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may/ june 2019

life + leisure

on a mission in nepal

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Just for C

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de nti sts life + leisure

contents

may/june 2019

May/June 2019

Publisher Linh T. Huynh

Editor Barb Sligl Art Direction BSS Creative

Contributing Editor Janet Gyenes

Editorial Assistant Adam Flint Contributors Cover photo

Timothy A. Brown Janet Gyenes Lisa Kadane Manfred Purtzki Dr. Kellen Silverthorn Barb Sligl Roberta Staley Sarah Staples Catherine Tse iStock

Senior Account Executive Monique Nguyen

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Account Executive Wing-Yee Kwong

Production Manager Ninh Hoang CE Development Adam Flint

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

Just For Canadian Dentists is published six times a year by Jamieson-Quinn Holdings Ltd. dba In Print Publications and distributed to Canadian dentists. Publication of advertisements and any opinions expressed do not constitute endorsement or assumption of liability for any claims made. The contents of this magazine are protected by copyright. None of the contents of the magazine may be reproduced without the written permission of In Print Publications. In Print Publications 200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada

FEATURES

14 A Nepal trek that’s also a philanthropic mission COLUMNS

DEPARTMENTS

9 pay it forward

5 May/June mix 19 CE calendar 29 sudoku 30 small talk

Dentist of the barrios

11 the thirsty dentist A cocktail tour

12 motoring

Dr. Colin Wiebe

Colour coding

25 the wealthy dentist

Fight investment shrinkage

28 practice management

Old is new

www.justforcanadiandentists.com

PHOTOS: sarah staples; istock

Printed in Canada.

award winS! Stories and photographs that appeared in this magazine (and sister publication, Just for Canadian Doctors) recently won multiple awards in the 2018 North American Travel Journalists Association Awards, including silver.

cover photo Mt Everest summit, framed between Buddhist prayer flags, in the Himalayas of Nepal. The colourful flags are seen everywhere en route to Everest Base Camp or EBC, where the writer of our cover story trekked on a charitable expedition with a healthcare crew from Ontario (page 14).

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from the editor Writer Sarah Staples (middle) on the trek to Everest Base Camp with high-altitude mountaineer Andrew Lock (left) and Peter Hillary, son of the legendary climber; on the trail to EBC (page 14)

Travel for good

She shares her journey and the backstory of the organized, charitable trip—a tale that stretches to that most-famous mountaineer, Sir Edmund Hillary, who made the first ascent of Mount Everest with Nepalese Sherpa and mountainmake eer Tenzing Norgay. It’s both an epic it a tour and humanitarian expedition (and mission one you can participate in; page 14). Similarly, Dr. Wiebe’s ongoing visits to HOPEthiopia have a philanthropic component (page 30). And Dr. Edworthy keeps going back to the barrios to provide dental care (page 9). In the spirit of such altruistic trips, more and more companies are offering products that have an element of “giving back” (page 7). Because we can all do some good in even small ways. comments /questions : feedback@InPrintPublications.com

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W

e all have different reasons for getting on a plane and flying thousands of kilometres to farflung places, and then perhaps going even farther to climb thousands of metres up a mountain. It could be an inner mission—or a more benevolent quest. Sometimes it’s the journey, the experience itself, that makes the trip. Sometimes there’s a goal to reach or achieve at the destination. Sometimes the trip is for the joy of it, the pleasure of going somewhere new or returning to a special and beloved place. Last year, writer Sarah Staples travelled with a crew of healthcare professionals from Ontario to the upper reaches of Nepal. They were on a mission to raise money for school and hospital funds, trekking along the rugged trail to Everest Base Camp.

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what/when/where > May/June

style | food | drink | festivals | places | getaways | gear…

Wild walkers

mix

getaway

on the wall

take a hike (+ camp) on the great wall at Jiankou

janet gyenes

“F

ollow the old man,” says Daniel, our group leader with the Shanghai-based Travelers Society, then doubles back on the path to corral the rest of the hikers. Now I understood why he ignored the billboard we passed in Xīzhàzi Village bearing the words, “Please help us protect the Great Wall. This section of the Great Wall is not open to the public.” >>

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mix

e pi c g pi n cam ip tr

May/June

getaway

beyond beijing

History and adventure are just off (and on) the Great Wall of China

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previous page Scrambling up unrestored steps clockwise from top Camping atop a watchtower; roasting marsh-

mallows; setting up camp (and hammering in tent pegs with a brick from the Wall); Ming dynasty-era bricks

Ming Dynasty moments

e’re breaking the law, albeit in Beijing’s rural Huáiróu district some 100 km north of the capital’s omnipresent CCTV cameras. No one is watching. The flip side: we plan to camp overnight at Jiankou (“arrow nock” in English, an archery term), touted as the wildest and most dangerous part of the Great Wall built during the Ming dynasty (1368–1644), with steep sections ominously named Sky Stairs (a 70-to-80-degree angle) and Eagle Flies Facing Upward. In The Great Wall, author John Man describes how myth and history are tangled in the series of rammed earth, wood and stone curtains representing a 2,300year timeline that traces six dynasties defending against barbarian nomads and marks a unified China. “This Wall, this ‘it,’ is rooted in the mindset of Chinese leaders down the ages. It is an idea that gives a boundary to the Chinese sense of identity,” Man writes. “Yet there is a singularity, which allows us to speak of the Wall as one. It exists not on the ground, but in the mind.” Traversing northern China’s mountains and deserts to the sea, the Wall comprises 21,196 km—longer than once thought—according to a 2012 archeological survey undertaken by the country’s State Administration of Cultural Heritage. I had already hiked the most modern and restored part at Bādálǐng (see page 19), but that only deepened the Wall’s mythic allure; I wanted to see its unrestored watch towers, ramparts and bricks. Fifteen of us hikers, mostly expats living in Shanghai like me, follow the villager uphill through the forest and bamboo groves. After about an hour our grunts turn to jubilance as a section of Jiankou emerges. Sweaty and breathless we scramble up the steps. I’m wonderstruck at the scene before me—rows of stone zippers, their smashed teeth chewing at folds of ancient green velvet as if trying to keep the centuries from unravelling into the great beyond. My adrenaline surges as I see the precipitous path crawl alongside an avalanche of broken bricks. For the next hour or so I add my fingerprints, footsteps, sweat and some skin from a scraped kneecap to this expanse of history deconstructing itself as fragments of brick tumble down the cliffside. Finally, we arrive at a large watchtower. “Who knows how to pitch a tent?” asks Daniel. Only two hands go up, including mine. So I give an impromptu lesson, using a brick from the Wall to hammer in the tent pegs. With our camp set up, we continue to explore while chasing the setting sun. We have essentially entered the lives of the soldiers, peasants and prisoners who laboured in these serrated mountains and become part of the myth and history woven within the wild Great Wall. — Janet Gyenes

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Go (way) off grid

History Meets high-tech

janet gyenes

The China Foundation for Cultural Heritage Conservation has teamed up with Intel, whose Falcon 8+ drones and artificial intelligence (AI) data will be used to help identify sections of Jiankou in need of repair. Restoration is underway and expected to be completed by 2020.

if you go To explore the Great Wall at Jiankou and beyond visit

travelers-society.com and travelchinaguide.com/china_great_wall.

Just For Canadian dentists May/June 2019

Explore the city of Beijing on page 19 >>


good buy

May/June

x5

good(s) ^

give back

These products provide philanthropy as well as style 1 Framed Oxford & Kin is a Vancouver-based brand that offers stylish, hand-crafted frames using acetate from a heritage Italian company. For each pair of glasses purchased, Oxford & Kin donates a pair plus an eye exam to someone in a developing country. “As an optometrist, I try to give back by volunteering in clinics similar to those that we support via our donations,” says founder, Dr. Harbir Sian who most recently was volunteering in Jordan this spring. Starting at $175, oxfordandkin.com

Province of Canada socks purchased, they will donate a pair to a Canadian homeless shelter. Socks starting at $14, provinceofcanada.com

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2 Roll with it Ajna Wellbeing is an indie brand with a cult following for their beautiful reversible yoga mats, made with organic jute on one side and eco-synthetic rubber on the other. They’ve partnered up with One Tree Planted, a non-profit that plants trees around the world. For every Ajna Wellbeing product sold, they will plant a tree. “Planting trees [will] help stabilize our climate, provide habitat for biodiversity and create sustainable jobs.” US$55.99, ajnawellbeing.com 3 Pretty please Cheekbone Beauty is a made-in-Canada makeup brand that is helping indigenous school kids. They donate 10% of profits from all purchases to First Nations Child and Family Caring Society of Canada, to help bridge the funding gap that exists between Indigenous and non-Indigenous schools in Canada. “There needed to be a brand that was made in Canada, never tested on animals and that gave back to the First Nations community. That brand did not exist, so I created it,” Jenn Harper, founder. Starting at $24 for lipgloss, cheekbonebeauty.ca 4 Feet first Did you know that socks are one of the most sought after items in shelters, yet are one of the least donated items? Who has socks to donate? They simply don’t last long enough and very few think to buy new socks as part of their clothing donations. To the rescue: With each pair of

Written + produced by Catherine Tse

yearl er Su mm re ad

5 book club One of the joys of going to school is exploring the library and all the stories within. Through Indigo’s Love of Reading Foundation, funds are provided to high-needs elementary schools across Canada to help them acquire new books. Since 2004, the Foundation has provided $30 million to over 3,000 schools, inspiring more than 900,000 children. “We need all our kids to be rich and confident readers... Nothing short of that is good enough,” Heather Reisman, Chair of the Love of Reading Foundation. Pick up a book (we suggest the one below) and help support Indigo’s reading initiative. chapters.indigo.ca and loveofreading.org

pay back

packaged

mix

[read]

Washington Black, winner of the 2018 Scotiabank Giller Prize and finalist for the Man Booker, is Esi Edugyan’s novel about a field slave whose flight from a sugar plantation takes him across the world. “From the blistering cane fields of Barbados to the icy plains of the Canadian Arctic, from the mud-drowned streets of London to the eerie deserts of Morocco, Washington Black teems with all the strangeness of life.” 3

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editor's

pick

2 May/June 2019 Just For Canadian dentists

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mix

May/June

photo prescription

dr. Zhugang Zheng of London, ON, took this dramatic photograph of flamingoes in flight over Lake Magadi in Kenya…while hanging out of a helicopter. The photo won a ribbon at the 125th Toronto International Salon of Photography in November 2018. Well deserved!

‘Flamingoes fly over Lake Magadi’ was taken on September 5, 2018 at the southernmost lake in Kenya. Lake Magadi is a salt lake, where the mineral deposits and floating brine reflect sunlight to produce colourful and constantly changing patterns. Taking this photo posed the challenge of shooting from a helicopter without doors for a non-obstructed view. It was very windy, and the helicopter had to tilt 60 degrees to get the best shooting angles. I was only held in my chair by a safety belt.”

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Just For Canadian dentists May/June 2019

photo details

Nikon D 850 camera, with AF-S 80–400 mm f/4.5–5.6 G ED VR; lens, taken at 100 mm, ISO 900, 1/2000 sec, f 11 Dr. Zhugang Zheng

Have a “wow” photo you’d like to share and potentially see published in Just for Canadian Dentists? Send a high-resolution image to feedback@ inprintpublications.com, along with a few words on the context of the photograph (including time, place, technical details and equipment/gear). We want to see what you’ve captured on your travels!


pay i t f o r w a r d

r o b e r ta s ta l e y

Roberta Staley is a Vancouver-based magazine writer, editor and documentary filmmaker.

Dentist of the barrios

Deep in rural and impoverished Mexico and Haiti, this dentist does what he can to help

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exico City is a metropolis of about nine million people, with another 21 million living in the surrounding slums, called barrios. Unsanitary, susceptible to flooding during rains and without basic services, the barrios, with their tiny, flimsy, tinroofed homes, are beacons of dubious hope for the rural poor desperate to improve their lot in life. Dr. Sam Edworthy of Abbotsford, BC, first went to Mexico City in 1990, part of a team affiliated with his local Northview Community Church doing outreach and development work with barrios churches. Dentistry was included and, during that initial two-week stint in Mexico, Edworthy saw about 100 patients, undertaking checkups, fillings and extractions. Dental

problems were rife and rooted in the poor diet: sugary pop and sugar cane, as well as a lack of oral health know-how. Yet within this milieu of poverty were dreams and ambitions that Edworthy helped unlock. “One lady—a single mother—was a door-to-door salesperson, selling cosmetics. She was a good-looking woman, except her front teeth were a mess; when she smiled you’d see all these black holes. We used white fillings to make them look natural. When we finished, she was very, very happy. She started crying.” During the mission, Canadian high school students were encouraged to tag along to see how different life was for people born in poverty. “They are overwhelmed with the devastation and come back vowing to be better people,” Edworthy recalls.

That initial trip to Mexico City was the first of many, with Edworthy averaging three missions a year to Haiti, Nepal and Ghana in West Africa, as well as Mexico. Today, he does just twice-yearly excursions, accompanied by his staff from Mill Lake Dental in Abbotsford, where he is the sole practitioner. This year, Edworthy will visit Mexico in July, followed by a trip to Haiti in November, focusing not only upon dental care but establishing the infrastructure needed to create efficient, working clinics that will attract other volunteer dentists throughout the rest of the year. Edworthy’s upcoming Mexican destination is Casa de Luz Mexico, located in the small town of Primo Tapia on the Baja Peninsula south of Tijuana. Casa de Luz (House of Light) is a church-run organization

May/June 2019 Just For Canadian dentists

9


r o b e r ta s ta l e y

that supports single mothers by providing a daycare for their children. The youngsters receive food, education and, when they are older, high school scholarships if they show academic

ground for drug dealing and gangs, Casa de Luz is focusing its limited resources on youth. “The young kids drift into drugs really quickly so instead of building the dental clinic they are building a youth centre to give the old kids something to do,” Edworthy says. Dr. Sam A permanent clinic in Haiti is being Edworthy (right) planned for Heart to Heart (H2H) changes people’s children’s home in Grand Goâve, west lives in Mexico of the capital of Port-au-Prince. H2H and Haiti houses 200 orphans and supports another 500 local kids whose parents are too poor to provide food and education. Gradually, Edworthy is leaving more and more of the equipment he brings from Canada, such as a dental chair and compressors, at the main church building where much of the clinical work takes place. Such items are mobile and can be packed up in a truck for long and arduous 10-to-12-hour drives over rough roads to tiny subsistencefarming communities perched on Haiti’s steep hillsides, where dentists are needed promise. Equipment for the proposed perbut rarely seen. manent clinic, such as dental chairs, is being Edworthy doesn’t simply undertake purchased locally. However, progress is slow, clinical work when abroad, he also teaches. due to an even greater need than dental During a visit to Kumasi, in the south of health. With Mexican barrios a breeding

Ghana, Edworthy took one of the local pastors under his wing, teaching him anesthetic, simple extractions and fillings so people in pain wouldn’t have to wait months for the arrival of a Western dentist. “He didn’t have any medical background but he caught on quickly, so did quite well,” says Edworthy. While in Nepal, at a Western-funded hospital, he tutored a young Nepalese man who had been taught the fundamentals of dentistry by a visiting physician. “He was doing dentistry on his own so I was able to enhance his dental training.” One of the things that Edworthy has learned from his 60-odd trips to developing countries is how similar people are around the world—whether they are rich or poor. He has also learned a profound lesson: an individual’s good or bad health is largely based upon their place of birth. “It’s a matter of where you were born and the luck of the draw.” Unfortunately, in places like Mexico or Haiti, corrupt, self-serving governments can’t be relied upon to bring about positive change. So Edworthy does what he can. “People are very grateful. It’s a good feeling helping people.”

courtesy of Dr. edworthy

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the thirsty dentist lisa kadane Lisa Kadane is a newspaper and magazine writer who likes to travel and partake in the destination’s preferred tipple, whether it’s rum, wine, a margarita or whisky sour. She’s been sharing her thoughts on spirits and cocktails since 2010.

A cocktail tour

Boldly go where the contents of your glass take you

r ov n i k

* Ogopogo Sour cocktail Pour all ingredients except ice, bitters and garnish into a cocktail shaker. Shake until incorporated and frothy. Add ice and shake until chilled. Double strain into a chilled coupe glass. Dot bitters over the surface of the drink in an up-anddown pattern, then use a straw to connect the dots in an Ogopogo shape. Garnish with a cherry. —Recipe excerpted from A Field Guide to Canadian Cocktails by Victoria Walsh and Scott McCallum

n

1 small egg white ¾ oz kirsch, such as Maple Leaf Spirits Canadian Kirsch ¾ oz cherry liqueur ¾ oz freshly squeezed lemon juice ¼ oz scotch ¼ oz orgeat Large handful of ice cubes 3–4 drops Bittered Sling Suius Cherry bitters or Angostura bitters 1 fresh cherry or homemade cocktail cherry for garnish

sa fa r i

cocktail PHOTO: Juan Luna; travel photos by Lisa Kadane

travelling tipple*

flavours of Chartreuse, cardamom and Bruto Americano. Sip it and imagine you’re on a boat with a fierce but mesmerizing predator. West in Whistler, where snow-toqued peaks dominate every view, bartender Lauren Mote created the Spirit of the Mountains menu for Sidecut Modern Steak + Bar at the Four Seasons Resort. The six drinks pay homage to mountains spanning the globe, from Japan’s Mount Fuji to the roof of Africa (Mount Kilimanjaro), and use exotic flavours, aromatic fragrances and even mouth-feel to encapsulate their essence in a glass. And in Vancouver, the tiki torches of the 1960s, 70s and 80s are being re-lit at H Tasting Lounge in the Westin Bayshore, as a tribute to the Trader Vic’s that occupied the space for three decades. The iconic Bayshore Inn cocktail is a medley of South Pacific flavours including rum, pineapple, falernum and coconut, while bartender Chiara Fung’s enticing “True Lies” takes tiki to a new level. Not everyone associates tropical flavours with Vancouver, but in the context of the bar’s tiki past, it works, says Fung. And chances are, travellers from afar who session these tipples on the new tiki patio will circle back to their time in Lotusland if they recreate in these recipes when back home.

b Du

Walsh so believes in this idea that she co-authored a book in which it’s the central theme. A Field Guide to Canadian Cocktails takes readers across the country one glass at a time, from Victoria to Prince Edward Island. It tells the story of made-in-Canada drinks that reflect place through history and context, food pairings, or local spirits and ingredients. In the fruit-laden Okanagan Valley, Walsh’s “Ogopogo Sour” (see recipe below) features valley cherries turned into kirsch and liqueur. It’s the taste of summer, juiced and fortified, and—if you made a point of consuming an Ogopogo Sour a day while vacationing in BC’s sunny interior—would no doubt come to represent the cherryeating days of your lakeside holiday. For Toronto, she features “The Torontonian” by Robin Goodfellow of Bar Raval, a riff on the city’s bold and bitter whisky and Fernet classic. In PEI, where fresh seafood influences drink choices, a “Sparkling Watermelon Sipper” becomes her light, thirst-quenching foil to fresh oysters. Bartenders are tapping in to this trend, too, creating entire menus whose purpose is to transport the drinker elsewhere. In Calgary, Proof’s new list evokes fictional places or worlds featured in books and movies. The Richard Parker, for example, is named after the tiger in Canadian author Yann Martel’s Life of Pi. Fittingly, it captures the bite of Lot 40 whisky with the alluring

o

I

have long believed in the transportive power of cocktails. During a trip around the Adriatic Sea, my husband and I enjoyed so many Aperol spritzes that those effervescent bubbles, splashed with the bittersweet orange liqueur, became the holiday’s liquid anthem. Now, whenever I sip the ruby-hued tipple it carries me back to the canals of Venice or the walls of Dubrovnik. Likewise, I cut my safari teeth in Tanzania while sipping Sundowner G&Ts. In the years since, this simple highball—historically used as a malaria Rx—has become my prescription for helping hot summer evenings approximate the leisurely pace of a game drive. The power of spirits to induce nostalgia trips isn’t just a phenomenon for drinks from far-flung destinations. Plenty of Canadian cocktails remind me of home, too. The combination of Alberta Premium Dark Horse Rye and tea-infused Pilsner in “A Bit of Northern Hospitality,” an original cocktail from the creative bar team at Proof (sadly, no longer on the menu), will forever remind me of Calgary. Similarly, the smell and spice of Caribou—a boozy punch of red wine and grain alcohol—plunks me right back in the Québec forest at a trappers’ camp where I first tried it. “Cocktails transport you back to a place,” agrees Victoria Walsh, a writer, recipe developer and food stylist. “It’s the look and the smell and the taste.”

May/June 2019 Just For Canadian dentists

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motoring

D r . k e l l e n s i lv e r t h o r n Dr. Kellen Silverthorn is Just For Canadian Dentists’ automotive writer. He tries to keep one convertible and/or one track-day car in the family fleet.

Colour me crazy Trendy car colours have little staying power…

A

utomotive colour fads have come and gone for decades. These trendsetting hues arise from automotive obscurity, promulgate, and within a few years, fade back to oblivion. The current such automotive colour fad could be described as grey-white, sometimes with a hint of light brown. I’ve taken to calling this hue “Dirty Dishwater.” Usually I’m ambivalent, or even mildly positive, to the revolving door of carcolour fads. My pejorative label for the grey-white trend presumably conveys my negative opinion on this one. Most auto hues have aspirational names that would make laxative manufacturers blush—say, “Enlightened Serenity.” Or are rather on the

nose, like “Plum Crazy” (seen on the Dodge Challenger, next page). The Dirty Dishwater appellation won out over “Concrete Slurry” in my self-absorbed name game. Yet, there is more to this tale than flaming out others’ aesthetic choices in car colour. Please accept my apologies if you have acquired such a trendy-hued vehicle. And you might cringe at my choice of wall art. Beauty is in the eye of the beholder, after all. However, I knew it was time to share this story with JFCD readers when we unwittingly ordered my wife’s dream SUV in a variant of Dirty Dishwater. How could this happen? All manufacturers have a “Build Your Own Vehicle” section within their websites.

Within said site, while equipping her dream ride, “Meaningless-Pronoun White” in the metallic paint section seemed white enough on the computer screen. However, within days, an SUV of the same brand drove by us dressed in Dirty Dishwater. We recoiled at the sight. Panic gripped us. Could Meaningless-Pronoun White be a marketing alias for Dirty Dishwater? With a sinking feeling we made our way to the nearest dealer. The playingcard-sized colour samples in the showroom were scarcely better than the thumbnails on the computer screen. Our concern was yet further heightened. We ended up wandering the dealer’s not-yet PDI’ed (pre-delivery inspection for less car-versed


motoring

D r . k e l l e n s i lv e r t h o r n

FCA/Fiat chrysler automobiles

Dod g e Th e 2010 e r in Ch a l le n g a zy ” "Plu m C r

folk) inventory until we found a vehicle with the no-extra-charge refrigerator-white colour we wanted. Fortunately our ordered SUV had not yet been built, and our colour preference could be changed. Salvation, then. The wisdom of aging propels us to construct take-away lessons. Regardless of the colour you’re after, do not rely on

computer-screen depictions or paint swatches in the dealer’s showroom. To judge the colour you’re going to be living with for the next thousand or so days, you need to view an entire vehicle from that brand painted in the hue in question. And you need to view said vehicle outside in daylight.

Of course, there is more to the topic of car colours than being aware of the latest trend—and ensuring you actually like the colour once it’s blown up from thumbnail size to 15 feet long and 4,500 pounds. Fads come and This column go, like this purple has previously that was first offered on further detailed 1970 Dodge muscle cars. The “Plum Crazy” hue was conventional reborn on the Dodge 2010 wisdom in car Challenger, seen here. colour choice (“Something Old, Something New…” in the January/February 2011 issue). The takeaway points were that black, silver and white are the safest colour choices for resale. Certain cars can wear more diverse colours, such as red for Ferrari, blue for Subaru WRX or Shelby Mustang, and British Racing Green for anything British. Importantly, if you are using a walk-away leasing plan, Dirty Dishwater or any other colour choice in the continued on page 26

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travel the world

trekking high in A long trek to Everest Base Camp and mission to bring vital health care Suspension bridge over Dudh Koshi river above Prayer flags at EBC opposite, top Australian mountaineer Andrew Lock opposite, bottom EBC horseman


travel the world

I nepal story

+ photography by Sarah Staples

n high trekking season, 500 tourists every day step off twin-engine turboprop planes at Tenzing-Hillary Airport, in Lukla, Nepal. Its single paved runway ends in a 2,000-foot vertical drop, so from there, you’d best be headed up, not down. And most trekkers— by some estimates, 40,000 a year—are aiming for Mount Everest’s South Base Camp, or EBC: a thin line of colourful tents fixed like barnacles to a glacier at 17,598 feet of elevation. Attempt to fly directly to EBC, and you’ll be unconscious in minutes and risking high-altitude pulmonary oedema (HAPE) or cerebral oedema (HACE) within hours. The atmospheric pressure is 50% of sea level, causing an equivalent cliff-dive in blood oxygen saturation (SO2). The trek to EBC is a beautiful, spiritual experience, one of earth’s epic adventures. It’s also physically uncompromising and at times slightly terrifying. “Bistari, bistari” isn’t a quaint Sherpa saying, so much as a polite warning that at least 12 days of trekking, slowly, slowly, are essential for the body to acclimatize. Last spring, I hooked up with MSH Trek Everest: a trip to EBC by 25 staff and supporters of Markham Stouffville Hospital organized as a fundraiser for the hospital foundation. MSH’s physicians ended up diagnosing HACE in three trekkers from other expeditions who were hallucinating, vomiting, their SO2 lagging in the mid-50s. Three lives were unexpectedly saved. Our group also donated medical and school supplies, and thousands of dollars to Sherpa villages. But the greatest surprise was learning just how closely we’d been following the boot-steps of Canadian physicians, nurses, teachers and forestry experts who have gone before. There’s a little-known, extraordinary legacy of Canadian humanitarian achievement in the foothills of the world’s highest mountain. And much of it traces back to the friendship between an ex-Toronto Argonaut football player and Sir Edmund Hillary, who was the first to climb Mount Everest, on May 29, 1953.

Months after my trek, William (Zeke) O’Connor sits in the tidy living room of his retirement condo, flipping through photo albums and old slideshows. He’s helping me ‘unpack’ the history of Canadians on the trail to EBC. In one grainy photo, he’s smiling broadly, having just caught the championship-winning pass of the 1952 Grey Cup. Zeke grew up in New York’s Bronx neighbourhood, attended University of Notre Dame, played for the NFL and CFL. Retiring from pro sports, he joined Sears and rose to take charge of its outdoor gear division. That’s how he met Ed Hillary. Following his ascent of Everest, Hillary had become an international superstar. He was also a Sears brand ambassador and gear-tester, and in 1972, was sent by the retailer on a canoe trip to Québec’s La Vérendrye Wildlife Reserve. Zeke was there, too. And afterward, Sir Ed convinced his new Canadian friend to join him in Nepal the next year, repairing bridges along the trail to EBC. Hillary, through his Himalayan Trust, had fundraised to build Lukla’s airport by hand. He foresaw the inevitability of tourism—ordinary folks would want to retrace his own route to Everest, he knew, and was determined to help the region’s May/June 2019 Just For Canadian dentists

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travel the world semi-nomadic mountain tribes, originally from Tibet, reap the benefits. In Zeke’s fascinating memoir, Journey with the Sherpas, he recalls asking Hillary what token of gratitude he could offer for such a life-changing trip. “Help me help the Sherpas,” the mountaineer replied. So in 1974, Zeke founded his own charity, the Sir Edmund Hillary Foundation (SEHF), and with Hillary, hit the Rotary and Lions Club breakfast circuits across Canada. While Sir Ed led the creation of Nepal’s Sagarmatha National Park, Zeke spearheaded the replanting of more than five million trees surrounding Mount Everest. Hillary and his brother Rex built 12 schools before they met Zeke; together they built 16 more. Over the years, they also established and managed many of eastern Nepal’s first hospitals, surgical MASH units, women’s health and literacy programs, steel bridges, roads, latrines, gardens—you name it. From 1977 to 2003, the Toronto-based foundation was the largest individual donor to Hillary’s vision of communityled development. Photo after photo shows the now 93-year-old Zeke standing shoulder-to-shoulder with Sir Ed and village elders, hauling construction supplies. “Our relationship wasn’t just a friendship; Ed was more like a brother,” he explains. “The whole thing just evolved.”

Beyond Lukla, the trail ebbs and flows through pleasantly undulating hills and fertile valleys of the lower Solukhumbu District, then up stone steps chiselled into steeper and steeper mountains. In spring, the teahouses and their open-air patios are full, and you can spot mountaineering legends trekking to EBC, where they’ll wait for a break of perfect weather to make a dash for the top. Certain classic sights you tick off like rosary beads. Porters and yak trains ferrying anything from fridges to roofing up the hill. Buddhist stone mani walls draped with coloured flags that send prayers to the wind. Rhododendrons, azaleas and magnolias arcing over the trail—so old, they might even be the same giant blooms that Zeke saw, reminding him of a Shangri-La. At the convergence of the Thami and Khumbu valleys, the Namche Bridge—the best-known of a series of Swiss-made steel suspension footbridges—sways with the weight of trekkers crossing the Dudh Khosi River. These bridges used to be made of logs lashed together over gorges. Zeke, petrified, crawled across on hands and knees, he

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Just For Canadian dentists May/June 2019

recalls. It was Hillary who introduced the safer suspension design. At Namche Bazaar, an acclimatization midpoint for trekkers to EBC, we browse camping stores and delicious bakeries, then go on a day-hike to Kunde Hospital. It’s the highest 24-hour critical-care centre on earth, at 12,598 feet of elevation, and treats some 8,000 Sherpas and a few dozen tourists every year. Kunde Hospital is funded by SEHF. For decades it was staffed by husband-andwife physician teams mostly from Canada and New Zealand. At first, they slept on the operating-room floor. Now the hospital is led by chief medical director Dr. Kami Sherpa, who earned his medical degree on a Canadian-funded scholarship. At the next village, Khumjung, we visit a school hand-built by Sir Ed. It’s one of dozens that in the earthquake-prone region, Canadian donations have helped rebuild (along with the famous monastery at Tengboche).

Just as Hillary predicted, in two generations, the Sherpas have built a prosperous climbing economy. But the ‘Everest Effect,’ you might call it, doesn’t apply equally. Veer off the trail to EBC, and in the next valleys, you’ll find evidence of crushing poverty. There’s still so much to do. Zeke didn’t make it to EBC in 1973. A colleague’s altitude sickness forced everyone to turn back at nearby Gorakshep—a first twist in a journey he’d never expected to take, which has lasted nearly a lifetime. Now Sears, SEHF’s key patron for decades, is bankrupt, and its implosion threatens countless Nepalis a world away. Without Sears, SEHF will struggle to pay for projects like Kunde Hospital. “We’re still operating overseas normally, and we certainly will go on,” he explains, “but we’re out searching for a replacement patron, fast.”

Past goat-herders’ cottages of the high alpine, a pulverized mass of boulders riven with ice and clay dominates the treeless landscape, gouging its way through a highsided valley. The Khumbu Glacier is framed by Himalayan mountains, like a tongue flicking between snow-white teeth. It leads beyond the Everest Memorial site of rubble cairns paying tribute to fallen climbers. These higher reaches of the trail, where the basic ingredients of life, earth and death collide, are the loveliest by far.


travel the world hallowed crew Sir Edmund Hillary’s decades of humanitarian accomplishment reflected his belief that individuals have the power to effect lasting positive change. His can-do spirit inspired MSH Trek Everest, which was timed to the 65th anniversary of Mount Everest’s first ascent. Sir Edmund Hillary’s son, Peter Hillary, and Australian Andrew Lock, only the 18th person ever to have climbed all 14 of the world’s highest mountains (in every case but Everest, without supplemental oxygen), were guides and honoured guests.

Stupa honouring Sherpas, near Tengboche above Arriving at EBC by the Khumbu Icefall right Yaks at EBC opposite, from top A Buddhist mani wall possibly hundreds of years old; Hindu women at Kathmandu’s Pashupatinath temple; hiking beyond Namche Bazaar; teahouse terrace near Namche Bazaar

May/June 2019 Just For Canadian dentists

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travel the world

Mani wall en route to EBC Peter Hillary

Lukla

One afternoon before we take part reach Base Camp, Dr. Eileen Join renowned Canadian Lougheed sits me down on mountaineer/filmmaker/ a rock and advises deep expedition leader Ben Webster on breathing to calm my his next charitable expedition: ben@ vagus nerve. A chaotic canadianadventureproductions.com. Donate to MSH Trek Everest: (mshf.on.ca/ thumping of arrhythmia featuredevents. Reach Zeke, at zoconnor. subsides. But that night, sehf@gmail.com, to find out how you can whenever I shut my eyes, support medical and dental care for I stop breathing—it’s the Sherpas of eastern Nepal altitude-induced sleep through the Sir Edmund apnea, scary as hell. Hillary Foundation. At least I’m coherent, unlike those three trekkers from the Indian expedition, who Drs. Lougheed and Roberta Hood, nurse-practitioner Stephen Ng and others from MSH Trek Everest had worked to keep alive until they could be medevacked to safer altitudes. Dr. Lougheed, suffering from a prior injury, ends her trek very nearly at EBC, then choppers the rest of the way in for a quick look. Dr. Hood makes it there, and poses for a group portrait by the helipad. That evening, she succumbs briefly to the over-exertion of nights on call treating fellow trekkers, but is fine after some pure oxygen and rest. I reach EBC, too, and watch yellow-billed choughs soaring into the ‘death zone’ above 26,247 ft. They’re a reminder that humans aren’t meant to be here. This experience can come at a price. But, overall, my apple pie fresh-baked for lunch at the edge of Mount Everest, could never taste sweeter.

Sept. 20-21, 2019 • Old Mill Toronto ESTHETICS • HEALTH WELLNESS • WHITENING PRACTICE MANAGEMENT www.clinicalresearchdental.com • 1-800-265-3444, ext 223 PRESENTED BY:

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SPONSORED BY:


beijing / prague / whistler / amherst / aruba … |

calendar

ce

A n intern ation a l guide to con tinuing denta l Education

spr ing 2019 + beyond

beijing

clockwise, from top left Flowers in Tian’anmen Square commemorate the founding of the People’s Republic of China on October 1, 1949; Tian’anmen

Gate, formerly the front gate of the Forbidden City; holiday crowds on the Great Wall at Bādálǐng; ornate detail from the roof of the Temple of Heaven; The Temple of Heaven looms high; skewered fried scorpion on Wangfujing Snack Street in Beijing’s Dongcheng district

big in beijing Explore China’s colossal capital of culture + cool (CE events in Beijing are in blue.)

janet gyenes

T

here’s a touch of sweetness to the fried scorpion I’m crunching on while strolling Wangfujing Snack Street in Beijing’s Dongcheng district. It’s one of the delicacies hawked in this ravenous megalopolis of 21.5 million that’s brimming with thousands more when I visit during Chinese New Year, or Spring Festival. But crowds converge here year round, many of them domestic tourists. I find fewer people and less-daunting items like tanghulu, sweet-tart candied hawthorns threaded on bamboo skewers in the lacework of lively hutongs like Dazhalan Xijie near Tian’anmen Square. Heady aromas emanate from these traditional alleyways that are steadily disappearing as this behemoth capital trains its focus on the future. Case in point: the new Beijing Daxing International Airport (designed by Zaha Hadid Architects and ADP Ingénierie) will become the world’s largest when it opens in September. Dubbed the “starfish” by Chinese

media for its sci-fi shape, it will welcome 72 million to the Imperial Vault of Heaven, an ornate three-tiered people annually, well in advance of Beijing hosting the circular structure ringed by an Echo Wall. Its hermetically 2022 Winter Olympic Games. Earlier this year, China’s sealed bricks send the sound of even a whisper to the other end of the round structure. A different kind of expanded 144-hour visa-free transit policy came into effect, making it even easier for international travellers grandeur greets me a day later when I disembark the to explore this cultural nexus that’s home to seven of train at Bādál ǐng for my first foray on the Great Wall. the country’s 53 UNESCO World Heritage sites. Located just 70 km north of the city core, in 1957 Local life, however, still plays out among the this section of the Wall was the first opened to centuries-old cypresses and lush gardens tourists and it remains the busiest and best [go] More info: surrounding the ancient architecture at preserved (see “Wild Walkers,” page 5). I travelchina.gov. the Temple of Heaven, or Tian Tan, first spend hours in awe walking this vast stone cn/en. For a trip constructed in 1420. I wander by seniors snake coiling across the scrubby winter beyond Beijing, see page 5. bent over decks of cards and dominos landscape. Although it’s slow-going being and stop to watch a group of men play a wedged shoulder to shoulder with thousands spirited ring-tossing game before visiting the who have also made the trek to explore the 273-hectare complex’s temples and sacrificial altars Ming dynasty-era towers and crenellated battlements where emperors prayed for rain and a good harvest there’s something about being in the crush that feels during the Ming and Qing dynasties. There’s a regal vibe comforting and quintessentially Beijing. — Janet Gyenes May/June 2019 Just For Canadian dentists

19


c e calendar

Cosmetics/Aesthetic

Anesthesia/Sedation

ce

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Jun 08

New York New York

Renaissance In Local Anesthesia

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Jun 13

Edmonton Alberta

Local Anaesthetic Module - Theory Component

University of Alberta

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Local Anesthesia For The Dental Hygienist

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Denver Colorado

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Nov 12

Victoria British Columbia

Anxiety Control By Oral And Inhalation Sedation In The Dental Practice By Dr. Mark Donaldson

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Sep 07-11 2020

Dublin Ireland

Anesthesia Update

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Jun 13-15

Chia Italy

Focus On New Visions In Dentistry 2019

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Jul 19

Toronto Ontario

Everyday Dental Pearls In Aesthetic Dentistry With Dr. William “Bo” Bruce

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44th Annual Meeting Of The American Academy Of Esthetic Dentistry

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Aug 22 2019Nov 07 2020

Denver Colorado

OBI Advanced Bioesthetic Rejuvenation (9 sessions)

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Indirect Esthetic Dentistry Hands-On Training Instructor Dr. Ross W. Nash

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Oct 24-25

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Seamlessly Replacing A Missing Tooth In The Esthetic Zone

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Chicago Illinois

Treatment Planning Functional Esthetic Excellence

The Dawson Academy

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Dec 29 2019Jan 05 2020

New Year’s Caribbean Cruise

Dr. Susan McMahon: “Conservative Cosmetic Dentistry For Teenagers”

Mindware Educational Seminars

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Apr 10-11 2020

New York New York

Aesthetic Advantage - Hands-On Aesthetic Course

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IV Moderate Sedation Training For Dentists Oct 4, 5 & 6 (Didactic) Oct 11, 12 & 13 (Didactic) Oct 18, 19 & 20 (Clinical)

new CE to be placed Cosmetic Pearls For The General Dental

JULY 26-28, 2019 Sheraton Centre Toronto Hotel | Toronto | Ontario | Canada

AACP 34TH ANNUAL INTERNATIONAL CLINICAL SYMPOSIUM Main Scientific Program on all facets of TMD and dental sleep medicine diagnosis and treatment. Speakers include Drs. Michael Gelb, Brock Rondeau, Barry Sessle, Michael Miyasaki and more. Special Fundamentals Program to introduce doctors to the field. Ancillary programs for all office assistants. Active exhibit hall and networking events. Details at: www.aacfp.org

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Just For Canadian dentists May/June 2019


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General Dentistry

Endodontics

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calendar

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topic

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Ongoing

Vancouver British Columbia

Course #1 Shaping, Cleaning, And Obturation Of Root Canal Systems Course #2 Re-Treatment & Other Complex Cases

Endodontics Unsponsored

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vancouverroot canals.com

Multiple Dates

North York Ontario

Endodontic Solutions Program: Strategies For Performing Endodontic Treatments Predictably, Profitably And Painlessly Jun 06-09, Nov 28-Dec 01

Clinical Dental Training

888-647-0007

clinicaldental training.com

Multiple Dates

Surrey British Columbia

Jul 30

Dallas Texas

Endodontic Success For The General Practice

Essential Dental Seminars

888-542-6376

essential seminars.org

Sep 18-21

Mont-Tremblant Québec

55th Annual Meeting

Canadian Academy of Endodontics

204-942-2511

caendo.ca

Nov 10

Victoria British Columbia

Endodontic Failures: How To Avoid, How To Diagnose And How To Treat By Dr. Jeffrey Coil

University of Victoria

250-721-8558 See Ad Page 24

continuing studies.uvic.ca

Apr 01-04 2020

Nashville Tennessee

American Association of Endodontists AAE20

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May 09-11

Toronto Ontario

Annual Spring Meeting 2019

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May 30Jun 09

Beijing China

Dental Study Tour To China

877-739-8764

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Jun 09-12

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Sino-Dental Beijing

International Health Exchange and Cooperation Centre

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Jun 27-29

Prague Czech Republic

125th Meeting Of The American Dental Society Of Europe

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Jul 26-28

Toronto Ontario

AACP 34th Annual International Clinical Symposium

American Academy of Craniofacial Pain

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Sep 04-08

San Francisco California

ADA And FDI World Dental Congress 2019

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41-22-56081-50

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Sep 20-21

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Women’s Dental Conference

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Oct 22-29

Italian, French & Spanish Rivieras Cruise

Current Dental Issues Symposium / 7-Night Cruise Rome To Barcelona On Windstar Wind Surf

Professional Education Society

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Nov 07-09

Whistler British Columbia

The Evolution Of Dental Medicine Summit

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aurumgroup summit.com

Feb 01-08

Maui Hawaii

40th Annual Hawaiian Dental Forum

Dental Seminars and Symposia

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BC Endodontic Solutions: Practical Rotary Endo For The General Practitioner May 31 – Jun 02, Nov 15-17, or Jan 24-16, 2020

Canadian Dental Implant Training Centre

See Ad Page 29

Association new CE to be placed Jon Baines Tours Ontario Dental

Rocky Mountaineer & Celebrate New Year’s on The EDGE! Alaska Cruise

MINDWARE EDUCATIONAL SEMINARS

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Mediterranean Cruise

July 15 - 28, 2019

Dec. 29, 2019 - Jan. 5, 2020

Dr. Will Martin “Emerging Technology: Streamlining Implant Therapy”

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Dr. Sam Halabo “Building Your Practice with Implants”

Experience the Rockies like never before, tour Vancouver and then cruise the Alaskan coast!

Ring in 2020 on a Magic Carpet, enjoy the ultimate foodie haven and live life on the EDGE! Save $2000/balcony cabin!

Enjoy la Dolce Vita aboard the luxurious Oceania Riviera and the Med’s poshest ports of call! Air included!

July 16 - 26, 2020

Register online and choose from any one of our great trips, all worth 12 CDE Credits! www.mindwareseminars.com …or call us today at: 1-888-574-8288 and book with the best! May/June 2019 Just For Canadian dentists

21


c e calendar General Dentistry

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Feb 07-23 2020

New Zealand & Australia

Speaker/Topic: TBA

Kennedy Professional Education Seminars

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May 14-16 2020

Singapore Singapore

ITI World Symposium 2020 Evidence And Trends For Patient-Centred Solutions: The Challenge Of Choice

ITI International Team for Implantology

41-61-27083-83

iti.org

Oct 08-19 2020

Italy & Greek Islands

Speaker/Topic: TBA

Kennedy Professional Education Seminars

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Multiple Dates

Vancouver British Columbia

2019/20 AAID Vancouver MaxiCourse Program Canadian Dental 2019: Sep 27-29, Oct 18-20, Nov 22-24, Dec 06-08 Implant Training 2020: Jan 17-19, Feb 21-23, Mar 20-22, Apr 17-19, Centre May 15-17, Jun 12-14

Multiple Dates

Multiple Locations

Implantology Unlimited Tampa, FL Jul 11-12 Washington, BC Jul 25-26 Las Vegas, NV Oct 10-11

Implant Seminars

See Ad Page 29

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Implantology

The BITE Club: Implant Prosthetics For The General Practitioner

22

Vancouver BC - Oct 24, Nov 21, Dec 05 2020: Jan 09, Feb 06, Mar 19, Apr 16 White Rock BC - Oct 21, Nov 18, Dec 09 2020: Jan 13, Feb 10, Mar 09, April 06 Victoria BC - Nov 14, Dec 12 2020: Jan 23, Feb 13, Mar 12, Apr 09, May 07

Canadian Dental Implant Training Centre

Multiple Dates

Multiple Locations

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Santo Domingo Dominican Republic

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Live Patient Extractions Focused On 3rd Molars May 16-18, Jun 06-08, Jul 18-20, Oct 10-12

Implant Seminars

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Live Patient Socket Grafting With Extractions & PRP/PRF Jun 27-29, Nov 21-23

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Jun 07-08

Surrey British Columbia

Surgical Assistant Team Training Program

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Jul 15-28

Rocky Mountaineer & Cruise of Alaska

Dr. Will Martin: “Emerging Technology: Streamlining Implant Therapy�

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Sep 06-08

Sydney Australia

Australian Society Of Implant Dentistry Accreditation And Fellowship Seminar Course 3 - Occlusion And Implant Prosthetics

Australian Society of Implant Dentistry

admin@asid. org.au

asid.org.au

Sep 19-21

Calgary Alberta

Surgical Implant Mentorship

The Aurum Group

604-708-8022 See Ad Page 12

drfrederick li.com

new CE to be placedImplant Seminars Live Patient Implant Surgical Bootcamp Jun 17-20 And Oct 14-17

Just For Canadian dentists May/June 2019


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when where

Orthodontics

Oral Surgery

Occlusion

Medical/Dental Issues

Implantology

ce

calendar

ce

topic

sponsor

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website

Oct 17-19

Fraser Valley British Columbia

Surgical Implant Mentorship

The Aurum Group

604-708-8022 See Ad Page 12

drfrederick li.com

Jan 10-12 2020

Montréal Québec

Cadaver Surgical Exercises For Implantology

The Institute for Dental Excellence

844-440-8433

tideinc.ca

Jul 16-26 2020

Mediterranean Cruise

Dr. Sam Halabo: “Building Your Practice With Implants: Enhancing Diagnosis, Placement, Cementation And Marketing”

Mindware Educational Seminars

888-574-8288 See Ad Page 21

mindware seminars.com

Ongoing

Online

Dental Emergencies: Cardiac Emergencies

American Seminar Institute

866-611-5599

americansemi nar.com

Ongoing

Online

Contemporary Approaches To Antibiotic Prophylaxis In Dental Practice

MetLife Quality Initiatives Program

866-438-5472

metdental.com

Oct 20-27

Mexican Riviera Cruise

Introduction To Sleep Medicine From The Perspective Of Medical, Dental And Mental Health

Continuing Education, Inc./University at Sea

866-456-9464 See Ad Page 31

continuingedu cation.net

Nov 11

Victoria British Columbia

Managing Medically Compromised Patients In Dental Practice By Dr. Stanley F. Malamed

University of Victoria

250-721-8558 See Ad Page 24

continuing studies.uvic.ca

Jul 21-25

Key Biscayne Florida

Essentials 2: Occlusal Appliances & Equilibration

Pankey Institute for Advanced Dental Education

800-472-6539

pankey.org

Oct 04-05

Calgary Alberta

Intro Course: Understanding Practical, Predictable Occlusion

800-426-0316

myotronics. com

Jun 27

Mayville New York

Chautauqua Dental Congress - 40th Anniversary - Oral & Maxillofacial Surgery Boot Camp

University at Buffalo School of Dental Medicine

716-829-2839

buffaloce.org

Oct 06-13

Eastern Caribbean Cruise

Oral, Maxillofacial & Head And Neck Pathology

Continuing Education, Inc./University at Sea

866-456-9464

continuingedu cation.net

Feb 15-22 2020

Sandals Grenada

Dr. Allen Burgoyne - Surgical & Prosthetic Treatment Planning & Complications

Kennedy Professional Education Seminars

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Jun 07-10

Miami Florida

Comprehensive Orthodontic Program Live Series

Progressive Orthodontics & Progressive Dentistry

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posortho.com

Sep 13-14

Calgary Alberta

Level I, Introduction To Orthodontics

Rondeau Seminars

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rondeau seminars.com

Sep 20-21

Toronto Ontario

Case Finishing And Mechanics With Dr. Adrian Palencar

Rondeau Seminars

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Sep 20-21

Toronto Ontario

Level I, Introduction To Orthodontics

Rondeau Seminars

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Academy of Gp Orthodontics

800-634-2027

academy gportho.com

RS_LasVegas_MagAd_DentistsCDN_2019_030619.pdf 1 06/03/2019 Sep Oklahoma City 2019 Annual Meeting 26-28 Oklahoma

9:16:49 PM

Early Treatment, Case Finishing & Airway Conference Paris Hotel, Las Vegas • October 24, 25 & 26, 2019

new CE to Myotronics be placed

FINAL VEGAS CONFERENCE! Event Speaker List Dr. B. Rondeau - Diplomate IBO Dr. T. Shipley - Orthodontist Dr. M. Lowry - Diplomate IBO Scott Manning - Practice Management Specialist Dr. D. Grummons - Orthodontist Dr. M. Gelb - Diplomate ABCP

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Dr. D. Slabach - Diplomate ABCP Dr. J. Gildner - 25yrs in Orthodontics

Rondeau Seminars The Leader in Dental Continuing Education

May/June 2019 Just For Canadian dentists

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c e calendar

Practice Management, Technology and Planning

Prosthodontics/Restorative

Periodontics

Pediatric Dentistry

ce

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Ongoing

Online

Pediatric Behavior Management

Advanced Continuing Education Systems

888-844-2237

aces4ce.com

Custom

Onsite at your location

Pediatric Advanced Life Support (PALS) For Dentists

Sea to Sky Dental-Ed

778-984-0915

dental-ed.com

Jul 28Aug 04

Western Mediterranean Cruise

Pediatric Dentistry

Continuing Education, Inc./University at Sea

866-456-9464 See Ad Page 31

continuingedu cation.net

Sep 12-21

Venice & the Adriatic

Dr. Francis Serio – A Little Bit Of Everything In Non-Surgical Periodontal Therapy Peri-Implantitis, Treatment Planning

Kennedy Professional Education Seminars

877-536-6736 See Ad Page 22

kennedy seminars.com

Sep 18

Toronto Ontario

Periodontal Plastic Surgery: Soft Tissue Augmentation For Function And Aesthetics

Prosthodontic Associates Centre for Excellence

877-920-7223

pace education.ca

Nov 02-05

Chicago Illinois

105th Annual Meeting Of The American Academy Of Periodontology

American Academy of Periodontology

312-787-5518

perio.org

Multiple Dates

Toronto Ontario

Genesis Continuing Dental Education

416-229-6002

genesiscde. com

Sep 26-28

Toronto Ontario

Canadian Academy Of Restorative Dentistry And Prosthodontics Annual Scientific Meeting

Canadian Academy of Restorative Dentistry and Prosthodontics

902-435-1723

cardp.ca

Nov 09

Victoria British Columbia

Restorative Update 2019: Materials & Clinical Techniques By Dr. Richard G. Stevenson III

University of Victoria

250-721-8558 See Ad Page 24

continuing studies.uvic.ca

Jan 30Feb 01 2020

Aruba

Aruba Dental Conference

Clinical Research Dental

800-265-3444 See Ad Page 18

arubadental conference. com

Mar 14-21 2020

Turks & Caicos

Dr. Carl Driscol – Growing Your Practice: Prosthodontic Treatment Procedures For The Restorative Dentist

Kennedy Professional Education Seminars

877-536-6736

kennedysemi nars.com

Ongoing

Online

Dental Recordkeeping

College of Dental Surgeons of BC

800-663-9169

cdsbc.org

Jun 29Jul 06

Mediterranean Cruise

Course 1: The “2019 Bottom Line” - With Gordon Christensen Course 2: “Creating a Successful Practice” - With Lois Banta

Gordon J. Christensen

800-223-6569

pccdental.com

Jul 15-18

Halifax Nova Scotia

We’ve Crammed Over 31 Years Of Dental Practice Management Experience Into This 4-Day Intensive Workshop Specifically Designed For Dental Office Managers & Professionals

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403-984-0114

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Jul 31Aug 13

Scandinavia and Russia Cruise

Dr. Amarjit Rihal – Digital Technology In The Modern Dental Practice

Kennedy Professional Education Seminars

877-536-6736 See Ad Page 22

kennedysemi nars.com

Aug 27Sep 05

Northern & Western Europe Cruise

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The University of Victoria is an ADA CERP recognized provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. The University of Victoria designates this activity for seven continuing education credits per day.

250-472-4747

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24

Just For Canadian dentists May/June 2019


t h e w e a lt h y d e n t i s t M a n f r e d p u r t z k i Manfred Purtzki, CPA, CA, is a principal in the Vancouver office of Purtzki Johansen & Associates. He can be reached at: Manfred@purtzki.com or 604-669-7558.

Honey, I shrunk our investment The incredible shrinking investment return

Y

ou are investing in the Canadian stock market, which has enjoyed a robust average annual growth of 8.5% for the last 30 years. Yet, your investments have you perplexed or, more likely, depressed, because these stock market gains are not reflected in your portfolio. What is the reason? Consider the following scenario. You invested $10,000 in 1980 in the stock market and left it there until 2018. During that period the S&P/TSX composite index generated an average annual return of 8.5%. That means your $10,000 investment grew to $222,000. But not all that money came to you. After paying your 2% annual management fee, your investment shrank from $222,000 to $109,000, a 50% drop! Income tax ate up approximately 20% as well and, taking into account the inflation rate of 2.8%, your net return on investment ended up a meagre 2.4%. After investing $10,000 for 38 years you ended up with less than $25,000 in real money (see table above). You need some strategies to boost those returns. Look for ways to reduce your management fee. Although 2% sounds harmless, in our example, it reduces your stock market gains by more than half. The reason for this is that instead of compounding at 8.5%, your money was 1

Investment* S&P/TSX comp. average

8.50%

$221,988

Management fees

2.00%

$(112,521)

Income before tax

6.50%

$109,467

Income tax at 20%

1.30%

$(21,893)

After-tax return

5.20%

87,574

Inflation adjustment

2.80%

$(62,948)

Real net return

2.40%

$24,626

*$10,000 invested in 1980 until 2018

only compounding at 6.5%. Over many years, that makes a huge difference. 2 Flow revenues back into your practice. For instance, a renovation to give the clinic a much needed facelift results in more patient referrals and a much improved office morale—a huge return for the money spent. 3 Become more diligent. These options may be less palatable but they are straightforward: spend less, save more and work longer. 4 Set up a professional corporation. One of the most effective and easiest ways

to boost returns is to simply save money in your professional corporation or holding company rather than personally.

4 strategies to battle that investment

shrinkage

That last strategy of setting up a professional corporation offers a tax deferral benefit that has a huge impact on your retirement savings. If the income in your corporation is taxed at a low tax rate of, say 11%, it means that $89 out of every $100 of practice income is retained in the corporation. Consider an unincorporated 35-yearold dentist earning $250,000 who requires $125,000 of after-tax income for living expenses. If the dentist invests the remaining funds annually at 6% for 30 years, this unincorporated dentist will accumulate a $2.5-million nest egg by age 65. Compare that to an incorporated dentist with the same earnings and expenses who uses the corporation as an investment vehicle and pulls out the funds personally at age 65. That dentist’s retirement fund will be significantly higher: $3.9 million. By not incorporating, the first dentist lost out on $1.4 million in retirement savings. To make up that shortfall, he or she would have to work another seven years until age 72.

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May/June 2019 Just For Canadian dentists

25


D r . k e l l e n s i lv e r t h o r n

is an expensive 15-foot billboard advertising that you haven’t kept up with the fads, nor the Kardashians, nor the Joneses. When I see a fadcolour car from the past I can’t suppress mental associations with the politics, economics and popular culture of that past period. I’ve got your backstory: matte black, metal-flake cream, Another burnt orange, teal, colour fad… BMW’s “Frozen” black matte aubergine and was followed by versions earth tone green/ in red, white and blue…as brown/maroon. I well as dark brown and can match them to continued from page 13 universe grey. What’ll the next Carter, Reagan, Bush, colour trend be? means no financial harm, nor foul. Clinton, Bush, Obama. The value of the car at the end of the Ditto with linkages to lease is pre-determined independent of then-popular TV series. Dirty the car colour. As well, you’ll be rid of the Dishwater will wear Trump’s epitaph, which car before Dirty Dishwater is, at most, one seems somehow cosmically fitting. Here’s or two fad colours out-of-date. However, hoping both prove mercurial. after a few years, that same fad-colour car

In the used-car trade these past fad colours are charitably referred to as “period colours.” Typically such a characterization is the equivalent positive spin of “nice personality” to the blind date a friend set you up with. Most dealers will discount, or even decline, a trade-in when painted a colour they expect to be hard-to-move— including yesteryear’s colour fad. Some pundits argue a rare or past trend adds value and interest to any used car. Generally, I would argue the opposite for every example I’ve listed above. I’ll posit two exceptions: Soft pastels from Eisenhower’s era rock around the clock; Nixon-era loud jellybean colours, which are sweet when adorning muscle cars or exotic sports cars. Said jellybean colour theme has kept an underground following among special-interest car models. Generally, the more adventurous the car model, the more latitude for ostentation in its paint-colour choice. Somehow, I don’t think Dirty Dishwater, when applied to SUVs or other Trumpianera vehicles, is going to be a third exception to my anti-colour-fad rule.

IMPROVING DENTISTS’ SMILES FOR OVER 40YEARS. We know and understand the business of buying and selling dental practices. As Canada’s professional practice appraisal and sales leader since 1974, our record of proven results is second to none. With a dedicated team offering appraisal, consulting and brokerage services, we’re here to make sure you end up smiling. Contact us at (888) 764 - 4145 or info@roicorp.com. roicorp.com

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Just For Canadian dentists May/June 2019

BROKERAGE

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Protect Your Patients. Protect Yourself. KAY HICKEY, LDA

C

onsider this scenario: You have a patient in the chair in a supine position. You are planning to seat an onlay on tooth #2, the maxillary second molar. Your assistant has lined the internal surfaces of the onlay with cement and is ready for the hand-off for you to seat it on the patient’s tooth. You ask your patient to open really wide for access, which opens the throat wide open, too. Your gloved fingers have been in the patient’s mouth and are somewhat wet from touching the soft tissues and saliva. Just as you are ready to transfer the onlay to the tooth, it slips from your fingers and………. Uh-Oh! This could play out a few different ways. 1 Your assistant with her speedy fast reflexes quickly rolls the patient’s head to the side and saves the day! The crown is retrieved with cotton pliers in the back corner of the mouth. Whew! That was close. 2 The patient swallows just as the onlay hits the back of the throat. Oh no! The restoration has been swallowed. Now you can either have the patient monitor their stool for the next couple of days, or you go to the expense of having another onlay fabricated. Either way, your patient will not be happy and time and revenue have been lost. 3 The restoration went down the throat and into the airway. Your patient starts coughing and wheezing and cannot seem to get it to come up. At minimum, this is going to mean a trip to the hospital for the patient. Aspiration of foreign objects can be very serious, if not fatal. The practitioner, again, has lost time and revenue, and possibly ends up with a law-suit.

According to the National Journal of Maxillofacial Surgery, the potential of a foreign body aspiration or ingestion is a worldwide health problem in dentistry. Dental items have been reported as the second most common ingested or aspirated foreign objects in adults. These objects have been recognized to be teeth, root tips, burs, orthodontic brackets, crowns, pins, posts, impression material, and the list goes on. Items as large as dental dam clamps, expansion keys, endo files, and even air/water

Zirc’s Airway Armor is a one of a kind product for the prevention of ingestion and/or aspiration of foreign objects in the dental office. syringe tips have been reported to go “down the hatch” and land in the GI tract or into a lung. Now you have a medical emergency on your hands. Given the fact that such cases are avoidable, you, the practitioner, are liable for malpractice litigation. The key sign that most dentists recognize when patients aspirate an object during a dental procedure is coughing. It has been reported that coughing resulting from aspiration of foreign objects may range from mild to severe. There are cases that dental items have been aspirated without the patient or practitioner even realizing it. It may not be as obvious as the onlay scenario. It could be as simple as a piece of amalgam scrap or a broken bur. The dental practitioner must have a degree of suspicion if a patient suddenly develops a cough during or after a procedure. Also, special attention needs to be given to our armamentarium to assess that everything used in the procedure is accounted for. So, how do we prevent ingestion and aspiration in the dental office? Typically, gauze packs are used in the back of the throat for this purpose, but patients and dentists alike find this to be cumbersome and uncomfortable. Gauze moves around, does not provide complete isolation, can become caught by the bur, becomes saturated and has to be replaced frequently. In fact gauze has been reported to have

been swallowed and aspirated, which is the purpose it was being used for to prevent! Dental dams are a better solution than gauze for airway protection, but again, they are cumbersome and uncomfortable. Dams, oftentimes, requires four hands just to put them on, plus they limit the visibility of the oral cavity and can cover the patient’s nose making it difficult to breathe. Because gauze and dental dams were not considered ideal, protecting the airway is not done as often as it should be! Dr. Gargi Mukherji and Dr. Ralph Cooley, both dentists and professors at Texas University College of Dentistry, wanted to design a device that would provide patient safety and make it so easy to use that every dentist would be inclined to use it for more procedures. They nailed it with their original and innovative design. “I just feel like we [all] could be better dentists if we are protecting patients’ airways to the best of our ability,” said Dr. Mukherji. “This is something that can really improve our profession, and improve the care we render to our patients.” Zirc’s Airway Armor is a one of a kind product for the prevention of ingestion and/ or aspiration of foreign objects in the dental office. There is really nothing like it on the market! Airway Armor is designed to be more comfortable and reliable for the patients than gauze packs and they are quicker and easier to use than dental dams. The small holes are beneficial to allow the patient to breathe comfortably while Airway Armor is in use. Tying floss to either side allows for easy removal of the device. Get Airway Armor in all three sizes today, so you can: Protect your Patients and protect yourself.

Kay Hickey is a Product Specialist at Zirc Dental Products. She is a licensed dental assistant and spent over 25 years in a Family and Cosmetic Dental Practice. Kay is a former dental assisting educator and taught in classroom, laboratory and clinical settings. She served on the Minnesota Dental Assisting Board and is a former member of the American Dental Assisting Association. Email: kay@zirc.com Direct Phone: 763.251.3029 800.328.3899 / www.zirc.com

Advertising Feature


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

Seasoned wisdom

As a consequence, there are a number of companies today (YourEncore, Empowered Age, Patina Solutions, Work At Home Vintage Experts, etc.) that are staffed with these “retirees” who bring expertise from a wide variety of business jobs and careers. They act Sometimes as consultants, as characterized by a fresh vision Liz Brody, “who can benefit have been there from the older and done that.” Their clients and (usually) are often young millennial-aged entrepreneurs with startup-business problems. These young gurus might face a business impasse and, without previous experience on how to handle and maneuver, become stymied. While they can be superb risk takers and decision makers, they also realize that they can benefit from additional brain power, a different set of skills and another pair of eyes to get them mobile again. All entrepreneurs try to invent a new product, service or process or, at least, apply

wiser

an afternoon nap or satisfying round of golf. They’re not ready to go quietly into retirement and believe they have much to share given their previous experiences.

Canadian Dental Hygiene Student seeking return of service contract in exchange for tuition assistance <10K. Set to graduate w/honours Sept/2019. Est. start Nov 2019. Open to remote locations/private/gov’t/military in North America. Former RDA w/15+ years field experience Gen/Spec. Please contact susafle2018@gmail.com or (705) 668-1375.

solution from March/ April 2019 contest

classifieds

an innovation to an existing one. In doing so, they are repeating a journey that many others have taken before them—whether successfully or while getting hung-up and encountering failure along the way (and learning from any mistakes). Healthcare practitioners are constantly searching for new and better ways to deliver healthcare service. Many find a successful track of operation either by perseverance (with some inevitable trial and error) or by enlisting the aid of others. The above scenario got me thinking about my own company, which my father started and eventually sold to me. Recently, my dad and the company received recognition for 45 years of distinguished service to the practice sales industry. In my case, he was always there in the background giving me the wisdom of his experience. In addition, the company had—and still has—a number of senior associates (retired dentists for the most part) who left dentistry to start a new career in practice sales. This core of elders was invaluable to the growth of our company and allowed us to be successful by avoiding many of the impasses all businesses face. To my mind, no matter what business or healthcare practice you’re in, it’s wise to seek out the advice and ideas of both the young and old. Health care graduates today are schooled in the latest procedures and technologies and bring a contagious enthusiasm and refreshing willingness to share with and learn from their older, experienced peers. New vision meets triedand-true.

sudoku 2 harder solution 1 4 5 7 8 9 6 3 2 8 3 6 2 5 1 9 7 4 7 2 9 4 3 6 8 1 5 4 5 1 6 7 2 3 8 9 2 9 7 8 1 3 4 5 6 3 6 8 5 9 4 1 2 7 6 7 3 9 2 8 5 4 1 9 1 2 3 4 5 7 6 8 5 8 4 1 6 7 2 9 3

Puzzle by websudoku.com

28

Just For Canadian dentists May/June 2019

solution from page 29

T

here is a resource reference in the summer issue of Profitable Practice magazine entitled “A Startup’s Secret Weapon: Retirees” by Liz Brody. The US Bureau of Labor Statistics recently revealed that people 65 and older lead the way as the fastest growing segment of the American labour force. For the most part, these people have exited their former jobs and careers for retirement. Many, it seems, want more than a sunny beach,

sudoku 1 easier solution 5 2 6 7 9 4 3 1 8 9 3 1 8 5 6 2 4 7 8 4 7 1 2 3 5 6 9 6 5 3 2 1 7 9 8 4 4 1 8 6 3 9 7 2 5 2 7 9 4 8 5 1 3 6 3 8 5 9 6 2 4 7 1 1 9 4 3 7 8 6 5 2 7 6 2 5 4 1 8 9 3

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The wisdom of an experienced—and retired—staff consultant


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Sudoku Contest entry form (solve + send in sudoku!)

Yes, I would like to receive the CE newsletter & updates by e-mail.

NB: Information collected will not be shared with any third party.

8 7

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Name: __________________________________________________________ Address: ________________________________________________________ City, Province, Postal Code: _________________________________________

E-mail: _________________________________________________________ Tel: ____________________________ Fax: ____________________________ sudoku Contest Rules:

1. Entry form must be accompanied with solved puzzle. Only correctly solved puzzles entered into random draw. 2. Send puzzle + entry form to Just For Canadian Dentists, 200 – 896 Cambie St., Vancouver, BC, V6B 2P6 or fax 604-681-0456. Entries must be received by June 7, 2019. 3. Prize: $50 Amazon Gift Card. 4. Contest can be changed and/or cancelled without prior notice. 5. All entries become property of In Print Publications. 6. Employees of In Print Publications and its affiliates are not eligible to participate. 7. In Print Publications is not responsible for lost or stolen prizes.

May/June 2019 Just For Canadian dentists

29


s m a l l ta l k

dentists share their picks + pleasures dr. Colin Wiebe likes to go far, from a village in Ethiopia (that’s not on any map) to Rwanda (his last trip). His favourite souvenir is a photo he took in a Chinese rice paddy and he’s swam in the Amazon. Yes, he’s well travelled. “I try to balance the number of countries I have been in with the number of research papers I co-author,” says Dr. Wiebe. “I am in the low 30s in both. I am a former full-time professor at UBC Dentistry and have been a part-time instructor in graduate periodontics for the past 18 years.” Even when he’s not on the go…he’s on the go—on a bike or ultra running. My name: Colin Boyd Wiebe

the Amazon rainforest of Ecuador

I live, practise in: Calgary, Alberta

A favourite place that I keep returning to: A village in Ethiopia that isn’t even on maps but where great things are happening (HOPEthiopia.com)

My training: BSc, DDS, Specialty Diploma in Periodontics My last trip: Rwanda, Africa Most exotic place I’ve travelled to:

Can’t believe I’ve never been to: Moosejaw, SK

I’d describe my home as: Where I enjoy spending time with my family My car: Is a bicycle, as I commute year round by bike. I have a 2007 (rusty) Honda Odyssey minivan to haul my bikes places now that our kids are independent

My go-to exercise/ sport: Ultra marathon trail running Favourite spectator sport: Watching my daughter on the Alberta Provincial speed skating team (bummed about Calgary not hosting the Olympics again!) Celebrity crush: I thought it was Heidi

A big challenge I’ve faced: Supporting our young daughter through multiple surgeries for a congenital heart problem One thing I’d change about myself: To be more proactive and less reactive The word that best

photos, from left Dr. Wiebe with orphan Senna in HOPEthiopia’s Children’s Village in Ethiopia, with his family (wife Patty and daughters Isabelle and Janelle) and the America’s Got Talent judges (two of which are celebrity crushes), and ultramarathon trail running during the Lost Soul Ultra Race in the Lethbridge coulees

Don’t need to go to: Las Vegas

The best souvenir I’ve brought back from a trip: Photo of a 5-year old Chinese girl with her baby sibling swaddled on her back that I took in front of terraced rice paddies that were centuries old

Must-see TV show: Murdoch Mysteries

A “wow” hotel/resort I’d happily stay at again: Sacha Lodge in

30

Favourite vacation: Our family being hosted as VIPs at America’s Got Talent I always travel with: Many books

Last purchase: Jeans and pajamas to take to orphans in Ethiopia Last splurge: Dyson portable cordless vacuum because the built-in is a hassle for touch-up cleaning

Favourite band/song: U2, “Beautiful Day”

Most-frequented store: Mountain Equipment Co-op

My first job: Safeway Redcoat

I have too many: Bicycles

Gadget or gear I could not do without: GPS watch for trail running

My fridge is stocked with: Smoothie fixings

Just For Canadian dentists May/June 2019

My guilty pleasure: Chocolate

Klum but ended up being Howie Mandel when we met all the judges at the Dolby Theatre in Hollywood I’d want this with me if stranded on a desert island: Assuming my basic survival is met, the next thing would be books My secret to relaxing and relieving tension: Trail running A talent I wish I had: To play a musical instrument well

describes me: Faithful I’m inspired by: Dr. Ralph Dubienski, founder of HOPEthiopia A cause that’s important to my heart: HOPEthiopia. com On my must-do list: I would love to get parachute certified and then try a wingsuit. I am waiting until I get a terminal medical diagnosis though If I wasn’t a dentist, I’d be: Cardiac ultrasound technologist

photo with orphan in ethiopia: Rob Hislop (robhislopphotography.com); other photos courtesy of Dr. Wiebe

Hard to pick one of the 30+ countries I have been to so I will say Ethiopia since that is where I am returning to in April 2019 (with Ethiopian Airlines but not on a Max 8!)


For more information Call 866-456-9464 or visit www.ContinuingEducation.net Continuing Education, Inc. University at Sea®

Dental Implants: An Integral Component of the Comprehensive Dental Practice

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Cosmetic Pearls for the General Dental Practitioner July 26 - August 2, 2019 7-Night Alaska Cruise Conference Round-trip Seattle, Washington Celebrity Cruises’ Celebrity Solstice

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July 28 - August 4, 2019 7-Night Western Mediterranean Cruise Conference Round-trip Barcelona, Spain Royal Caribbean’s Oasis of the Seas

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Introduction to Sleep Medicine from the Perspective of Medical, Dental and Mental Health October 20 - 27, 2019 7-Night Mexican Riviera Cruise Conference Round-trip Los Angeles, California Norwegian Cruise Line’s Norwegian Bliss

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9-Night Northern & Western Europe

August 27 - September 5, 2019 From London, England to Lisbon, Portugal Azamara Journey Maximizing Clinical Success in Your Dental Practice: Fundamental Technologies and Proven Strategies October 26 - November 2, 2019 7-Night Southern Caribbean Cruise Conference Round-trip San Juan, Puerto Rico Celebrity Cruises’ Celebrity Summit

Dental Cruise Conference March 7 - 14, 2020

7-Night Hawaii Cruise Conference Round-trip Honolulu, Hawaii Norwegian Cruise Line’s Pride of America

Dental Treatment Planning & Sequencing: The Keys to Predictable, Profitable Dentistry September 13 - 20, 2020 7-Night Western Mediterranean Cruise Conference Round-trip Barcelona, Spain Royal Caribbean’s Allure of the Seas

Selected cruises listed here. See a complete program listing at www.ContinuingEducation.net Please visit our website for current CE Program Approval Statements, current fees and cancellation policies.


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On a Mission in Nepal

Just For Canadian Dentists May/Jun 2019  

On a Mission in Nepal

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