Service of Change II

March 28th, 2024

Categories: Change, Dental Care, Doctors

Dr. Caroline Barsoum, Integrated Aesthetic Dentistry

The word “upgrade,” the current name for change in many quarters, makes me shiver. Inevitably, as I’ve written here so many times before, when it relates to my computer, phone, laptop or tablet, it means a one or two-step process will now require four or five or a service I depended on will be eliminated. My blog’s hosting site that in 14 years never disappointed in the last two no longer provides notifications that someone has posted a comment on my blog. Thanks a lot.

Changes of doctors, hairstylists and tech support people are particularly painful for me. Patients and customers have no choice but to accept the changes as the people they depend on move away or retire.

This happened to me with my dentist. I have been haunted by horrendous teeth since toddlerhood.  I wince thinking of what my mouth cost my parents. I limp at what my dental care has cost me and still does. When my dentist of decades called to say he was retiring last summer, I was distraught. He was fabulous and did what he could to address tricky issues in the least invasive, most cost-effective way. I trusted—and liked him.

It took me months to get up the nerve to visit the practice he recommended.

IAD team

What I discovered is that dental technology has been kind to patients and the doctors Caroline Barsoum and Michael Cafarella and their team at Integrated Aesthetic Dentistry, [IAD], who collaborated to fix one of the issues in my complicated mouth, have mastered it.

In addition, there’s a palpable feeling of calm there.

I was astounded by the painless, seamless and quick implant that Dr. Cafarella installed. A few weeks ago that implant was measured for a crown. Dental impressions were done digitally. I always thought all my teeth would land in the molds of yore when the dentist pulled them—filled with a bunch of super sticky gunk–out of my mouth.

I’ve wished all my life that I could leave my head at the dentist’s office and come back in a few hours to pick it up with tooth challenges solved. This experience was the next best thing.

I must also credit the office manager Elizaira—Eli—Soto who helps the practice run like a Swiss –or perhaps Apple–watch. She whips out estimates and answers questions with speed. My former dentist, a one doctor shop, and his office manager were also quick to respond. I figured I‘d be lost in the nightmare of “press one, press two” at a practice like IAD, with multiple offices and many doctors but I’m not, thanks to super juggler Eli.

I wish I could report that all the transitions of key people who support me or my business have been as seamless and positive as this one. Do you go with the flow easily when there’s a crucial change? Any pleasant surprises?

Dr. Michael Cafarella, Integrated Aesthetic Dentistry

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6 Responses to “Service of Change II”

  1. ASK Said:

    I am faced with a similar situation: my gynecologist of over 30 years retired in December. While she recommended several alternatives, I am not looking forward to my next annual exam with a new doctor even if she or he has come highly recommended.

  2. Jeanne Byington Said:


    I had a fabulous eye doctor. He was young and I figured I was all set for ages until his group sent him to the Long Island office. Crisis. My new doctor and team are fine, but not the same.

  3. Lucrezia Said:

    Like it or not, change is one of the many costs one pays to exist. It’s not always easy, but the sooner one learns to deal with adversities which change May bring on, the better off one becomes. A tapestry cushion reads, “old age isn’t for sissies.” Right on – but the same applies to life at any stage.

  4. Martha Tepper Takayama Said:

    I really don’t like unexpected changes for doctors, hairdressers, technology upgrades, and other service people and service entities. I agonize just from the site of the word “upgrade”, especially on my cell phone. I constantly have to try to suppress my feelings of being obsolete! At the moment I cannot think of any positive transitions to lessen my concerns. I just try to plod along.

  5. Jeanne Byington Said:


    The Alcoholics Anonymous prayer is something we could all benefit from, me especially: “God grant me the serenity To accept the things I cannot change; Courage to change the things I can; And wisdom to know the difference.”

  6. Jeanne Byington Said:


    If I ran a company and needed to change the smallest procedure or tech thing, I wouldn’t touch the word UPGRADE as though it had been in a 400 degree oven for 15 minutes. It leaves a bad taste for most and is too hot to be useful.

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