Musings and stream of consciousness of a female dentist from the heart of a great state, located in the Central San Joaquin Valley - Fresno, California
Thursday, December 11, 2008
Pulling aside the curtain...
http://ping.fm/Bo5l6
Wednesday, December 10, 2008
Social Media: a new way to interact with others?
Give it a try and let's see who we know in common and learn abit more about each other. Please practice "safe" social media networking! : )
"friend" me on facebook at http://profile.to/drtrevalee-office/
Friday, December 5, 2008
Wandering Mind: To Chicago and back again
All the Christmas lights and decorations are up and twinkle brilliantly at night with the reflected lights dancing off the snow. Last night, the hotel shuttle driver making the run between the hotel and the local outdoor mall (it's below freezing, and this Chicago suburban shopping mall is "outdoors". Funny that 100F+ weather warrants indoor shopping malls in the Valley, but not in blustery, ice-cold Chicago in December!)slowed down as we went past an ornately decorated home. The shuttle driver's country of origin is Senegal. He believes in the American Dream. He's living the American Dream. He was remarking on how his 4 year old daughter calls him every day to find out when he gets off work. She won't go to bed until he's home. To me, this is a real slice of what the United States represents. That you are given the opportunity to improve your circumstances. This is way different than just expecting to have your lot in life improve with little effort on your part.
I disagree with a recent politician's remarks that people around the world no longer respect us or that our aspirations are meaningless. We can choose to be successful...yes, we may fail in our attempts to succeed, but nobody is actively stopping us from trying. We have opposing groups and opinions, but the rule of law still plays an active role in this county. You only have to read about countries where there are warlords and tribes based on familial and religious ties and very few societal institutions that protect the less fortunate. Heck, in about 90% of the habitable areas on earth, someone such as myself, an educated, christian woman wouldn't even be allowed to exist!
So as my mind's wandering, I think: I really dislike how the media seems so eager to emphasize the negative. They so love bad news. Look how triumphant they sound the horn about increasing unemployment rates. Hey, newsflash, in our area, traditionally we have a higher unemployment rate due to less seasonal agriculturally based jobs anyway. So how valid is that statistic. How does it compare to previous years' rates? I remember a popular college textbook titled "How to Lie with Statistics". Yep, you can slant numbers anyway you want to support your opinion.
What's my point to my thoughts? 'Tis the season of goodwill. Remember and find the good in people. Seek the best out of the world and you'll attract and receive the best of what the world has to offer. Love your friends and family. Don't have any family or friends...then go make some! Read any of the books in the "Chicken Soup for the Soul" series. Let's make 2009 meaningful and terrific...despite the media doom and gloom. Let's prove those talking heads on TV wrong! Power to the people...
Thursday, October 30, 2008
How Can a Fresno-Madera County Resident Whiten a Smile?
Your high school reunion is coming up and you want your smile to be its brightest. Or maybe you have an important speaking engagement? Whatever the reason, tooth whitening isn’t just for movie star celebrities, and it isn’t just a temporary fad. Many people have had their teeth whitened or “bleached”, and probably hundreds more are thinking about doing it. Tooth whitening safely lightens the color of your teeth lasting for up to 5 years(depending on if you smoke, drink double espressos, etc). Many people feeling much more confident about themselves when their smile is no longer a source.
We are pleased to offer and in-office “power” whitening procedure, called Zoom!. You may have seen this system used on the TV show “Extreme Makeover”. Dr. Lee believes this system safely and effectively “jumpstarts” your whitening process. This greatly reduces the frequency you may need to wear custom made whitening or bleaching trays maintain Your new shade with “touch-up” gel applications that you do yourself. This is great for people on-the-go. We will continue to offer the traditional procedure that requires wearing custom made trays 45 minutes twice a day for 5 to 10 days. The non-ZOOM! system is better suited for people with sensitive teeth, ie many fillings or crowns, post-orthodontic treatment or receded gumline areas; or have deeper discoloration due to oral antibiotics.
Dr. Treva Diane Lee would be happy to determine whether you are a candidate for teeth whitening and which system would provide you the smile you’ve always wanted!
Saturday, September 20, 2008
It's Almost Fall and it's Back to School Time!
Gone are the days when a school's auditorium or classrooms or playing fields were readily available for use by groups whose members were students at that school. Remember Camp Fire Girls? Girl Scouts? Boy Scouts? Pick-up basketball,football, baseball, and soccer games? No after-school meetings of student groups for extra-curricular activities unless it's a strictly organized rehearsal or practice. or "extended daycare" with an actual teacher or administrator present. Hey, now a days a bunch of kids aren't even allowed to hang around after-school to even kick a ball around on their own. And we wonder why kids aren't getting as much physical play time?
Gone are the overloaded bike racks of yore, when everyone rode their bikes or walked to school. We're too scared to allow our kids the independence that we had. And if we do, and something does happen to them, then we run the risk of being accused of bad parenting. What a "Catch-22". Children must now be promptly picked up...heaven forbid that a parent's vehicle should have mechanical problems! The school has the authority to report such dereliction of parental duties to Child Protective Services. Public transportation? The bus system is so inconvenient. It doesn't go where you want and when you want it. And again, children riding unsupervised? Such an idea!
I know, I know. The schools' cannot assume the liability for what happens to student's once the school day has ended. But they barely want to assume the liability during the regular school day also. Common sense doesn't seem to prevail as regards students and medications. Asthma inhalers are kept locked up in the school office, and the office workers aren't allowed to administer them to the kids. So if your child has an asthma attack on the playground or classroom, that inhaler is really going to do them a lot of good in a locked cabinet? Same thing for diabetes medications. The extra syringes and needles and insulin aren't going to anyone much good if the child cannot keep them in his backpack and readily available. Ditto for anti-bee sting adrenalin pre-loaded syringes. And the zero tolerance policy on medications makes those Pamprin or MIdol tablets that we used to take during "that time of the month" ( especially when adolescent cycles are just establishing themselves with varying degrees of discomfort) totally banned and grounds for suspension and expulsion! Didn't know we were such subversive elements in our youth!
All the legal mumbo-jumbo twists things around to point that those that the rules and laws are supposed to protect, are actually harmed by the threat of legal action based on the very language of those rules and laws. I still maintain that it seems that oftentimes something may be legal, but it's neither moral nor ethical to continue down a certain path to accomplish a goal.
Tuesday, July 29, 2008
Dental Insurance, Yes or No?
Answer: Unfortunately, a "good" dental plan does not exist for individuals. The best value is those plans bundled together with medical plan premiums (usually only found through large employee groups like school districts, large companies, etc.)which are paid for with "pre-tax" dollars and are not overly restrictive of your choice of dentists. I am really not being self-serving when I inform people that you may want to reconsider plans that only pay a benefit when you use their doctors...how soon will you be seen? Will the doctor be reachable after hours? Will the plan require that your doctor use the 'least expensive treatment' (not necessarily the best). I really dislike that interference in the doctor-patient relationship and decision making. What happens if you are out-of-town...will the plan still pay a "non-participating doctor"?
I once was a "provider" in a pre-paid discount plan. It was too frustrating for me and my patients. The limitations for treatment and the expectations of what was to be provided were not realistic. The lists of doctors and specialists look extensive, until patients try to see if the office is still accepting new patients on their plan. I quit the plan because there were no specialists within 45 miles on the plan, and people did not understand how little the plan actually benefited them. Plus, I could not ethically allow my patients to receive sub-standard treatment just because it was cheaper.
Rule of thumb that I tell my patients is if you have to pay more than $600 aftertax premiums a year for so-called dental insurance by itself, then you are are better off just paying for routine exams, xrays, and healthy gum cleanings on your own. You won't go over $600. Even with investments in your dental health like root canal nerve therapy or crowns, most plans will max out after $1000-$1500 is used.( The maximum benefit hasn't changed in over 40 years. If benefits kept up with equal value of medical benefits, dental benefits would be about $6400 annually) Dental insurance is useful, but the way it's structured, it will never pay for someone to be brought back to total dental health in a timely manner.
Third party financing, like a separate healthcare credit card (good at ER's, vets, MD's, etc) have really made it affordable for people to get the treatment they need and want. On the interest-free plans, the practice/doctor pays for the finance charges and interest. I know the insurance people don't like me saying this, but: 1. you do get what you pay for, and 2. almost 87 cents for every healthcare dollar(that includes medical plans) goes to the insurance company (its administrators,claims delayers, oops! I mean claims processors, executives, shareholders and commissioned salespeople), only 13 cents actually goes to pay for actual care (labs, hospitals, doctors, nurses, therapists, etc.)
If I ruled the world, we would truly provide monetary incentives for people to stay healthy and figure out ways to make doing preventive stuff profitable. The way healthcare is right now, the more procedures and treatment that is done, the more profitable it is for the providers. By helping my patients stay healthy, I actually "hurt" the profitability of my business. Something's wrong with that business model.
Treva D. Lee, DDS, MAGDhttp://www.drtrevalee.com/
Help for Smiles of All Ages
Friday, July 25, 2008
Summer Time Memories
It's an unwritten rule with the other families that video devices are verboten! MP3 players for music are ok, but not to view video. Use those eyes to really see what's around you.
We might even have some real conversations that will encourage them to actually express an opinion and defend it. Time will slow down where they'll be allowed to have their adventures sloshing around in the creek, telling ghost stories 'round the campfire, paddleboating on the lake, and getting way too sunburned because they ignored mom's advice. Heck, I'll even let them make and eat gooey, sticky, sweet s'mores!
It's old-fashioned and nostalgic to attend Family Camp...where waiting your turn to use the showers and saying "please", "thankyou" and "pass that platter of food" are the rule and not the exception. Where the kids are allowed to figure out their own pecking order free of parental interference and egos. Where the college-aged counselors are role models and they know it and behave accordingly! A place where I first allowed my children to go to the bathroom unaccompanied by me, their dad, or another relative. And where they learn lessons like mosquitos are especially hungry and fierce at dusk! Or ants are much bigger in the mountains. Or the ground squirrels and stellars jays are aggressive foragers and think nothing of rifling through your belongings.
Here's to making summertime memories!