Issu
WSDA 6 201 er · tob · oc e1
The voice of the Washington State Dental Association
news
DR. BJ LARSON
WSDA PRESIDENT
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P R E M I E R B U I L D E R S D E N TA L FAC I L I T I E S
Throughout the construction, they were very organized and well-coordinated with vendors and designers. The project was completed with high quality, in a timely manner, and right on budget. I really appreciate the level of professionalism, knowledge and honesty. The quality of completed work is outstanding. ~Ramtin Amini DMD, DDS, MD & Patrick Wang DMD, DDS, MD
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C O N S TA N T I N E B U I L D E R S . C O M
Newly-minted WSDA President Dr. BJ L:arson has a laugh during his photo shoot
WSDA news
4
editorial
5
guest editorial
6-7
Cover story by Rob Bahnsen Cover story photos by Scott Eklund/ Red Box Pictures
write for the wsda news
8-15
hod coverage
16-23
cover story
24-25
ce news
26-27
endorsed company news
28-29
wdia news
issue 1 · october 2016
31
membership news
32-33
regulatory news
37
dentpac news
39
section 1557 reminder
41
clinical corner
43, 45, 47, 49
classifieds
44
in memoriam
50
parrish or perish
Like us on Facebook: www.facebook.com/WashingtonStateDentalAssociation WSDA News Editor Dr. Mar y Jennings Editorial Advisor y Board Dr. Victor Barry Dr. Richard Mielke Dr. Jeffrey Parrish Dr. Rhonda Savage Dr. Robert Shaw Dr. Mary Krempasky Smith Dr. Timothy Wandell Washington State Dental Association Dr. Bernard J. Larson, President Dr. Cynthia R. Pauley, President-elect Dr. Nathan G. Russell, Secretary-Treasurer Dr. Bryan C. Edgar, Immediate Past President Board of Directors Dr. Theodore M. Baer Dr. Marissa N. Bender Dr. Dennis L. Bradshaw Dr. Christopher Delecki Dr. Linda Edgar Dr. Todd Irwin Dr. Christine Kirchner
Dr. Dr. Dr. Dr. Dr.
Eric Kvinsland Randall H. Ogata James W. Reid Ashley Ulmer Amy M. Winston
WSDA Staff: Executive Director Bracken Killpack Assistant Executive Director Kainoa Trot ter Vice President/Chief Financial Of ficer Peter Aaron Vice President of Government Affairs Mellani McAleenan
Director of Continuing Education and Events Emily Rademacher, CMP Public Policy Coordinator Emily Lovell Membership Ser vices Coordinator Rachel Gunderson Membership and Communications Coordinator Emma Brown Bookkeeper Joline Hartman Association Of fice: (206) 448 -1914 Fax: (206) 443 -9266 Toll Free Number: (800) 448 - 3368 E- mail/web: info@ wsda.org/wsda.org
General Counsel Alan Wicks Vice President of Operations Brenda Berlin Ar t Director/Managing Editor Robert Bahnsen
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In the event of a natural disaster that takes down the WSDA web site and email accounts, the WSDA has established a separate email address. Should an emergency occur, members can contact washstatedental@gmail.com. The WSDA N ews is pub lishe d 8 time s ye arl y by t he Washington State Dental Association. Copyright © 2016 by the Washington State Dental Association, all rights reser ved. No part of this publication may be reproduced without permission of the editor. Statements of fact or opinion are the responsibility of the authors alone and do not express the opinions of the WSDA, unless the Association has adopted such statements or opinions. Subscription price is $65 plus sales tax per year for 8 issues of the News. Foreign rate is $97.92 per year. Advertising is published as a service to readers; the editor reserves the right to accept, reject, discontinue or edit any advertising offered for publication. Publication of advertising materials is not an endorsement, qualification, approval or guarantee of either the advertiser or product. Communications intended for publication, business matters and advertising should be sent to the WSDA Office, 126 NW Canal Street, Seattle, Wash. 98107. ISSN 1064-0835 Member Publication American Association of Dental Editors. Winner: 2016: Platinum Pencil Award, 2015: Platinum Pencil Award Honorable Mention, 2014: ADA Golden Apple Award for Outstanding Achievement in the Promotion of Diversit y and Inclusion, 2013: Journalism Award, Platinum Pencil, 2012: Journalism Award, Best Newsletter, Division 1, 2012: Platinum Pencil Award Honorable Mention (2), 2008: Best Newsletter, Division 1, 2007 Platinum Pen Award, 2006 Honorable Mention, 2005 Platinum Pencil Award, 2005 Publication Award; International College of Dentists
table of contents issue 1, october 2016
a day in the life
editorial dr. mar y jennings
Opioids
Dr. Mary Jennings Editor, WSDA News
“How come, not long ago, we were more worried about the health effects of acetaminophen in Vicodin than we were about the addiction potential of hydrocodone?”
Dr. Mary Jennings, WSDA News editor, welcomes comments and letters from readers. Contact her at her email address:mjenningsdds@gmail.com. The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.
Our nation just got serious about the opioid crisis. It’s about damned time. Why did it take a recorded 18,893 deaths in 2014 to make an impact in 2016? We have spent millions of dollars in treatment, diversion control, and jail and court costs. The ripple of pain for the addict, the family, and our society is immense. Was anyone really surprised? This is not the first time our nation has reacted strongly to drug consumption. Remember the Pure Food and Drug Act of 1906? The Harrison Narcotics Tax Act of 1914? The whole decade of the ’60s? Nixon’s “war on drugs”? We really didn’t just say no in the ’80s, now did we. Take a look at the University of Wisconsin’s Interactive Opioid Map at https://ppsg. medicine.wisc.edu/chart. It visually shows how we have become the consumers of 80 percent of the global opioid supply. No one stopped this trainwreck even when it was clearly being mapped. How come, not long ago, we were more worried about the health effects of acetaminophen in Vicodin than we were about the addiction potential of hydrocodone? I am relieved that the focus is now squarely on the problem, but our history is hardly a glowing endorsement for our future. We have some thinking to do. Let’s take a look at how we got here. Remember when we were taught that addiction is rare in patients being treated with narcotics? Forget that. That theory comes, in part, from 1980s researchers Porter and Jick. They wrote a small paragraph in The New England Journal of Medicine stating just that. Turns out the data did not support that conclusion. In the 1990s, pain management specialists and pharmaceutical companies touted that study, and doctors were heavily leaned upon to keep patients out of pain with new pain medications like oxycodone. In 2007 the makers of OxyContin paid around $600 million for charges claiming they misled us about this drug’s risk of abuse and high level of addiction. The Joint Commission on Hospital Accreditation created standards to improve the under-treatment of pain in 2001. They removed the pain assessment requirement in 2009. They recently defended their position by stating that they did not specify which drugs to prescribe and how to accomplish pain management. They said they do not want to be blamed for contributing to today’s crisis. My patient satisfaction survey from a recent surgery was heavily weighted with questions about my satisfaction with pain control. I think that sends a message to patients that they should expect nothing less than pain-free healthcare. I am disappointed that we have not educated our patients about reasonable expectations and alternative ways to manage pain. Hospital surveys directly impact doctor salaries, bonuses, and professional standing. What will these scores and online reviews look like when we cut back on opioid prescriptions? In my community health world, I have a significant percentage of patients who I believe are actively abusing drugs of all varieties, patients who are desperately trying to recover, and those who have been in recovery for years. I have been cursed at and threatened by patients and their family members who want more and/or stronger prescriptions. A methadone counselor once chewed me out for my “ignorance” when I recommended OTC medications for a simple periodontal extraction. He said if I didn’t prescribe Vicodin, I was guilty of “sending him right back to the street.” I have had two patients wait for me by the back door of my clinic to “reason” with me. Scary. What will their buy-in be? Take a look at the comments section of any current opioid article in the media. The chronic pain patients are running scared. Statistics show us that patients actually are hitting the streets for the cheaper and the surprisingly more readily available heroin. How are we going to remodel their pain control and still give them quality of life? The media uses the terms “Dentists” and “Doctors” as if they were interchangeable and equally to blame for the avalanche of prescription writing. That’s not right. You know as well as I do the differences in our discrete prescription writing. For us it is mostly for short-term pain. For physicians, it is a huge range of long-, short-, acute-, and chronicpain patients. This distinction must be clarified before we are inadvertently locked into any prescription-writing model that we cannot abide. Dentists prescribe 12 percent of the opioids in the United States. As a general dentist, I rarely write a prescription for more than 12 tablets and have patients come back if they continued on page 35
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The Association has implemented several reforms in the last 18 months to create a more transparent, inclusive, and better-governed organization. These actions are the result of internal discussions among WSDA leadership and staff, as well as comments and concerns voiced by members throughout the Association. Examples of these reforms include increased accessibility to Board of Directors and House of Delegates proceedings, the details of my compensation as Executive Director, and the Association’s overall financials. We have also implemented clearer guidelines for reimbursement of expenditures, shifting administrative expenses away from DentPAC and the Foundation to WSDA, and an external review of the Association’s practices. I strongly encourage each of you to read this review, if you have not already done so, at wsdasource.org/membership/governance. The WSDA News is our flagship communication tool and great care is taken to provide our members and other stakeholders with timely, insightful commentary and opinion. In the WSDA News we aspire to maintain an inclusive culture that is welcoming to all dentists, regardless of their gender, age, or cultural background. There are times when we achieve this ideal with great success. Two very clear examples of this are the award-winning feature articles on gender and race in dentistry a few years back. Combined, these articles received an ADA Golden Apple for Outstanding Achievement in the Promotion of Diversity and Inclusion and a Platinum Pencil Award, Honorable Mention, from the International College of Dentists. Our editors and staff strive to write compelling content that resonates with all of our membership. Other times, however, we have run editorial content that is inconsistent with our ideal of inclusivity. Though editorial content is the opinion of one or more individuals and not necessarily the opinion of the Association, it is important that we not run material that is offensive or inflammatory. Material for the WSDA News is reviewed by our editor and managing editor before it reaches my desk. I ultimately have the authority to pull content before it goes to print. In the past year, there have been two instances where I should have pulled editorial content that was inconsistent with our values and I did not. For that I am sincerely sorry. Responsibility for those decisions falls squarely on my shoulders. Going forward, we have put in place formal editorial guidelines that will be used by the editors and myself to assess whether content will be included in the WSDA News . These guidelines, which were formerly approved by the Board of Directors in September, can be found on page 7 of this issue and will be published once a year thereafter. We are also excited to announce that we will be re-establishing our WSDA News Editorial Board, comprised of voices representative of all segments of our diverse membership. Collectively, the editorial board will be responsible for writing the editorial content in future editions of the WSDA News . We are looking for writers to share insightful opinions about the profession and its role in, and connection to, the greater world. We are looking for editorial board members who can compel us, challenge us, and make us think. If you are interested in joining our Editorial Board, please submit two items to our Managing Editor, Rob Bahnsen, at rob@wsda.org. First, please send us an essay about why you are interested in writing for the WSDA News and what topics related to dentistry interest you (no more than 500 words). Second, please send us a sample editorial about any topic related to dentistry (no more than 500 words). The panel that will review the Editorial Board applicants will include WSDA News Editor, Dr. Mary Jennings, Rob Bahnsen, and myself. The WSDA must be attentive to the opinions, experiences, and cultural context of its members. We must evolve with the broader world and with the demographics of our members and nonmembers. Your Association leaders have been working tirelessly to fortify the programs and services that provide you with immense value, while implementing reforms that meet your evolving expectations. The WSDA News has been an important member benefit, and we believe the reforms we have discussed today will provide you with an insightful publication for years to come.
Mr. Bracken Killpack Executive Director, WSDA
“The WSDA News is our flagship communication tool and great care is taken to provide our members and other stakeholders with timely, insightful commentary and opinion.”
The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.
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guest editorial mr. bracken killpack
Making improvements
get involved: write for the wsda news member news
Get involved: write for the WSDA News 6 路 th e wsda ne w s 路 issue 1, october 路 2016 路 www.wsda.org
quick pivoting in the event of an emerging issue. Jennings may take some of those, or we may ask one of the new writers. We’ll ferret out the details more completely soon. If you’re open to writing either the op-ed or the editorial, please let us know.
The fine print
We expect to continue the tradition of writing excellence in this publication, and will require everyone interested to provide two writing samples, each no more than 500 words. And yes, we’ll count. First, please send us an essay explaining why you want to write for the WSDA News and what topics related to dentistry interest you. Second, please send us a sample editorial you have written about any topic related to dentistry. Email your writing examples to Managing Editor Rob Bahnsen at rob@ wsda.org.
Editorial policy and guidelines Editor’s note: As part of an ongoing commitment to improving our communications with members, WSDA staff and the Board of Directors established an editorial policy and additional guidelines for all WSDApublished materials. We present them here and will reprint them once yearly, and post them on the Source and wsda.org. The Washington State Dental Association (WSDA) seeks to promote the art and science of dentistry and encourage the health of the public. In serving these objectives, the WSDA communicates regularly with its members, professional people in allied fields, and the public. The WSDA welcomes editorial content in its publications because it is an important means of keeping dentists informed of issues related to the practice of dentistry.
Editorial material and news items will be evaluated for publication based on the following mission statement: The mission of the WSDA publications is to inform members about Association activities and programs, to encourage participation in Association affairs, and to keep the dental community apprised of events that could have an impact on the practice of dentistry in this state. Editorial decisions to publish or not publish an article are made at the discretion of the WSDA and are based on factors including, but not limited to, relevance to the industry, interest to readers, timeliness and caliber of writing, and space limitations in the publication. The WSDA reserves the right to exercise its editorial judgment and reject any article at any time for any reason. All submissions may be edited for accuracy, clarity, quality, and length. The following guidelines assist the WSDA in its decision to publish editorial content:
• All content must be subject to the highest ethical considerations. It must be respectful and decorous. • Attributions to the work of others should be made. Plagiarism is not permitted, and proper citations are required. • Content must not be false or misleading. • Content shall be free of all ethnic, religious, gender, age, and other bias or prejudice. Content will not be accepted if it contains attacks or derogations of a personal, racial, sexual, or religious nature or is demeaning or discriminatory toward an individual or group on the basis of age, sex, sexual orientation, race, ethnicity, religion, physical appearance, or disability. • The WSDA reserves the right to refuse to print any editorial content that the WSDA, in its sole judgment, believes to be a violation of state or federal law or is in conflict with WSDA policies or priorities. The views expressed in all of the WSDA’s publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA. Editorial articles will contain a noticeable designation of such. Accuracy and fairness of content is fundamental. Prompt correction shall be made if an inaccuracy is discovered. WSDA has the discretion to publish letters to the editor in full or in part, or to reject such letters outright in the same manner as other solicited or unsolicited content. When an article that is subject to controversy is published, WSDA will endeavor to include a responsive letter when possible and within these guidelines. These policies will be reviewed periodically and may be changed at any time at the discretion of the WSDA.
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writers needed, editorial policy and guidelines
If you read Executive Director Bracken Killpack’s editorial (page 5), then you know we’re actively looking for fresh voices to share the WSDA News’ editorial writing duties with Dr. Mary Jennings. While she is staying on as the editor of the magazine, Jennings will write four of the editorials this year. Up to four others are needed to write the remaining editorials. Additionally, with Dr. Jeff Parrish riding off into the sunset (see his final “Parrish or Perish” on page 50), we’ll be looking for an additional cadre of writers to fill that spot. Our initial thinking is that the editorial spot will be more directed. For instance, we’ll ask you to write about a subject affecting organized dentistry. Parrish’s slot will be closer to an op-ed, where the authors will be allowed to pontificate freely, as long as it falls within our editorial policy and guidelines (see below). We’ll establish a publishing schedule for all guest writers, which should allow plenty of time for you to fit writing duties into your busy schedules. However, the editorial position may require some
member news
We’re looking for a few good writers (around 8,actually)
2016 hod in pictures hod news
Photo, opposite page: UW School of Dentistry student Sohaib Soloman makes a point during the 2016 house of Delegates. This page, clockwise from top left: Dr. Bryan Edgar, in one of his last official duties as WSDA President, thanks Dr. Michael Buehler for his years of service to the WSDA. 2016 Citizen of the Year Dr. Loree Bolin during her presentation, Dr. Bolin receives the COY award from Dr. Edgar, Dr. Christopher Jean places a flower for a colleague in the rose ceremony, WSDA staffer Peter Aaron receives one of three President’s Awards given by Dr. Edgar.
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hod news
IN PICTURES
2016 HOUSE OF DELEGATES
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2016 hod in pictures
This year, the House of Delegates was held in Blaine, WA at the Semiahmoo Resort, where delegates grappled with weighty issues like opioid abuse, clinical licensure examinations, and community dental health coordinators. Plus, delegates voted in your new officers: Dr. BJ Larson was elected President, Dr. Cindy Pauley was elected President-elect, and Dr. Nathan Russell was elected Secretary-Treasurer. For complete election results, see page 15.
2016 hod in pictures hod news
Photos, opposite page clockwise from top: Drs. Daniel WIlson and Kristine Aadland, President’s Award winner Ms. Brenda Berlin with Drs. BJ Larson (left) and Bryan Edgar, President’s Award winner Mr. Bracken Killpack and Dr. Bryan Edgar, Drs. Tim Hess and Cindy Pauley. This page, clockwise from top: Swearing in the new officers, left to right; Drs. Bryan Edgar, Cindy Pauley, BJ Larson and Nathan Russell, left to right: Dr. Naoh Letwin and his spouse Rebecca, Dr. Amy Winston and her spouse Travis, The full House, Dr. Peter Pellegrini, Dr. Randall Stephens
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hod news
2016 hod in pictures
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2016 hod in pictures hod news
This page: Dr. Silvia La Rosa addresses the House. Opposite page, clockwise from top left: Delegates listen intently, Drs. Princy Rekhi (left) and Todd Irwin share a laugh, Dr. Danny Tremblay addresses the House, Dr. Judson Werner at the Citizen of the Year banquet.
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hod news
2016 hod in pictures
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resolution recap, election results hod news
RESOLUTION RECAP HD-01-2016 — ADOPTED AS AMENDED Rules for the House of Delegates:
Rule 7 amended as follows: 7. In voting by written ballot for elective office, each member voting shall cast one vote for a nominated person for each office to be filled for such ballot to be valid. If the number of nominees equals the number of positions to be filled, and there is a difference as to the length of term, the requirement of voting for a nominee for each position is modified to require votes for one less than the number of positions to be filled.
HD-02-2016 — ADOPTED
Committees and Parliamentarian for Annual Meeting of House of Delegates – September 2016
HD-03-2016 — ADOPTED
RESOLVED, that WSDA will maintain opposition to dental workforce bills which create dental therapists, dental hygiene therapists, or any other dental midlevel provider; And be it further RESOLVED, that WSDA will oppose any legislation which amends the definition of dentistry found in RCW 18.32.020 (3) to allow non-dentists to own dental practices or otherwise interfere in the doctorpatient relationship; And be it further RESOLVED, that WSDA supports reforms to the Medicaid audit process; And be it further
WSDA 2016/2017 Budget
RESOLVED, that WSDA supports legislation that prioritizes the payment of preventive dental care provided by dentists prior to an individual’s deductible being met;
HD-05-2016 — ADOPTED
And be it further
HD-06-2016 — ADOPTED
Nominations for Elective Office
RESOLVED, that WSDA supports reforms to dental insurance which will result in better patient care;
HD-07-2016 — ADOPTED
And be it further
HD-08-2016 — ADOPTED AS AMENDED
RESOLVED, that WSDA reaffirms the following policy in determining its annual legislative agenda:
RESOLVED, that WSDA supports state revenue policies that are fair to dentistry and opposes tax and fee increases that negatively affect dentistry; And be it further
The Committee on Government Affairs in consultation with the Board of Directors will apply the following core principles and the existing political climate of the Legislature to any given legislative position to determine its advocacy strategy.
Acceptance of WSDA Audit for the Year Ending September 30, 2015
HD-04-2016 — ADOPTED
WSDA Dues for 2017
Location of the 2019 House of Delegates
WSDA Legislative Agenda for 2017
RESOLVED, that WSDA supports the preservation and extension of funding for dental Medicaid, dental residency programs, Federally Qualified Health Center dental clinics, loan repayment programs, the RIDE program, and other state funded initiatives which reduce barriers to dental care without compromising patient safety;
1. It is in the best health and safety interest of the public at large and dental providers. 2. It maintains and protects the diagnostic authority of the dentist. 3. It is cost effective for the public. 4. It is cost effective for the dental profession.
5. It addresses those in need of dental services and provides adequate reimbursement to the provider of the dental service. 6. It maintains the integrity of the dental delivery system. 7. It maintains that only a dentist can provide irreversible procedures within the scope of their practice. And be it further RESOLVED, that WSDA maintains its support of the following resolutions passed in prior annual sessions of the House of Delegates: 1. HD-10-2014: supporting legislation to merge the current dental hygiene committee with DQAC; opposition of legislation that would create an independent dental hygiene board. 2. HD-17-2014: developing and supporting legislation to revise the definition of dentistry in RCW 18.32.020 subparts (1) and (2) to be consistent with language developed by the ADA. 3. HD-09-2011: expanding the scope of the Expanded Function Dental Auxiliaries (EFDAs) to include supragingival scaling, local anesthesia and gross debridement under the direct supervision of a dentist. 4. HD-16-2015: supporting legislation that will ensure all Washington state CODA-accredited GPR/AEGD residents will be eligible for dental licensure upon successful completion of their respective programs in lieu of a regional Board examination.
HD-09-2016 — ADOPTED Staff Recognition
HD-10-2016 — ADOPTED
Nomination for Honorary Membership
HD-11-2016 — ADOPTED
Encouragement for Nonprofit Governance Training for Component Leadership and Executive Staff
HD-12-2016 — ADOPTED
Dentists’ Role in Reducing Opioid Abuse in Washington State: Adopted
And be it further
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hod news
HD-13-2016 — ADOPTED Take 5 Program
Expansion of the ABCD Program
RESOLVED, that the WSDA supports efforts to expand the ABCD Program to include those patients that qualify as Developmentally Disabled (DD) over the age of five (5) years old.
HD-15-2016 — ADOPTED AS AMENDED Formal Adoption of Community Dental Health Coordinator Model
RESOLVED, the WSDA conditionally supports the concept of a Community Dental Health Navigator (CDHN) education program to facilitate, educate and navigate patients’ oral health needs to an appropriate provider.
Your WSDA Board of Directors, left to right Drs. Randall Ogata, BJ Larson, Marissa Bender, Dennis Bradshaw, Todd Irwin, Bryan Edgar, Ashley Ulmer, Nathan Russel (back), Chris Delecki, Jim Reid,Linda Edgar (front row), Eric Kvinsland, Christine Kirchner, Amy Winston, Cindy Pauley and WSDA Executive Director Mr. Bracken Killpack
HD-16-2016 — ADOPTED AS AMENDED
ELECTION RESULTS
Concerning Clinical Licensure Examinations
RESOLVED, that the WSDA encourages the exploration of alternative measures of assessment for licensure that are valid, reliable, and consistent with the ADA Code of Ethics, Section 2 Principle: Nonmaleficence (“Do No Harm”), such as the consideration of the OSCE, the Portfolio Models, and licensure by CODA-approved dental residency, and be it further RESOLVED, that WSDA forward the resolution to the 11th District for consideration and introduction to the ADA House of Delegates.
The WSDA would like to thank everyone who ran for positions this year at the House of Delegates! We appreciate the effort and time it takes to be involved in organized dentistry.
President-elect
Dr. Cynthia Pauley
Committee on Budget and Finance
Secretary-Treasurer
Dr. Ronald Marsh (4-year term) Dr. William Petersen (2-year term)
Board of Directors
Committee on Government Affairs
Dr. Nathan Russell
Dr. Linda Edgar Dr. Todd Irwin Dr. Christine Kirchner (1-year term) Dr. Eric Kvinsland Dr. Ashley Ulmer
Dr. Joseph De Jesus (2-year term) Dr. Daniel Tremblay (3-year term)
ADA Delegates Dr. Linda Edgar Dr. Gregory Ogata
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resolution recap, election results
HD-14-2016 — ADOPTED AS AMENDED BY SUBSTITUTION
dr. bernard j. larson, wsda president cover stor y
DR. BJ LARSON
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cover stor y
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dr. bernard j. larson, wsda president
Recently, the WSDA News met up with WSDA President BJ Larson and his wife, Mary Kay, at their lovingly restored mid-century modern home in Mount Vernon, Washington. Tucked away on a side street on a magnificently wooded lot, the house is an oasis punctuated with color. The attention to detail is fit for a magazine, which is appropriate, considering the house was recently photographed by The Seattle Times for an upcoming story on architecture. The couple shares the home with their son, Noah, 15, and Coco, their boisterous 9-year-old Australian Labradoodle. Restored, reconstructed, and renewed, the home seems at once historic and futuristic, and serves as a great backdrop for a conversation on a glorious fall day. We sat around a small table in the kitchen and laughed through nearly two hours of interview time. Larson is a wonderful storyteller, meandering from the subject at hand to asides about carpentry, skiing, and his grandfather’s dentures made on a Lazy Boy recliner. He’s quick to laugh and tell a self-deprecating joke, and Mary Kay chimes in often, adding to, and sometimes completing, his thoughts and tales. They’re a fun and genuine couple, and it’s easy to see why they’ve been together so many years.
dr. bernard j. larson, wsda president cover stor y
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Larson got the taste for adventure from his mother, whom he says is fearless. “My mother was the driving force behind most of the escapades we experienced as a family. She will try anything,” he says. “When she was 18, she jumped on a motorcycle to see how fast she could go. Unfortunately, she had no idea how to ride, and she wiped out and broke her collarbone.” Two years before that, when she was 16, a chance encounter with a pilot gave her and her brother their start in aviation. Larson explains, “They grew up on a farm in Ashland, Wisconsin, across the fence from a landing strip. She and my uncle would sit along the fence watching the planes land. One day one of the pilots asked if she wanted to learn to fly planes, and the rest was history. My uncle ended up tagging along, and they both learned to fly.” The siblings started buying planes, eventually owning four between them, which helped to establish the family’s enduring aviation legacy. In fact, just about everyone in Larson’s family is involved in aviation or education, except for him. Today, while his mother doesn’t actively fly any more, she still does her check flights so that she can maintain her license. His father, cousins, and extended family fly, and have added floatplanes to their arsenal. Larson’s son, Noah, is learning to fly, and he’s already better at landing than his dad.
An early desire to become a dentist
Growing up in a tiny Wisconsin town, money was tight, but that didn’t preclude Larson, his sister, and parents from enjoying everything the area had to offer. Larson’s mother was a secretary to the school superintendent, and his father was a high school art teacher and expert potter. On summer weekends the family often traveled together to art shows across the state, set up their display, and sold the stoneware his dad had created. Larson credits his father with his scientific curiosity and the drive to constantly juggle many projects at once. “It wasn’t unusual for Dad to be working on the design and implementation of an organic garden project, fixing a car, and working on a house remodel at the same time,” he said. “I have always admired that about him and find that we’re alike in that regard.” Larson’s grandparents owned a small corner grocery store, which, in a roundabout way, influenced him to become a den-
An early leader
In high school, Larson first took on leadership roles, protesting revisions to local tax laws when he was a junior, and becoming class president his senior year. He recalls the tax battle as transformative, saying, “We lived in a resort community with a beautiful lake that generated a lot of tax revenue because so many people had vacation homes there. The district believed in education, and they poured that money into our schools. Then, when I was a junior, the state allocated much of our tax revenue to Milwaukee, which we protested. We lost the fight, and in our senior year there was a noticeable change in our school because of the loss of revenue. I’ve been invested in politics, advocacy, and leadership ever since.”
Off to college
True to his ambition, Larson pursued his dream of becoming a dentist. He narrowed his choices to Marquette University and the University of Notre Dame. He didn’t care for Marquette’s urban campus very much, but it had a dental school and Notre Dame did not. After finishing his undergraduate studies, Larson continued on to dental school at Marquette. “I didn’t know that attending dental school and undergrad studies at the same place was a bad idea until I graduated,” he says. “But in my first few weeks of dental school, I realized that going to Marquette for four more years wouldn’t be that exciting because everything was the same.” Turns out it didn’t much matter because dental school, including serving as class president for the final three years, was all-encompassing, leaving little time for a social life. Students in the dental program had to do their own lab work, which was often an all-night process. “But because of my training,” says Larson, “if something breaks I can usually fix it. Unfortunately, some of today’s dental students don’t have to do their own lab work, so it’s a skill they don’t have.”
Join the Army, see the world, ski the world
When Larson graduated from Marquette dental school in 1986, the country was experiencing a glut of new dentists. The job offers he received paid terribly, and wouldn’t have covered his loan payments or his living expenses. He started reviewing his options and looked into joining the service. In the end, only the Army was of interest because it was the lone branch that would get him close to the slopes. In the Army, he could defer his loans, get paid more than he would on his own, and receive an AEGD. “I didn’t necessarily want the residency,” he says, “but it was in Colorado Springs, and I love to ski. They trained dentists to be triage officers in case of the predicted war with the USSR. In the event of a war, our job was to determine which of the injured would survive, and administer palliative care to those who would not. In all of the war scenarios, they placed the dentists outside the environmentally sealed hospital unit, in the middle of all of the nuclear, biological
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A flying family
tist. You see, nearly every two weeks Larson and his family would make the five-hour trek to northern Wisconsin to visit his grandparents, and each time they returned home, Larson and his sister had a five-penny bag filled to the brim with sweets from their store. “My sister would eat hers by the time we got back home. I, on the other hand, would savor mine, so I had a constant supply of candy, sometimes even surpassing our next trip,” he says. “She never had cavities, but I had many. There’s something to be said for one exposure versus a constant supply of sweet stuff. I tell my patients that it is better to gobble up their Halloween candy than to save it. My staff knows that story by heart.” He recalls having a lot of cavities the summer he was six years old, and having to walk the five or six blocks from home by himself to eight dental appointments. “It was incredibly painful,” he says. “I would hold the chair because I was under orders from my mom and dad not to move. I knew at the time that someone could do it better. It wasn’t that the work wasn’t good. I had some of those fillings until after dental school, I just knew I could be more compassionate.” From that point on, he set his sights on becoming a dentist.
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Midwestern values
To look at him, you might assume Larson’s backstory is one typical of a lot of dentists. Tall and lanky with a languid voice, calm demeanor, and warm laugh, he is the epitome of cool. Friends and colleagues describe him as unflappable and even-tempered, and all agree he’s an extraordinarily giving, forthright person. He is the guy you want on your team, they say. Tracey Levine, co-founder of the Children’s Museum of Skagit County, who recruited Larson to serve on the museum’s board of directors, says, “How would I describe him? He’s just so loyal and trustworthy, and always there for you. When the economy tanked and things got really rough for the museum, it would have been really easy for him to say he was too busy with work and step away, but he never did that. His big goal as president was to retire our capital campaign, which he did.” Friends say Larson is a person, with great “Midwestern values,” who would literally give you the shirt off his back. But he is much more than a nice guy, successful dentist, and president of the WSDA. Beneath that calm, collected demeanor hides the heart of an adventurer who has traveled to all corners of the earth in search of exotic locales. He’s also an avid, skilled skier for whom the proximity to mountains, trails, and pristine powder have always factored into the equation. And, believe it or not, while serving in the Army, he was the self-described “dentist to the spies.” Everyone, however, has an Achilles heel and for Larson it’s landing a plane. You see, he comes from a family where aviation plays a central role, and like most everyone in his family, he knows how to fly a plane. It’s the landing part that he’s “not that good at,” he says. Editor’s note: If Larson invites you to come along on a flight with him, you might want to take a pass, unless you’re a pilot.
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The early years: Clockwise from top: BJ and Mary Kay in Berlin, BJ teaching Noah to ski, BJ and Mary Kay in 1994
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It was at the same base that Larson became the “dentist to the spies.” There was a Russian consulate nearby, and the Russians typically had really bad dentistry. The treaty the Army recognized required their dentists to treat all allied forces, including Russia’s, even though Larson was there during the Cold War. Larson was the dentist designated to work on the staff of the Russian consulate, who were technically spies, but not, as he says, in a romantic Hollywood movie way. These were guys who were more likely to be analysts in offices rather than doing cloak-and-dagger ops in the field. Even so, they traveled with an entourage that quickly filled the Army operatory, making for crowded appointments. Larson explains, “A military officer was there to control the patient’s actions and conversation, as well as a protocol officer who oversaw both the officer and patient. On our side we had my colonel, who was there to make sure that everything went well, my assistant, and me. There were a lot of people in the operatory, which were quite small. It wasn’t glamorous.” Still, how many of us can say we’ve worked with spies? There was one other patient population that Larson got to work on while in Frankfurt, and it would foreshadow his future work. He took the lion’s share of the pediatric patients at the base. “I ended up working on a lot of kids because the pediatric dentist in our clinic wanted to do orthodontics,” he says. “All of the easier kids from the base were sent to us, which doesn’t usually happen in the Army. When they asked who liked working with the pediatric population, I said that I didn’t mind doing it. So in the end, I was working on children and spies more than U.S. soldiers. I started to really like it, even though I had very rudimentary skills for working on kids. At the time, I didn’t know the psychology or have the pediatric restorative expertise.” It wasn’t, however, just the post, the skiing, and the travel that he fondly recalls. The house he shared played a role in his future too. It was a four-story house with an apartment for a maid, which they didn’t have, but certainly could have used. “Why would four bachelors need a maid?” Larson quips. “How many reasons were there?” There were four roommates originally, and two had their own floors. Larson shared a floor with Dr. Mike Gannon, an orthopedic surgeon, originally from Iowa, who was serving in the Army medical corps. The two became fast friends, bonding over their love of travel and skiing. They comprised the core of the house for more than three years, with a rotating group of housemates filling in. The men may have been maid-free, but they had a wine cellar, a sauna, and lots of space in the beautifully appointed home. Because the house was so large, everyone in their families came to visit, including Gannon’s sisters, Mary Kay and Donna. Larson and Mary Kay hit it off, but she had to return to the States and work. “In those days, calling was much less reliable and much more expensive than it is today,” says Larson. “The German phone system would click for every 20 pfennigs of time, to let you know how much the call was going to cost. But you could barely hear the conversation over the audible clicks, and you’d end up with huge
Out of the army and on to…more travel
After just over four years, Larson’s stint in the Army was over and, true to his spirit, he took off to see more of Europe. He took a ‘Military Out’ in Europe, which allowed him to travel anywhere for up to six months, and still get back home on the their dime. Just a week after he got out, a stop loss went into effect, which meant that everyone was forward deployed and had to stay in the Army and serve in the Gulf War. Had Larson stayed in longer, he, too, would have gone to the Gulf. As it was, a fluke prevented that from happening. His deployment orders languished on the desk of a sergeant who had been deployed. “I got lucky, and I was happy to avoid that,” Larson says. “It could have changed my life’s story. A lot of people got sick from all of the chemicals there. They were destroying munitions by blowing them up, and there were a lot of nerve agents in the air. Many of those who served are dealing with unusual cancers now.”
Hunkering down to practice…for a while
Larson made it back stateside in late 1990 and was visiting Mary Kay in Texas when he got a call about a job as a solo dentist in a corporate-owned practice in Stevens Point, Wisconsin. He drove back to Wisconsin and started to work. Here Larson experienced the breadth of reimbursement from capitation to private pay. He had his own office and was basically independent, but spent much of his time re-treating failing endo and making dentures for older patients. It was neither his forte nor something he was excited about doing for the rest of his career, but it drove him to determine what he did enjoy. Upon consideration, he realized that he had liked working on kids while in the Army. After a year and a half, Larson decided to go back to residency, applied to the ‘Match’, and was interviewed at several prominent ones around the country, including one at his alma mater. He’d learned his lesson though, and was determined to choose someplace new and stimulating… with excellent skiing. So it was that he accepted a residency in pediatric dentistry at Children’s National Medical Center, which was part of George Washington University in Washington, D.C. He liked the vibrancy of the city and the politics there, not to mention the skiing. He took advantage of the location, skiing the Northeast. The residency was clinically oriented, more about the skills of pediatric dentistry than the study of pediatric dentistry, which was a good match for Larson. Because of his personal experience with residencies, he supports the current movement in our state to bump up the number of available residencies available to recent grads. “I really think residencies should be required across the country. They should be set up with a standard level of quality, so that they can take the place of exams,” he says. “In fact, there should be a single standard for the dental exam across the country. When I was starting out, that was one of the biggest issues – portability of the dental license. It has been 30 years and only a little progress has been made.”
Life in D.C.
The first one and one-half years in the nation’s capital were stimulating and interesting, but then Larson tired of the politics and its influence on the social culture there. “It was political all the time,” he recalls. “The scene there is a very immersive experience, and it was tough to find people interested in something other than politics. It seemed that if you weren’t a politician or working for a politician, people weren’t interested in getting to know you. The good thing about D.C. was that at the time, Mary Kay was working in Houston for a financial company headquartered in New York City, and often traveled there for meetings. D.C. is not that much
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Spy versus Spy
phone bills, so Mary Kay and I stayed connected by writing to each other.” A year later she came to visit and the pair traveled for two weeks, further cementing their relationship. To this day, Gannon swears he had no idea that sparks had flown between Larson and his sister, saying, “BJ is very good at protecting privileged information. He’s a great guy, absolutely reliable and honorable. I’m not surprised I didn’t know.”
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and chemical contaminants because we were essentially disposable to the Army,” he says, laughing. The one-year program provided in-depth training in each dental specialty with an emphasis on oral surgery. This was in preparation for duty in a remote area dental clinic. Typically for single officers, Korea was the next destination, but that year they sent married officers to Korea, and Larson was shipped to Frankfurt, Germany, the site of the Army’s largest clinic in Europe. He was elated. “The guys had been teasing me all year because they knew that I only wanted to ski, and there was no skiing in Korea,” he says. The skiing in Europe wasn’t just good, it was practically other-worldly, and it was all so accessible. Plus, the base was home to one of the biggest and most active international ski clubs with members from all over Europe. The group took around 30 ski trips to the Alps a year, and Larson was president of the organization during his last year there. All in all, he says, “We ran about $2 million worth of trips a year through the club.” Larson was in heaven.
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Dr. BJ Larson with his wife, Mary Kay, son Noah, and dog Coco
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You might assume that upon arriving in Washington, Larson would have found a place to live and started practicing dentistry immediately, but he didn’t. Instead, he hung out with Gannon for a couple of weeks, put his belongings in storage, rented an office, and took off for another vacation. “I figured that I wouldn’t have a chance to travel again, so I decided to see the other half of the world,” Larson says. He traveled for two months, and Mary Kay joined him for the first three weeks as they visited Korea, Hong Kong, China, and Thailand. After she returned home, Larson continued on to India, Nepal and Japan. On his mother’s birthday in 1995, Larson hung his shingle in Mount Vernon. He originally considered opening a practice in Bellingham, but the town already had two pediatric dentists. In Mount Vernon, there was only one. Dr. Darcy Morris recalls Larson stopping by her Mount Vernon practice one day, and feeling relieved that he was a pediatric dentist. She says, “We were short of pediatric dentists in the area. I was one of only two or three female dentists in town, and I was ending up with a lot of the kids, more than I wanted. I was probably more competition for him, but I was glad to have less children. We needed him in town.” The two are good friends, and when asked about him, Morris says, “He’s a great person, a very nice person, the kind you want to entrust your children to professionally. He’s been very generous around town with his time, supporting different groups including Skagit Opera, which my husband started. He is a very ethical dentist, and there’s always a smile on his face. Politics drive me a little crazy, but he seems to love it. He has been active politically since he first got here, in organized dentistry, and with local candidates also.”
Jumping into organized dentistry
Larson got involved volunteering for the Mount Baker District Dental Society right away because they needed someone to coordinate children’s activities. His first event was running the component’s National Children’s Health Month activities in 1995, something he continued to do for 11 years, along with other roles for the component, including eventually serving as its secretarytreasurer, vice president, and president. He has always advocated for others to become involved, as well. Dr. John Gibbons, who has been Larson’s friend for 20 years, says, “BJ was responsible for getting me involved in organized dentistry. We were at a pediatric dental meeting, and I was hoping to relax with my family by the pool during a break. Instead, BJ told me that there was a meeting he thought was important for me to attend. At the meeting, the incoming president of the American Academy of Pediatric Dentistry asked the crowd if anyone had experience with situations involving children with disabilities, and the inability to get insurance to cover general anesthesia for them. So I told him about one of my experiences, and it became part of the narrative we brought to Washington lawmakers. About a year later, through the AAPD’s efforts, pediatric dentists were able to get their patients with disabilities covered for general anesthesia. It had such an impact on my life that I could see immediately how important organized dentistry was. That would not have happened without
Making the transition to state and national leadership
Larson later served on and chaired the WSDA’s Dental Benefits Committee, and served on the DentPAC Board (which he also chaired), before being asked to run for the WSDA Board by David Hemion, the former Director of Government Affairs for WSDA. Larson finds serving on the WSDA Board very satisfying, saying, “I think the Board gets along remarkably well, especially when you consider the political disparity of those serving. They represent the state’s ‘feel’ really well, and I think they get a bad rap from people who think there is a lot of backroom discussion by the officers behind the scenes. I was one of those people who initially wondered if officers had additional influence over the Board, but I now know it is not the case. We have some seriously robust discussions with the Board, and we encourage people to discuss the issues, voice their opinions, and then vote their conscience. The goal is to reach a consensus, but it’s not always possible. Regardless, it’s an exciting process to be involved in, and that’s the part I enjoy the most.” He currently serves on the American Academy of Pediatric Dentistry’s Council of Government Affairs, and for the past six years has represented that group in Washington, D.C. at its Legislative Day, along with Gibbons and Dr. Joel Berg, Dean of the University of Washington’s School of Dentistry.
Other efforts
But Larson isn’t just involved in volunteer efforts for organized dentistry. Over the years he’s lent his talent, time and sweat equity to many groups in the region, including the Boy Scouts, his son’s Immaculate Conception Regional School and church, the Interfaith Dental Clinic (where he volunteered Mondays for his first six years here) and the Children’s Museum of Skagit County (where he has served as president and is now the treasurer). As Mike Gannon says, “He’s the classic ‘give the shirt off his back’ kind of person. He is the antithesis of lazy, you won’t find him hanging around doing nothing. He’s always got a project going.” And Cate Anderson, Executive Director of the Children’s Museum says, “He is one of the most caring and compassionate human beings who has ever walked the planet. We used to joke that he served as our president forever, and during his run we moved to the mall, had a capital campaign and a lot of other things going on. He just hung in there and was a great leader through all of it.”
What’s ahead this presidential year
Larson has many ongoing challenges to face this year. Some have been with the WSDA for quite some time and show no sign of going away quietly. Dental benefits, access to care issues, and dental practice ownership are major issues facing the profession. Internal governance issues have surfaced, which pose a challenge to the organization and can be expensive to mitigate. “We need to get these under control,” Larson says. “We have enough issues from outside. We don’t need to deal with internal issues, as well, especially when it costs this much money.” Additionally, Larson has thrown his hat in with UWSoD students who are advocating for a total revamping of the licensure system, including eliminating live-patient testing. Larson says, “I agree with the students. I think it’s unfair given the vagaries of each tooth and each patient. Sometimes the patients don’t show up, which is an issue. And even if they do, it’s expensive and while it is good care, it’s not the best care the patients could receive. I’m in support of the students because I think they’re on to something, but depending on the technology, transitioning to mannequins could take three to five years, and standardization could take much longer than that. I would like to see it happen before my retirement.” Though Larson will have a full plate, he’s completely up to the challenge. Friends and colleagues extoll his virtues and calm, steady demeanor. As Gannon says, he’s a hard worker with Midwestern values. But don’t underestimate the power of his warmth. Larson’s infectious sense of humor and captivating laugh will likely win him as many converts as his hard work.
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BJ’s encouragement that day by the pool.”
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of a stretch from New York, so we were able to see each other quite frequently.” According to the pair, they dated long distance “forever,” but as the distances got shorter, they saw each other more often, and it worked out well. By the time his residency was up, Larson wanted to get as far away from D.C. as possible. In 1993, he and Mary Kay visited her brother, who by that time was living in Bellingham, Washington. Larson recalls falling in love with the area almost immediately, saying, “We came in August, it was dry and gorgeous. Mike told us it rained quite a bit, but assured us we would love it. I came out again in the winter and skied Mount Baker, Whistler, and Stevens Pass. The snow conditions were perfect, so I was sold on the move. The only thing I had to do was tell my parents because they thought I was coming back to Wisconsin.” That was a tough sell, and hard on his mother, but he packed up his equipment and headed west.
ce news component continuing education
Seattle-King County Dental Society January 24 Addiction Medicine: Prescription Drug Abuse Prevention Dr. Stephen Markus Crowne Plaza Seattle Downtown, 1113 6th Avenue Seattle, WA 98101 · (206) 464-1980 Time: 6:00 p.m. – 9:00 p.m. Credits: 2 Sponsored by: SnS Business Solutions
November 8 NORDIC Cyber Security BG&CC
December 13 WSDA President Dr BJ Larson Chuckanut Manor
January 10 Dr David Cummins · The Herbst Appliance BG&CC
February 28 Who Has Sleep Apnea? Can Dentists Help All Of Them? Dr. Stephen Carstensen
Sheraton Bellevue Hotel, 100 112th Ave NE, Bellevue, WA 98004 (425) 455-3330 Time: 6:00 p.m. - 9:00 p.m. Credits: 2 Offered by: The Dental Group, LLC
March 10 The Pankey Institute Speakers: Simplifying and “Selling” the Complex Case: Moving Past Insurance Entitlement Considerations in Achieving Exquisite Restorative Dentistry: Preparations & Provisionalization Dr. Mark T. Murphy · Dr. Dale Sorenson
February 10 Midwinter Meeting Bruce Christopher · Are We Having Fun Yet? Four Points by Sheraton, Bellingham
March 14 Dr Jacob Burry · Modern Endodontic Techniques Max Dale’s Mt Vernon
April 11 Matt Babick · Fraud Prevention BG&CC
May 9 TBA
Lynnwood Convention Center Time: 8:30 a.m. – 4:30 p.m. Credits: 7 Sponsored by: Snohomish County Dental Society, UW
Pierce County Dental Society
April 25 Annual Officer Installation and Member Recognition event Dr. Bernard Larson · Dr. Sherwin Shinn
Register Online At: www.pcdentists.org All General Membership Meetings: 2 CE Credits, Cost: $41.00 (meal included)
Location: Salty’s on Alki, 1936 Harbor Avenue SW, Seattle, WA 98126 (206) 937-1600 Time: 6 p.m. – 9 p.m. Credits: 2 Sponsored by: WDIA
Upcoming Meetings
October 18 Dr. Sherwin Shinn · October GMM 5:30 p.m. Social Tacoma Country & Golf Club
May 12 Management of The Fearful Dental Patient; Drugs, Death and Dentistry featuring Dr. Stanley F. Mal a.m.ed, DDS The Fearful Dental Patient - a.m. Session Drugs, Death and Dentistry - p.m. Session Bellevue Westin Hotel, 600 Bellevue Way NE, Bellevue, WA 98004 (425) 638-1000 Time: 8:30 a.m. – 4:30 p.m. Credits: 7 Sponsored by: Washington AGD, SKCDS and UW SOD
Mount Baker District Dental Society
November 15 Dr. David Clark · November GMM 5:30 p.m. Social Tacoma Country & Golf Club
January 17 Dr. Joel Berg · January GMM 5:30 p.m. Social Tacoma Country & Golf Club
February 28 Dr. Mostafa Norooz · February GMM 5:30 p.m. Social Tacoma Country & Golf Club
March 21, 2017 Brad McPhee · March GMM 5:30 p.m. Social Tacoma Country & Golf Club
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5:30 p.m. Social Tacoma Country & Golf Club
Snohomish County Dental Society
Contact the SCDS office for more details or to register for any meeting. All SCDS General Membership meetings are held at the Mill Creek Country Club starting at 6 p.m. with a Social Hour, followed by dinner at 6:45 p.m. and a one hour CE progr a.m. at 7:30 p.m.
October 19 Dave Nakanishi, CDT · Digital Dental Technology Update SCDS General Meeting Mill Creek Country Club Credits: 1
October 28 – Basic Life Support for Health Care Providers and First Aid Courses Presented by I Know CPR in Everett. BLS: 8:30 a.m. – 11:30 a.m. First Aid: Noon – 3 p.m. Advance registration required. Contact the SCDS office.
April 19 Dr. Rhonda Savage · Dealing with Difficult People SCDS General Meeting
Mill Creek Country Club Joint meeting with Snohomish Co. Dental Hygiene Society Credits: 1.5 Dentists and staff welcome to attend.
April 28 BLS for Healthcare Providers & First Aid Courses Presented by I Know CPR
BLS: 8:30 a.m. - 11:30 a.m. First Aid: Noon - 3:00 p.m. I Know CPR, Everett Advance Registration Required. Contact the SCDS office.
May 17 SCDS General Meeting WSDA President, Dr. BJ Larson · WSDA Update & Current Issues Credits: 1
November 17 Annual Social & Foundation Fundraiser
5:30 p.m. Social Hour · 6:30 p.m. Dinner · 7:30 p.m. dinner. Lynnwood Convention Center Advance Registration Required Contact the SCDS office.
February 15 Dr. Catherine Smith · The Nordstrom Way Guide to Dental Practices · SCDS General Meeting Mill Creek Country Club Credits: 1
March 10 Two Pankey Institute Speakers: Dr. Mark Murphy · Simplifying and Selling the Complex Case: Moving Past Insurance Entitlement Dr. Dale Sorenson · Considerations in Achieving Exquisite Restorative Dentistry: Preparation and Provisionalization Lynnwood Convention Center Annual Seminar co-sponsored with SKCDS and UWSOD. Save money with Early-Bird registration. For details and registration go to: www.skcds.org Credits: 7
March 15 Dr. Dolphine Oda · Oral Pathology, TBA SCDS General Meeting Mill Creek Country Club Credits: 1
CE
ACROSS THE STATE Want to be included in this listing? Send your component society or study group listing to Managing Editor Rob Bahnsen at rob@wsda.org.
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ce news component continuing education
April 18 Dr. Steve Hannon · April GMM/Installation of New Officers
5 Tips for WSDA Members When Refinancing Their Loans 2266 ·· ththee wsda wsda ne newwss ·· issue issue 1, 1, october october ·· 2016 2016 ·· www.wsda.org www.wsda.org
1. Check your credit
Although some companies consider your credit score as refinancing criteria, SoFi doesn’t. But we do take a look at your credit report. “A bankruptcy or medical bills that have gone to collections will harm your chances of securing the best student loan interest rate, or even getting approved at all,” says Amanda Wood, Director of Business Development at SoFi, who refinanced through the company. “But you can improve your credit score by paying off overdue bills, decreasing debt in general, and always paying bills as they’re due.” It will take time for changes to register with credit bureaus, so don’t apply for refinancing until that happens. If you have a good history of paying off debt, on the other hand, that will work in your favor. Use annualcreditreport.com to grab a free copy of your report from each of the three major credit bureaus — Equifax, Experian, and TransUnion—to make sure there are no errors. If everything looks good, you’re all set to apply. But if you see inaccurate information on your report, contact each bureau individually and ask them to correct it. As an extra precaution, if you tend to rely a lot on plastic, consider cooling your credit spending for a few months before applying for a new loan. “Alternatively, you can stick with credit cards, but make two or three payments each cycle to keep your balances low,” says Wood. “Even if you pay off your cards in full every month, a credit snapshot may catch your balances at their highest points, making you look maxed out. So timing is everything.”
2. Cost of living — why it matters
It’s a fact that some cities are more expensive to live in than others. Plus, some people can’t afford to live alone. Someone renting an apartment in a small Midwestern town, for example, has lower expenses than someone who owns a row house in San Francisco. To refinancing companies, cost of living matters a lot. To some extent, this is out of your hands. Your ZIP code helps lenders determine your cost of living. But anything you can do to pay down debt and make choices that free up more cash — such as renting a smaller apartment, taking on a roommate, or leasing a cheaper car—can help your case. If you’re planning on relocating to an inexpensive city, consider submitting an application a couple of months after you move in. How you budget also plays a huge role in loan application acceptance. “If you’ve got ample wiggle room in your cash flow every month, you’re a more appealing candidate than a person who’s scraping his savings to make student loan payments,” says Marcos Fernandez, a project marketing manager at SoFi, who refinanced his loans with the company.
3. Give lenders a complete history
Unlike other lenders, SoFi considers things like where you went to school and how you’re doing professionally when weighing your application, so provide as much information as you can when it comes to your undergrad and grad degrees. “If you’ve studied math, science, business, or engineering at a good school, that may give you an advantage, particularly if you earned an advanced degree,” says Wood. Additionally, be sure to include all relevant work experience. “The longer you’ve been in the working world, the more knowledge and skills you’ve likely gained,” adds Wood. “This makes you very attractive as an applicant because you look like someone who will continue to pay the bills.” If there’s a job offer on the horizon, be sure to submit your offer letter with your application. And if you get a promotion while your application is under review, notify the lender immediately. But if you’re in line for a promotion that will positively affect your paycheck, wait until that has materialized before you apply.
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4. Show all your income
When lenders ask for income information, they mean all of your income, not just job earnings. Remember to list dividends, interest earned, bonuses, and the extra money you make from your side hustle or Airbnb rental property. “The higher your income, the more cash you have to throw at the refinancing equation,” says Fernandez. “It all counts as long as you can prove it.” So keep those pay stubs, interest statements, and tax returns. Also, make sure your driver’s license is current and your student loan statements are all correct. If you’re self-employed, wait until you’ve filed your taxes to apply for refinancing. It’s the easiest way to prove the previous year’s income.
5. Be flexible
If you have a number of student loans and you’re not offered the best rate when you apply for refinancing, consider refinancing only a couple of them. You may snag a lower interest rate with a smaller refinance balance. You can always apply for the full balance down the road, after you’ve received a raise or moved to a less-expensive location. Being flexible also means you might want to think about asking a friend or relative for help if your application isn’t as strong as you’d like. “Consider adding a cosigner,” suggests Wood. “If you’ve been declined, a cosigner might help you get approved. If you’ve qualified for a loan on your own, but the rate isn’t where you want it to be, a cosigner might help you qualify for a better rate.” The stronger you are as a student loan refinancing candidate, the better your chances of getting the best rate possible. And with a great rate, you might even find yourself with a little extra cash each month — money you can put toward a well-deserved vacation or, even better, becoming a homeowner in the not-so-distant future. See if you qualify for student loan refinancing by applying through SoFi.com/ WSDA.
endorsed company news 5 tips for refinancing
Refinancing student loans can feel like serious financial spring cleaning, but it doesn’t have to. Just consider it life simplification - the kind that can save you money. SoFi is all about helping WSDA members manage their money in ways that work best for them. To date, SoFi has refinanced $1.7-plus million in student loans for WSDA members. Through this partnership, WSDA members can apply via SoFi. com/WSDA and qualify for a rate discount upon refinancing. Consolidating multiple student loan balances into one new loan with a low-interest rate and monthly payments designed around your life isn’t a big ask in our world. In fact, it’s an everyday occurrence. And it’s not hard. The key is to strategize. Here’s how to begin:
wdia insurance for ever y stage of your career
INSURANCE FOR EVERY STAGE OF YOUR CAREER STAGE THREE: GROWING YOUR PRACTICE & PROTECTING YOUR FAMILY
Matt French · Kerri Seims Heath Johnson 206.441.6824 · 800.282.9342 www.wdiains.com 2 8 · th e wsda ne w s · issue 1, october · 2016 · www.wsda.org
Business Overhead Coverage
Chances are, if you’re already working with WDIA, French, Seims and Johnson have discussed Business Overhead coverage with you, and rightly so. Devised to protect you in the event that you can’t work due to injury or disability, this coverage covers expenses including staff salaries, lease and mortgage payments, equipment payments, and utilities. It won’t cover lab fees or materials related to dentistry. It also won’t cover the salary of any associates you have on staff because, in theory, they generate their own salary through their work. However, it will cover the cost to bring in a locum tenens dentist. When they first buy a practice, many dentists don’t know what their overhead costs will be, and so they sometimes delay purchasing this policy. There’s often a big difference between the former owner’s overhead and a new buyer’s because of things like staffing changes and a higher debt load, so new buyers will delay purchasing the policy to see where the numbers come in. And while Business Overhead can seem like something you’ll only use in the event of a permanent disability, it’s not. We lead active, varied lives, and accidents can take you out of your practice for months at a time. Business Overhead covers you while you can’t work, paying out for 12, 18 or 24 months. Your lifestyle and where you live will play a role in the policy the WDIA team recommends. If you’re someplace where selling your business may take a little longer, they might recommend a 24-month policy. But in most cases in an urban environment, practices sell quickly. Another important benefit is that the policy allows you to bring on a locum tenens dentist so that your practice can sustain its revenue figures and remain attractive to potential buyers.
Long-term Care
“As you get into your early 50s, you’re going to need to look into your options for long-term care insurance,” says French. “We have a selection of carriers we work with, so we have a number of options you can explore.” Long-term Care kicks in when you’re no longer able to perform two of six activities of daily living: dress yourself; feed yourself; bathe yourself; transfer yourself from a bed to a chair; have incontinence and toilet issues; or suffer loss of cognitive function. Long-term Care insurance offsets the risk you would have if you need home care, assisted-living care, or nursing home care. You can buy it late in life, but it is very expensive. Long-term Care policies are either accepted or denied, and if companies find there are too many health issues, they may deny the policy. This type of insurance is important to have, and we find it’s best to buy it for yourself and your spouse because you may qualify for discounts as a couple.
ERISA coverage
There is a federal mandate requiring you to protect 10 percent of the total amount in your 401k plan with an ERISA bond. It’s not much, but at this stage of your career, your 401k plans are likely growing, and you’ll need to make sure that your policy is up to date. If you have your business owner’s policy through NORDIC, you already have $25,000 in ERISA coverage as part of the policy.
Life Insurance
It’s important to reevaluate your Life Insurance coverage at this time in your career, as well. “You may have purchased a larger home, your practice is probably growing, your children will be going off to college eventually, so you want to make sure that your family is protected,” explains Seims. “We would like to review your insurance every two years, or anytime you have a major life event like marriage, buy a new property or home, or refinance your practice, just to make sure that all of your policies are up to date.”
Business Loan Protection
Additionally, it’s important to call WDIA if you refinance a loan because your Business Loan Protection is assigned at the time that you purchase your policy. If you refinance with a new bank, that policy isn’t automatically redirected there. Depending on the loan, you could be paying more for the loan protection than you need if the loan premium or benefit has been reduced. Also, any time you buy new equipment, call WDIA so that we can review the contents limit of your business owner’s policy and adjust it, if necessary.
Building a strong team
“We’re the insurance experts,” says French, “but you’ll want to have a strong team of other experts you can rely on. Financial planners are always an important part of that team, as are accountants and bankers. If you’re missing a part of the puzzle, we recommend you ask trusted friends who they use, or give us a call. We can help steer you in the right direction.”
th e wsda ne w s · issue 1, october · 2016 · www.wsda.org · 29
wdia insurance for ever y stage of your career
“In reality, Stage Three is really all about reviewing your insurance,” says Matt French, Director of Insurance Services for WDIA. “By the time dentists are in their 40s and 50s, they’re probably maxed out on the majority of the policies they need, and if not, we’ll want to get everything caught up quickly to keep costs down.” Case in point? Disability Insurance. “Most dentists see massive growth in their practices in their 30s and into their early 40s, so at this stage we want to make sure they’ve increased their disability insurance to keep pace with their practice’s growth,” says Kerri Seims, Assistant Director of Insurance Services. “You want to increase your disability while you’re young because the rates are based on how much you’re making and your age. So the younger you are, the more cost effective it is. As you get older, especially after age 50, disability insurance gets more expensive, and not every company offers it.” Heath Johnson, Assistant Director of Insurance Services adds, “Most policies will allow for an increase disability benefit without medical underwriting either every year or every three years. The benefit is based on a percentage of your personal taxable gross income, and typically policies only allow for an amount equal to 55 percent to 60 percent of that number. Most benefits go to ages 65 to 70, depending on the plan, so if you become disabled, they will pay until that age.”
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The Leadership Institute was designed to foster new leadership in organized dentistry through an intensive list of activities and meetings. The program provides an opportunity for WSDA members to gain an understanding of organized dentistry at the state level. Participants will be paired with WSDA Board members, who will shepherd them through key activities tailored to developing emerging leaders from within our membership. Mentors and participants will be encouraged to meet privately during the year to discuss perspectives, leadership issues, and questions, and to further enhance the collaborative nature of the leadership process. The programming goal is intended to educate and illuminate the leadership process, without overwhelming participants with too many activities. During the year, all program costs will be paid by WSDA, including airfare, hotels, meals, and transportation.
Apply today · Deadline is Nov. 20!
Applications for the 2017 class are being accepted now at http://tinyurl. com/2017leadership.
Activity schedule
these meetings have played a vital role in the outcome of legislation affecting everything from scope of practice to Medicaid.
Association Background/Past Presidents Roundtable Discussion WSDA office, Seattle 8 a.m. to 3 p.m., Jan. 13, 2017
Committee Meeting WSDA office, Seattle Participants choice
Participants will attend the following events throughout the year:
Participants and mentors will spend the morning meeting with the Association’s senior staff and receive a complete background on WSDA, the Foundation, WDIA, and DentPAC. The afternoon will be spent with selected past presidents to discuss how they became involved in WSDA and what they personally gained through the experience. This session will include an extensive question-and-answer period.
Dental Action Day Olympia, Washington Jan. 31(evening) and Feb. 1, 2017
Participants will attend Dental Action Day and a legislative meet-and-greet the night before. During the day, participants and their mentors will meet with legislators and their staff to discuss issues important to organized dentistry. In the past,
th e wsda ne w s · issue 1, october · 2016 · www.wsda.org · 31
Participants have the opportunity to attend one committee meeting with their mentor: PNDC, Government Affairs/DentPAC, or Budget and Finance.
Board of Directors Meeting WSDA office, Seattle 8:30 a.m. to 2:30 p.m., June 23, 2017 Attend the Board of Directors meeting to gain an understanding of issues affecting organized dentistry and to observe how the Board handles formal business.
House of Delegates Stevenson, Washington September 14 to 16, 2017
Attend the House of Delegates if you are not already a delegate. This will close the circle on the year. Participants should come away with an understanding of the WSDA’s activities and decision-making process.
get involved! apply for the leadership institute
Members of the 2016 Leadership Institute at Dental Action Day
membership news
Get involved! Apply for the Leadership Institute today
regulator y news opioid abuse: an epidemic
FREE PAIN MANAGEMENT FORUM OCTOBER 21· VANCOUVER, WA Presented by Molina Healthcare
Club Green Meadows · 7703 NE 72nd Ave, Vancouver, WA
Take a closer look at opioid use and learn more about prescribing principles Challenges of an Opioid-centric treatment paradigm Clinical best practices guidelines for treatment and management of pain Accessing Care: Essential tools and tips Panel Q&A Morning Forum: 7:30 - 9:30 a.m. (breakfast provided) Afternoon Forum: 12:00 to 2:00 p.m. (lunch provided) To register, please email: RSVP@MolinaHealthcare.com or call (800) 869-7175 Ext. 142630
3 2 · th e wsda ne w s · issue 1, october · 2016 · www.wsda.org
AN EPIDEMIC
Opioid abuse is an issue sweeping our nation, taking with it thousands of lives, and generating a lot of attention. According to the Centers for Disease Control and Prevention (CDC), approximately 78 Americans die every day from an opioid overdose, and at least half of all opioid overdose deaths in the United States involve a prescription opioid. Prescribed to treat moderate-to-severe pain, unused prescription opioids are stocked on shelves of medicine cabinets in countless homes, increasing potential abuse. Both the nation and the state of Washington are faced with an opioid epidemic. Over the years, the number of deaths from prescription drugs has decreased from 512 in 2008 to 319 in 2014; however, this decrease has been offset by an increase in the number of heroin deaths in our state.1 Prescription opioids are believed to be a gateway drug to heroin. A 2015 survey conducted by the UW Alcohol and Drug Abuse Institute showed that 57 percent of survey respondents were addicted to prescription-type opiates before using heroin. While there is not one single reason for the increase in opioid abuse, there are several factors that could be contributing to the problem. The CDC has released data showing that the amount of prescription opioids dispensed in the U.S. nearly quadrupled from 1999 to 2013.2 As members of the prescriber community, it is imperative for dentists to be mindful that opioid abuse is a pressing health crisis that cuts across all levels of society, and can have devastating impacts on families and individuals. The Washington State Dental Association is committed to helping our members identify and address abuse issues and to define the dentist’s role in reducing opioid abuse. WSDA and our members have been actively engaged in several efforts throughout our state such as participating in the Bree Collaborative Workgroup, which focuses on developing and implementing guidelines for opioid prescribing and collaborating with other associations and stakeholders to implement the Washington State Interagency Opioid Work Planning. This plan seeks to prevent opioid misuse and abuse; treat opioid abuse and dependence; prevent deaths from overdoses; and use data to detect abuse, monitor morbidity and mortality, and evaluate interventions. Additionally, at this year’s House of Delegates, your colleagues adopted HD-16-2016, which recognizes the opioid epidemic in our state and lays out steps for both the association and members to take in helping to combat opioid abuse.
The resolution encourages members to: • Register for Washington State’s Prescription Monitoring Program and check for abuse with all patients who request pain medication • Complete ADA’s free online continuing education course regarding opioid abuse at http://pcss-o.org/event/pain-manage ment-in-dentistry-a-changing-and-challenging-landscape/ • Communicate with your colleagues regarding the prescriptions you have written when referring patients to them • Prescribe the fewest number of opioid tablets possible and educate patients about where to safely store and/or dispose of left over tablets WSDA members are encouraged to support the Surgeon General’s efforts to solve the opioid epidemic by joining the “Turn the Tide” campaign and taking the pledge, which reads as follows:
As health care professionals, we believe that we have the unique power to end the opioid crisis. We pledge to: 1. Educate ourselves to treat pain safely and effectively 2. Screen our patients for opioid use disorder and provide or connect them with evidence-based treatment 3. Talk about and treat addiction as a chronic illness, not a moral failing State lawmakers are also looking at ways to stem the opioid abuse crisis. Governor Inslee has penned an executive order that, as of press time, was scheduled to be publicly announced on October 7. In it, he directs state agencies to work with public and private partners, like WSDA, across the state to address this epidemic. A number of state legislators have already announced their intentions to consider legislation, as well. WSDA’s team will work closely with all interested parties. But, through efforts like patient education and using the state’s prescription drug monitoring program to check for abuse with all patients who request pain medication, our members are already playing a major role in this fight.
1 Source: Department of Health 2015 News Release, 15-188-OpioidOverdoseDeathNewsRelease 2 Source: Centers for Disease Control and Prevention, Injury Prevention & Control: Opioid Overdose
th e wsda ne w s · issue 1, october · 2016 · www.wsda.org · 33
regulator y news opioid abuse: an epidemic
OPIOID ABUSE:
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3 4 · th e wsda ne w s · issue 1, october · 2016 · www.wsda.org
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th e wsda ne w s · issue 1, october · 2016 · www.wsda.org · 35
need more, so I can see what the problem is. Experts are saying to keep the dose low or use non-narcotic medications. I think our post-op instructions should now include a message about pain expectations. An exam before any refill is a good idea. Washington state legislators started working on the opioid crisis in 2007 by authorizing the Prescription Monitoring Program. This patient-safety tool works to stop patient misuse of prescription drugs by collecting all records for Schedule II-V drugs and making that information available to prescribers and pharmacists. This is a valuable tool for prescribers. Gov. Jay Inslee is asking the WSDA for information on how we prescribe and what measures we can take to prevent the misuse of opioids and other prescription drugs. Our legislature has set aside $6 million in new funding for treatment. It will also receive an additional $3 million in federal funding for three years of treatment services. This is golden opportunity to make a difference in how we manage pain and treat addiction in our state. I recently signed the U.S. Surgeon General’s “Turn the Tide” pledge. I pledge to educate myself to treat pain safely and effectively. I will screen my patients for opioid use disorder and provide or connect them with evidence–based treatment. I will talk about and treat addiction as a chronic illness, not a moral failing. That is all well and good, but it’s just not enough. This has to be a coordinated battle. In a nutshell, we have to use accurate information to educate prescribers. Drug companies must be responsible for the information they put forth about their drugs. Patients must be taught reasonable pain management expectations and other management techniques. The current patients with chronic pain have to be “re-managed” with empathy and compassion. This is a huge commitment that has to be taken on by everyone, not just prescribers. As the news stories continue to break, I keep listening for people to stop blaming and start solving this problem. Will this be another “just say no” moment and then back to life as usual? President Truman said, “The buck stops here.” The same attitude has to prevail for everyone if we’re to have a chance of solving this crisis. I’m all in. Are you?
editorial continued
2 017 P N D C
editorial, continued from page 4
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As November draws close, WSDA will be holding, or participating in, key political fundraising efforts across the state. We recently hosted Governor Jay Inslee for a fundraising lunch at the WSDA offices in Fremont.
It’s easy to get lost in the hurley-burley of our current presidential race, but the truth is, quite a number of down ballot candidates have supported organized dentistry in the past and will be asking for our help in races this year. Recently, a core group of dentists from the Seattle-King County Dental Society and representatives from Providence Hospital held an intimate fundraiser for Governor Jay Inslee. WSDA President-elect Dr. Cynthia R. Pauley was there, along with Drs. Amy Winston, Noah Letwin, and Princy Rekhi. Pauley said, “It was wonderful to have the opportunity to connect with Governor Inslee in a relaxed and meaningful way. The small size of the meeting allowed us time to talk in more detail about real solutions to our states dental utilization issues.” The fundraiser netted $12,000 in donations from organized dentistry for the incumbent, but more than that, gave WSDA members critical face time in an election year. Rekhi said, “Governor Inslee was easy to talk to, approachable and listened intently to ideas regarding the future of dentistry in this state. Serving as an ambassador for our profession is not only important but paramount given the decisions facing our elected officials in Olympia. Organized dentistry needs to be at the forefront when matters related to dentistry are discussed and these grass roots initiatives prove to be the most effective.” Additional fundraisers were recently held for Reps. Michelle Caldier, Richard DeBolt, Joe Schmick and Matt Shea, as well as for Sen. Curtis King.
At press time and in the future
Other fundraisers organized by members of the WSDA being held around press time include events for Rep. Kevin Van de Wege, and Insurance Commissioner Mike Kreidler. The WSDA News will cover those events, and any others that are scheduled, in Issue 2. Photo: Left to right: Dr. Noah Letwin, Dr. Princy Rekhi, Dr. Amy Winston, Gov. Jay Inslee, Ms. Mellani McAleenan, Mr. Bracken Killpack and Dr. Cindy Pauley
th e wsda ne w s · issue 1, october · 2016 · www.wsda.org · 37
dentpac news inslee fundraiser, future events
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in Health Programs and Activities Final Rule — What you need to know What is the Nondiscrimination in Health Programs and Activities final rule?
Published by the U.S. Department of Health and Human Services on May 18, 2016 and effective July 18, 2016, this final rule implements Section 1557 of the Affordable Care Act (ACA) which seeks to protect individuals from discrimination in health coverage and care on the basis of race, color, national origin, age, disability, and sex, including discrimination based on pregnancy, gender identity and sex stereotyping. The final rule also increases language assistance for individuals with limited English proficiency and protects individuals with disabilities.
Does the final rule affect me?
This rule applies to me, so what do I need to do? • Ensure meaningful access for individuals with limited-English proficiency
Covered entities need to take reasonable steps to provide meaningful access to individuals with limited-English proficiency. Providing language assistance services such as oral and written translations would be considered reasonable steps.
• Verify that all translators or interpreters utilized in your practice are qualified under the final rule
Qualified interpreters and translators: • Are proficient in English and the non-English language • Are able to interpret/translate effectively, accurately and impartially • Know dental vocabulary, terminology and phrases • Adhere to principles of interpreter/translator ethics, including client confidentiality1
The Washington State Health Care Authority (HCA), our state’s Medicaid administrator, pays for interpreter services for clients provided the patient is an eligible Medicaid client, the interpreter is certified or recognized by DSHS, and the services provided are covered by the agency. HCA currently contracts with CTS Language Link to provide interpreters to limited-English-proficient clients receiving care through HCA, DSHS, and other eligible agencies. If providing interpreter services through video-remote interpreting services, your connection will need to meet all of the requirements of the new rule.
• Ensure accessibility of technology
All technology used by your practice to deliver services to your patients must also be accessible to individuals with disabilities, unless making such technology accessible would result in an undue financial or administrative burden for your practice.
• Ensure effective communications with individuals with disabilities
This involves making sure your practice has the necessary communication tools available to individuals with disabilities. Communication tools could include taped texts, a reader for an individual with a visual impairment or a sign language interpreter.
• Develop and implement a grievance procedure (Only if you have 15 or more employees)
A grievance procedure is a way to develop office protocol to respond to and resolve allegations of noncompliance with Section 1557.
• Post notices of nondiscrimination and taglines
Effective Oct. 16, 2016, you will need to post notices of nondiscrimination in your office, on your website (if applicable) and in all major publications and communications. Taglines in Washington state’s top 15 non-English languages stating that your office will provide translation or interpretation services will also need to be posted in the aforementioned places. There is an abbreviated notice of nondiscrimination available for shorter publications which only require taglines in Washington state’s top two non-English languages. Notices of nondiscrimination, taglines, and abbreviated notices of non-discrimination in Washington state’s top 15 non-English languages can be found on The Source at wsdasource.org/blog/attention-medicaid-providers. * Since the effective date of this rule, the ADA wrote a letter to the Office for Civil Rights (OCR) requesting an extension of the implementation deadlines and to further consider the burdens this regulation places on providers. On August 15, 2016, the OCR responded by stating that it would not delay implementation and declined ADA’s request to revise their analysis of the burdens and benefits of this regulation. 1
Source: ADA Section 1557 Checklist, 2016
th e wsda ne w s · issue 1, october · 2016 · www.wsda.org · 39
understanding section 1557 of the aca
If you are receiving certain government payments such as Medicaid, CHIP, Medicare Advantage plans, or “meaningful use” payments under the Medicare and Medicaid Electronic Health Records Incentive Program, you will need to comply with this new rule.
regulator y news
Non-discrimination
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4 0 · th e wsda ne w s · issue 1, october · 2016 · www.wsda.org
Gingival
swelling, lingual gingiva between teeth #s 24 & 25 Contributed by
Dr. Fred Farhat, Seattle, WA
History of present illness
This is a 64-year-old male who presented with a painful, mostly smooth-surfaced pink gingival swelling. It was similar to the surrounding tissue except focally, where surface ulceration was noted. It was present lingual to and between teeth #s 24 and 25 (Figure 1). The swelling was slow growing. It had presented two years earlier and had been conservatively excised in 2014, but it recurred in the same site, growing at a faster rate than previously. Radiographically, there is evidence of moderate horizontal bone loss that includes other parts of the mouth (generalized). Tooth mobility was also noted.
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th e wsda ne w s · issue 1, october · 2016 · www.wsda.org · 41
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OPPORTUNITIES AVAILABLE
OPPORTUNITIES AVAILABLE
DENTIST NEEDED — Growing general dental offices are seeking caring, competent dentist with great people skills to join our team at greater Seattle area. Excellent opportunity for potential partnership. Please email resume to mydental88@ gmail.com.
A REFRESHING PERSPECTIVE — When you work at Willamette Dental Group, the organization’s progressive approach frees you to do what matters to you — and your patients. What makes this multi-specialty group practice unique, and better, is a commitment to proactively facilitating the best possible health outcomes. Combined with a dedication to leveraging scientific data, skill, and the experience to make them happen, when you embrace the organization’s guiding philosophy, you free yourself to facilitate health outcomes— and open yourself up to a world of professional growth and success. Please visit www.willamettedental.com/careers or send your resume to agrundy@willamettedental.com.
GENERAL DENTIST REQUESTED, MAPLE VALLEY — Our multi-doctor, family practice is looking for an outgoing, professional doctor skilled in all aspects of dentistry to join our team. Our beautiful, modern office has been providing excellent dental care to our ever growing community for over 10 years. We offer a generous compensation package along with the opportunity to work with an established, efficient and personable team. Please email your resume to wendyloconnell@yahoo.com or you may fax it to 425-413-8599.
ASSOCIATE DENTIST — Privately owned family practice looking for the right person to join our team for maternity coverage that could lead into full time position. The associate will have the freedom to grow their practice and will have the opportunity to buy in partnership. No weekends. Must be comfortable with all aspects of dentistry. Our primary focus is our patient’s well being and our great team environment. Please email your resume and cover letter. Email puyallupdentalopportunity@gmail.com. ENDODONTIST PERCE COUNTY — Offering a part time or one day week position in a large group practice with general and specialist dentist on staff in Bonney Lake. Serving the Puyallup/ Sumner/Auburn/Enumclaw area in a multi dentist group practice. Send resume and inquiries to docvan99@aol.com. GENERAL DENTIST — State of the art, multispecialty facility looking for a general dentist to work in a “Sleep Dentistry” facility and “Implant Center”. Operating Room experience is preferred but not mandatory. Applicants should be comfortable with third molar surgery, basic dental-alveolar surgery, implant surgery, advanced restorative dentistry care. IV Sedation permit is also preferred but not mandatory. This position is a full time position , four days a week and salary will be commensurate with experience, credentialing and training. Full benefits and potential for generous bonus structure. Must be energetic and willing to work in an exciting team atmosphere. Please email CV to nwisdspokane@gmail.com. ASSOCIATE NEEDED — Associate position available in Kitsap County - Bremerton/Bainbridge Island) Experience necessary in all aspects of general dentistry, especially in molar endo. GPR/AEGD trained dentist is a plus. Western Puget Sound is the best place to live and raise a family. Email for more information russelldds@yahoo.com. SPOKANE — Seeking full-time general dentist, able to work a varied shift schedule including weekends; must be able to do all aspects of general dentistry including molar endodontics and 3rd molar/surgical extractions; able to adapt to new systems and paradigms; great opportunity to grow and learn; 1-5 years experience preferable. Unlimited income potential! Send resume to Dr. Bradley J. Harken; bradharken@hotmail.com. DENTISTS NEEDED — Dental Professionals is recruiting dentists for temporary and permanent positions throughout western Washington – Vancouver to Bellingham and the Olympic Peninsula. No fee to you and you pick the days and geographic locations that you are available to work. This is a great opportunity to earn supplemental income or find a permanent position. If interested please call Bob at (206) 767-4851. GENERAL DENTIST — Position available for busy private practice in Vancouver WA. Candidate must have at least 1 year experience. Position is for a single provider practice. Need to be comfortable with surgical extractions and molar endo. Buy out option is available. Base salary with production incentive. Please email resume to declinic@ gmail.com.
GENERAL DENTIST — Full time position open in Vancouver, WA for busy private practice. We are seeking a dentist who has a good work ethic and excellent chair side manners”. Compensation package includes the following: Base Salary with production incentive, Medical and dental insurance, Benefits for Vacation,CE benefit, Retirement. Willing to sponsor H1B, Green Card. Please email sd10148@gmail.com. GENERAL DENTIST, SUNNYSIDE — Full time position. Work beside specialists. Offering a great schedule, great compensation and guarantee. Great opportunity to expand skill set as you work or a perfect opportunity for an experienced dentist to utilize a wide range of skills. For more information, please contact Jolene Babka at jbabka@ applesmiles.com. PART TIME ENDODONTIST — Looking for a part-time Endodontist to work a day or two day a month. Nice modern office located in Bothell Area. Please respond with resume to bellevuedentists@ gmail.com. ASSOCIATE DENTIST — A busy and expanding office in the Bellingham area is looking to hire a full-time associate dentist. Experience is preferred, but not required. If you’re looking for a multi-specialty office where you can use all of your skills, contact us with your resume and a short cover letter! Email lynsey.premierdental@ hotmail.com. PERIODONTIST NEEDED — Large private group practice in brand new state of the art building looking for part time periodontist in Silverdale, WA. Digital office with CBCT. Thriving practice in need of a specialist to come in 2-4 days per month. Please send CV to silverdaledental@hotmail.com. ASSOCIATE ENDODONTIST, GREATER SEATTLE AREA — Well established busy endodontic private practice seeking long term (career) full time associate. Please email cover letter and CV to kingcountyendo@gmail.com. ASSOCIATE OPPORTUNITY, YAKIMA — We have a great associate opportunity for a new graduate or a long term home for a seasoned dentist looking to be compensated well with less of the headaches and stress. Group practice composed of general dentists, orthodontists, and oral surgeons. For new grads it’s the perfect opportunity to learn your craft by working side by side with generalists and specialists while being paid very well. Base salary of $150,000 for new grads plus bonuses. Base salary of $175,000 plus bonuses for experienced dentists. Opportunities to earn much more with our full schedules! Both positions have the opportunity to earn well above $200,000. Full benefits package. State of the art clinics and equipment. Mix of children and adult dentistry. Mix of State and private insurance. Full time opportunity available. Moving expense reimbursement offered. Please send inquiries to jbabka@applesmiles.com.
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DENTIST NEEDED — Great general dentist opportunity, close to downtown Seattle, new state of the art clinic. Experienced support staff including restorative hygienist. Group practice with oral surgeon and orthodontist co-treating. $150,0000 minimum guarantee or 30% and opportunity to earn well above $200k. Full benefits. Mix of children and adult patients. Must be friendly, team oriented, motivated, and have a good chair-side manner. Please email jbabka@applesmiles.com for more information. FULL-TIME ASSOCIATE IN BELLEVUE — We are looking for full time associate in Bellevue to work 4+ days a week . We are a top office in our area. Beautiful modern office with state of the art technology. Fantastic patients and team. Fully digital. Must be highly skilled and experienced. Ready to learn and be a part of the team. Outstanding earning potential. Please email resume to bellevuedentists@gmail.com. ASSOCIATE OPPORTUNITY — Exceptional opportunity in beautiful Silverdale, WA. Large, well established private multi-specialty group practice seeking a motivated, ethical associate dentist full or part-time with opportunity for partnership. Digital practice with CBCT and highly skilled staff. We recently moved into our brand new state of the art facility! Please send resume to silverdaledental@hotmail.com. COMPASSIONATE ASSOCIATE DDS — Wanted to join our well-established general dentistry practice in the West Seattle Alaska Junction. Starting one day a week with possible addition of a 2nd. Minimum 5 years experience. Modern facilities, flexible scheduling, and a talented, caring team. Send resumes/inquires to dryiom@gmail.com. DENTIST NEEDED — Yakima Neighborhood Health Services (YNHS) , a Community Health Center in Central Washington State, is looking for a full time dentist to serve low income and underserved individuals and families in a new dental clinic in Granger, WA. Provide full scope preventive and restorative care all ages, six months to elderly. YNHS is an eligible site for National Health Service Corp and Washington State Health Professional loan repayment programs. YNHS also has a special focus to serve the homeless of Yakima County. Dental providers work alongside committed HCH staff to care for high needs homeless individuals. Full time for providers is 40 hours per week. YNHS offers a competitive compensation package, inclusive of malpractice coverage, paid leave, CME, retirement / life / disability. See our website at www.ynhs.org for the breadth in our services and diversity in our staff. We are looking for individuals who share a sense of compassion for the underserved, and passion for quality. ASSOCIATE/DENTIST PARTNERSHIP — Looking for Associate to be main lead dentist that has well rounded clinical skill set (endo, os, implants, ect.) Partnership opportunity available. Great salary potential for right candidate. Western Washington Locations available. Email resumes to nwdental77@gmail.com.
classifieds issue 8, august 2016
OPPORTUNITIES AVAILABLE
in memoriam de butts, friehauf, hamada, teuscher
in memoriam Dr. Robert D. De Butts
Dr. Robert Dean De Butts passed away on July 3, 2016 after a short, brave battle with pneumonia. He was 94. Dr. De Butts grew up on a family farm near Marshalltown, Iowa. He had loving parents and a closely knit family. The work ethic he developed working on the farm stayed with him his entire life. While attending high school and two years of junior college, he played basketball, a sport he avidly followed on TV. He continued his education at the University of Iowa, graduating with a BS in 1942. He was a member of Phi Delta Theta and the Sigma Phi dental fraternity. During the Second World War, Dr. De Butts served in the Army. From boot camp he was sent to the University of Iowa Dental School in the ROTC program. Upon graduating in 1947, he was accepted into the school’s orthodontic program. After receiving this degree, he began a practice in Bellingham, Wash. When the Korean War broke out in 1950, he joined the Air Force and was sent to Kelly Air Force Base in San Antonio, Texas. Upon his discharge in 1952, he returned to Washington and joined Dr. Emory Fraser in Bellevue, in the first orthodontic practice on the eastside. Along with four other orthodontists, they formed the Crystal Mountain Study Club. The work they did helped to improve the quality of orthodontics in the Pacific Northwest. Dr. De Butts served as secretary of the Seattle-King County Dental Society. He enjoyed his patients and staff, many of whom became longtime friends. Dr. De Butts met L’louise Smith at the University of Iowa and they married in 1946. They had planned a party to celebrate their 70th wedding anniversary in August. They had three daughters, Bobette, Suzette, and Andrea. He loved his girls and was a caring and supportive father well into their adult lives. Every place they lived, he got to know the neighbors. He loved visiting with them and cherished their friendships. During his 50year membership at St. Thomas Episcopal Church, the De Butts served as co-chairs of the building committee for the chapel. Dr. De Butts had a zest for life and excelled at many things, including skiing, helicopter skiing, hiking, hunting, salmon fishing, skeet shooting, training hunting
dogs, boating, water skiing, kayaking, and photography. He played a frustrating game of golf and was an avid reader of all kinds of books. He made fly rods, tied flies, and liked to build birdhouses and flower boxes in his wood shop. As he grew older, gardening became a passion, especially growing dahlias, which he planted in great abundance. Dr. De Butts is survived by his wife, L’louise; daughters Bobette Bush, Suzette DeButts (John Bryon), and Andrea Davis (Tom); grandchildren Dillon, Deidre, Sean, Kaylyn (Chaz), and Tessa; great-grandson Robby; nephews, including Michael Barnes of Fort Meyers Beach, Florida; and nieces in Iowa. He was preceded in death by his parents and sisters.
Dr. Wilbert D. Friehauf
Dr. Wilbert D. Friehauf passed away on Aug. 26, 2016 at the age of 96. He was born on Nov. 24, 1919 to Wilhelm Sr. and Anna Elizabeth (Jorg) Friehauf in Brush, Colorado. He was the youngest of nine children, raised on a farm, and graduated from Brush High School in 1937. He attended the University of Denver for pre-dental education and graduated from North Pacific Dental College (now UHSU School of Dentistry) in Portland, Oregon in 1944. He was a member of the Xi Psi Phi dental fraternity. Dr. Friehauf spent the winter of 1944 at Carlisle, Pennsylvania for Army basic officer training. His first dental service was at Camp Fannin in Tyler, Texas, where he met Mary Ellen Ford. They married on March 11, 1946. Two weeks later he was sent to Japan with the occupation troops, where he served as dentist for the 43rd and 353rd Engineer Aviation Battalions. He was discharged with the rank of captain in 1947. After his return from Japan, he established his dental practice in Yakima, Washington, where the couple raised their family. He was a member of the Yakima Valley Dental Society and the Washington State Dental Association. He became a life member of the American Dental Association in 1985 and retired from practice in 1986. He loved working with exotic woods, designing pieces of furniture, vases, bowls, candle holders, picture frames, birds, and planes. He also designed gold jewelry.
He loved his vegetable garden of onions, eggplant, rhubarb, acorn squash, carrots, pumpkins, and tomatoes and also grew roses and prolific mums. He enjoyed his family, friends, and playing bridge and golf (scoring a hole in one on the 13th hole at Sun Willow in Pasco, Washington on July 23, 1987.). He was a charter member and past deacon of Westminster Presbyterian Church. Dr. Friehauf is survived by three sons: Gregory and wife Mary Jane of Houston and children Gregory Jr. and Mary Elizabeth Moore, her husband Ben, and their child, Anna Elizabeth; Norman and wife Tammy of Vancouver, Washington, their child Rachel and husband Bryan Smith and their children Caleb, Nathaniel, and Noah; and Bradley and wife Jeannie of Kennewick, Washington and their children Matthew and David; daughter Nancy of Redmond, Washington; and many nieces and nephews. He was preceded in death by his wife, Mary Ellen, on May 1, 2016. They celebrated their 70th anniversary on March 11, 2016 with their children.
Kenneth J. Hamada
Kenneth J. Hamada, 74, was born on Dec. 9, 1941 in Caldwell, Idaho to Junji and Kuniko (Nakatani) Hamada. He died at home in Shoreline on Sept. 10, 2016. He practiced dentistry for more than 40 years after serving in the US Army in Fort Riley, Kansas. He graduated from the College of Idaho in 1964 and the Univ. of Wash. School of Dentistry in 1968. He started his practice in 1972 in Lake City and later Shoreline and married Joan Reese on Feb. 14, 1976. After he received a heart transplant at UW Medical Center in 1994 and a kidney transplant in 2001, Dr. Hamada’s patients called him the “miraculous dentist” - a testimony of his will to survive. He was lovingly cared for by his devoted wife, Joan. He retired in 2014. He wrestled in high school and enjoyed fishing, hunting, skiing, bowling, and Husky football games. He was pretty handy fixing things, liked cars, worked on them and did autocross racing with his Porsche. His employees over the years were treated like family; he expected a lot but was genContinued on page 46
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GENERAL DENTIST, TRI CITIES — Great associate opportunity for a new graduate or a long term home for a seasoned dentist looking to be compensated well with less of the headaches and stress. Group practice composed of general dentists, orthodontists, and oral surgeons. For new grads it’s the perfect opportunity to learn your craft by working side by side with generalists and specialists while being paid very well. Base salary of $150,000 for new grads plus bonuses. Base salary of $175,000 plus bonuses for experienced dentists. Full benefits package and moving allowance. State of the art clinics and equipment. Mix of children and adult dentistry. Mix of state and private insurance. Position available in coveted Pasco, Washington facility this Spring. Please send inquiries to jbabka@applesmiles.com. GENERAL DENTIST — Full time position open in Vancouver, WA for busy private practice. We are seeking a dentist who has a good work ethic and excellent chair side manners”. Compensation package includes the following: Base Salary with production incentive, Medical and dental insurance, Benefits for Vacation,CE benefit, Retirement. Willing to sponsor H1B, Green Card. Please email sd10148@gmail.com DENTIST OPPORTUNITY IN WESTERN WASH. — Seeking experienced dentist for busy, well established, successful, fee for service, group dental practice. Full-time position available. Excellent immediate income opportunity ($180,000 to $375,000 + per year) depending on productive ability and hours worked. Secure, long-term position. You can concentrate on optimum patient treatment without practice management duties. Modern well-equipped office with excellent staff, and lab services provided. If you are bright, energetic with a desire to be productive, very personable, and people oriented, and have great general and specialty clinical skills, Fax resume to Dr. Hanssen at (425) 484-2110. GENERAL DENTIST, SPOKANE — We have a great associate opportunity for a new graduate or a long term home for a seasoned dentist looking to be compensated well with less of the headaches and stress. Group practice composed of general dentists, orthodontists, and oral surgeons. For new grads it’s the perfect opportunity to learn your craft by working side by side with generalists and specialists while being paid very well. Base salary of up to $150,000 for new grads plus bonuses. Base salary of $175,000 plus bonuses for experienced dentists. Opportunies to earn much more with our full schedules! Full benefits package and moving allowance. State of the art clinics and equipment. Mix of children and adult dentistry. Mix of State and private insurance. Full time and part time opportunities available. Moving expense reimbursement offered. Please send inquiries to jbabka@applesmiles.com. ORTHODONTIC ASSOCIATE NEEDED — Established South Seattle orthodontic practice seeking an orthodontic associate 1-2 days per week, eventually evolving into 3-4 days. Beautiful, modern office with state-of-the art technology, digital x-ray systems and experienced, highly-skilled staff. Associate contract would be 2 years, with buy-in opportunity available although not required. Seeking a highly motivated, caring orthodontist with outstanding patient rapport and communication skills who embraces the newest technologies, detail oriented with excellent organizational skills and the ability to provide the highest level of patient care at a fast pace. Please email CV to: OrthoPracticeContact@gmail.com.
OPPORTUNITIES AVAILABLE
OPPORTUNITIES WANTED
GENERAL DENTIST — Seeking a General Dentist to join our growing practice. We have recently relocated to a brand new office and are searching for a general dentist to join our office. We are located in downtown Seattle. FT and PT applicants are invited to send your resume, cover letter, and a list of your in-network insurance companies to summergemii80@yahoo.com.
GENERAL DENTIST — 2016 University of Michigan graduate. I would like to practice in the greater Seattle area. View my CV here: www.dropbox. com/s/4nnlehrt4mg892c/Yizhou percent20Zhu percent20Resume percent202016.docx?dl=0.
ENDODONTIST NEEDED — Looking to fill open position for associate endodontist in a large group practice offering general and specialist dental services in Central Washington. Work schedule would be two to three days per week, twice monthly. Come join our professional, modern office and become part of our wonderful team. Please send resume and any inquiries to felixzario509@ yahoo.com. ASSOCIATE NEEDED, SPOKANE — Flexible solo Spokane GP is willing to hire associate 2 days/week or sell practice outright. Very fluid arrangements can be made. Call 509-638-3157 for more info. ASSOCIATE TO PARTNER — Pullman, WA. Our mission: give patients the BEST dental experience they’ve ever had. We’ve built an excellent reputation in our small community and we are growing like crazy! Our team is amazing and we want to hire an associate interested in a “partner track” to build the practice together. Experience is ideal, but I’m willing to mentor the right candidate. We keep most specialties in house because we do them very well: full bony 3rds, gum grafting, invisalign, implants (placement & restoration), etc. Our standards are high, but we’ll help you hone your skills... just be ready to learn. Check out our team, practice and example cases at JonnyFisherDDS. com then email me your CV if you’re interested. I’ll then send you a detailed questionnaire that will help us see if we are a good fit for each other. Contact: Dr Jonny Fisher, Phone: 509-330-0711. Email: JonnyFisherDDS@gmail.com. Location: Pullman, Washington (JonnyFisherDDS.com). DENTIST NEEDED — Join our mission driven team of ten dentists and well trained support staff in providing quality, comprehensive general and restorative dental care to our patients. 4/10 hour workdays provide a good life work balance and the opportunity to enjoy the areas recreational activities with your family. Comprehensive benefits, sign on bonus, Employer match 401(k), relocation, generous paid leave and CDE. HPSA score 23. Potential for loan repayment. Start date: September 2016. For more information contact : Colleen Hazel, PHR, HR Generalist / 509.764.6105/chazel@mlchc.org. Or visit our website at www.mlchc.org to apply online. OPPORTUNITIES WANTED OPPORTUNITY WANTED — Endodontist seeking part-time associateship. Six years endodontic experience. Six years as general dentist prior to residency. King, Pierce, Snohomish county. Contact: itendodontist@gmail.com. OPPORTUNITY WANTED — TMJ/orofacial pain specialist/dental sleep: 2-yr residency in orofacial pain and oral medicine from USC. Seeking suitable opportunities, full or part-time, near greater seattle area. Contact me at jsahni@usc.edu or (213) 284-4953. https://www.linkedin.com/in/ jasjot-narula-072778b6. GENERAL DENTIST — 2016 Roseman University College of Dental Medicine. I would like to practice in Bellevue, Renton, or Issaquah. View my CV here: www.dropbox.com/s/6af31hrkwjvuekk/ CV.docx?dl=0.
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ASSOCIATESHIP — Seeking Associateship in Whatcom County-Graduated from Tufts University School of Dental Medicine, 2016. View my CV here: drive.google.com/file/ d/0BxLG0RUgFDpnUlNNamNqdF9vbDg/view. ASSOCIATESHIP — Seeking Associateship in King and Snohomish County- will graduate from UWSoD early June, 2016. Contact Se Jin An (206)856-4703 or email sejinan89@gmail.com. ENDODONTIST — Seeking Associateship in King or Snohomish counties. USC School of dentisty, Advanced specialty certificate in Endodontics, graduated 2016. View my CV here: docs.google. com/document/d/1363Zn09JEFt8Jfxw1AlTfDpfU GZKBgBR0VgMMDaMuFs/edit GENERAL DENTIST – Seeking general dentist position in greater Seattle area with ten years of dental experience and three years prosthodontics residency training. View my CV: https://goo.gl/J0iocd Ema. OPPORTUNITY WANTED — 2016 USC graduate looking for an Endodontist position in Endodontic office or GP office. View my CV here: docs.google. com/document/d/1363Zn09JEFt8Jfxw1AlTfDpfU GZKBgBR0VgMMDaMuFs/edit?usp=sharing. OPPORTUNITY WANTED — GPR-trained GP looking for full-time associate position. Three years experience. Proficiency in molar endo, all extractions, implant placement/restoration, CEREC, same-day dentistry, and all bread and butter. Email TRandolphRossDDS@gmail.com. il: sunjjj111@gmail.com Mobile: (502) 314-5196. OFFICES FOR SALE OR LEASE FOR LEASE — Beautiful first floor office in a three story professional building. Has been the location for an Oral and Maxillofacial surgeon for nearly 30 years. Two surgical and three exam rooms with lots of parking. Post op room and private door to drive up. One block from Medical center and hospital. Park like setting with private gardens and floor to ceiling windows. Owner of the building is a General Dentist who is an owner occupant. Also an endodontist, orthodontist and other general dentists in the building. There is a need for another Oral surgeon in the valley! Owner will make the lease attractive. Call for more details and a showing. (509) 670-7593. FOR SALE — Wenatchee dental practice for sale. Updated established spacious downtown office $700k plus working 3.5 days. Four operatories, digital panoramic and xrays. great staff, affordable lease, nice location asking $450k. email parkbus@live.com. FOR LEASE — Highly Visible ground level Lacey office. 1,600-3,200 SF. New construction, ready for build-out, Mixed use center, Providence Medical Center anchor. 30,000 cars per day. Fast growing under-served area in Hawks Prairie. Contact Kimadams@cbcworldwide.com. FOR LEASE, KIRKLAND — Excellent lease terms offered for well-located dental office serving Kirkland, Bothell, Juanita and Kenmore at Inglewood Professional Center, 7317 NE 141st Street, Kirkland, WA. The space, deigned by Offrcewraps, accommodates 4-5 patient chairs, x-ray, consult room. Contact: Ann Bishop 425.278.6308 bishop@wallaceproperties.com.
classifieds issue 8, august 2016
OPPORTUNITIES AVAILABLE
in memoriam de butts, friehauf, hamada, teuscher
in memoriam, continued from page 44
erous as well. He had a vivid imagination and quick wit. Ken was reared in Caldwell and was the youngest by 18 years of 6 children. He is survived by his wife, Joan, sister Ame Kobayashi of Los Angeles, CA, sister-in-law Masako Hamada of Spokane, WA, and many nephews, nieces and grand nephews and nieces. He was predeceased by his parents, brother Harry Hamada, sisters Junko Tanikawa, Kimi Nakanishi, and Chiye Tamura. Dr. Hamada was a member of Trinity Lutheran Church in Seattle.
Dr. Wallace V. Teuscher
Dr. Wallace Vaughn Teuscher, 88, of Vancouver, WA, passed away Wednesday, August 24, 2016 at his home surrounded by his beloved family. He was born June 3, 1928 in Montpelier, ID to Wallace and Minerva Teuscher. As a young man, Teuscher attended and graduated from Montpelier High School, then moved on to attend Idaho State College, where he received his Bachelor’s degree. Shortly thereafter, he joined the Army and honorably served for a period of two years. Following his discharge, he moved to
Oregon to attend Dental school at the University of Oregon. At a church activity, he met a young lady named Joan. They fell in love and later were married, in the Logan, Utah Temple. After his graduation, he and Joan moved to Vancouver where he began his dental practice. He was involved in many dental organizations over the years and was the Charter President of the Washington Academy of General Dentistry in 1976. He practiced dentistry for over 50 years, retiring at the age of 79. Teuscher’s spiritual life was very important to him. He was a lifetime member of the Church of Jesus Christ of Latter-Day Saints. He was deeply involved in the church and church service, including being Stake President, Branch President, Bishop, and Stake Patriarch. In addition to involvement in his church, he was also a dedicated member of the Lions Club for 49 years and served with the Boy Scouts from 1975-2005. During his involvement with the Lions, he held a number of positions, including President of the Fort Vancouver Chapter. He was recognized as Lion of the Year in 1988. While
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with the Boy Scouts, he served as Area Vice President for the Columbia Pacific Council 1988-1992. When Teuscher wasn’t busy with his work, community involvement, and his family, he enjoyed many hobbies including real estate, poetry, fishing, hunting, watching sports, traveling, and even piloting planes. One of his greatest joys in life was being surrounded by his children and grandchildren. Teuscher is survived by, his loving wife, Joan; children, Laurie (Richard) Dyer, Cynthia (Bradley) Alberts, Kristen (William) Clive, Vaughn (Caryn) Teuscher, Kimberly (Jason) Perrins and Allison (Derek) Vanderwood; sisters, Marilyn (the late Harold) Horrocks and Ruth (Gary) Thompson; 28 grandchildren; 36 great-grandchildren with five on the way. He was preceded in death by his parents, Wallace and Minerva; sisters, Carol Mattson, Shirley Ball, LuJean (Richard) Fry; and brothers, Lowell and Lothair Teuscher.
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Call 888-327-2265 ext. 94595 | Visit usbank.com/ADA94595 We may change APRs, fees, and other Account terms in the future based on your experience with U.S. Bank National Association and is affiliates as provided under the Cardmember Agreement and applicable law. (1) Subject to credit approval. Accounts must be open and in good standing (not past due) to redeem points. (2) Your 0% introductory APR applies to balance transfers made within 30 days of account opening. A Balance Transfer fee of 3% of each transfer ($5 minimum) will apply. The introductory APR does not apply to purchases or cash advances. The rate will end early and increase to the APR for Balance Transfers or to a Penalty Rate APR if you make a late payment, make a payment that is returned, or your account exceeds its credit limit. Thereafter, the APR may vary and as of 1/1/2015, the undiscounted variable APR for Balance Transfers is 9.99%- 23.99% (based on your creditworthiness)]. We apply your payments to balances with lower APRs first. (3) Net purchases are purchases minus credits and returns. (4) Certain restrictions, limitations, and exclusions apply. Cardmembers are responsible for the cost of any goods or services purchased by Visa Signature Concierge on cardmembers’ behalf. The creditor and issuer of the American Dental Association Card is US. Bank National Association, pursuant to a license from Visa U.S.A. Inc © 2015 U. S. Bank National Association. ADA Business ResourcesSM is a service mark of the American Dental Association. ADA Business Resources is a program brought to you by ADA Business Enterprises, Inc.. (ADABEl), a wholly owned subsidiary of the American Dental Association. ADA is a registered trademark of the American Dental Association.
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4 6 · th e wsda ne w s · issue 1, october · 2016 · www.wsda.org
OFFICES FOR SALE OR LEASE
OFFICES FOR SALE OR LEASE
FOR LEASE – Kennewick partially equipped fully plumbed, four operatories, approx. 2200 sq ft, Email Steve Kikikis steve@omni-pg.com.
FOR LEASE — Class A Medical/Dental space in Tukwila. Blocks from I-5, top floor with 5,000 sq.ft, second floor with 2,500 sq.ft. TI available, $24 per sq.ft, $6 NNN. Email Steve Kikikis steve@ omni-pg.com.
PRACTICE FOR SALE — Small town practice, with older dentist ready to turn things over, preferably to recent graduate. I’m more interested in continuity of care than in making money on the sale, so this could be a way for a debt-laden graduate to get a practice of his/her own--I will carry the contract. Four ops, older but functional equipment, great location, middle-income clientele, collections averaging $650,000/year since 2011 working 3.5 days/week. You won’t make $300K your first year, or do many 28 crown reconstructions, but you’ll be your own boss with lower debt pressure, and with growth potential. Contact me at ruralpractice461@gmail.com for details.
FOR SALE — Well established general practice for sale. Excellent opportunity located in a rapidly growing area of Pierce County. Two Doctors, six operatories, open 58 hours a week with a well trained staff . The practice has been in the same location for 20 years grossing $3.4 million a year. For more information call Patty at (360) 528-0324 or email spstewart528@hotmail.com. DENTAL PRACTICE FOR SALE — Experienced Dentist, South Sound. Excellent opportunity, you won’t want to miss! Mature, well-established general practice located in a highly visible and growing community. Just minutes from major arterials and freeways, this thriving family practice has a tremendous loyal patient following built primarily on referral for more than 30 years. This one of a kind opportunity is ideal for any dentist who desires a turnkey business and a well-maintained facility without the hassles of a scratch startup. This practice is conveniently located near shopping malls, restaurants and the local transit systems. Highly regarded dental specialists of all varieties are within minutes of this practice. Staffed by a knowledgeable, outstanding support team, this practice is well known in the dental community for its state of the art technology, unmatched quality care and impeccable customer service. The ideal dentist is someone with a similar philosophy who is interested in massive success and continuing this legacy. Owner willing to stay short-term to ensure a smooth transition and will sign a noncompete agreement. If this practice excites you, tell us a little bit about yourself by responding to our post. Email: bestdentalpractices@gmail.com. DENTAL PRACTICE FOR SALE — Mature practice, north of Everett: Unique opportunity to step in to a busy and successful general dentistry office. Newly remodeled office with new equipment and excellent staff. Five operatories, great road exposure, and good parking. This practice has a longstanding tradition of providing the best in quality and care to its patients; it is highly regarded by colleagues and specialists in the area. I am looking for a dentist to purchase this practice and continue these traditions. I am open to an outright purchase or am willing to stay on during a transition - the decision to be made by the buyer. If you are interested in practicing great dentistry in a beautiful setting, email smooth margins@gmail.com and tell me a little bit more about yourself. FOR LEASE – Maple Valley Dental office for lease. start-up or move your existing practice. Fully built out with 5 operatories, Plenty of parking in plaza. Approximately 1,524 sq. ft. with favorable lease terms. Email Steve Kikikis steve@omni-pg.com. FOR LEASE – EAST KENT PROFESSIONAL CENTER High visibility office with space with signage. Approx 1288 sq. ft. on a modified gross lease, This building is right off of 104th Ave SE and SE 248st .TI allowance available. Email Steve Kikikis steve@omni-pg.com. FOR SALE — Fully equipped dental office for sale in Des Moines. Three operatories, dental chairs, panoramic x-ray machine, and sterilization, equipment included in purchase. No Patients Included. Approx. 810 sq.ft plus storage room. Asking $160,000. Email Steve Kikikis steve@omni-pg.com. FOR LEASE — Auburn office space available in East Main Professional Center. Great office or medical/ dental lab or professional office. Features courtyard, reception, waiting, bullpen, bathroom, lab/work area. Email Steve Kikikis steve@omni-pg.com.
FOR LEASE — Auburn dental office with 1 year free rent, TI package available. Five operatories, on/off site parking. Dental equipment not included. Asking $2,843.75 per month. Email Steve Kikikis steve@omni-pg.com. FOR LEASE — Highly visible Lynnwood Dental office for lease. Plumbed for four operatories, including nitrous and O2. 1,400 sq.ft. $24 per sq.ft and $3.62 NNN. email Steve Kikikis steve@omnipg.com. FOR SALE — Full leased investment opportunity in Maple Valley for sale. Mix of office and retail uses Asking price is 1.4 million for this visible building on .95 acres is 6,400 sq.ft Contact Steve Kikikis at steve@omni-pg.com. FOR LEASE — Woodmont Place Shopping Kent dental/medical suite along Pacific Highway for lease. 1,300 sq.ft with three exam rooms, darkroom, lab and asking $2,275 per month-modified gross. Contact Steve Kikikis at steve@omni-pg. com. FOR SALE — Whatcom County General Dental Practice For Sale – Located in busy shopping complex and growing area. Annual collections over $500,000. 4 equipped operatories, lots of opportunity for growth. Contact Rod Johnston @rod@ omni-pg.com. FOR SALE — South Sound Perio practice and real estate available for sale. Collections over $1.5 million. Great referrals and low overhead. Building is also for sale. Call Rod at Omni 206-979-2660 or rod@omni-pg.com. FOR SALE — Established practice in University Place, WA for sale. General practice that does oral surgery, ortho and implants. Excellent patient base and location. Rent is extremely low with utilities and is locked in. Producing around $1m. Contact Lishoshima@gmail.com or call (206) 399-0242. ORTHODONTIC PRACTICE FOR SALE — Eastside. Small satellite orthodontic practice on Seattle’s Eastside. Fantastic “beach-head” location for growth; low-cost alternative to a start-up. Approximately 800 square feet and has 3 side by side chairs. Currently one day per week practice. With a little ambitious marketing and networking, the right individual can hit the ground running and grow this one-day per week practice quickly. For more information contact: Jennifer Paine at (425) 216-1612 or email: Jennifer@cpa4dds.com GENERAL PRACTICE FOR SALE— Renton. Lovely, nice and bright general dental practice in Renton for sale. Near Valley Medical Center with great visibility from high volume traffic areas. 4 operatories. Approximately 1,255 square feet. Collecting $801K. For more information contact: Jennifer Paine at (425) 216-1612 or email Jennifer@cpa4dds.com. FOR LEASE — Factoria Medical Dental Center: 12917 SE 38th Street, Bellevue, WA. Existing Orthodontic space in prime location next to T-Mobile. 2,439 sf of space with flexible layout which includes consult room, doctor’s office, sterilization room, lab, staff room, etc. Contact: Robert Messmer 425.452.3052 Ext 105 rmessmer@rgmcommercial.com
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FOR SALE — SE Washington general dental practice for sale. Annual collections of approximately $360,000. Four operatories. Be the only dentist in town. Small rural setting with outdoor activities. Jim Vander Mey at 360-941-2341 or e-mail jim@ omni-pg.com. FOR SALE - Grays Harbor - Fee For Service General Dental practice for sale. Annual collections over $200,000, four operatories, lots of parking on busy street. Contact Rod Johnston of Omni Practice Group at 206-979-2660 or e-mail rod@omni-pg.com. FOR SALE - West Olympic Peninsula General dental practice for sale. Annual collections over $800,000. Be the only dentist in town with no nearby competition. Good overhead, building also for sale, great staff. Contact Rod Johnston of Omni Practice Group at 206-979-2660 or e-mail rod@ omni-pg.com. FOR SALE —Outdoor lifestyle for sale with general dental practice. Work 3 days/wk with little competition, enjoy the outdoors the other 4 days/ week. Annual collections over $400k without trying. Low overhead. Contact Jim Vander Mey at jim@omni-pg.com NEW LISTING – Bellevue dental office space up to 3,204 sq. ft. Plumbed for 7 operatories. Great parking and signage. Close to Microsoft, Group Health and other eastside businesses. Contact Steve at steve@omni-pg.com EDMONDS — Plumbed office space for lease in Edmonds. Three ops expandable to 4 or 5. Located on high traffic street going into Edmonds. Great visibility and signage. Contact Steve at steve@omni-pg.com. FOR SALE— Woodinville office. Four operatories, doing Invisaline.sediation, implants. Areas to expand are exits and endo. Four days a week. Eight days of hygiene. Collecting $900,000 On Main Street of Woodinville, ample patient parking . Well established practice. Email: Lisoshima@ gmail.com or call (206) 399-0242. OFFICE FOR LEASE, UNIVERSITY PLACE — University Place GP five op mature practice. Office performs implants, endo, ortho and extractions. Collections $800k on three days a week (ortho 1 day). Rent is $1,800/month includes utilities. Prime location. Email: Lisoshima@gmail.com or call 206-399-0242. FOR LEASE — Modern, spacious office for lease in fast-growing, south east Vancouver, WA. 2,000 Sq. ft. with five operatories. Space is fully built-out and in a high-traffic area. Contact dankimdds@ gmail.com for showing. DENTAL PRACTICE FOR SALE, MARYSVILLE — Collections 700k plus per year on 3 clinic days per week five op practice, with digital pano and xrays Modern finishes and updated clinic with great location and visibility Email inquiries to nwdental77@gmail.com.
classifieds issue 8, august 2016
OFFICES FOR SALE OR LEASE
SPECIALIZING IN
Practice Transitions
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Valuations
Consulting
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THINKING ABOUT SELLING YOUR PRACTICE? Take the first step with our complimentary Practice Snapshot Valuation and FREE consultation. Offer expires 11/30/16. Call 877-866-6053 to schedule.
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WHATCOM COUNTY — General
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dental practice - Annual collections of $800K, five equipped ops in 2,500 sqft. Office has good visibility. All chairs have nitrous. Digital X-rays and pano.
Busy general dental practice, annual collections over $800K.
dentistry practice for sale, annual collections of $540K.
SOUTH SOUND — Perio practice and real estate for sale in Washington State, annual collections over $1.5M.
FOR MORE LISTINGS AND INFO ON HOW YOUR PRACTICE COULD BE LISTED IN OUR NEXT AD CONTACT US TODAY.
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Delivering Solutions For Your Long-Term Financial Success By acting as your Chief Financial Officer for your practice and as a Personal Wealth Manager for your family.
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Call 425-216-1612 today to see how we can help you! 4 8 · th e wsda ne w s · issue 1, october · 2016 · www.wsda.org
OFFICES FOR SALE OR LEASE
EQUIPMENT FOR SALE
BELLINGHAM — Lease turnkey dental suite. Formerly successful pediatric and orthodontic ClassA office space. Save $200,000+ construction costs. Ample parking. Interstate-5 access. High-traffic/ visibility location. Customization available. Lincoln Professional Center: 360-739-1421 adengst@ gmail.com.
G/P PRACTICE FOR SALE IN LINCOLN COUNTY — Annual collections over $430,000. Four operatories, doctor works three days per week. Practice is located within 35 miles of Spokane. Practice has been in same location since mid-60’s. Doctor owns the building and will sell it now or in the future. Well-trained staff will assist with the transition and will stay with the practice after the transition. Well-established practice with an excellent collection policy in place. Excellent cash flow for a practice of this size. Please contact Buck Reasor, DMD, cell: 503-680-4366, Fax: 888317-7231, email :info@ reasorprofessionaldental. com, www.reasorprofessionaldental.com. PO Box 14276, Portland, OR 97293.
USED/REFURBISHED EQUIPMENT — Adec, Gendex, Pelton Crane, DentalEZ, Porter, Air Tech, Midwest, Midmark and etc. Lab equipment. Parts are also available for almost all equipment. Call Dental Warehouse at 800-488-2446 or http:// cascade-dental.net.
BELLEVUE/FACTORIA general dentistry/specialist office for lease. 1,249 sq. ft. 3-ops. (Or, 2,100 sq. ft. for ? ops) Winner location. Easy I-90/I-405 frwy access. Across the street from Factoria Mall. 15’ pole sign by Factoria Blvd. available. T.I. required for conversion. Landlord will contribute to concession (206) 915-2263 Mark. FOR LEASE, RENTON — Dental clinic with seven operating stations. Fully built out. 2200 SF. Lots of parking. Great location close to city hall with 7,000 cars a day visibility. New apartment complex in fast growing area. Amenities include dog park, fitness room and common areas. $1.40 SF. Call Chris at (206) 595-5791. GENERAL PRACTICE FOR SALE North Seattle, WA. An outstanding opportunity in a prime location. Three fully equipped, digital ops, room for four. Real estate also for sale. Please contact SeattleDentalOfficeSale@gmail.com. G/P PRACTICE FOR SALE IN THE LONGVIEWKELSO AREA — General practice for sale with four fully equipped operatories. Annual collections over $550,000. Great location with excellent visibility. Well established practice that has been in same location for over 38 years. Well trained staff will assist with the transition. Seller owns building and would sell now or would sell in the future. Outstanding collection policy. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental.com, (503) 680-4366. DENTAL & REAL ESTATE PARTNERSHIP — Are you a specialist seeking an opportunity to start or expand your current practice? We are looking for a dental and/or real estate specialist partner to start a new practice in a busy and growing shopping complex in Clearview area of Snohomish Washington. Email Christian@KoviSolutions.com. FOR LEASE, OLYMPIA — Ideal location on Martin Way near St. Peter Hospital, 2,000+ sq. ft. Five ops including chairs, panex and more. Perfect for startup/satellite office, future purchase possible. Contact Don at uncledgh@aol.com. NEXT/ANNIE MILLER & ASSOCIATES — Providing consulting services to the dental community for the past 35 years. New practice start-ups, practice transitions, sales and valuations. Dental space planning and architecture; real estate leasing and acquisitions, employment benefits; staffing resources and training; financing. Call today for your free consultation…we can’t mint money for you, but we can sure save what you have now! Annie Miller (206) 715-1444. Email: annie@nextnw. com. FOR SALE — Tukwila. Newly upgraded dental practice in Tukwila for sale. $725,500.00. Six ops with the latest in imaging upgrades, new computers, software and hand pieces. One of the last feefor-service practices left. Seller will pay for new floor covering throughout, leave the security deposit for the new buyer on the lease assessment and help with the transition. Call today for a tour. Annie Miller, (206)-715-1444.
AVAILABLE, SOUTHCENTER — Just available. 1200 square foot fully equipped 4 operatory dental space. Cerec , Panoral, 4 chairs, lights, nitrous, air and vacuum all available and in place. Please call Dr. Jerome Baruffi at Medical Centers Management (206) 575-1551.
OFFICE CONSTRUCTION CONSTANTINE BUILDERS INC. (CBI) — WSDA endorses CBI as their preferred builder of Dental facilities with over 25 years of experience from ground up buildings, renovations, remodels, and interior tenant improvement projects. All projects are completed on time and within budget. CBI provides the highest level of quality service with integrity that exceeds our client’s expectation. Please see our display ad on page two and website at www.constantinebuilders.com for additional information and how you can become another satisfied client. Telephone (206) 957-4400, O. George Constantine.
SPACE SHARING OPPORTUNITY DOWNTOWN SEATTLE – Looking for a dentist with an existing practice to share our office space. This is not an associate position. Restorative practice with inhouse C&B, and denture processing lab, and technician. Modern downtown Seattle five chair office. Lease ending soon? Decrease your overhead now! Opportunity to buy into the facility for the right person. drnicolini@hotmail.com. FOR LEASE — Quality professional office Space for lease in the heart of the Renton Highlands in the Highlands Professional Plaza medical dental building. Excellent place for an oral surgeon and/ or endodontist to open a satellite office or start up practice. Currently there are two GP dentists, a pedodontist, an orthodontist and a large physical therapy clinic. This building has a proven track record of successful businesses because of its location and quality. The building sits across the street from Bartells, QFC, and Starbucks. There are six elementary schools and four high schools within two miles. Get close to where the people live and enjoy fast practice growth. Call (206) 595-9100. FOR IMMEDIATE OCCUPANCY — A fully plumbed dental office. 1,350 sq ft , three operatories, air, water, vacuum, nitrous oxide and oxygen, private office, lab, staff lounge, separate staff entrance. This office has exceptional exposure to the Southcenter Mall traffic. Please call Dr. Jerome Baruffi at Medical Centers Management (206) 5751551. SERVICES HAVE SEDATION, WILL TRAVEL! — Make fearful patients comfortable with IV Conscious Sedation. I am set up to come to your office and sedate your patients so that you can perform needed treatments the patients avoid due to fear. I have over 19 years experience providing safe IV Conscious Sedation. Serving Washington and Oregon. Richard Garay, DDS. (360) 281-0204, garaydds@ gmail.com. INTRAORAL X-RAY SENSOR REPAIR We specialize in repairing Kodak/Carestream, Dexis, Gendex & Schick CDR sensors. Repair & save thousands over replacement cost. We purchase old/broken sensors. www.RepairSensor.com / (919) 924-8559.
CLASSIFIED ADS IN THE WSDA NEWS Visit wsda.org/news/classifieds/ to place your ad and select the issues you would like your ad to run in. Follow up your submission with a phone call to Rob at (206) 9735220 to submit your credit card information (sorry, no check payments), and your ad will be placed. Sell your practice or fill a position quickly? Don’t worry, you’re only charged for the ads that run. We’re flexible, and the process is painless and cost effective. Pricing is as follows: Members: $50 for the first 30 words, $1 per word for each word over 30. Non-members: $100 for the first 30 words, $1 per word for each word over 30.
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classifieds issue 8, august 2016
OFFICES FOR SALE OR LEASE
parrish or perish
So
long, farewell, Auf Wiedersehen, goodbye…
Dr. Jeffrey Parrish “If everyone is thinking alike, then somebody isn’t thinking.” — George Patton
“And so I bid: Adieu, adieu to you and you and you.” — Julie Andrews in Sound of Music
The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.
In case you haven’t noticed, change is afoot at WSDA. From governance reviews to Foundation reorganization top to bottom and staff adjustments, the organization is undergoing a thorough review and update. Most of it is good stuff. I applaud the leadership and staff for wanting to make the organization better and more able to serve the needs of its members who are, almost without exceptions, younger than yours truly. And change is coming to the WSDA News. This is not something out of the blue. Executive Director Bracken Killpack, Managing Editor Rob Bahnsen, and I have discussed in the past that the News needs to hit a refresh button to reflect a more current view of the dental world. The refresh button is being pressed. The views expressed on the editorial and back page need to have many different voices and opinions from different members across the spectrum of membership. I encourage and support the organization’s desire to maintain relevancy and representation of lots of differing dentists’ views. And I urge you to try your hand at writing: Tell us what you think by submitting an editorial for review for publication. Who would have ever thought that when I wrote the first “Parrish or Perish” back in 2004 that it would run this long? Certainly not I. I have missed only one issue in all that time, and that was because the Executive Director and I didn’t agree on what I had submitted, and I was out of time to come up with another piece. (I tend to procrastinate!) It’s been a challenge to always come up with ideas that I hoped would be of interest to our readers, entertain them in some way, and yet challenge their thinking a bit. The byline quote from every piece I published stated: “If everyone is thinking alike, then someone isn’t thinking.” (Gen. George S. Patton). My goal was always to challenge readers to give some thought about an alternative perspective. Occasionally, it struck a nerve that offended some people instead of getting them thinking. But I hope I have succeeded with you more times than not in stimulating thought and perhaps discomforting you just a bit. This change will bring others to the back page to challenge and inform you. Please pay attention and give them their due for their efforts. I have greatly enjoyed the feedback that so many of you shared over the years. Future writers will want and need the same. I still have great concern for our nation and profession. I hope it is just a normal reaction of one in the “autumn of his years” looking back, but I am not convinced. Was my father as concerned at this stage in his life? I don’t really know. But I try to seek the wisdom and counsel of others in trying times, so I will quote Supreme Court Justice Clarence Thomas to sum up my angst: “We’re too focused on the benefits of a civil society, and we think too little about the obligations we have - the obligations to be civil, to learn about our history and our government, to conduct ourselves in a disciplined way, to help others, to take care of our homes. Too many conversations today have to do with rights and wants. There is not enough talk about responsibilities and duties.” That’s about it. That’s your homework. Don’t let me down. Don’t let my angst become the reality of this great nation and this great profession. As I ride off into the sunset, I’ll leave you with one last thought that lingered each time I sat down to compose the next “Parrish or Perish.” It comes from a Toby Keith song that pretty much sums up what I hoped would ultimately be my message to you: I’m a man of my convictions; call me wrong, call me right. But I bring my better angels to every fight. You may not like where I’m going, but you know where I stand. Hate me if you want to; love me if you can.
5 0 · th e wsda ne w s · issue 1, october · 2016 · www.wsda.org
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th e wsda ne w s · issue 1, october · 2016 · www.wsda.org · 51
Washington State Dental Association 126 NW Canal Street Seattle, WA 98107
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5 2 · th e wsda ne w s · issue 1, october · 2016 · www.wsda.org