON KAPALUA MAUI •

July 2012 FACULTY:

Clinical Intravenous Sedation

Live Patient Program

Dr. Stanley F. Malamed, Dr. Ken Reed and USC Faculty

PART I - FRIDAY - SUNDAY, JULY 13 - 15, 2012 • 8:30AM - 4:30PM. PART II - FRIDAY - SUNDAY, JULY 20 - 22, 2012 • 8:30AM - 4:30PM. Six days (42 hours) of concentrated study in intravenous moderate sedation for the doctor not previously trained in IV drug administration. The aim of this program is to train the doctor and their IV TEAM so that on returning to their practice they are confident in performing dental procedures on patients they have sedated intravenously. This program fulfills dental board requirements for parenteral (IV) sedation permits. It is a clinical program requiring the doctor and IV TEAM to treat a minimum of twenty (20) patients whom they have sedated intravenously. Considerable time is devoted to the technique of venipuncture and the IV administration of the benzodiazepinesmidazolam and/or diazepam. To make the course truly valuable to your office staff (the IV TEAM) it is MANDATORY for the doctor to have two (2) assistants working chairside during all IV procedures. To enroll in this program the doctor must have a currently valid Basic Life Support – Healthcare Provider level (or higher, e.g. ACLS) card issued by the American Heart Association (AHA), in addition to having completed the four prerequisite courses provided by USC and held on May 14 - 17, 2012. • LIMITED ATTENDANCE • May/June 2012 Just For Canadian dentists

To register, please contact our office at 213.821.2127 or visit our website at www.uscdentalce.org

travel the world

unexpected

Tel Aviv beach on the Mediterranean Sea.

Just For Canadian dentists May/June 2012

travel the world

Israel

In search of surprising culinary and natural pleasures in the Holy Land By Tim Johnson

It’s a warm, breezy day in the Negev Desert, and I am perched on the very precipice of the Makhtesh Ramon, the largest crater in all of Israel. Safely harnessed and buckled and in the capable hands of an experienced guide, I begin to descend the vertical limestone wall, rappelling down into this great depression, a vast abyss caused by millions of years of erosion, 40 kilometres long and 10 kilometres at its widest. Just as I start to feel comfortable, settling into the harness, feeling the breeze, taking in a little bit of the dramatic view all around me, the peace and tranquility of the desert is shattered by the roaring sound of fighter jets, two of them, conducting a training exercise, cutting through the air faster than the speed of sound, rumbling past my back as I hang over the abyss. Not what I expected—but then, here in Israel, nothing quite matches my expectations. And that’s a very good thing. >> May/June 2012 Just For Canadian dentists

travel the world

After dropping into the Ramon (and climbing back out), I clamber onto a bike and ride it along the edge of a nearby wadi. This area, part of Avdat National Park, about two hours outside of both Tel Aviv and Jerusalem, supports some 120 kilometres of trails, and outdoorsy types can choose anything from day-long rambles to serious multi-day excursions into this Biblical

a narrow path, steps carved right into the sandstone, the dark, spring-fed Zin River bubbling nearby, Zevi shares that these caves were inhabited some 1600 years ago by Byzantine monks. “They just wanted to spend some time here,” he explains. “They considered this to be holy ground.” Before driving back to civilization, we make a brief stop at the grave of David

Dragot (Daraja) canyon in the Judean Desert.

Pastry stand in Jerusalem’s Arab souk.

The fishing port of Old Jaffa. left Sign for the Jaffa Gate entrance to Jerasulem’s Old City.

wilderness. For me, it’s just a brief, half-day trip, a combination bike ride along the lip of the canyon, past a griffin vulture feeding area and a group of curious Ibex, who squint suspiciously at me as I ride past, then a hike through the Wadi Zin, the longest valley in Israel. Down inside the wadi, I keep seeing caves, and my guide, a kind, indefatigable man from Tel Aviv named Yigal Zevi, explains that the valley has, for thousands of years (or even more) served as a corridor for both people and animals. Migratory birds like pelicans, flamingo and storks trace this path en route to Africa, and everyone from the tribes of Israel to Roman traders to Nabateans on the Spice Trail from Petra to Gaza have used this valley as a sort of ancient superhighway—flint, tools, and other archeological remains have been found down here. As we ascend up

Ben-Gurion, a key founder and the first prime minister of the modern state of Israel, who is buried in a simple plot nearby, a short distance from the Sde Boker kibbutz, where he spent the final years of his life. We enter Jerusalem as night is falling, checking into a hotel nearby the Jaffa Gate, the main entry point from the west into the Old City. Looking to refill the tank after a busy day, we walk up a hill, along Jaffa Street, deeper into modern west Jerusalem. I’m surprised to see that, in what is often considered the world’s holiest city, Jaffa is a hopping hub for nightlife, home to bars, pubs, coffee houses and small, trendy restaurants. As I look upon the city’s young, stylish, welldressed denizens strolling along or gathered in friendly groups, it’s hard to believe that this good-time place is located in the very heart of the often-troubled Middle East. We

Just For Canadian dentists May/June 2012

duck into one of the warmly lit restaurants near the top of the hill, a place called Canela, and settle in for a fabulous evening of Mediterranean fare and excellent Israeli wine. After two days in the capital, browsing the busy Arab markets (which sell more varieties of olives than I thought existed, alongside spices and challah bread and dried figs and dates), exploring the slanting lanes of the Old City and sampling some of the best hummus in the world in the Muslim Quarter, we head for the coast. Tel Aviv, which serves as Israel’s centre of diplomacy, home to its international embassies, is also Israel’s favourite party town, a sort of Miami on the Med. We walk the length of its seaside boardwalk, a chosen route of joggers and bikers by day and romantic hand-in-hand couples by night, then tour the ancient port of Jaffa, a picturesque, cobblestoned settlement, one of the oldest in the world, which anchors the southern end of the boardwalk. After browsing through its high-end boutiques and bustling, low-end flea market, we head for lunch at Dr. Shakshouka. A waiter brings us heaping plates of shakshouka, a Middle Eastern pan-fried casserole with spicy tomato sauce and poached eggs. Turns out, it was indeed just what the doctor ordered. While most people understand that Israel is the homeland of the Jews, the truly multinational flavour of this small country only becomes readily apparent during an in-person visit. Jewish people who had previously made their homes in countries around the world have flooded back to Israel, bringing with them the particular traditions of their former homes. In this case, the owner—the “doctor”— a rotund, extremely affable man named Bino Gabso, came here from Libya. He serves me himself, sidling up at an open-air table in an area of the restaurant that used to serve as a stable in Ottoman times, taking my spoon and combining the shakshouka with couscous, handing it to me to taste. As I lift the steaming food to my lips, he explains that this is a homemade recipe. “It’s how my mother used to cook in our kitchen when I was a child,” he says in Hebrew, the faithful Zevi translating for me. And with that bite, it all comes together: the history of the place, the sun shining down on my shoulders, the smell of the air, the rich, wonderful taste of the shakshouka. It would perhaps be too much to call this a religious experience, but this is where my own pilgrimage brought me. It’s not my homeland, but it feels like home—and that, perhaps is the biggest surprise of all.

Inside a Bedouin tent in the Negev.

Biking in the Negev.

The Jewish Quarter of the Old City in Jerusalem.

The vast Judean Desert landscape, looking east towards the Dead Sea.

photos this page, opposite + previous: IGTO / Israel Ministry of Tourism

Vineyards at Karmei Avdat in the Negev. left Food stand in the Arab quarter of the Old City in Jerusalem.

Rolling hills. Floating icebergs. Viking settlement.

NEWFOUNDLAND & LABRADOR

A Governor General of Canada Award winner, this dentist loves to travel and says of one of her exotic adventures: “I had the pleasure of hiking the Big Island with great friends. We gazed at the stars on the summit of Mona Koa, watched the erupting volcano, hiked along beautiful waterfalls, visited coffee plantations. It was amazing.” Grounded and full of joie de vivre, Dr. Athenie Brake’s motto is: “Dance, floss, sing and travel.” No surprise, that if she wasn’t a dentist, she’d likely be a yoga instructor. Om! My name: Dr. Athenie Brake I live and practise in: Fort McMurray, Alberta My training: Doctor of Dental Surgery, 1998; Bachelor of Science (Biology), 1994, from Dalhousie University in Halifax, NS Why I was drawn to dentistry: I love making people smile, and having more confidence to show their smile! My last trip: Punta Cana, March 2012

The most exotic place I’ve travelled: The Big Island of Hawaii The best souvenir I’ve brought back from a trip: Pictures of fun times and new adventures. A favourite place that I keep returning to: Newfoundland—very proud I grew up there! My ultimate dream vacation: To travel six weeks through Australia, New Zealand and the Fiji islands. If I could travel to any time/place, I’d go to: Europe. When I was 16 years old, I travelled to several countries across Europe. My favourite book: 26.2 Marathon Stories by Kathrine Switzer and Roger Robinson My must-see TV shows: So You Think You Can Dance My favourite music: Michael Buble, Adele, Alicia Keys

Dr. Athenie Brake; with her godchildren; in Ottawa celebrating Canada Day; plane-side; and in Hawaii. clockwise from right

My first job: An usher at the Arts & Culture Centre The gadget or gear I could not do without: Garmin—I wear it when I’m running. My favourite room at home: The bathtub—I love bubble baths. My car: My dream car, Infinity G37 My last purchase: Trip south My last splurge: Spa day My most-frequented store: MAC cosmetics and LuluLemon My closet has too many: Shoes

Just For Canadian dentists May/June 2012

My favourite sport to watch: Basketball My [Canadian!] celebrity crush: Michael Jordan; Ryan Reynolds I’d want this item with me if stranded on a desert island: Floss—can’t live without it! My secret to relaxing and relieving tension: Running, yoga and massage therapy A talent I wish I had: Wish I could sing! My family is so musical. My scariest moment: Receiving a phone call that my friend’s baby’s cancer had relapsed. My fondest memory: Seeing my godchild for the first time, just after she was born.

LABRADOR

A big challenge I’ve faced: Relocation

QUÉBEC

Discover the breathtaking beauty of our own backyard on this comprehensive 12-day escorted vacation of Newfoundland & Labrador. You’ll travel and experience ﬁrst-hand the grandeur of this awe-inspiring land, as you travel between Corner Brook and St. John’s and take in all of the must-see sights and attractions.

I’m happiest when: I’m with family and friends My motto is: Dance, floss, sing and travel

My guilty pleasure is: Chocolate with strawberries

If I wasn’t a dentist I’d be: Yoga instructor with a hot yoga studio.

INCLUDED FEATURES: Corner Brook: Sightseeing tour; Gros Morne National Park — Plum Point: Visit Lobster Cove Head Lighthouse, Port au Choix National Historic Site, and Broom Point; Strait of Belle Isle: Ferry across Iceberg Alley; Red Bay: Sightseeing tour; L’Anse aux Meadows: Visit Viking settlement site; St. Anthony: Visit Grenfell Mission; Arches Provincial Park: Sightseeing; Grand falls — Windsor: Visit Salmonid Interpretation Center; Twillingate: Visit Prime Berth Fishing Museum, Long Point Lighthouse and Terra Nova National Park; Cape Bonavista: Visit Bonavista, Ryan Premises; Heart’s Content: Cable Station Historic Site; St. John’s: Sightseeing tour, Signal Hill National Historic Site, Witless Bay cruise, farewell dinner and traditional screech-in ceremony

St. Anthony

Twillingate

Grand Falls

Port Blandford 1 = Overnights = Start City = End City

Gander Terra Nova National Park Heart’s Content

NEWFOUNDLAND

St. John’s

Witless Bay Islands

Atlantic Ocean

Newfoundland & Labrador, 12 days from Corner Brook to St. John’s Price: $2,379, Departures: June 25 – September 3, 2012

My biggest ego blow: First time I was called “ma’am” by a teenager.

L‘Anse-aux-Meadows

Port au Choix

Rocky Harbour Corner Brook

My biggest ego boost: Being wished a Happy 23rd Birthday this year! Kids feeling relaxed during dental week.

Something I haven’t done yet that’s on my must list: Buy my dream car.

Plum Point

Gros Morne National Park

I’m inspired by: My family, especially my parents

My medicine cabinet is always stocked with: Nail polish

Blanc Sablon

The word that best describes me: Thoughtful

A cause close to my heart: Running for the Cure. I support cancer research.

Red Bay

L‘Anse-au-Clair

One thing I’d change about myself: Be more adventurous

My fridge is always stocked with: Strawberries

My favourite exercise/

sports activity: Running and yoga

courtesy Dr. athenie brake

s m a l l ta l k

dentists share their picks, pans, pleasures and fears

PER COUPLE ON 2012 GLOBUS

NEWFOUNDLAND & LABRADOR VACATIONS*

FOR MORE INFORMATION OR RESERVATIONS, PLEASE CONTACT YOUR TRAVEL AGENT OR CALL: 800.268.3636. Featured price is per person, land only, based on double occupancy, is based on the departure dates as indicated and reﬂects the $200 per person discount offer. HST taxes are additional. *Book a 2012 Globus Newfoundland & Labrador vacation to receive the $200 per person discount. Booking must be made, under deposit and discount applied between February 1 and July 3, 2012 for travel commencing through December 31, 2012. Offer not valid with any other offer except Journeys Club Repeat Traveller beneﬁt and applies to new 2012 bookings only. Offer reliant on space availability. Full cancellation penalties will apply. Additional restrictions may apply. Please quote: PRLNFLD2 to apply discount to reservation. 1061 Eglinton Avenue West, Toronto, ON M6C 2C9, TICO#1893755 (All images: © Newfoundland & Labrador Tourism)

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in Teaching Better Dentistry So Does

We Are Exclusively Distributed by: What sets Clinical Research Dental apart is our belief in teaching better dentistry. Clinical Research Dental is a true dental company, one that understands dentistry and the clinical challenges you face in your practice. We bring clinical solutions through knowledge, products and education. For over 25 years we have helped thousands of Dentists across our country to improve the quality of care for their patients. We invite you to see how Clinical Research Dental can make a difference in your life and your dental practice! Peter G. Jordan, President

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