Wednesday, December 1, 2010

Bike paths in Skokie. Please help!

I have forwarded this to some of my biking friends and would like to request that any of you who can support this plan do so. It will be a wonderful addition to our community.

This is a proposed plan in need of voices to back it.

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Hello Dr. Dave!

Nice speaking with you a few moments ago! I write to request your help with obtaining community letters of support for the Village of Skokie Model Communities grant application. The Model Communities grant program is a federal program providing funds to "Change Policies, Systems and Environments to Promote Healthy Eating and Active Living". The Village is applying for funds to develop engineering and landscape design plans to complete a segment of multi-use (biking, walking, etc) path along the old Union Pacific Right-of-Way between Oakton and Jarvis.

The proposed portion of the path will provide access to the new CTA station at Oakton Street(construction begins in January 2011), and will link north to the new multi-use path between Oakton and Dempster (construction set for 2011), as well as south into Chicago through Lincolnwood. A map showing the proposed route is attached (in green). Clearly, completion of the new path will significantly benefit Skokie residents, and those of neighboring communities, by improving access to alternative forms of transportation, such as the CTA, and providing additional opportunities for recreation.

We are very excited about the opportunity to complete the biking/walking path from Jarvis to Dempster (and beyond). It would be helpful to have a number of letters, including those from residents (perhaps you?), describing the potential benefits of the project. I have attached a draft letter for your review, although it is more applicable to larger entities than regular citizens.

Thank you very much, and please do contact me if you have any questions!

Catherine


Catherine A. Counard, MD, MPH
Director of Health
Village of Skokie
5127 Oakton Street
Skokie, Illinois 60077
Phone: (847) 933-8252
Catherine.Counard@skokie.org

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Link to bike map in Skokie area:

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http://www.egovlink.com/public_documents300/skokie/published_documents/Community%20Development/Bicycling%20in%20Skokie/Bikeway%20System%20Plan%20201000630%207-10.pdf

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[Please copy and paste the above text lines into a browser window.]


Template:

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[Letter of Support Template]

December [___], 2010

Albert J. Rigoni, Village Manager
Village of Skokie
5127 Oakton Street
Skokie, Illinois 60077

Re: Letter of Support – Model Communities Grant Program

[Organization name] is pleased to support the Village of Skokie in its efforts to apply for Model Communities grant funds to connect Downtown Skokie to Lincolnwood, Chicago, and beyond, via the Village’s Community Connections project, a multi-use path corridor from the Oakton Street CTA Station to Lincolnwood’s municipal boundary.

Investing in planning efforts for a multi-use path will not only provide a future connection to Downtown Chicago, but it will benefit [Organization name] as well. Our mission is [mission statement]. This mission benefits the residents, employers, employees, property owners, business owners, and visitors of the area by [list benefit(s)].

[Organization name] will support the Village of Skokie with participating in community planning events and partnering with community leaders to make Skokie an active and healthy community.

[Organization name] has successfully collaborated with the Village of Skokie in the past by [list past collaboration effort(s)], and intends to be a strong partner in this and future opportunities.

We look forward to collaborating with the Village of Skokie on this Community Connections initiative.

Sincerely,
[Organization name]


[Name]
[Title]

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The letter above is a template.

Congratulations to our patient, Alexis Yusim!

Alexis Yusim is a senior at Niles West High School. She is an academic and swimming all star. She is considering attending Swarthmore, Lake Forest College and a number of other fine schools. Lake Forest has offered her a scholarship.

She finished her high school swimming season recently and according to an article in a Pioneer publication she now has swimming records 500 free, 200 medley relay, 200 free relay and 400 free relay events.

Again> Congratulations, Alexis!

My office and x-ray radiation.

There have been some news stories recently in regard to the amount of radiation patients are being exposed to via dental x-rays. The first mention of this was in the Wall Street Journal. The current interest in this subject was probably brought about by the new airport screening methods prompting a closer look at radiation exposure in general.

X-ray radiation is a very serious concern for all of us. This is something that I have focused on for years. My office has used the most sensitive x-ray film available for years prior to switching to an all computer based system about 4 years ago. We minimize the number of x-rays we take and customize our approach for each patient. The system that I chose for my office when we moved, was and is the most sensitve x-ray system available. This means that for each x-ray image that we take we are exposing our patients to the least amount of radiation possible to get that image. For a given amount of radiation we can take 3 images in our office and a conventional digital x-ray, electronic sensor would only get one image for that same amount of radiation exposure for a patient.

The x-ray image on this page is from our phosphor sensor plate dental x-ray system of one of our patients within the last year [with his permission of course]. In the past, we used film badge dental team radiation monitoring for years. With the technology and systems we used prior to our even more sensitive systems now, we didn't ever register any significant exposure for any of our team so our regulators agreed to let us stop monitoring ourselves. It was simply a waste of time and money to continue monitoring services when nothing was recorded for years.

The system which we have now is very versatile but expensive. It allows us to take minimal radiation individual x-rays as well as panoramic x-rays. The individual x-rays are more detailed and clearer due to their low radiation, very short exposure time. Movement of the film or patient is much less of a problem with short exposure times. With increased sensitivity there is however a 'grain' problem. This is similar to the pixel problem in digital photography when very low light photographs are taken. When greatly enlarged individual grains [or pixels] are seen making the image more 'fuzzy'. In my mind this is a very good trade-off for exposing my dental family to the least amount of radiation possible and still having good diagnostic images. I think you will agree. As a matter of fact, we had to replace one x-ray machine when we switched to this dental x-ray system because it couldn't be set to give a low enough exposure to get properly exposed x-ray images.

Unfortunately there are some artifacts visible on most of the x-ray images which we take in our office. [There is a faint white line across the image of the x-ray near the bottom.] Artifacts virtually never interfere with the diagnostic use of these images. If we can use 1/3 of the radiation that conventional dental digital x-rays require we should all be happier. Again, the phosphor sensor plates we use only need 1/3 of the x-ray exposure to produce a good image compared to other fully digital dental x-ray sensors which are used in most other dental offices. There are still today many film based x-rays taken in other dental offices which require much, much more radiation than Smiles of Skokie uses for our dental family. We have your overall health in mind at my office in many different and widely varying ways.

We are restoring many implants. Some of the recent news articles were specifically addressing the newer cone beam computerized tomography [cbct] x-ray technology which is very useful for implant placement and other denal uses. Implant placement can be critical for success of the final implant restoration. There is more information in regard to this technology from an online article by a team of dentists headed by Dr. Martin Palomo of Case Western Reserve Dental School, which discusses the advantages of this system and the amount of radiation exposure . According to this article, cbct exposes the patient to, 'up to 4 times less radiation than a conventional' CAT scan. It is on the order of the same exposure that a patient gets from a conventional, film based, panoramic x-ray [which is at least 3 times what our patients receive from panoramic x-rays] and about 1/3 of the radiation dosage passengers receive on a round trip airplane flight from Paris to Tokyo.

I think that this is enough detail in regard to the x-ray radiation subject for now. It was recently in the news and I thought you might like to know more about my dental office and our attention to your health in every possible facet. If you have more questions, please contact me for more information in regard to radiation or any other oral health related topic. It is always good to hear from you!

Sunday, November 21, 2010

Excellent dental implant meeting last Thursday.

The meeting was held at Dr. Bob Bressman's office near the Westfield, Old Orchard shopping mall in Skokie.

Straumann is a company that has been producing excellent dental implants and materials for them for years. Their SLActive surface, morse taper and Roxolid [titanium and zirconium formulated] implants seem to be significant steps forward in dental technology which will benefit us doctors helping patients with implants and our patients.

There are many good implants on the market and most of them are very good. The FDA protects all of us by certifying these products for dental use.

We restore a good number of implants in our office and are looking forward to taking advantage of this new technology to serve our patients even better.

Thanksgiving is a special time of the year. [Wednesday evening]

We are all fortunate to have wonderful friends and family. This is a special time of the year to take our blessings into consideration. I am thankful for all of you.

This Wednesday evening in our area there will be a multi-religiious gathering at a local Jewish 'Synagogue'. It is sponsored and organized by the Niles Township Clergy Association. My Roman Catholic parish of Saint Joan of Arc and pastor Father Kehoe are active in this group. This year it will be held at the Ezra Habonim Jewish Congregation at 4500 Dempster Street at 7:30pm in Skokie. This gathering will include: Catholics, Baptists, Bahai, Sikhs, Buddhists, Methodists, Jews, Muslims, Lutherans, .... It is a general prayer gathering with music and short thoughtful sermons/speeches which is inspirational and thought provoking.

It usually lasts about an hour. There are snacks served afterward and a mingling of those in attendance. I just found the details for this particular event via Google. There is a sign in front of the Jewish Congregation site on Dempster announcing this event.

There are similar gatherings in many areas. If you or yours are not going to be in the Skokie area at this time you can probably find a similar event close to your home. I highly recommend this type of service and usually attend this particular gathering annually. This type of event is traditionally done on the evening before Thanksgiving and it will be the 40th annual gathering of this type by the Niles Township Clergy Association.

I am thankful for all of you and our dental care team at Smiles of Skokie. It is a pleasure and honor to be able to care for all of you and help you with your health!

It would be nice to see you at this event if you can attend. It is a busy family/friend time and many of you will be too involved in holiday preparations to attend but all of you will be in my thoughts and prayers.

I wish all of you and all of yours the best always!

Sunday, November 7, 2010

Last week was busy. Seeing patients, dental meetings, biking and flying.

It was good and busy. A busy week of work with patients a couple of dental meetings, flew and biked too! And, ... it started with Halloween.

We had a good week in the office. It is great to be helping patients with their dental problems. Our team at the office is excellent. We helped a number of patients with a variety of problems. We dealt with a number of implant restorations, denture patients, patients with gum problems and helped a number of children. It was satisfying to be able to help and make a difference for all of these members of our dental family. We could be a bit busier. We are still trying to help Michelle work on Thursdays too.

We had a number of new patients recently too. One lady is a native South American from Guyana. We have had a large family of patients whose heritage is from India but their parents and grandparents were raised in the South American country of Guyana in the capital of Georgetown. Apparently there is a fairly large contingent of the Guyana population originally from India. It is very interesting how our country is a magnet for such a large variety of people all adding to our diversity and enriching our culture.

The meeting on Tuesday evening was given by Dr.s Marty Rogers and Matt Davis. It addressed the most recent thoughts on cracked teeth and root canal treatment. They did an excellent job.

Wednesday was a meeting of the Northern Illinois Dental Specialists at which I was a guest. Dr. Burgess formerly of New Orleans [before hurricane Katrina] and now of the University of Alabama dental school is a well know restorative dentistry expert. His presentation was outstanding. It is good to keep up on the latest technology in order to be able to serve my 'dental family' as well as possible.

I biked a few mornings last week and was able to fly last evening. The flight with 5 of my powered paragliding friends near Kankakee was a great way to end the week.

This is how a good friend of mine trains powered paraglider pilots near Christmas, Florida:

http://vimeo.com/16502027

The above is an excellent video showing the training process in summary. Bob is an excellent student and Eric Dufour is an excellent instructor [perhaps the best in the country]. It doesn't always go as smoothly as depicted here. There are some good instructors in the midwest too.

My photos from last evening's flying:

http://picasaweb.google.com/davidmcw3/PPG101106Koerner#

It was a bit late when we launched and the light wasn't as good as I would have liked for photography. My camera regularly let me know that the battery was dying in spite of it being fully charged just before leaving home. Apparently the camera didn't like the cold. It was about 40 degrees or a little less as we flew. Colder weather is definitely making its way into our too near future.

My best to all of you and all of yours always!

Tuesday, October 12, 2010

My real pilot friend on Fox News.

I fly a powered paraglider and ride a bicycle. I now have a number of friends met through these two activities who are great people and wonderful friends. Scott Clark is one of these people. We have traveled to a number of local and not so local sites to fly paragliders with and without power. We have had many great times together.

We flew Sunday evening and he mentioned to me that Fox News Chicago was going to interview him for his Blue Sky Taxi service for which he is the chief pilot.

Here is the link:

http://www.myfoxchicago.com/dpp/good_day/blue-sky-taxi-new-flight-way-planes-scott-clark-pilot-20101011

He did a great job! Check it out.

Wednesday, July 21, 2010

Volunteer/travel opportunity for a great cause.

We had an interesting speaker this week at our Skokie Valley Rotary Club meeting. Patti Vile is a very interesting and caring lady. She has been organizing trips to New Orleans to help hurricane Katrina victims by bringing groups there. She organizes all of the logistics.

Please visit her web site at www.volunteerexpeditions.org for more information.

The office will be closed 7/24/10 until 8/2/10.

All of us need a vacation from time to time. Your team at Smiles of Skokie is no exception to this rule. The office will be closed as noted in the title of this update. No one will be available to answer your calls to the office during this time. Dr. Susan Doroshow [847-677-2774] has agreed to help our 'Dental Family' with any emergencies that might occur during our absence. We thank her very sincerely for helping all of us in this capacity if the need should arrive.

Lorraine will be traveling to California. Lori is in Arizona with her children spending time with her mother. I will be traveling across Iowa with the www.RAGBRAICUBS.org group doing the RAGBRAI [www.ragbrai.org] bicycle ride. This is my 9th year doing this event. We will again be raising money for Camp Courageous in Monticello, IA, for handicapped children. This is a very worthwhile charity. Their web site is http://www.campcourageous.org/ if you would like more information.

Dr. Doroshow's office is located at 3901 Howard Street, in Skokie, which is just a block east of Crawford on the south side of the street. She is a wonderful dentist, a member of the study club that I am in, a good friend, and a fellow dog lover. You will be in good hands if you have an emergency while I am gone.

Hopefully you will have time to get some rest and relaxation this summer too.

Thanks for your understanding.

Your team at Smiles of Skokie wishes you the best always!

Thursday, June 3, 2010

Amalgam issues. We have been safe for years!

There is a movement in the federal govenment to mandate mercury amalgam separators for dental offices. We have portable, self contained units [which we have had for over 12 years] and they are not only more sanitary [no waste lines running in the floors or ceilings] but they also have amalgam separators built in to them as they are produced.

The stand alone unit is the best for sanitation and safety in a dental office. We are very happy to have these units. They are more expensive but well worth the cost.

Wednesday, June 2, 2010

Our summer schedule.

The office will be closed this coming Saturday. We don't see patients on holiday weekends. Your oral health care team needs time to regenerate with longer weekends too.

The office will be close from July 24th through the 31st. This is our summer vacation week.

Saturday, May 1, 2010

Losing weight without starving.

There is a new approach to losing weight by eating foods that control craving. Dr. Leslie Van Romer has done a lot of research into this subject. She has many years of experience. The only ones that won't like what she has found are the large corporate interests that have a vested interest in hooking you on their products!

Please visit www.gettingintoyourpants.com for more information.

This is common sense, non-hype information!

Friday, April 23, 2010

Implants, new young patient, ....

It has been an interesting week. We had a patient very recently with 3 new implants restored in on upper right, lower left and lower right. We had another new patient who is only 2 1/2 years old fall out of a stroller and do damage to upper front teeth. Another patient had some nasty, viral ulcers that needed laser treatment. Another patient who has only come in for emergent care hopefully will come in to get 'caught up' very soon.

The patient with the new implants is doing very well. The lab did a beautiful job. They look good and are feeling good according to the patient too. They do feel different because the porcelain has a slightly different quality than tooth structure. He just needed a minor fine-tuning of his bite on Monday.

The young patient fell out of a stroller and displaced her 2 front teeth. There is also swollen gum around these teeth and a swollen lip. She is a sweetheart and doing well. She was seen in a hospital emergency room on Tuesday when this accident happened and then seen in the office on Friday morning. She is still sore. X-rays were taken in the hospital. We took a couple of photos with our intraoral camera this morning. Displaced teeth in young children will usually reposition themselves normally without intervention by a dentist. We will just need to observe and check for infection or nerve death in the future. We may need to take more x-rays to follow up in the future.

The patient with the viral ulcer problem was treated with our dental laser. He has had this treatment a couple of times before. He relies to some extent on other medications but finds that the laser is much more effective and provides almost immediate relief. We also find that when this type of infection occurs and is treated with the laser it doesn't recur as much or usually not in the same location.

It has been a good week!

Wednesday, March 31, 2010

Vacation: March 29th through April 4th.

The office is closed for the time period above. Most of us are going out of town. We are observing some holidays as well as wishing and praying for the best for all of you, our dental family.

There are two highly qualified dentists who are kind enough to help you with emergencies if the need arises while we are gone. They are Dr. Doroshow & Dr. Sodini.

Dr. Doroshow is a colleague of mine and we are in the same study club and members of the Chicago Dental Society. Dr. Doroshow's office is near Howard and Crawford in Skokie and the office phone number is 847-677-2774.

Dr. Sodini's office is about a block east of my office on Oakton and the phone number for his office is 847-676-9292.

It is a relief for me to know that my dental family will be in good hands while I am on vacation.

Friday, March 12, 2010

CDS meeting

We have been fairly busy at the office. Our usual assortment of patients needing a variety of care has been a little on the light side due to the economy but we are doing pretty well.

The Chicago Dental Society Midwinter meeting was good. There were about 32,000 attendees. I managed a large meeting on Saturday as the Chicago Dental Society representative.

The Smiles of Skokie team went to the meeting as a group on Thursday. We updated our infection control knowledge and added a new hand cleanser system to the office thanks to Dr. Molinari's course. Dr. Roger Levine helped us with our office management skills and provided valuable information to our entire team. It was a good day! [Traffic was terrible in the morning. We drove down in 1 vehicle.]

I was at the meeting on my own on Friday. Dr. Carl Misch's implant lecture was very good. He had some excellent research data and provided a good scientific basis for bridge and implant restorations of a variety of types. He is a very knowledgable and opinionated lecturer.

Saturday, Heidi & I attended separate courses. Mine was on health and stress given by Dr. Uche Odiatu from Toronto, and Heidi took part in a course on dental instrument sharpening and maintenance. Both of us learned a lot. We try to be your positive, health-optimizing resource and Dr. Uche's material will help us serve our patients even better.

It was a good meeting as usual. This year it was held in McCormick Place West for the first time. This venue meant that this huge meeting wasn't scattered over as large of an area as it usually is.

Monday, January 4, 2010

A recent porcelain veneer case.



I firmly believe in only doing the most conservative, best option for my patients. This patient has done a lot of whitening. He wanted a better smile but a natural appearance. We were both happy with the results.

There are more expensive, brand-name veneers. There are also very high strength, extremely well done porcelain veneers fabricated by less well known excellent laboratories. This case was done using the services of the latter type of lab.

Whenever doing veneers or implants for a patient the patients bite and habits need to be evaluated carefully. This patient elected to have a nightguard made and is using it every night to protect his investment in his smile.