jump into that, it’s important to determine if the following are true:
The data support staying in the current office. The current office’s growth is maxed out but the practice should maintain its value and provide a steady source of income long-term. You want to begin a new practice. You know there are underserved markets with favorable competition and demographics.
The Path Forward.—Once you’ve decided that adding or moving an office is your best option, it’s time to gather a bit more information. You need to identify the underserved market best for you. To do this, determine the maximum drive time and distance from your current practice that you can live with and complete a location search using census block data to see where the great (not just OK) competitive ratios are. Once you’ve identified the top areas, see if you like the area, if the schools are good, if it’s close to family or other attractive options, and see if it makes sense for you. Having narrowed the choice to a few locations, do detailed demographic studies of each one. Demographics,
competition and other valuable information can be obtained from many sources. Once you have all the data in hand, it’s time to talk to your lender, financial adviser, distributor, and other advisors to get their take on the situation. Then you can consult your commercial broker and identify specific properties in the best areas where you can lease, buy, or build, depending on what you’ve determined is the best choice.
Clinical Significance.—Having taken all these steps, the dentist should feel confident in making the decision to stay, move, or add an office. Risk is reduced and money is saved by investing the time upfront to do your homework.
James D: Should I stay or should I go now? Dentaltown, May 2016, pp 90-92 Reprints not available
EXTRACTS MINIFASTS TO IMPROVE HEALTH Eating a light dinner after a 14- to 18-hour fast might improve your energy levels and decrease your appetite. The 5:2 diet uses intermittent fasting for weight loss but it may also help control blood sugar levels, improve memory and energy levels, and boost immunity. In the 5:2 diet, individuals follow a normal pattern of eating 5 days a week, but practice minifasting 2 days a week, going a long stretch without eating or limiting food intake to about 600 calories. Researchers at the University of Manchester found that when overweight women followed the 5:2 diet, they lost more weight and body fat and improved insulin resistance compared to women who limited calorie intake 7 days a week. Mark Mattson, a researcher at the National Institute of Aging, states that going without food leads the body to use its stored glucose and then starts burning fat. During fasting, fat can convert to compounds called ketones that make neurons more resistant to injury and disease. Mattson hopes to find out how minifasting affects memory and learning when the body burns fat for fuel. Other scientists are investigating the effects of minifasting on immunity and the body’s ability to adapt to stresses. Minifasts aren’t for everyone, and individuals should seek their doctor’s advice and see a registered dietitian before undertaking fasting. Tips for effective fasting include the following:
Fast with a buddy. Choose the food you eat carefully, focusing on high-protein, high-fiber foods and avoiding refined carbs and sugar. Stay away from the kitchen or other places where people are eating. Try the weekly intermittent fasting for a month at least. Long-term lifestyle changes and their benefits are more likely to work when people stick with them for a month. Tolerating some hunger becomes easier when you do it for a longer period of time. Don’t be surprised that side effects such as difficulty sleeping or gastrointestinal upsets occur. [Aubrey A, Barclay E: Minifasting: How Occasionally Skipping Meals May Boost Health. NPR, January 12, 2015]