sfdda Volume 56, No. 4 www.sfdda.org Spring 2015
“IF THIS IS A MEDICAL EMERGENCY, PLEASE HANG UP THE PHONE AND DIAL 911…” - And Other Interesting Medical/Dental Office Recording Machine Messages I Have Heard, Pg. 4
Sitting and Watching From the Sidelines? You Need To Be On the Playing Field, Pg. 3 Help Give Someone a Sunny Smile..., Pg. 6 T.R.A.C. Student Rope Challenge, Pg. 8 ADA President, Dr. Maxine Feinberg at the SFDDA Annual Business Meeting, Pg.10 2015 SFDDA Annual Poster Contest, Pg. 15 Classifieds, Pg. 17
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CAPITAL REPORT Have you seen the latest FDA Capital Report? Visit the FDA website at www.floridadental.org to get the latest information on what’s happening with advocacy on your behalf. In this edition: ·
FDA’s Legislative Video Updates
·
Dental Care Access Account Legislation Passes Full Senate
·
State Budget Process Still in Limbo
·
Health Care Bills Move Forward with Multiple Policy Issues
·
Bills Affecting Regulator Agency’s Rulemaking Authority Moving in Both Chambers
·
Regulation of Pain Management Clinics Saved from Repeal
·
Public Records Exemption for Impaired Practitioner Consultants Heads to the Governor
·
Public Health Emergencies Legislation Approved by Both Chambers
·
Rep. Jamie Grant Returns to the House
·
FDA 2015 Legislative Issues Sheet Available Online
·
Legislative Contact Dentists Needed
·
Important Dates
·
FDA Legislative Tracking Chart
President’s Message Marcos Diaz, D.D.S. Sitting and Watching From the Sidelines? You Need To Be On the Playing Field. This will be my last opportunity to address all of you as President of this wonderful organization. My tenure was short, and there are still many things that have to get done. It has definitely been a year full of challenges and many new issues that are currently changing the face of both our organization and the profession of dentistry as a whole, today and for the future. We at SFDDA have had to look deep and hard at the “what,” the “why,” the “where” and, most importantly, the “how” of the recent issues and changes affecting the future of our profession. We are also in the process of discussing and planning some new changes in the near future to “something different.” I do not currently know exactly what those changes will be, but suffice it to say that we will not be doing what we are currently doing. I feel we are at a crossroad between what WE want our profession to become and what other external forces – such as trends in government intrusion, changes in health care delivery systems, transformation in patient attitudes, and most importantly, the economics and competitive market forces around us – are pushing us to become. I feel this applies to both students learning to become dentists, and to our everyday practice of dentistry. When combining all of these issues with others happening around us, such as technological changes designed to “improve our lives,” we are experiencing unique and unprecedented challenges which are seemingly forcing us, whether willingly or unwillingly, to “react.” The SFDDA understands the need to stay abreast of the everchanging environment, to be nimble, and to adapt. We do not want to slowly morph into something that will lead us to one day wake up and ask, “What the #%@)& happened to dentistry??!!” And, “What happened to us?!” Like it or not, it is here and it’s not going away by ignoring it.
I hope this serves as a wake-up call to become involved in the profession that feeds you, provides for your family, gives you intellectual stimulus, emotional stability and/or instability, and finally, the respect, the admiration and the envy of other professionals. If you sit on the sidelines and simply choose to only watch, you are implicitly part of the reason why we are both where we are today, and where we are headed in the future. Apathy is rampant. I normally do not speak in clichés, but this one hits the sentiment right on the head: “You are either part of the problem or part of the solution.” Complaining after the fact will not do you or us any good. This is exactly what happened with our collaborators in health care, the physicians. I do not know of one single physician today, if given a second chance to intervene in the recent developments of their profession and the current changes in our health care system, who would not actively engage themselves in effectively changing what their profession has become, if they had only known then where they would be today. Live and learn! Do you want this to happen to you, and to dentistry? I am asking, as the leader of this organization, that you, and any of your colleagues, WHO ARE NOT ACTIVE in any capacity in helping to serve the well-being of this profession beyond the microcosms of your practices – look real hard at what is occurring. Ask yourself if you want to be a player, reorganizer, advocate or a bystander, non-engager, or ineffective on-looker. Do not be a spectator. Become involved in any capacity - now. Change happens when WE set our mind, heart and effort into something WE believe in. Believe in something – and be part of the next wave of change.
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Rich’s Ramblings “IF THIS IS A MEDICAL EMERGENCY, PLEASE HANG UP THE PHONE AND DIAL 911…” - And Other Interesting Medical/Dental Office Recording Machine Messages I Have Heard. Richard A. Mufson, D.D.S., Editor
I ask you - have you heard this before? I’m sure the answer is “yes.”
would think or say after asking the caller the reason for dialing 911. Answer: “My sinus is bothering me.”
But if you haven’t, and you’re wondering what this is all about, it represents one of the very latest “in vogue” things to say on a day time “on-hold” message or on an after hours answering machine – for medical offices, and surprisingly of late, even a number of dental offices too.
Nevertheless, medical offices of all types have adopted this technique, whether it truly makes sense or not. But why? Do they somehow think it sounds hip or “cool” from a medical standpoint?
“But wait a minute,” I have often thought to myself, “how and why did this all begin, and is there a bona fide reason for asking someone to actually comply with this unusual request when seeking the help of their doctor?”
Or could there be a deeper more subliminal message, such as the implication that if a patient feels they truly have such a significant emergency condition (and, as if challenging the patient and their judgment as to the severity of their problem), the doctor actually may not want to be bothered, but would prefer the problem be taken elsewhere, such as summoning EMT’s for transport to a local hospital ER? My only question would then be, “Really?”
I would submit it should not require a lot of imagination to come up with the answer to these valid questions. No doubt, there are certain limited medical specialties – such as cardiology, neurology, OB-GYN or even psychiatry – where this line of thinking makes some common sense. If a patient is experiencing acute chest pain, for example, sudden right-sided weakness or changes in speech – one can readily understand the logic of the medical office feeling the need to communicate the important message that time should not be wasted contacting the doctor’s office staff at that point, and conceivably spending some unknown amount of time waiting on hold – but rather, time would be much better spent contacting EMS and being transported to a local hospital ER without delay. But how does this scenario make sense or play out when a patient may be calling, say, their ENT physician, plastic surgeon, or dermatologist? Is there any logic to this? Think about it. Can you imagine a patient who may be experiencing sinus pain, for example, perceiving the problem as an emergency condition, and feeling the need to be seen by their ENT doctor, hopefully within a day or two if possible? However, upon then being advised to call 911, one can only imagine what the emergency dispatcher on the other end of the phone
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How about when we hear this on a dental office recording machine? Yes, I have in fact surprisingly heard this on more than one or two occasions. It then begs the similar question of the imagined scenario of a patient calling their dentist due to a crown having fallen off, or with pain from a tooth. Does anyone really believe the patient should be advised that, instead of going through the traditional after-hours dental emergency routine of calling the doctor’s beeper or cell number provided, they should instead be advised to, “…hang up and dial 911?” Again, it would sound pretty odd when answering the same question from the emergency dispatcher. “What is the reason for your 911 call?” Answer: “I have a toothache.” I must apologize at this point to any of you who may be using a same or similar verbiage as part of your daytime or after hours message. I am not making fun of this nor do I mean in the least to imply a disparaging or condescending view toward this practice. Rather, I only have raised the issue as an interesting, if not borderline humorous, curiosity worthy of discussion and consideration.
Among Other Interesting Things I Have Heard: Similar in concept or intent to the “…please hang up and dial 911” instruction to a patient - would be the after-hours dental office message I have occasionally heard (my apology again; not making fun, but just saying…), which alternatively specifies the following prerequisite for communicating with the doctor on an emergency basis: “If this is a ‘true’ dental emergency, then please… [followed by other instructions given].”
?
With emphasis clearly on the word, “true,” I find it interesting that the dental office is apparently making it incumbent on, and asking the patient to bear responsibility for, making the determination of whether their problem constitutes an actual, bona fide, “true” emergency condition, as opposed to the converse, I suppose - whether it may instead represent a “false” emergency condition. As a patient, I would then need to ask myself when hearing this, “How do they expect me to know this? I am not a doctor.” And, “What if I choose the wrong answer? Will I be yelled at or penalized in some way?” What if my pain or bleeding is only at a mild or medium level? Is that still a “true” emergency, or does it have to be more severe in order to be considered a “true,” and not a “false,” dental emergency?”
Other after-hours instructions for emergency contact are more blunt or obvious relative to making it clear that emergency contact with the doctor is something to be avoided. These may range from: (1) no instructions or provisions mentioned whatsoever, to (2) instructing a would-be emergency patient to simply (yes, I have heard this too) “go the nearest hospital emergency room.” In all fairness, when turning the spotlight of potential critique toward my own answering machine message, I specify the prerequisite, “If you are a patient of record…[followed by other instructions].” I have sometimes wondered if this distinction is fair, as it is an obvious attempt to screen out patients whom I have not treated or do not know. However, it is also sometimes ignored, in which case I receive calls from such patients by phone or beeper irrespective of my recording machine instructions. I most often come back to the feeling that none of this really matters after all, or hopefully should not matter. We are all doctors, and part of a profession called upon to help the dental/medical needs of others. I therefore return the call - patient of record or not - and put my best foot forward to help the person in need. So, the next time you hear, “IF THIS IS A MEDICAL EMERGENCY, PLEASE HANG UP YOUR PHONE AND DIAL 911…,” please ask yourself first – “Am I having chest pain, a possible stroke, or any other “true” reason for doing so? If not, that’s great. Instead of dialing 911, take a couple of deep breaths and, as all the silly drug commercials on TV instruct us to do, simply “ask your doctor” for a more common sense, traditional, and less expensive method of contacting them after office hours.
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Help give somone a Sunny Smile... SFDDA 2014-2015 Officers and Executive Council President MARCOS DIAZ, D.D.S. (954) 659-9990 President-Elect ELAINE DEROODE, D.D.S. (305) 373-7799
Volunteer and participate in the South Florida Baptist Mobile Dental Unit
Vice President PIERO PALACIOS, D.D.S. (305) 274-3113 Secretary Mark A. Limosani, D.M.D., Msc (954) 800-3453 Treasurer RODRIGO ROMANO, D.D.S., M.S. (305) 667-8766 Immediate Past President JEANNETTE PENA-HALL, D.M.D. (305) 667-8766
When: October 26th - 30th, 2015 Where: Bay Community 10549 SW 184 Terrace Miami, FL 33157
Young Member ESTEBAN LEON, D.M.D.
Morning Shift: 8:30 am to 12:00 pm Afternoon Shift: 1:00 pm to 5:00 pm To participate call Jackie Quintero (305) 667- 3647
Trustees & FDA Line Officer Michael D. Eggnatz, D.D.S., FDA 2nd Vice President (954) 217-8888 Jorge Centurion, D.M.D., Trustee 305-662-22167 Beatriz Terry, D.D.S., Trustee (305) 279-2828 Alternate Trustees Jeannette Peña Hall, D.M.D. Rodrigo Romano, D.D.S., M.S. Delegates to the Executive Council from the Affiliates Societies Carlos Sanchez D.M.D. (MDDS) Heberto Salgueiro, D.M.D. (MDDS) Richard Mufson D.D.S (ND/MBDS) Isaac Garazi, D.M.D. (ND/MBDS) Joseph Pechtor, D.M.D. (SBDS) Affiliate Society Presidents Esteban Leon, D.M.D. (MDDS) Simon Kaswan, D.D.S.(ND/MBDS) Joseph Pechter, D.M.D. (SBDS) Richard A. Mufson, D.D.S., Editor Yolanda Marrero, Managing Editor Jackie Quintero, Advertising Manager SFDDA NEWSLETTER Copyright: © SFDDA 1996 Published by the South Florida District Dental Association 420 S. Dixie Highway, Suite 2E Coral Gables, FL 33146 Send announcements and correspondence to the Editor: 420 S. Dixie Hwy, 2-E Coral Gables, FL, 33146-2271 Phone: (305) 667-3647 FAX: (305) 665-7059 or email to: sfdda@sfdda.org Disclaimer: Opinions stated in the SFDDA Newsletter are not necessarily endorsed by the South Florida District Dental Association, its Executive Council or Committees. Advertisements printed should not be construed as an endorsement by the Association of the company, product or service.
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T.R.A.C. On March 14th, members of the SFDDA Leadership and ASDA members from Nova Southeastern University College of Dental Medicine joined forces to participate in the Team Rope Adventure Challenge on the campus of FIU-Biscayne. It was a full day of teamwork, trust and fellowship as the group navigated through a course designed to test their abilities to work together for a common goal. This event provided a wonderful opportunity to challenge the mind, body and spirit in a meaningful way that culminated in an unforgetable experience for all. We hope to see you at the T.R.A.C. next year!
South Florida District Dental Association Annual Business Meeting Guest Speaker: ADA President, Dr. Maxine Feinberg Our honored guest and speaker at the SFDDA Annual Business Meeting, held on the evening of April 15, at the Koven’s Conference Center on the North Miami campus of Florida International University – and far from being an everyday occurrence for a local dental society – was none other than our American Dental Association President, Dr. Maxine Feinberg. For those of you who could not find a way to fit this into your schedule and attend, this was truly an amazing event for a number of reasons, beginning with Dr. Feinberg, whose presence and address were nothing short of inspiring. Much of her message reminded us of the need to unite and work together to create a positive and enriching future for the profession of dentistry. Notable guests were in attendance, including Florida Dental Association (FDA) President Elect, Dr. Ralph Attanasi, FDA Speaker of the House, Dr. Ethan Pansick, and FDA 2nd Vice President, Dr. Michael Eggnatz, in addition to FDA Past Presidents, Drs. Cesar Sabates and Alan Friedel. It was a veritable ensemble of many of our past and present leaders, including many past presidents of SFDDA, and the FDA Executive Director, Drew Eason.
Also important was the election of the 2015-16 SFDDA officers. Congratulations are in order for Drs. Piero Palacios, President Elect, Mark Limosani, Vice President, Dr. Joseph Pechter, Secretary and Dr. Enrique Muller, Young Member Representative. Also elected to serve as FDA Trustee and Alternate Trustee were Dr. Beatriz Terry and Dr. Jeannette Peña Hall. The Alan E. Friedel Service and Leadership Award is a special honor. It is not given on an annual basis, but rather, at a time when the recognition of one of our members’ high level of service and dedication to organized dentistry is apparent and most appropriate. The time was very appropriate for the third recipient of this prestigious award, Dr. Philip Glatstein. The award was bestowed upon him for many decades of service as chairman of the Peer Review and Professional Relations Committee. His honor and commitment to this task has been legendary, and has been greatly appreciated and respected.
Our SFDDA President, Dr. Marcos Diaz, welcomed everyone to the meeting and delivered a State of the Association address, which emphasized the changes that have occurred within the past year in organized dentistry and his vision for the future of our organization. He presented Life Member Certificates to those who had continuously maintained their membership in the ADA tripartite for the past 35 years. Making up that group of recipients were Drs. John Briggle, Orlando Dominguez, Melvin H. Eaton, Luis H. Fonseca, Alfredo R. Forns, Harvey S. Rosa, Scott B. Ross and Fredric J. Witkin.
Pictured: l-r: Drs. Alan Friedel, Philip Glatstein, Marcos Diaz
Pictured Right: Drs. Ethan Pansick and Ralph Attanasi
Pictured: l-r: Drs. Marcos Diaz and Orlando Dominguez
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Pictured l-r: Drs. Elaine deRoode, Mark Limosani, Cesar Sabates, Maxine Feinberg, Michael Eggnatz, Jeannette Peña Hall, Joseph Pechter, Piero Palacios, Marcos Diaz, Beatriz Terry, Lee Hauer, Esteban Leon, Ethan Pansick, Ralph Attanasi and Irene Marron
Dr. Marcos Diaz welcomes everyone to the 2015 SFDDA Annual Business Meeting
Pictured Left: Drew Eason and Dr. Maxine Feinberg Pictured Above: Nova Students, Ryan Whelen, John Alymer and Adam Saltz Pictured Right: Drs. Helena Urrea Feldsberg, Marina Blay and Jeannette Peña Hall
Join your local affiliate society...
2014-2015 SFDDA  Affiliate Societies
At the SFDDA, there are three affiliate societies: North Dade Miami Beach Dental Society, South Broward Dental Society and the Miami Dade Dental Society. Each one is located in an area near your practice or your home, making it easy for you to attend meetings. Call and join one today. Miami Dade Dental Society Dr. Esteban Leon leondmd@yahoo.com
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2015 South Florida District Dental Association Annual Poster Contest in Conjuntion with Miami-Dade County Public Schools This event brings awareness of oral health care to thousands of elementary school age children. Each year students are given an official slogan to help get them motivated to create these wonderful posters and to think more about their own oral health care routines. This year’s winners depicted the Super Smile Team from Super Smile Heroes to Super Smile Sports. SFDDA President, Dr. Marcos Diaz and Poster Contest Chairman, Dr. Jeannette Peùa Hall were on hand to give out the prizes to the winners. Congratulations to all! 2015 Winners: Third Grade Division: William Lehman Elementary, Teacher: Ms. Ledis Castilla, Principle: Ms. Maria C. Cruz Jeri Rose Kirsten Fourth Grade Division: Leewood Elementary, Teacher: Ms. Mildred Del Carmen, Principle: Mr. Bart Christie Natalia Garcia Alina Arsenault Isabella Mendizabal Fifth Grade Division: Leewood Elementary, Teacher: Ms. Mildred Del Carmen, Principle: Mr. Bart Christie Matthew Rebecchini
Pictured Right: Matthew Rebecchini, Alina Arsenault, Isabella Medizabal, Jeri Rose Kirsten with the Mabel Morales, Mildred Del Carmen and Maria C. Cruz.
Pictured below: Dr. Marcos Diaz welcomes the students and their parents to the awards breakfast.
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Classifieds
Want to buy, sell, hire, or announce? Place advertising in the SFDDA Newsletter Call Ms. Jackie Quintero at (305) 667-3647 ext. 13. Or visit us on-line at www.sfdda.org
OPPORTUNITIES AVAILABLE NEED A CONSERVATIVE DENTIST: who is tired of working for somebody else and wants t start their own practice in South Miami. Build your own practice and see some of my patients. Starting with two days a week. Call (305) 666-3663 PART TIME: High quality prosthodontist and periodontist needed for selective cases at my office.Please call or e-mail. David Vine, D.D.S. 305.538.1115 ( dvine@davidvinedentist.com ). ORAL SURGEON, ENDODONTIST, GENERAL DENTIST: Excellent opportunity for associate dentist position available. FT or PT, could lead to partnership. Start working immediately, Three locations, Miami/Homestead / Kendall area, state-ofthe-art facilities. Please call 786-404-6246 or/ and fax resume to 305-728-0582, or email to newapplicants@altimadentalgroup.com BEAUTIFUL MIAMI BEACH: location dental office in the Sheridan Center ( http://davidvinedentist.com ). Underutilized facility with two very competent dental assistants. Looking for general dentist or specialist to lease 3 to 4 days a week. Please call Dr. David Vine 305.538.1115 or e-mail: dvine@davidvinedentist.com ). PEDIATRIC DENTIST WANTED: Excellent opportunity for Pediatric Dentist to share office space in a well established Orthodontic practice in Plantation Fl. Office is available 1-3 days per week. Ideal location in a spacious & modern facility located directly next to a large Pediatrician group practice. Perfect situation for an initial start up or satellite office location. Contact: pltnortho@gmail.com
A BLOCKBUSTER OPPORTUNITY: Full or part time for General Dentists, Pedodontists, Periodontists, Oral Surgeons, Orthodontists and Endodontists. Generous compensation with unlimited potential. Guaranteed referrals. Join our group specialty care practice with a significant general dental component. Established in 1975 in Aventura, Coral Springs, Delray Beach, Boynton Beach, Stuart, Ft. Pierce and Melbourne. Call: Kelly Oliver at (954) 4610172. Fax resume to: (954) 678-9539. Email: careers@dentaland.net. GENERAL DENTIST: Needed in Dade Co 30HR WK. Excellent salary. Holiday and Ins Pay 615-202-8864 or 615-300-8621 FLORIDA (SOUTHEAST AND ORLANDO): Seeking experienced General Dentists and Specialists to come grow with us! We offer excellent earning potential and the opportunity to focus on patient care in our state-of-the-art facilities. We take care of the administration (insurance claims, payroll/staffing, marketing, etc.) for you so that you can enjoy a work-life balance again! Take the next step in your career and apply online at www.gentledentalgroup.com/career or email your CV to careers@gentledentalgroup.com today! ORTHODONTIST WANTED: We are a growing dental group looking for an Orthodontist to join our dental team. Excellent compensation. English/Spanish required. Call Manuel 305.915.2953
GENERAL / SPECIALIST: Ft/Pt Great opportunity for General Dentist / Specialist. Excellent compensation, bonus and partnership positions. Multiple locations in South Florida. Please fax resume to (305) 7701232 or call Kathy (954) 430-2188 or email to haroldhui@aol.com GENERAL DENTIST WANTED: Hialeah, Pembroke Pines or Kendall area, excellent compensation and bonus with guarantee income. Eng/Spanish required. Call Manuel 305.915.2953
OPPORTUNITIES WANTED: PERIODONTIST: Available one day a week to provide services in a quality oriented dental practice in Miami-Dade or Broward County. Experienced and bilingual. Call (305) 373-5807
OFFICE SPACE-SALE OR RENT DOWNTOWN MIAMI OFFICE: Looking for an Endodontist or Orthodontist to share space. Two plumbed ops fully furnished. Situated near downtown Miami & Brickell. Newly renovated with valet parking. Contact: drmiller@webperio.com SPACE AVAILABLE TO SHARE: 1300 Ft. facility in NMB near I-95 and Aventura. Only utilized 2+days Dr. Steven Rifkin srifkindds@gmail.com OFFICE AVAILABLE: In busy Hispanic shopping plaza in Lake Worth. Office is 1600 sq. ft. and is currently used by chiropractor. There are 3 treatment rooms, expandable to 5. lucille123@gamil.com
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HURRICANE SEASON
WOULD YOUR PRACTICE PREVAIL? 5 Lessons learned from Superstorm Sandy Small business owners affected by Hurricane Sandy learned some hard lessons on what’s necessary to bounce back from a disaster. What did the brutal storm teach us and how can your practice be prepared for major hurricanes in the future?
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EXPECT THE UNEXPECTED Accept extreme weather as the new reality and have disaster preparation and business continuity plans ready before the weatherman’s forecast.
STORM TIME = DOWN TIME How long can your practice last with doors closed? Keep an emergency fund to help your practice survive a couple days of business closures.
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PROTECT YOUR DATA Back up your data regularly and keep important documents in a weather-proof safe. Also keep copies of important records at a secure offsite location.
MAKE A BACKUP PLAN Your business continuity plan should include details such as practice location alternatives, out-of-region backup suppliers and employee emergency contacts.
MAKE SURE YOU’RE COVERED Communicate with your insurance agent annually to reveiw your coverage details. Ask about additional coverages that may be right for your practice. Being prepared can make the difference.
Call today to speak to a licensed agent about your practice’s hurricane protection coverage.
Joseph Perretti
Director of Sales, South Florida 305.665.0455 joe.perretti@fdaservices.com