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WWW.MANHATTANDENTALHEALTH.COM • 212-928-1000 PRST STD 635 MADISON AVE., 19TH FLOOR US POSTAGE The TM NEW YORK, NY 10022 PAID Doctor’s Dentist BOISE, ID 635 Madison Ave, 19th Floor May/June 2017 Visit our NEW PERMIT 411 New York, NY 10022 location! 212-928-1000 www.MANHATTANDENTALHEALTH.com 117 Kinderkamack Rd., Suite 200, FOLLOW US! 117 Kinderkamack Rd. Suite 200 River Edge, N.J. 07661 River Edge, N.J. 201-881-0660 Inside 07661 www.MANHATTANDENTALHEALTHNJ.COM Lessons From Baseball PAGE 1 America’s Best Amusement Parks Lessons From Baseball A Chip off the Old Tooth Curative processes such as these and other It requires listening. PAGE 2 f you’re like me, you just want medical treatments are how traditional insurance to see results. That’s the American spirit I companies reimburse doctors. They are reactive A recent study showed that the average time Lessons From Baseball Continued — work hard and get the ball across the finish to specific problems and patient complaints, and spent by physicians with patients is 15–16 line, into the basket, or into the hole. Even in Perfect Steamed Artichokes they promote specialty care, which, alongside minutes. the quintessential American pastime, baseball, PAGE 3 emergency tools, is the most expensive. we celebrate the home run hitter above all. A study showed that physicians spent only 27 Team MDH Walks to Stop Oral Cancer Americans are obsessed with scoring and Causative health care looks more like the percent of their time seeing patients. The rest? PAGE 4 winning. defensive side of the sport or equation. Some call Paperwork! it “integrative,” “alternative,” or even “functional.” One of the greatest revelations, one that has And a 2015 study showed that a physician will Whatever the name, at its best, this approach helped many teams to championships, is that a let a patient speak for only 18 seconds before says, “Let’s analyze the problem by finding out good DEFENSE can trump (sorry about the pun) interrupting them. That’s down from 23 seconds what the cause is.” More importantly, it promotes good OFFENSE. In baseball, it has even become in 1998. looking at the individual and analyzing the a given that “good pitching beats good hitting.” current status to determine how the current The bottom line is that doctors aren’t listening. Today, medicine, and to a greater degree, state might be contributing toward a future dentistry, is practiced with offensive zeal. not yet manifest. Such an evaluation promotes Taking a thorough history is the first thing We move ahead as quickly as we can toward prevention or defense, so the problem can be doctors are taught. But reimbursements for Team MDH Walks to Stop Oral Cancer the goal line in search for a CURE. I call this avoided. listening, data intake, and thinking are poor. CURATIVE health care. Sure, some of the traditional “cures” might be While such cognitive skills are taught during the On Sunday, April 23, Team And the cure rates are among the lowest have a periodic examination at Manhattan Isn’t a CURE what we want? So isn’t that kind of required. Yet philosophically, getting at the first two years of medical and dental school, of all cancers. Dental Health, you also have an oral cancer health care delivery the best? underlying cause and promoting health and they are quickly set aside in place of teaching MDH walked in support of screening. We take preventing problems wellness remains the goal. techniques that will eventually be rewarded the NYU Oral Cancer Center Oral cancer used to be most common such as oral cancer very seriously. In dentistry, it is dealing with the most obvious financially. No wonder doctors don’t listen! Do we really believe that “the best defense is a among older people and those who use perceived problem. to raise awareness, support strong offense?” This, by the way, was said by All dentists are taught about the role of diet tobacco and abuse Missing a tooth? Put in an implant. Jack Dempsey, a championship boxer. The idea in the process of decay. Yet few ever speak to research efforts, and provide alcohol. That’s no longer goes further back. their patients about it. While there is actually treatment for oral cancer. the case as more and Pain? Get a root canal or remove the tooth. an insurance code for it (D1310), it is rarely used more cases are being “Attack is the secret of defense; defense is the and poorly reimbursed — or not considered a The National Cancer Institute issued the found in younger Shabby smile? Whitening and porcelain veneers. planning of an attack.” – Sun Tzu, “The Art “covered” service. following estimates for 2017: people without these of War” risk factors (primarily Crooked teeth? Orthodontics. And who is going to pay the dentist or hygienist • About 49,670 people will get oral because of HPV, or The difference between boxing and war (and Have diabetes? Take insulin. for nutrition advice? cavity or oropharyngeal cancer. human papillomavirus, sport) is that the opponent is human. The which is the same virus Have an infection? Take antibiotics. opponent in health care is dysfunction or disease. You see, we’re at fault, too. • An estimated 9,700 people will die of that causes cervical It is not human and cannot be out-thought, these cancers. cancer in women). Have pain? Take opioids. overpowered, or lulled into complacency. The bottom line is that until the public demands more from their health care practitioners, That represents 3 percent of all cancers You might not know ED? The little blue pill. Causative medicine (or dentistry) looks very insurance carriers, or government, the process and costs about $3 billion a year to treat. it, but every time you different from the curative process. It values the will not change. Opioid-induced constipation? Take another pill. collection of data, its analysis, problem solving, and predictive and cognitive skills. It requires Have cancer? Cut it out or shrink it with drugs or continued on p3 ... time and thought. And it often requires the radiation. participation of the patient. 4 • WWW.MANHATTANDENTALHEALTH.COM 212-928-1000 • 1 WWW.MANHATTANDENTALHEALTHNJ.COM Published by The Newsletter Pro • www.newsletterpro.com Published by The Newsletter Pro • www.newsletterpro.com 201-881-0660 We will continue to get curative and not What is known, however, is that emergency dispense. As long as surgery is valued more than causative health care (except at Manhattan room care is the most costly form of any health cognitive processes, that’s what will be done. AMERICA’S BEST AMUSEMENT PARKS Dental Health, of course). care, with estimates that such care represents 6 percent of all health care — or about $160 It’s up to US to demand more. Write a letter The Best Amusement Parks in America (That Aren’t Disney) So what’s the problem? As long as we get billion a year. to your government representative or HR the cures and perhaps drive down the costs, department of your company. Pass this Summertime means family vacations, and carousel among an array of other attractions. we’ll be happy! That seems to be the current So the solution? Open up more urgi-centers, newsletter along. Call the office, and we’ll send few places offer as much family fun as your philosophy. It’s the same “treat the symptom” what I refer to as doc-in-the-box, the medical you the digital version. classic amusement park. When it comes to Schlitterbahn Water Park, New attitude. It says the problem is that costs are equivalent of the fast-food restaurant. You can amusement parks, a few big names come Braunfels, Texas In the heat of summer, too high. eat, but what’s the long-term cost? One of the benefits of our age is the “viral” to mind, but many of us would rather avoid sometimes we just want to take a swim. effect the internet can have. The more we talk the high prices and long lines found at the Schlitterbahn Water Park in New Braunfels, But why? Part of the problem is cultural. Our “offensive” about changing the system, the more likely it home of a certain mouse. Luckily, there are Texas, is the answer! Amusement Today’s as opposed to “defensive” mentality is will change. countless amusement parks all across this “Best Water Park” for 15 years, Schlitterbahn The problem is that curative health care, ingrained into the American psyche. It’s part great nation! Consider some of these for your encompasses 65 acres of amazing fun. Along while possibly effective in the short run, is of our education system (focused on grades), “If we sit by and become complacent and family’s vacation destination. with the classic waterslides, wave pools, and unsustainable in the long term and is very and it’s part of the health care reimbursement put our heads in the sand, we’re complicit.” – floating rivers, guest can also spend a long costly both in the short and long terms. system, focused on procedures. Changing such Shelley Morrison Cedar Point, Sandusky, Ohio Found day surfing, enjoying refreshments in a heated Cover continued ... a culture requires a multi-pronged approach. Causative health care, however, might be a bit Don’t be complicit. Call or email and ask for my on every thrill-seeker’s to-do list, Cedar Point pool, and riding an uphill water coaster. Fixing the reimbursement portion alone isn’t more costly in terms of time in the short term, free report on oral wellness. Spread the word.