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  • JOHN H. COCHRAN

John H. Cochran, MD, FACS Executive Director The Permanente Federation

John H. Cochran, MD, FACS, is the Executive Director of The Permanente Federation, the national umbrella organization for the regional Permanente Medical Groups, which comprise the physician component of Kaiser Permanente. The Permanente Medical Groups employ more than 14,000 physicians who care for approximately 8.6 million Kaiser Permanente members. Prior to his appointment to this position in October 2007, Dr. Cochran served as Executive Medical Director and President of the Colorado Permanente Medical Group (CPMG) for Kaiser Permanente. Dr. Cochran began his career with CPMG as founder of the Plastic Surgery Department in 1990.

Dr. Cochran currently serves as a member of the Board of Directors of the American Medical Group Association (AMGA), the Board of Directors of the Alliance of Community Health Plans (ACHP), and the Advisory Board of the Global Health Group at the University of California in San Francisco.

Earning his medical degree from the University of Colorado, Dr. Cochran served residencies at Stanford University Medical Center and the University of Wisconsin Hospital. He is board certified in Otolaryngology (head and neck surgery) and in Plastic and Reconstructive surgery.

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Retin-A is often used to improve the appearance and texture of the skin. It produces a mild, superficial peel of the epidermis. Retin-A has effects on the both the superficial (epidermis) and the deep (dermis) parts of the skin. The major benefit is to decrease the effects of sunlight caused aging by increasing the speed with which the surface cells are replaced.

Apply a thin layer to affected area once a day at bedtime. Use a gauze pad or cotton swab to apply the liquid. Wash your hands immediately after use. Using this medication more frequently or in excessive amounts does not improve the results, but may increase side effects. Avoid applying near the eyes, mouth, or open cuts since this medication can irritate sensitive skin. Acne may appear to worsen when the medication is first used; continue therapy. It may take three to six weeks before the full benefits of this medication are seen.
Use mild soap when washing your face. Do not wash face excessively. Abrasive soaps, cleansers, medicated creams or lotions can increase skin irritation. Consult your doctor or pharmacist about their use. Use other acne preparations with caution while using this medication.

This medication can increase sensitivity to sunlight, wind and cold. Avoid prolonged exposure to the sun and sunlamps. Wear protective clothing and use an effective sunscreen. This medication should be used during pregnancy only if clearly needed. It is not known if Retin-A appears in breast milk. Consult your doctor before breast-feeding.

If you miss a dose, use it as soon as remembered; do not use if it is almost time for the next dose, skip the missed dose and resume your usual dosing schedule. Do not “double-up” the dose to catch up.

Due to the possibility of irritation, it is advisable to begin treatment on a small area of skin. Exposure to the sun or to ultraviolet rays causes additional irritation. During treatment, such exposure should be avoided as much as possible or a sun block should be used.
During the first weeks of treatment there may be an apparent worsening of the problem. Such a reaction is perfectly normal because small cysts deep within the skin are being eliminated at an accelerated rate.
This medication can increase sensitivity wind and cold. Avoid prolonged exposure to the sun and sunlamps. Wear protective clothing and use an effective sunscreen. If any ingredient should cause hypersensitivity, discontinue use.

Store at room temperature away from sunlight. Keep this and all medications out of the reach of children.

Applying Retin-A excessively will not produce faster or better results, and marked redness, peeling, or discomfort could occur. Over dosage with other retinoid has been associated with transient headache, facial flushing, celosias, abdominal pain, dizziness and ataxia.

If you have been previously treated with keratolytic preparations or exfoliants, you should wait until any skin rash clears up before beginning even low strength treatment. Studies of the effect of this product on pregnant women are incomplete. For this reason, it should only be applied when absolutely necessary and always under a doctor’s supervision.
The effectiveness of Retin-A is almost always accompanied by skin irritation. In the treatment of acne, this phenomenon is directly related to the effectiveness of the product and disappears once applications are more spaced out.
Cosmetics may be used, but clean skin thoroughly before applying the medication.

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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Drug Uses

Zyban is indicated as an aid to smoking cessation treatment.

How Taken

Zyban comes as a tablet to take it orally. It is usually taken twice a day and may be taken with or without food. It is important to swallow Zyban Tablets whole. Do not chew, divide, or crush tablets.

Warnings/Precautions

Do not take Zyban if you have taken a monoamine oxidase inhibitor (MAOI) in the last 14 days.
Zyban is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not take Zyban without first talking to your doctor if you are pregnant or could become pregnant during treatment.
It is not known whether Zyban will be harmful to a nursing baby. Do not take Zyban without first talking to your doctor if you are breast-feeding a baby.

Missed Dose

If you forget to take a dose, do not take an extra tablet to catch up for the dose you forgot. Wait and take your next tablet at the regular time. Do not take more tablets than your doctor prescribed. This is important so you do not increase your chance of having a seizure.

Possible Side Effects

Like all medicines, Zyban may cause side effects. Do not rely on this summary alone for information about side effects. Your doctor can discuss with you a more complete list of side effects that may be relevant to you. Hypertension (high blood pressure), in some cases severe, has been reported when taking Zyban alone and in combination with nicotine replacement therapy (for example a nicotine patch). The most common side effects include dry mouth and difficulty sleeping. These side effects are generally mild and often disappear after a few weeks. If you have difficulty sleeping, avoid taking your medicine too close to bedtime.
The most common side effects that stopped taking Zyban during clinical studies were shakiness and skin rash.
Stop taking Zyban and contact your doctor or health care professional if you have signs of an allergic reaction such as a rash, hives, or difficulty in breathing. It is not possible to predict whether a mild rash will develop into a more serious reaction. Therefore, if you experience a skin rash, hives, fever, swollen lymph glands, painful sores in the mouth or around the eyes, or swelling of lips or tongue, tell a doctor immediately, since these symptoms may be the first signs of a serious reaction. Discuss any other troublesome side effects with your doctor.

Storage

Store Zyban at room temperature, out of direct sunlight. Keep Zyban in a tightly closed container. Keep Zyban out of the reach of children.

Overdose

Seek emergency medical attention if an overdose is suspected. Symptoms of a Zyban overdose include seizures, hallucinations, loss of consciousness, weakness, a fast heartbeat, and heart attack.

More Information

Avoid alcohol or drink it only in moderation while taking Zyban. Alcohol may increase the risk of having a seizure while taking Zyban. However, if you usually drink a lot of alcohol, talk with your doctor before stopping. Suddenly stopping may increase the risk of having a seizure. Talk to your doctor about alcohol use before starting treatment with Zyban.
Use caution when driving, operating machinery, or performing other hazardous activities. Zyban may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

Itasca Health And Chiropractic – Chiropractor In Itasca, IL USA :: Health Resources

The following resources have been assembled to provide you with more chiropractic wellness care information available on the internet.

Chiropractic Organizations

Exercise and Nutrition

” – A frequently updated resource to keep you up to date on legislation that effects the food you eat. Want to know what companies support keeping ‘Genetically Modified Organisms’ unlabeled? Want to know what constitutes ‘organic’ in the eyes of the law? This site is loaded with interesting articles.

” – Use this website to find farmers’ markets, family farms, and other sources of sustainably grown food in your area, where you can buy produce, grass-fed meats, and many other goodies.

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Liles Insurance Brokerage offers affordable health insurance coverage for individuals and businesses in Tennessee.  Located in the greater Nashville, Tennessee area, we have been helping clients for over a generation with their insurance needs. Whether you are seeking product and coverage explanations, comparing coverages, we strive to be educating  and professional. We are an independant agent for BlueCross and BlueShield of Tennessee, Humana One, United Health Care, Cigna and many others. The rate of health care cost is expected to remain stable in 2012. Take advantage of the new Heatlhcare reform benefits and the lower cost associated with the Affordable Care Act.

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HomeCare, Inc. is your choice for quality, dependable, compassionate care in your own home. The not-for-profit agency provides comprehensive services that enable elders and disabled individuals to remain in the comfort of their own home safely — and with dignity.
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HomeCare, Inc.’s Private Duty paraprofessional staff provide personal care, meal preparation, and medically supervised supportive care and assistance for frail elders and disabled individuals who wish to remain at home, as well as teaching and supportive services for at-risk new mothers, parents and families.

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