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Subject:
From:
Anthony Arnold <[log in to unmask]>
Reply To:
St. John's University Cerebral Palsy List
Date:
Mon, 26 Mar 2001 11:03:14 -0600
Content-Type:
text/plain
Parts/Attachments:
text/plain (86 lines)
Mag,

Another response

----- Original Message -----
From: [log in to unmask]
To: [log in to unmask]
Sent: Monday, March 26, 2001 10:47 AM
Subject: Re: [DynaMicDuos] An open letter


In a message dated 03/25/2001 6:02:35 PM Eastern Standard Time,
[log in to unmask] writes:


> about the
>

Dear Anthony,

I have felt compelled to respond to many DynaMicDuo postings with the
limited
"trial and error" technical AAC skills that I have struggled to acquire
while
working with my daughter. For this response I can to take off my DynaDad hat
and rely on my 20 years of experience as a pediatric dentist.

As a pediatric dentist I treat many special children and many disabled
adults. I know that it is unfair to paint Dentistry with such a broad brush.
It was correct to search hard for the correct dentist. It should not have
taken two years, and, yes, it should have been more fruitful. But, you
cannot
expect any professional to do any treatment that is beyond his or her
expertise.

I know that my experience may allow me to do treatment on children that
others cannot do. Some of these children will not or cannot sit still. But,
I
also know when a prosthetic case is beyond my expertise. I know when I
cannot
do a treatment, and I refer to someone who can.

An issue that was not mentioned, but I suspect was also part of the problem,
is reimbursement. Often a problem with Medicaid and/or insurance is that
although a particular case may be much more difficult and may require far
more time for treatment, there may be no mechanism for appropriate fees. I
have often chosen to do treatment for little of even no payment. But, you
cannot expect to force a dentist, or any professional, into this
arrangement.

Fortunately there are dentists and dental specialists that probably can do
the necessary care here, especially, if your friend is near a large
metropolitan area. The effort should be in finding the correct dentist. Your
friend might start with the local UCP, her present caregivers or the local
dental society. The American Academy of Pediatric Dentists (www.aapd.org) is
also a good place to start. The training and care includes care for disabled
adults as well as for children.

Lastly, I have to mention that I find it sad that frustration in finding the
right dentist has led to such anger and hostility. (from the openletter
writer and from listservers on the DynaMicDuos and the ACOLUG) I know that
most of my colleagues treat each and every patient as I do, with respect and
dignity, and to the best of their ability.

Frank Askinazy, DDS
[log in to unmask]
www.askinazy.com



[Non-text portions of this message have been removed]


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