SKCDS Fall 2020 Membership Guide by Bill Newcomer

MEMBERSHIP

Quarterly FALL 2020

VOL 19 / ISSUE 1

Member Meetings | Presidentâ&#x20AC;&#x2122;s Message Survey Results 1111 Har vard Avenue

Seattle, WA 98122-4205

206.448.6620 www.skcds.org 2020 SKCDS FALL MEMBERSHIP QUARTERLY l

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FALL 2020 Volume 19, Issue 1

Seattle-King County Dental Society Fall Quarterly

TABLE OF CONTENTS

Contributors: Ms. Sandra Anderson Dr. Austin Baruffi Dr. Randy Ogata Dr. Joe Vaughn Publisher: Bill Newcomer, BNC Printing & Graphics, Vancouver, WA OFFICERS Dr. Austin Baruffi, President Dr. Adam Kennedy, President-Elect Dr. Lisa Egbert, Past-President Dr. Katie DeWood, Secretary Dr. Scott Parker, Treasurer EXECUTIVE COUNCIL Dr. Elizabeth A. Kutcipal, Executive Council 2021 Dr. Amanda Spivey, Executive Council 2021 Dr. Joe Vaughn, Executive Council 2021 Dr. Mark Egbert, Executive Council 2022 Dr. Emily Yepez, Executive Council 2022 Dr. Kate Christian, Executive Council 2023 Dr. Rica Mackert, Executive Council 2023 Dr. Randy Ogata, Executive Director Contact and Change of Address: To ensure continued receipt of issues, change of address must be reported to: SKCDS Central Office , 1111 Harvard Avenue, Seattle, WA 98122-4205, as soon as possible Phone: 206.448.6620 | Fax: 206.443.9308. Email: skcds@skcds.com | website: www.skcds.org The information in this publication is for the exclusive benefit of Seattle-King County Dental Society members. Neither the Society nor the publisher makes any express or implied warranties as to the information herein, including the contents of any advertising. Opinions in The Quarterly do not necessarily express the official policies of the Seattle-King County Dental Society, nor the opinions of the editor, unless so stated. Publication of advertising is not an endorsement, qualification, approval or guarantee of either advertisers or product. For advertising and publishing details, contact: Mr. Bill Newcomer, BNC Printing & Graphics, 503.318.5916, bill@bncprinting.com; www.bncprinting.com

Office Team / Contact................................................................................3 Presidentâ&#x20AC;&#x2122;s Message...................................................................................4 From the Desk of Dr. Ogata ........................................................................5 New Members...........................................................................................7 Plan Ahead: SKCDS News ...........................................................................8 Wrapping Our Ride.....................................................................................9 Member Meetings ...................................................................................10 Society Elections 2021-2022 ..........................................................................12 Survey Results ..............................................................................................16 Service Animals in the Dental Office ...................................................................18 Fit Testing ......................................................................................................21 Dr. Munk .......................................................................................................22

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Cover Photo: Members at Shred-Fest, October 3 2020 SKCDS FALL MEMBERSHIP QUARTERLY l 3

The

President’s Message

Assessing third party payer issues was a frequent concern on the survey and I am extremely excited about WSDA’s recent settlement with Delta Dental. This win from organized dentistry will be accomplished and finalized with the support from our large community and your participation. I ask that you vote to approve this change at the Delta Dental Annual Meeting on November 13. The vote will be to approve that the makeup of their Board of Directors will have to be elected by us, the member dentists of Delta Dental. Hopefully, this will create leadership on the Board that is more in tune with our needs and will consist of more dentists from our community. WSDA has incurred a large legal bill to successfully navigate this settlement and is mandating that members pay an extra $300 this year in dues, to offset the legal costs. I am not happy about a mandatory fee but I believe the win is worth far more in value than what they are asking for from their members. I would like to thank Bracken Killpack, Drs. Bradshaw, Irwin, Russell and the people at WSDA for their hard work and offer them a big congratulations on this settlement.

Diversity is also an important value shared by SKCDS membership and leadership. SKCDS has started a Task Force to address this topic using tools from the ADA. Preliminary findings have shown that there are a few things we Dr. Austin Baruffi need to improve on and there are others that we have already done a good job on. We have recognized that as the demographics of our membership have changed to include a more diverse group of professionals, so must the diversity of our leadership change to better serve our members. Diverse We have all experienced major changes in our lives this year that have leadership in our component society has happened organically over time and I significantly shifted our focus. This shift has moved me to assess what am repeatedly grateful for the amazing volunteers we have at SKCDS. I value and what I should be spending my time doing. Your SeattleKing County Dental Society has also gone through this assessment I hope you will continue to value your membership in SKCDS because we process and we continually evaluate what we need to focus on to best value you, our members. I am grateful to be your President. serve you, our members. Joe Vaughn, the Chair of the Membership Committee, put together a fantastic survey that many of you answered to help give us direction in delivering value through organized dentistry. Sincerely,

VALUE

Dr. Austin Baruffi

The two things I value most for our Society are quality and community and Dr. Austin Baruff the responses to the survey show that you agree and that we are on the right track. One area of positive response was the level of communication of valuable information has been helpful and appreciated. Also, Continuing Education has consistently been a favorite membership benefit and we have put together an excellent group of speakers and courses for you in a digital format, starting with Dr. Rhonda Savage on October 6. See page 9 for more details. One of the challenges affecting us all is the workforce shortage and we are working on a variety of solutions that you will soon hear more about as they continue to develop. A recent win in this arena was getting the Shoreline Hygiene Program to reverse their closure. Shoreline will continue to graduate greatly needed Hygienists by using the UW Dental School facilities to treat patients in the clinical part of their program. Our Executive Director, Randy Ogata, was instrumental in this process and I am very grateful for all the work that it took to make this happen, to benefit us all.

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From the desk of Dr. Randy Ogata

Fall 2020

Executive Director

President Austin Baruffi envisioned “COMMUNITY & QUALITY” for the dentists of the SKCDS, and he has been consistent in his commitment to our profession – in spite of having the worst global pandemic since the Spanish Flu thrown in his lap – his leadership, vision and steady guidance is helping SKCDS weather the rough seas of this storm and set a course towards a brighter future. Dr. Joe Vaughn, Chair of the Membership Committee, helped to develop, distribute, and collate the responses to the most ambitious member survey ever. I want to THANK the SKCDS members who took the time to share with us their thoughts, problems, and concerns. We have never had as many responses as we did to this survey. Then, as promised, Dr. Vaughn presented the raw responses and compiled information to the SKCDS Executive Committee. We are following up on some of the responses to the survey to better help shape the actions of our society – to help you – the member dentists of SKCDS succeed. The Membership Committee is responsible for SKCDS’s first ever “SHREAD-FEST” to help members dispose of old paper records safely and securely. The mask fit-test program has been well received and we have helped test over 350 clinicians, including the entire Shoreline RDH program’s classes and those number are still climbing. Plus, unlike other pay for mask test services, SKCDS also provides links to the resources to help members comply with the two other parts of the DOSH directive. Workforce continues to be a concern for many of the dentists that I have spoken to. We need to continue working to address this problem both short and long term. Hiring away each other’s employees with ever increasing wages does not contribute to good will nor community and, in the end hurts all dental practices. A better solution would be to invite trained individuals to relocate to Washington and if possible, King County. SKCDS was successful in partnering with Shoreline Community College, UW SOD and Delta Dental in saving their RDH program from extinction. Would love to see an expansion of all the RDH programs; but to do that we need to have DATA (facts vs. opinions) to take to the state when we lobby. Thank you, to all the SKCDS dentist who responded to our e-blast and newsletters imploring you to take the WA Workforce Survey. Armed with this data, organized dentistry has a much better chance of lobbying State Legislators to get behind our solutions to the workforce problem. Building bridges – mending fences – creating a community. On September 23rd, the dawn to a “Brave New World” was announced when Delta Dental and WSDA buried the hatchet and announced a settlement agreement for the lawsuit that has drained the coffers on both sides. But, the announced settlement agreement MUST BE APPROVED by the Delta Dental Member Dentists on Friday the 13th of November. If not, we will fall back to the lawsuit stage; every Delta Dental member should review the settlement agreement and remember this is about getting fair and equitable representation on the Delta board and abiding by their own bylaws. The Greater Seattle Multi-Disciplinary Study Club, one of the study clubs I belong to, was one of the first to invite the NEW CEO, Mark Mitchke on his “world tour” of Washington. Mark did not address dentists like the former CEO did. It was about doing things together for OUR patients, how dentists could be better served by Delta, a completely different tune then before. After transitioning into the executive director role of the SKCDS, we hosted Mr. Mitchke presenting a new plan developed to help increase the reimbursement levels for participating dentists. Shortly after, COVID hit and we were all searching for PPE, Delta Dental teamed with organized dentistry to secure masks for dentistry. I met many of you that Saturday handing outs Ziploc bags of KN95 and surgical masks. How many of you noticed Mark Mitchke was there with my two Scouts greeting dentists and handing out masks? Members Matter Most – live, breath and eat this mantra. SKCDS is a membership organization and it relies on its members for governance, directions, volunteers, and dues. Sandra and I are working our tails off for you, because we both love dentists and dentistry. Each and everyone of you mean something to me as a colleague, professional and friend. COVID has sucker punched us all – especially in the pocketbooks - so I proposed to the EC and they concurred - that SKCDS decrease our projected dues income significantly and put a hiring freeze on a third employee. To this end if you VALUE the member benefits that SKCDS provides, but have not yet rejoined because monies are tight, consider joining at the half year dues rate now, if that is still a reach please consider applying for a dues waiver, and I will approve it. I would rather have you standing with the other 1,700+ members of the SKCDS at no or reduced dues, then out there navigating these waters alone and without the help we provide. Turing President Baruffi’s dream in reality: SKCDS promoting Community and Quality for out dental profession. Honored to serve OUR Dental Profession

Dr. Randy Ogoto Executive Director, SKCDS

2020 SKCDS FALL MEMBERSHIP QUARTERLY l 5

Please welcome our new members JULY

Dr. Se Won An Dr. Victor H Bauer Dr. Zola Bayarsaikhan Dr. Micah Bovenkamp Dr. Victoria Chang Dr. Belle Chen Dr. David Chi Dr. Mijin Choi Dr. Alicia F Chou Dr. Artem Chuvashov Dr. Jeffery Cole Dr. Alexis N Eacret Dr. Clara A Felker Dr. Justin M Flinkman Dr. Kamran Fotoohi Dr. Jason M Holtman Dr. Catherine H Im

Dr. Sarah Kang Dr. Mandeep Kaur Dr. Rachel I Kehr Dr. Chan B Kim Dr. Chloe Miller Dr. Darren T Nhan Dr. David S Park Dr. Shyrie P Patel Dr. Jerald Pruner Dr. David K. Rubinov Dr. Victor B Shih Dr. Maxwell C Sodorff Dr. Richard D Stickney Dr. Ryan Tam Dr. Nha-Tran D Tran Dr. Sheila Trangchiu Dr. Subashinee Vaidyanathan Dr. Brandon Walker

Dr. William E Wicheta Dr. Hae Jin Yi Dr. Qian Zhang Dr. Jessie Zou

AUGUST

Dr. Jessica Bai Dr. Hayley Cowan Dr. Thomas Cziao Dr. Amy E Daby Dr. Marla Fleming Dr. Brandon C Hahn Dr. Meenali K Karthik Dr. Sam D K Kim Dr. Emily B Li Dr. Ana Mateo Dr. Sirisha Munimadugu Dr. Da Min Park Dr. Weiwen Tang

SEPTEMBER

Dr. Se Jin An Dr. Sayaka Kondo Arimoto Dr. Michael Andrew Atwood Dr. Navneet Kaur Chahal Dr. Charles Chang Dr. Stan Cho Dr. Hyomi Cho Dr. Yong Choi Dr. EmmaLeigh R. Cox Dr. Alexi Caprice DeFreitas Dr. Mepa Omesh Desai Dr. Tsering Dhakchang Dr. David K Do Dr. Kristin P Doan Dr. Cameron Edward Freelove Dr. Nolan L Gerlach Dr. Michael A Gile

Members of SKCDS are encouraged to invite non-member dentists who are practicing in King County to join the Dental Society. A quick call to the WSDA Office at 206.973.5210 is all that is needed forthem to apply for membership at all three levels: Seattle-King County Dental Society, Washington State Dental Association and the American Dental Association.

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Dr. Anit Merry Mathew Dr. Suzanna B McAninley Dr. Molly Melbye Dr. John Scott Moffitt Dr. Kyungsik Moon Dr. Nazanin Nehchiri Dr. Kevin G. Otto Dr. Yong K Park Dr. Mark J Payne Dr. Serghei Petcu Dr. Leif Rasmussen Dr. Kavita Sainanee Dr. Jolene Shih Dr. Robert M. Taylor Dr. Nicole Marcella Ters Shearer Dr. Sepideh Torkan Dr. Mehran Varedi

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Plan Ahead! SKCDS NEWS Give Kids A Smile – February 2021 Give Kids A Smile is a national event sponsored by the ADA. Locally, we encourage our members to engage their neighborhoods with the message of good oral health. The Seattle-King County Dental Society is teaming up with the Arcora Foundation for February’s Children’s Oral Health Month. If you want to get involved, contact Sandra at sandra@skcds.com, and stay tuned for more! In this time of pandemic, we will need to be innovative and think of new ways to reach our kids with the message of great dental habits. You might create a video to share virtually with classes online. You can adopt a cub scout pack, or daycare class, and mail each child a toothbrush with essential oral health information. You might consider being a guest presenter for your child’s online classroom or provide a day of free dental services at your office while complying with COVID protocols. Just because we may not be able to be face-to-face does not mean we can’t continue to promote good, healthy habits with children around King County.

Shopping on Amazon Smile Benefits our Foundation We are all shopping online more than ever before. Did you know that you can donate to the Seattle King County Dental Foundation (SKCDF) through Amazon Smile? Amazon Smile works like this: 0.5% of all eligible purchases go to our SKCDF. According to Business Insider, September 4, 2019, the average person spends about $600 on Amazon each year. While this is only $3 per person donated to SKCDF, think about if all 1,700 members did this? We would receive over $5,000 each year! It is easy to set up. 1. Go to: smile.amazon.com. 2. Login to your amazon.com account. 3. Search for the society: Seattle King County Dental Foundation. 4. Shop on Amazon! This is great for everyone who shops routinely on amazon.com. Take a moment while you are shopping for holiday gifts, or birthday presents… or everyday household needs, and opt to give a percentage to SKCDF. Every little bit helps the Foundation and its mission!

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Wrapping our Ride: MTI and The Dental Foundation Partner for Dentistry For many years, Dr. Princy Rekhi had a vision of an active partnership between the Medical Team International Dental van and SKCDF (Seattle-King County Dental Foundation). Members of SKCDS have volunteered on the MTI mobile dental vans for years. Since the early 2000’s the Foundation has supported MTI with grants to keep the dental vans on the road, in addition to connecting dentist volunteers to serve on the vans. However this partnership was not always obvious to those in the larger community. Now, the Foundation’s involvement will be featured in a very visible way. Since early 2020, SKCDS Staff has been actively working to find a graphic design vendor who could “wrap” one of the mobile dental vans with a co-branded design. The design will feature both SKCDF and MTI colors and logos. Four prospective vendors were solicited from around King County and Portland. Brittany Kelley, MTI Director of Operations for North America, had some specific details she wanted to see reflected in the design. Each graphic design company submitted 1-2 images of what they thought the van might look like in a co-branded wrap. The Foundation Board met to review the images. They selected a company, based in Kent, who offered an outstanding combination of value and artistry. Medical Team International brought in their Communications department and all stakeholders had a Zoom meeting to discuss goals with the prospective vendor. Challenges include deciding on the right balance of color, what verbiage to include and how to depict the services provided. The final image will cover the entire van, incorporating the colors of both organizations. The design will highlight racially diverse older adults (the dental van’s primary clientele) and words emphasizing the actual services provided. The emphasis is on easy-to-associate, graphic depictions of the dental services with a dentist pictured. However, MTI is branching out to provide additional health services around Washington. Their vans are currently traveling in eastern Washington providing COVID testing. This will also be reflected in the co-branding. The newly designed van will look fresher and brighter than before, along with showingcasing SKCDF’s close partnership with MTI. After several years, Dr. Rekhi’s vision of a branded dental van is coming to fruition. Our members can take pride in volunteering in the mobile dental van that boldly – and beautifully - proclaims our contribution to the community.

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MEMBER MEETINGS AND CONTINUING EDUCATION 2020-2021 The arrival of the world-wide pandemic has turned dentistry upside down. Much has changed but some things will remain the same. One thing that has not changed is our commitment to providing quality continuing education to our members, and opportunities for our dental community to stay connected. Our Program Committee met in late June to discuss options for virtual hybrid, and in-person meetings. SKCDS members know that we are always working to offer high quality continuing education at very affordable prices. The coming year is no different, and we think you will be very pleased! At press time, we are still developing the details of our full 2020-2021 CDE class schedules. We started off on Tuesday, October 6, 2020 with Dr. Rhonda Savage speaking on Understanding your dental team’s journey: Motivating yourself, your Staff, and your Patients! Dr. Savage addressed relating to your dental team in these unusual times. Team dynamics are ever changing, as does the ebb and flow of a dental practice. While this is normal, these times are anything but normal! What can you do? This fast paced, thought provoking, fun session covered essential communication tools that are critical for your team, including these topics and more: Productive, educational, participative team meetings, Merit reviews, your budget and bonus; Goal setting for now and the future; Training and accountability; and fun stuff! The meeting was held virtually, and we had 44 participants. Join us on Tuesday, November 17, 2020, from 6:30 – 9:00PM, when Drs. Timothy Hess and Ross Drangsholt present on Neurotoxin Therapies for The Dental Professional. Drs. Drangsholt & Hess will update SKCDS Members regarding the expanded use of neurotoxins in private practice and at the University of Washington School of Dentistry. Objectives include: 1. Discussion of the history of use of neurotoxins by Washington State dentists and curriculum of

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the UWSOD Department of Oral Medicine; 2. Review of the range of facial aesthetic procedures being performed by dentists; and 3. Focus on the role of neurotoxins in Oral Medicine. This meeting will be hosted virtually, via Zoom, and you can register on our website. Members participate at no charge. Non-members are $50. The class is worth two CDE Credits. Our Winter meeting will be held Tuesday, January 26, 2021, 6:30 – 9:00 PM, featuring Dr. Kevin Kwiecien. Dr. Kwiecien will speak about Airway in the Restorative Practice: An Interdisciplinary Approach. This program will be relevant to general practitioners as well as specialists. The correlation to worn teeth, TMD, GERD, and sleep is well-documented. A protocol to examine, identify, and treat is critical for the restorative dentist, as well as the inter-disciplinary team. Depending on the current State mandate, this class will be offered both virtually and in person. If we can have an in-person meeting, it will be held at the Double Tree Hotel at Southcenter. Details will be available as the dates gets closer. The class is worth two CDE Credits. Our spring meeting will be held on Tuesday, April 27, 2021, 6:30 – 9:00 PM. As in years past, this will be our Installation of Officers and the Honoring of Life Members. Our speaker will be WSDA President Dr. Denny Bradshaw sharing information about the State of Our State. We live in unprecedented times and the role of organized dentistry is more important than ever before. Dr. Bradshaw will share up-dates on what is happening legislatively, as well as what the WSDA is doing regarding the pandemic. Additionally, we will honor our Life Members and our newest elected Society Officers. At this time, the location is still being determined. Once the West Seattle Bridge is fixed, we look forward to returning to Salty’s on Alki. We hope to select a venue near Woodinville for the convenience of our colleagues to the east and north. This is dependent on the State’s rules on gathering. The class will be worth two CDE credits. Our recent Member Survey revealed that our members enjoy and appreciate free CDE. Many members are adapting to virtual meetings and value the convenience they bring. At the same time, almost 50% of the respondents want in-person CE, with dinner, to continue. We strive to provide both quality and community as we move into this exciting new program year.

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2021-2022 Elective Office Opening Announced In accordance with the Seattle-King County Dental Society Bylaws, the Leadership Committee will meet in late November 2020 to formulate a slate of officers for the 20212022 Society year. Our Society is only as strong as our membership, and we are doing some amazing things in which you need to participate! We also thank all of our current volunteer leadership who give so freely of their time and talents on behalf of the Seattle-King County Dental Society. The following leadership positions are open: • President-elect The president-elect will automatically become president in the year following the year in this position. The president-elect will be a member of the Budget and Finance and Program Committees as well as the Executive Council.

• Executive Council – Three (3) openings for three-year terms

Executive Council members meet approximately 10 times a year and always in the evening with a meal provided when meeting in person. This is the governing body of the Dental Society, and it is an excellent way to participate in the organization. • Delegates to the WSDA—Up to seven (7)* openings for three year terms This position represents the Seattle-King County Dental Society at the governing body of the Washington State Dental Association’s House of Delegates. Delegates must attend at least one—and ideally two—evening caucuses before each meeting of the House of Delegates. The delegates must also plan to attend the Washington State Dental Association’s House of Delegates meeting (usually held from Thursday evening to Saturday noon in September). *The number of Seattle-King County Dental Society Delegate seats for the WSDA House of Delegates is determined each year based on membership as of January 2021; therefore, we do not know at press time how many seats will be open. This change in how the seats are allocated was approved by the 2005 WSDA House of Delegates. If you are interested in learning more about the duties of these positions or wish to be considered for one of the offices, please call Dr. Randy Ogata at 206.448.6615.

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CHANGE STARTS WITH YOU: Thank you for taking our survey! Written by Dr. Joe Vaughn

Proud. Excited. Ready to Serve.

That’s how your Executive Council and your Executive Director Dr. Randy Ogata feel right now. We’re proud to be a part of an organization whose members care enough about organized dentistry to participate. We’re excited to receive the incredible feedback you gave us on where you are right now in this crisis and what we can do to help as your dental society. And finally, we are ready to serve you in the ways you need it the most. Our mission here at SKCDS is “Helping local dentists succeed,” and now because of the time you all took to take our annual survey, we have a clearer picture of what that looks like. I’d like to take a few moments to give you a brief overview of the results from our Membership survey here below, but if you would like the full report, please reach out to us and we will make it happen. First, a few general statistics: - We received a total of 324 responses, our highest response rate EVER! - 46% women, 53% men - 62% have been out in practice for 10+ years - 57% own a private practice We were pretty excited to see the results in the first table listed below. One of the main things we wanted to accomplish with this survey was to get a better picture of what you value as members. What are we doing well and what do we need to improve on? We now have a better understanding of what that is. Your current President, Dr. Austin Baruffi has a unique vision of bringing a high level of quality and community to all the members of SKCDS, and despite all of the tribulations this year has brought, we found some encouragement knowing that you are finding value in the things SKCDS tries to bring to its members. A big shout out to Dr. Ogata and Sandra Anderson for their amazing efforts in providing consistent, updated communications and a steady influx of free CE. It’s not an easy task!

Table 1. “What is the one membership benefit that you value the most?” While we are on the topic of quality and community, we wanted to find out a little more of what you would like to see moving forward. We try our best to host as many networking events and CE as we can support, but we wanted to check in to confirm that we are bringing the type of content that you find valuable. As you can see in our second table below, it’s clear the types of events SKCDS members want to see. Right now, we’re working hard to adapt with the times by totally switching to a Zoom platform until it’s safe to meet again in person. We are also looking into what it might look like to host online “networking” and happy hour events. Stay tuned!

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Table 2: “What types of events & CE would you like to see SKCDS put on in the future?” Finally, the most important bit of information we were hoping to gather from the survey is listed in our third table below. What are the top challenges you’re currently facing? What is making it difficult to be a dentist in King County? Most importantly, what do you need in order to succeed? All of us on the Executive Council recognize these challenges that you’re facing, because we’re facing them too. It’s a tough time for everyone right now, but as you can see below, dentists in King County are up against several unique challenges that SKCDS will be working to address in the coming months. Unfortunately, there’s no easy solutions. It’s going to take an “all hands on deck” approach and the support of all our members to carry out our mission of helping you succeed.

Table 3: “What are the top challenges you are facing as a dentist in Seattle-King County?” I want to close by expressing how grateful SKCDS is for you and for sticking with us through this rollercoaster of a year. We appreciate your encouragement and all the support you continue to show in a multitude of ways. We would not exist without you, and we hope you will continue to look to us for support: moral, informational, and financial. We were so impressed and excited to receive the results of this survey, and we want you to know that your voice has been heard. There is a lot of information not included in this brief overview, but the Executive Council has read each and every response, and we will be using this great information as we push forward over the next few months. Thank you all and we will see you soon!

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Service Animals in the Dental Office: Spiders are Not Welcome… But Miniature Horses Might Be Most of us love our pets. In the greater Seattle area, pets are almost a revered species. We have doggie daycares, doggie school, and there is an entire industry devoted to pet clothing and pet Halloween costumes. But what about pets in the dental office? More specifically, what about service animals? In January 2019, legislation was put forth that spelled out what qualified as a service animal. Documentation from the King County Office of Civil Rights specifically emphasizes that a service animal is not a pet. According to the website Washington Law Help, the state legislature found that misrepresentations of pets, therapy animals, or emotional support animals as service animals has made it harder for people with disabilities to get acceptance of their properly trained and essential service animals. The new law limits the definition of “service animal” and imposes a fine for misrepresenting an animal as a service animal. So, when a patient wants to bring their Chihuahua into the operatory, what do you do? What are the disability access laws that apply to King County government and what do they require? The Americans with Disabilities Act (ADA, Title II), Section 504 of the Rehabilitation Act of 1973, the Washington State Law Against Discrimination (WLAD, RCW 49.60), and the King County Public Accommodations Ordinance (KCC 12.22) require that local governmental agencies provide reasonable modifications to existing policies, practices and procedures to ensure equal access to programs and services. Under these laws, and King County policy, people with disabilities may be accompanied by their service animals onto county premises, even where pets are prohibited. Service animals can go wherever their owners go (except places like in the public swimming pool). They can enter restaurants, stores, medical offices, hotels, buses or taxis, government buildings, public areas of hospitals, etc. What is a disability? Disability access laws define disability as any physical or mental condition that substantially limits one or more major life activities, and can include such activities as walking, talking, breathing, working, caring for oneself, etc. Washington law defines disability more broadly, as any condition that is “medically cognizable or diagnosable,” and states that “a disability exists whether it is temporary or permanent, common or uncommon, mitigated or unmitigated.” What is a service or assistive animal? According to RCW 49.60040(24) a “service animal” is defined as only dogs and miniature horses, individually trained to do work, or perform tasks directly related to their owner’s disability. Animals that would not qualify would include cats, small pot-bellied pigs, reptiles and small rodents, insects and spiders, full-size farm animals, wild animals such as deer or squirrels; and potentially dangerous exotic animals such as bears or monkeys. Given this information, how can you tell if an animal is a service animal and not just a pet? There is no legal requirement for service animals to be specifically identified or for the animal’s owner to carry documentation paperwork. Some, but not all, service animals wear special collars and harnesses. King County policy prohibits requiring written proof of a person’s disability, or identification or certification of the service animal’s status. Staff may ask the person if it is a service animal required because of a disability. There are occasions when a person may need more than one service animal, though this is not common. A person with a disability might need one service animal to perform a specific task and a second animal to provide some other benefit related to the disability. The key difference between a Service Animal and a pet, is if the animal has a key task or function to perform related to the handler’s disability. The service animal must be permitted to accompany its handler to all areas of the facility where members of the public are normally allowed to go unless its presence or behavior constitutes a fundamental alteration or direct threat to safety. A person may not be segregated from other people just because he or she has a service animal. What about Emotional Support Animals? An Emotional Support Animal (ESA) is not a services animal, but there are benefits to having them around. Emotional Support Animals (ESA) can assist with PTSD, anxiety, and other neurological challenges. An, ESA, or therapy animal, can lower blood pressure and reduce anxiety which can be helpful in a dental 18 l 2020 SKCDS FALL MEMBERSHIP QUARTERLY

office. Some dental offices are even electing to have an ESA in their office as an option for patients who need a calming presence. As our society has become more aware and supportive of mental health issues, emotional support animals continue to become more common. However, they are not the same as a Service Animal. If an alleged Service Animal’s trained purpose is not apparent, a place of public accommodation, such as a dental office, can ask: 1. Do you need the animal because of a disability? 2. What work or task has it been trained to perform? They cannot ask for: 1. Written proof a person’s disability 2. A demonstration of the animal’s training 3. Proof that it is a service animal What if someone else is afraid of dogs or other animals, or has allergies? It’s important to remember that people with disabilities need their service animals with them at all times. They must be allowed to enter and use a business, even though a business employee or customer might have a fear of animals. People who have minor allergies to animals may wish to keep their distance from the service animal. Most service animals should be on leash or in a carrier. However, sometimes a service animal may need to be off-leash briefly to perform a particular task, or someone’s physical disabilities make it difficult or impossible to hold a leash – in these cases, an exception may be made. It is required that the animal be under the person’s “direct control” (if not on leash or in a carrier, the animal is effectively controlled by voice or hand commands). What if a service animal barks or growls at other people, or otherwise threatens people or other animals? What if a service animal doesn’t really seem dangerous, but is disruptive? If a service animal behaves this way, the business owner or clerk can ask for it to be left outside. But they can’t turn away people with service animals just because they are afraid of dogs or only think the animal might behave badly. What if I want to talk to the animal, pet it or feed it? Remember that service animals are “on the job.” Don’t distract them by talking to them, whistling at them, petting them or trying to feed them. If you would like to talk to the animal or pet it, first ask the person with the animal. The owner will let you know if it’s okay to approach the animal. According to the JADA, the ADA’s journal on dental practices, in accommodating the rights of patients, the dentist must respect the needs of other patients and the staff members as well. If someone misrepresents an animal as a service animal, the person may have to pay a $500 fine and be removed from the premises, according to RCW 7.80.120. This is also true of someone who refuses to answer the aforementioned questions, according to RCW 49.60.214. When it comes to having animals in the dental office, be aware of the law, while respecting the needs of your other patients and staff. This information is for general purposes and is not intended to be used as a substitute for specific legal advice. The Seattle-King County Dental Society is happy to refer you to several attorneys who can give detailed information as it relates to specific practices. SOURCES: 1. Information provided by the King County Office of Civil Rights & Open Government, 2014 https://www.kingcounty.gov/~/media/exec/civilrights/documents/SApublic.ashx 2. ALL ABOUT SERVICE ANIMALS, document prepared by King County government office of Civil Rights, 2010 https://www.kingcounty.gov/~/media/exec/civilrights/documents/KWanimals.ashx?la=en 3. Change in Washington Law about Service Animals Starting January 1, 2019; Washington Law Help. August 2018 https://www.washingtonlawhelp.org/resource/change-in-washington-law-about-service-animalsstarting-january-1-2019 4. www.todaysrdh.com/emotionalsupportanimals January 21, 2020 5. www.jada.ada.org/article/S002-81 August 1, 2019

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A NO BRAINER… The practice for sale below is on the waterfront in Mukilteo, Washington. Is there a dentist who dares to ditch the production/collection/active patient algorithms and rely on their own ability, skills, personality, and vision? Just open the doors and watch the patients flow in to this dream practice and enjoy the lucrative career you have always dreamed of having.

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This 3-op (plumbed for 4) fully loaded practice with nitrous plumbed throughout, Forest® massaging dental chairs with custom bronze powder coated hardware, solid surface epoxy floors (resembling marble), and panoramic Puget Sound Views took over $600k to build. The office is centrally located, highly visible, and a place where people like to be. The dentist who designed and built this practice spared no expense to make it a place where she would enjoy spending time (8+ hours a day) and many anxious patients could find solace in the peaceful atmosphere. How many dental offices can truly say patients look forward to their visits?

This Mukilteo office is up for sale for at a highly reduced price for a quick sale. The owner has relocated out of state with her 2 kids after the premature and tragic death of her husband. Respectfully speaking, this is a situation where one’s loss could be your gain! For more information please contact: Lindsey Pierce (425) 466-8595

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Fit-Testing: International Dental Safety Concerns Hit Home In August, the World Health Organization requested that dental procedures be postponed if possible. Meanwhile, in King County, safety is a priority for the Seattle-King County Dental Society. In response to state-wide directive requiring a three-step verified process for clinicians, the Seattle-King County Dental Society (SKCDS) has provided, for all dentists and their staff in the King County area, free respirator fit-testing. Fit testing ensures that the respirator properly and tightly seals around the wearer’s face to prevent contaminated air from leaking into the respirator and hazardous substances being inhaled. This mandated procedure protects dentists and their staff, who are routinely exposed to aerosols that could contain SARS-CoV-2, the virus that causes COVID-19. When Washington State’s Division of Occupational Safety and Health (DOSH) required that all dental offices to comply with its Respiratory Protection standard, dental practices were looking at hundreds, or thousands, of dollars in additional compliance costs. Private companies providing fit-testing services can charge up to $300 per person just to fit-test masks. The cost can become prohibitive, especially for dental practices with large staff; and crippling for offices still recovering from the shutdown and restart. As a member-benefit, the Seattle-King County Dental Society, with help from the WSDA, derived a plan to use volunteers to help all dentists and their staff be compliant with DOSH’s Respiratory Protection standard. Dr. Randy Ogata, Executive Director of SKCDS, formulated the idea when he saw the situation his Society members were facing. Dr. Ogata, as a dentist himself, knew that members were in no position to spend additional money on testing after being closed for nearly four months. He rallied a core group of volunteers, trained them on the protocols, and worked with the Washington State Dental Association to secure testing supplies. Since the program started the first week of July, over 54 dental offices, and 343 clinicians have taken advantage of the Seattle-King County Dental Society’s free respiratory fit test services. Dr. Christopher Shyue and Dr. Nikki Honey Fit testers individually check each member of the dental team using the irritant smoke test kit. An acrid smoke is wafted around the individual wearing a respirator and then asked to replicate a list of simulated movements. If the individual is irritated by the smoke, the respirator is not fitting adequately. If the individual does not become irritated by the smoke throughout the fit test process than the specific model of the respirator has an adequate seal and it has pass the fit-test and it can used to comply with the Respiratory Protection standard.

Dr. Christopher Shyue at SCC

SKCDS reached out the Dental Hygiene program at Shoreline Community College and provided free testing to all their first- and second-year dental hygiene students. Completing their fit-testing procedures allowed the graduating dental hygiene students to complete their training and take their modified licensing exams. Since the exams traditionally require procedures on live patients, the students need to be protected from any possible COVID exposure. The backbone of the Fit-Testing program has been a team of outstanding volunteers who have generously given their time – all summer – to make this service available. Dr. Gordon Sako is a semi-retired dentist from Seattle, who has fit-tested 14 offices over the past four months. “My experience has been really good!” Dr. Sako said “but often the members are not always aware that I am a volunteer. They ask how much I am getting paid!” Other volunteers include Drs. Rica Mackert, Princy Rekhi, Anusha Etikala, Greg Hermansen, Steve Albright, Chris Delecki, Christopher Shyue, Luciana Safioti, Jeff Stonebraker, Tony McLaughlin, Kate Christian and Mark Salema.Dr. Mazie Park’s college-age son Michael Park also did the training and has been a volunteering as a Fit-Tester.

“Great service! Helped me make sure my staff was protected” - -Dr. Stephen Stuehling

The program was initially financed with help from WSDA. SKCDS and WSDA purchased an equal number of kits and supplies for volunteers to begin the testing process. To keep the program self-sustaining, non-members who desired testing are asked to make a contribution of $100 to off-set the cost of supplies. SKCDS has tested at least three non-member office teams and received financial assistance from two members who valued what the Society is doing for our profession. Wendy Cox, Dental Assistant to Dr. Jerald Bates, shared about their Fit-testing experience: “I thought it was awesome! He [the volunteer] made it kind of fun. We all enjoyed it.” Along with the challenges of cost, fit-test kits have been extremely hard to access. Dr. Christopher Shyue, who practices in Snoqualmie, added “I looked up fit -test kits for my own office and there were none to be had.” Dr. Shyue was pleased when SKCDS came to the rescue, and even offered to volunteer to help his fellow dentists. “I’ve enjoyed meeting different colleagues and helping other dentists get into compliance” he said. Does your office need fit testing to comply with the DOSH directive? SKCDS members can go to our website at https://www.skcds.org/member-login/resources and follow the directions. Non-member dentists can access this service by emailing Sandra Anderson at sandra@skcds.com. “The dental community is doing a good job of protecting our patients and ourselves from COVID” said Dr. Sako. SKCDS continues to look for new and innovative ways to provide our members – and all dentists in King County – with value and support, especially in unprecedented times such as these. 2020 SKCDS FALL MEMBERSHIP QUARTERLY l 21

2020 By Al Munk DDS 2020 has been quite a year. COVID, protests, wildfires and I turned 70 years old. I’m still not sure which detail is the worst. I am fully expecting locusts before the year is out, to complete the cycle of doom.

Our cartilage inventory is approaching zero in knees and hips, and when we fall down in deep snow, you might as well put a blanket over us, and check in next spring, as we won’t be getting up any time soon. It’s hard to find geezer ski buddies as some of them are dead, or just appear so. My dad was a skier into We closed the office for nine weeks as per government edict, which his 80’s, so I have a long legacy to uphold. He complained his was not exactly a vacation. Now that we are back to work, we all last year (85) that he had not gone skiing enough to satisfy look like my aunt Harriet, if she worked in a welding shop. Wearing his season pass fee. Turned out he was right, but I don’t think 2 masks, a face shield, a they give you a refund if you die before the season is over. hair net, and a couple of COVID is introducing a whole new level of skiing complications. gowns makes for a sweaty How does one social distance on a chair lift? How does the day at the office. My wife KN95 mask fit with goggles, scarves, and neckies? These are still makes me strip in the all issues that people smarter than me will have to figure out. garage when I get home from work, and then sneak into the shower before making any family appearances. That Sun City, 55 and over retirement And, speaking of family appearances, there is suddenly lots of community that seemed family around. By my age, I envisioned the kids and grand kids so distant and bizarre ensconced in their own domiciles, far away. They would show up a few years ago, at Thanksgiving and we would look at the old photo albums and seems a little more laugh at their, and our, appearances. Instead, they are all back realistic at this point at my house full-time, eating my food, and putting plastic bags in in life. Having a golf the recycle bin in error. My 7-year-old granddaughter is a mini- cart garage next to me version of my daughter, complete with her bossy disposition. your mauve house does not seem half I’m still working full-time. I’ll try to last a few more years. The as silly as it did a few years ago. You receive a lot more attention building in which I rent my unit just sold again. I was worried from your patients when you get old. They are always asking I’d be kicked out again, like I was from my last building. But it when you are going to retire. They want you to finish all their looks like the space will continue to be available to me for the work before you quit. So just when you would like to slow down foreseeable future. I still like to get up and go to work in the in your practice, you find yourself having more work than you morning, but there are days when I am beginning to think that this know what to do with. will change in the near future. Retired dentists are both heroic, for doing this job for many years, and pathetic, for giving it up for a life There are some good things about being 70. In a week, I’ll get of leisure. I’ll probably join their ranks soon and see for myself. my first social security check. This will be the greatest day of my life. So, all you young folks please keep working and paying Now that I am 70, I can finally ski for cheap. The lift operators taxes so I can keep getting these handouts. rightly figure that not many 70 plus folks will still be risking their life and limb to careen down the mountain on a couple of boards. That’s all for now from Ballard.

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