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FALL /
WINTER
'01
By
Richard
Kleefield, DDS
This is the forty-seventh newsletter circulated to all of our
patients, parents and colleagues. We hope that you will find its
content both interesting and provocative. Please feel free at any
time to comment upon the content and offer any constructive suggestions.
We try very hard to listen to our constituency in order to provide the
finest and warmest care, anywhere.
INNOCENCE LOST
The philosopher George
Santayana opined that, "Those who fail to read History are doomed to
repeat it". To paraphrase the great President, Franklin D.
Roosevelt..."September 11th, 2001, a date which will live in infamy."
For those of you fortunate enough to have been born into the preceding two
generations, you have enjoyed a relatively carefree time, a time free of
fear and apprehension. Just as President Harry S. Truman came to the
presidency with modest skills and background and grew to be one of our
greatest leaders, so now it would seem that President George W. Bush is
growing into the most powerful office on earth, quite commendably.
And now, our great country is coming together as it did after December
7th, 1941 when Roosevelt uttered such great words.
In another speech during the "Great Depression" Roosevelt's powerful words
had a great uplifting effect upon a frightened nation. Among these
words were the famous, "The only thing that we have to fear is, fear
itself!"
It is quite clear that life has changed dramatically and will never again
be the same. To those who have lost loved ones in this terrible
tragedy, we at Westwalk wish to express our deepest condolences. We
share your sorrow as never before. Would that there were adequate
words to comfort. But out of this tragedy have come acts of courage
and bravery that must serve as an inspiration to meet the challenges that
lie ahead. America is a generous, giving and compassionate country
and it is our hope that we may prevail without a protracted paroxysm of
violence that somehow a higher reason will prevail. As people who
treasure "family" we can think only of the precious children whose entire
future is at stake and pray that God will bless us in the months and years
to come.
As a person who has at times
been critical of Presidents, both past and present, I join the Congress
and nation in wishing our President well and praying that his decisions
will be thoughtful, prudent and compassionate. My daughter gave me a
beautiful gift several years ago. It was a lovely calligraphy that
she had made in a simple frame. Its words have become the theme of
my life and perhaps now have even more meaning. It said, "In the
end, only kindness matters."
As we approach yet another Christmas, I am reminded of Tiny Tim's simple
prayer in which he said, "God Bless us Everyone."
HEALTHCARE/MANAGED CARE
Ordinarily in the past, I
have devoted great and detailed attention to this subject, as it is so
germane to us all. Five years ago we just shrugged when our premiums
were increased five to eight percent annually. Shrug no more!
If you have shared our group experience, we have seen almost a 90 percent
increase over the past four years with no end in sight. "W" set as
one of his goals, the reduction of "uninsured" or "under-insured"
families. As a public service, I would like to request that anyone
who has experienced either a "level premium" or the vaunted "premium
reduction", please raise your hands! As the great politicians ask,
"Are you better off today than you were a year ago?" The answer
probably is, yes and no. Over the past year there have been striking
advances in medical treatment for many deadly diseases. The
deciphering of the human-genome will undoubtedly unlock the answer to
effective treatments without the current destructive chemical and
radio-therapies. The FDA has now created "expedited" trials for new
drugs to be given to the gravely ill. The drug companies are funding
medication for the poor third-world countries. More attention has
been focused upon accessibility for Medicare patients to critically needed
care. The FDA has announced that a trial for a promising Alzheimer’s
vaccination will begin shortly for this most devastating of diseases.
What can we as individuals do
to control the runaway cost of insurance? In my opinion, we must
become extremely proactive by communicating our concerns to our
legislative representatives within the State and Federal governments.
We can no longer remain silent and expect healthcare to remain remotely
affordable. Consider your own situation carefully and if you
conclude that there is cause for concern in your own family, please find
the time to articulate those concerns to your representatives here and in
Washington. Individual letters work far better than "canned" letters
or mass-petitions. As Dan Reeves says in his "Zocor" commercial,
"It’s your life...BE THERE!"
IT’S THE
SEASONS
I don’t know about you, but
we are entering my own personal favorite season, Fall. In addition
to fall, winter is a season filled with "Contact Sports". Football,
Basketball and Hockey present the greatest opportunities for damage to the
head and neck. Equipment for Football and Hockey has improved
tremendously over the past twenty years, as has our understanding of how
to prevent the most serious of head injuries, the "concussion".
What is a concussion? Very simply it is a violent shaking of the
brain within the skull during which surfaces of the brain "slam" against
the bony confines of the skull. Slam your arm against a hard surface
and within a few minutes, a visible swelling is produced. Unlike the
brain, the swelling in the arm can develop without restriction. With
the skull cavity, only a limited amount of brain swelling can develop
without significant manifestations. The brain is a mass of delicate
computer-like circuits which, if compressed can cease to function.
One of the greatest sources
of concussion is a violent blow to the jaws and teeth. A knockout
blow is generally the result of a violent compression of the hinge points
of the lower jaw upon the upper skull, causing a "concussion". It
has been shown that the wearing of a "mouth guard" greatly reduces this as
a primary source for brain-injury. We therefore strongly suggest
that parents should be extremely strict with their young athletes and see
to it that genuinely well-made mouth guards are worn at all times during
practice as well as game competition. Where available, seek the most
protective of faceguards and at the same time, do not overlook
"eye-protection". This is extremely important for basketball-players
since they are the least well protected of any athletes. It is our
feeling that all basketball players should, at minimum, wear mouth guards.
As a general rule, all orthodontic patients who participate in any contact
sport should be provided with a mouth guard. Therefore, we at
Westwalk make available, mouth guards to all who request it. If we
fail to ask, make sure that you do ask for one.
A VERY PROUD
TRADITION
Thirty-one years ago, I came
to Westport to begin my orthodontic career as a neophyte. I
immediately experienced great good fortune by working with two fine and
very accomplished orthodontists, Drs. Samuel Arkway and Arthur Thomas.
However, my most fortunate gift was being introduced to Dr. Anthony F.
Romeo, father of Drs. David and Gary Romeo. "Tony" immediately
befriended me and I came to regard him and his wife "Lee" as surrogate
parents. "Tony" was a wonderful man and an extremely fine
orthodontist who brought great credit upon our specialty and through that
introduction; I made a lifelong friend of David who became my partner in
the late 70’s. At that time, David had completed both his dental and
orthodontic training at the University of Connecticut Health Center in
Farmington with such great distinction that upon graduation he was
immediately appointed an Assistant Professor in the graduate orthodontic
training program. Connecticut’s orthodontic program is regarded by
the profession as one of the finest in the country and was headed by Dr.
Charles Burstone. Burstone is recognized as one of the most
accomplished bio-engineers in the United States. It was my greatest
good fortune to acquire such an accomplished young partner who so rapidly
increased our practice, that we turned to David’s brother, Dr. Gary Romeo,
to join with us. Like his brother, Gary had done his undergraduate
training at UCONN, but upon graduation he decided to enter the University
of Illinois to do his graduate work. As is the case for UCONN, the
University of Illinois enjoys one of the most outstanding reputations for
excellence in the country.
Within the shortest of times
for both Romeo’s, they successfully acquired certification by the American
Board of Orthodontics making Westwalk the only practice in the state to
have three "board-certified" practitioners. David and Gary have
always been involved in community activities and joined the Norwalk
Hospital dental staff to donate time to providing orthodontic treatment
for "indigents", "pro-bono" and today, David is the Chief of the
Orthodontic subsection, Department of Surgery. As well, David and
Gary are past presidents of the Greater Norwalk Dental Society and are
still active in its activities. Just this past year, David became
the immediate "past-president" of the Connecticut State Society of
Orthodontists. Gary has been a leader in the local Kiwanis Club and
is the husband of Dr. Sandra (Bogdon) Romeo who is a general practitioner
in Westport.
It should be obvious that
"Westwalk" has a genuine "family" tradition that also includes the finest
staff ever. Staff members Mrs. Paula Deering
and Mrs. Darlene Pironto have over twenty continuous years of service to
the practice. Sally Gaita has been with us for over 14 years having
worked on both a part time and full time schedule as she had her two
girls. She is with us again on a full time basis now that the girls
have gotten older. Additionally, Linda Mattera continues with us on
a part time basis after 12+ years of service, having started her career on
a full time basis. Mrs. Tina Stepkowski who started with us part
time out of high school has now accumulated 11+ years. With five
years of service or more, we have Mrs. Evelyn Pasiakos, and Joan Antolini.
Joan came to us with prior orthodontic experience having worked for
several years for Dr. John Gisondi in Fairfield. She has been a fine
addition to our staff having contributed not only as an assistant but also
in the laboratory as well. Ms. Jessica Tortorici and Ms. Zoë
Andreadis have been with us since 1999 and 1998. Both are rapidly
becoming important members of our team. Our most recent and fine
acquisition is Ms. Latrovia England who is beginning her second year with
us. In the common age of rapid turnover, I think that you will agree
that this is absolutely remarkable longevity for a staff, providing a
continuity of treatment for our patients without peer. As doctors, we can
never adequately express our gratitude to, and pride in our wonderful
staff. As that most appropriate Latin phrase expresses, "Res ipsa
loquitor" -- "the act speaks for itself"...WE ARE FAMILY!
A VIEW FROM
THE PASTURE
Where did the time go?
As we all know, this is a common rhetorical question expressed by those
entering "retirement" from lifelong careers. I can hardly believe
that it has been almost a year since my "official" departure from the
practice. For most everyone, I would think, dealing with one’s own
professional mortality is somewhat of traumatic event and I have been no
exception. As you must have concluded by reading the previous
paragraphs, everyone at Westwalk, to me, has been genuine family and I
miss that daily contact and interaction with them. Most
particularly, I miss all the wonderful patients and families who became a
most important part of my life. I can only hope that the majority of
those who honored me remember me with the fondness with which I recall
their presence in our offices. Once again, the Romeo family has
honored me by asking me to remain as a "consultant". It is with
great pride that I have viewed the remarkable progress of the practice
just since my departure. That my name is still associated with
Westwalk, I also view as a signal honor.
I have loved orthodontics since the day I entered training and I am now
privileged to be a more active staff member at the University of
Connecticut’s program at the Farmington Health Center. To some
extent I have acquired yet another surrogate family with my student’s and
co-faculty members and it is yet another honor to be allowed to pass on
the gifts so generously given to me over my primary career.
Yet possibly the greatest of
gifts is the presence of three beautiful grandchildren living just two
miles from my home. Trevor now 5 who has just entered Greens Farms
Kindergarten, Tyler just four months short of his fourth birthday and my
most beloved granddaughter, Allison who will be just one year old in
September. My daughter and son-in-law are approaching their ninth
anniversary, January of 2002. My son Jim is a successful news-anchor
at WFAS in Hartsdale, New York. And last but certainly not least, my
wife Mickey and I have just passed our fortieth wedding anniversary.
I am so very grateful to her for so many wonderful years and memories. It
is pleasurable to now have the time to devote to yet a second career as
well as to be able to "play" a bit of golf and still pursue my passion for
aviation while enjoying the God-given gift of good health, the most
valuable of all gifts. In short, I will never be able to find
adequate words to thank those who have been, and still are a part of my
life.
FINIS
As we approach the holiday
season each year, I cannot fail to be reminded as to how grateful we are
to you for choosing us as your orthodontists. To entrust your care
and or that of your children is what we regard as a genuine honor.
We are also indebted to our colleagues who, in our opinion, exemplify the
very best within our profession. Their repeated expressions of
confidence are intrinsically appreciated. But, most of all, we
regard one and all as treasured "family". We wish you a beautiful
New England Fall filled with the blazing colors that only New England can
produce; the fun of Halloween with the pervasive spirit of "fun"; a
traditional Thanksgiving with time set aside to be genuinely thankful for
all our blessings; a Chanukah that will renew the soul and a Christmas
honoring the child who was born over two millennia ago. Our New
Year’s wish is for a year filled with abundant good health, world-peace
and family love for each and every one of you.
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