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TULANE UNIVERSITY
SCHOOL OF MEDICINE
CLASS OF 2007
T-WAVE
VOLUME XXI
NEW ORLEANS, LOUISIANA
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Tulane University
Tulane University Medical Center
SCHOOL OF MEDICINE
Office of Admissions SL67
1430 Tulane Avenue
New Orleans, Louisiana 70112-2699
(504) 588-5187 Fax: (504) 988-6735
October 30, 2002
Dear Class of 2007,
I take great pleasure in informing you of your appointment to the fixst-year medical class at the
Tulane University School of Medicine, to enter in August of, 2003. 1 sincerely hope that you will
accept our invitation to take your medical training at Tulane and look forward to having youjoin us.
In order to reserve your place in the class, we must receive, within the next two weeks, written
notification of your intent to accept our invitation. At anytime between now and May 15, 2003, we
must receive a check, payable to the Tulane Educational Fund, in the amount of $500; this deposit
will be credited against your first tuition billing. Please understand this deposit is non-refundable and
should indicate your final decision to attend Tulane University School of Medicine. We ask that
should you decide not to attend Tulane, you inform us in writing so that we can maintain an accurate
accounting of our class.
I am sure you will understand that your appointment is contingent upon successful completion ofthe
academic program in which you are currently enrolled, and maintenance of the level of academic
performance that was part of the basis for your acceptance. A final transcript ofyour grades must be
forwarded to this office as soon as your school year ends.
You will be receiving additional information concerning summer programs, combined-degree
programs, and other topics of interest as the year progresses. I and others at the medical school will
try to keep you well informed of all important or interesting topics.
On behalf of the students, faculty, and administration at Tulane, I bid you a most enthusiastic
welcome. If I can be of service to you in any way, please feel free to call upon me.
Sincerely yours.
Joseph C. Pisano, Ph.D
Associate Dean
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Tulane University | 3
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THE OATH OF
HIPPOCRATE
I swear by Apollo, the physician^ and Aesculapius, and Health and
All-Heal, and by God and by whatever I hold most sacred? that, ac-cording
to my ability and judgment, I will keep this Oath and this
stipulation—I will look upon those who shall have taught me this
Art even as one ofmy parents. I will share my substance with them,
and I will supply their necessities if they be in need. I will regard their
offspring in the same footing as my own brethren, and I will teach
them this Art, if they shall wish to learn it, without fee or covenant.
I will impart a knowleidge of the Art by precept, by lecture and by
every mode of teaching not only to my own children but to the chil-dren
of those who have taught me, and to disciples bound by cove-nant
and oath, according to the Law of Medicine, but to none other.
The regimen I adopt shall be for the benefit of my patients ac-cording
to my ability and Judgment and I will abstain from what-ever
is deleterious and mischievous. I will seek to inform my
patients fully about their illness and prognosis, and will always
remember that the final decision regarding their own life rests
with the patient. I will regard my patients always as fellow hu-man
beings and will do everything possible to preserve their dig-nity.
With purity and with holiness I will pass my life and prac-tice
my Art. Whatsoever things I see or hear concerning the life
of men in my attendance, on the sick or even apart therefrom,
which ought not to be noised abroad, I will keep silence thereon,
counting such things to be sacred secrets. While I continue to
keep this Oath unviolated, may it be granted to me to enjoy life
and the practice of the Art, respected by all men, in all times. But
should I trespass and violate this Oath, may the reverse be my lot.
I
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Tulane University | 57
CHAD ABBOTT
Family Medicine
U Washington Affil. Hosp.
Seattle. WA
MICHAEL ABDULIAN
Orthopaedic Surgery
Case Western Univ Hosp.
Cleveland, OH
STEPHEN AGANS
Emergency Medicine
LSU SOM
New Orleans, LA
ZEENAAL-DUJAILI
Medicine - Prelim
Ochsner Clinic Foundation
New Orleans, LA
DeiTnatology
Tulane University SOM
New Orleans, LA
MATTHEW ALLEMAN
Surgery - Prelim
Univ of North Carolina
Chapel Hill, NC
DUDLEY ATKINSON
Surgery - Prelim
Ochsner Clinic Foundation
New Orleans, LA
Urology
LSU/OCHSNER
New Orleans, LA
JEAN AUZENNE
Psychiatry
Vanderbilt
Univ Med Ctr
Nashville, TN
APRIL BAILEY
Radiology - Diagnostic
U Texas^SW Med Sch
Dallas, TX
JUSTIN BARKER
Surgery - Prelim
Univ of Colorado
Denver, CO
JULIA BARNETT
Surgery - Prelim
U Washington Affil. Hosp.
Seattle, WA
OSCAR BATLLE
Medicine - Prelim
Univ of Missouri
Kansas City, MO
Opthalmology
Univ of Missouri
Kansas City, MO
ANDREA BECK
Internal Medicine
Tulane Univ SOM
New Orleans, LA
ROBERT BECK
Internal Medicine
Tulane Univ SOM
New Orleans, LA
WILLIAM BECK
General Surgery
Vanderbilt Univ Med Ctr
Nashville, TN
CAREN BECKER
General Surgery
Ochsner Clinic Foundation
New Orleans, LA
OREN BERNSTEIN
Anesthesiology
UCLA Medical Center
Los Angeles, CA
JENNIFER BERUMEN
General Surgery
UC San Diego Med Center
San Diego, CA
JUNAID BHUTTO
Internal Medicine
Tulane Univ SOM
New Orleans, LA
LAUREN BLEICH
Internal Medicine
Lahey Clinic
Burlington, MA
ELIZABETH BORSHARD
Otolaryngology
West Virginia Univ SOM
Morgantown, WV
DAVID BOWDEN
Internal Medicine
CA Pacific Med Center
San Francisco, CA
REGINA BOWE
Medicine-Pediatrics
Tulane Univ SOM
New Orleans, LA
ASH BOWEN
Urology
Tulane Univ SOM
New Orleans, LA
ASHLEY BROUSSARD
Medicine - Prelim
U Texas Med School
Houston. TX
Anesthesiology
George Washington U
Washington, DC
JEFFREY BURFORD
General Surgery
Univ Arkanas
Little Rock, AR
JOHN CAMPAGNA
Pediatrics
Tripler AMC
Honolulu, HI
MARK CAVANAUGH
Prelim Surgery
Univ. Michigan
Ann Arbor. MI
HELEN CAVASIN
OB/GYN
U. Arizona Affil. Hosp.
Tucson, AZ
SETH COHEN
Surgery - Prelim
Lenox Hill Hospital
New York, NY
Urology
Lenox Hill Hospital
New York. NY
CRAIG CONARD
Pediatrics
OSU/Children's Hosp.
Columbus, OH
MANDY CRAUSE
Medicine-Prelim
Ochsner Clinic Foundation
New Orleans, LA
Radiology- Diagnostic
Tulane Univ SOM
New Orleans, LA
JASMEEN DARA
Pediatrics
St. Christopher's Hospital
Philadelphia, PA
BENNETT DAVIS
Family Medicine
Camp Pendleton
C. Pendleton, CA
CRAIG DENLINGER
Orthopaedic Surgery
Univ Tennessee COM
Memphis, TN
KAPILDHINGRA
Emergency Medicine
UC Davis Med Center
Sacramento, CA
RENEE DOLL
Anesthesiology
Albany Med Center
Albany, NY
MEENAKSHI DUTTA
Pediatrics
Tulane Univ SOM
New Orleans, LA
ISSAM EID
Otolaryngology
Univ Texas HSC
San Antonio, TX
GUSTAVO FABREGA
Anesthesiology
Univ Arkansas
Little Rock, AR
MIGUEL FABREGA
Medicine-Prelim
LSU SOM
New Orleans, LA
Radiology-Diagnostic
Univ Texas Med School
Houston, TX
ADILFATAKIA
Otolaryngology
Tulane Univ SOM
New Orleans, LA
MICHELLE FERNANDEZ
Emergency Medicine
NY Hosp/Medical Center
Flushing, NY
JOSHUA FOWLER
Medicine-Prelim
Tulane Univ SOM
New Orleans, LA
AMY FOX
Medicine - Prelim
U. N. Carolina Hosp.
Chapel Hill, NC
Dennatology
U. N. Carolina Hosp.
Chapel Hill, NC
JONATHAN FRIEDMAN
Transitional
Colorado Health Foundation
Radiology - Diagnostic
U. Texas SW Med School
Dallas, TX
AARON FRITTS
Internal Medicine
Temple Univ Hospital
Philadelphia, PA
THOMAS GALLEN
Anesthesiology
Med. Coll. Of Georgia
Augusta, GA
58 I
Tulane University
HUGH GILL
Surgen -Prelim
Georgetown Univ
Washington. DC
Neurosurgery
Georgetown Univ
Washington, DC
LL\T GOLDMAN
Medicine - Prehm
LSU SOM
New Orleans. LA
Physical Med. & Rehab.
Temple Univ Hosp.
Philadelphia. PA
DALLIS GREEN
General Surger)'
Naval Med Center
Portsmouth. VA
MORGAN HAILE
Medicine - Prelim
Tulane Univ SOM
New Orleans. LA
Radiology-Diagnostic
Tulane Univ SOM
New Orleans. LA
NATALL^ HANNAN
Surger\' Post. Doc. Research Fellow.
Tulane SOM
New Orleans, LA
.JEFFREY HARR
General Surgery
Univ. of Colorado
Denver, CO
STACY HEIMBURGER
-Medicine/Neurology
Tulane Univ SOM
New Orleans, LA
.JAY HEINTZ
Urology
Univ Maryland
Baltimore, MD
JENNIFER HEWSON
OB/GYN
Oregon Health & Science
Portland. OR
MARCO HIDALGO
Surgery Post. Doc. Research Fellow.
Tulane SOM
New Orleans. LA
VIVIAN IIOANG
Prelim Med
Tulane
New Orleans. LA
Neurology
Georgetown Univ Hosp.
Washington, DC
ABIGAIL HOFFMAN
General Surgery
Methodist Hospital
Houston. TX
LARKIN HOLT
Family Practice
Ventura Co. Med. Cent.
Ventura, CA
KRISTINA JOHANSEN
OB/GYN
SAUSHEC
Lackland AFB, TX
KRISTEN JONES
Surgery - Prelim
U. Pittsburgh Med Cent.
Pittsburgh, PA
Neurosurgery
U. Pittsburgh Med Cent.
Pittsburgh. PA
MAYA JONES
Pediatrics
U. of Southern CA
Los Angeles, CA
ROBERT JUNGMAN
Internal Medicine
Boston Univ Med. Cent
Boston, MA
GEETA KARNIK
Internal Medicine
Georgetown Univ. Hosp.
Washington, DC
KIRAN KAUR
Internal Medicine
Univ Texas Med. School
Houston, TX
JOHN KIM
Transitional
Emory Univ SOM
Atlanta, GA
Ophthalmology
Emory Univ SOM
Atlanta, GA
BRENNAKLOVNING
Emergency Medicine
Maricopa Med. Center
Phoenix, AZ
STEPHANIE KNIGHT
Psychiatry
U. of Maryland Med Cent.
Baltimore, MD
SARAH KOENIG
Family Practice
Group Health Coop
Seattle, WA
SPENCER KRANE
Robotic Urologic Research Fellow.
Henry Ford Med. Cent.
Detroit. MI
MATTHEW LADRA
Medicine - Prelim
St. Mary's Med. Cent.
Long Beach, CA
Radiation Oncology
U. Washington Affil. Hosp.
Seattle. WA
JUSTIN LAFRENIERE
Internal Medicine
Naval Med Ctr
Portsmouth, VA
NICOLE LAZARCIUC
Emergency Medicine
Hosp. of U. Pennsylvania
Philadelphia, PA
LIFT LE
Medicine - Prelim
Tulane Univ SOM
New Orleans, LA
Dermatology
Tulane Univ SOM
New Orleans, LA
THU-BA LEBA
Orthopaedic Surgery
U. Texas Med. Branch
Galveston, TX
CALVIN LEE
Internal Medicine
Mass. General Hosp.
Boston, MA
TRAVIS LEE
Medicine - Prelim
Tulane Univ. SOM
New Orleans, LA
Anesthesiology
Jackson Memorial Hosp
Miami, FL
KRISTINA LEWIS
Medicine - Primary
Mass. General Hosp.
Boston, MA
DOUGLAS LINCOLN
Pediatrics
Oregon Health & Science
Portland. OR
MIKE LINDSEY
Surgery - Prelim
Univ. Vermont
Burlington. VT
MAUD LIVA
OB/GYN
Univ Tennessee COM
Memphis, TN
STEVEN LUDWIN
Medicine - Prelim
Thomas Jefferson Univ
Philadelphia, PA
Physical Med. & Rehab
Thomas Jefferson Univ
Phildelphia, PA
STEPHANIE MALLIARIS
General Surgery
Weill Cornell Medical Cent.
New York, NY
DANIEL MANTUANI
Emergency Medicine
Alalmeda Co. Med Cent.
Oakland, CA
ERICA MARIN
Pediatrics - Primary
Children's National Med Ctr.
Washington, DC
SARAH MARKLEY
Pediatrics
Stanford Univ. Progs.
Palo Alto, CA
ALEX MATTHEWS
Family Practice
St. Francis Hospital
Memphis. TN
CHRIS MAYORGA
Internal Medicine
U. Chicago Med. Cent.
Chicago, IL
JESSICA MCDONALD-TOP
Medicine/Pediatrics
Tulane Univ. SOM
New Orleans, LA
LYNN MODEL
General Surgery
Yale/New Haven Hosp.
New Haven, CT
AIMEE MONTERO
Internal Medicine
Tulane Univ SOM
New Orleans, LA
DEEPA MOI'ARTY
Internal Medicine
Methodist Health System
Dallas, TX
Tulane University | 59
BEN MOSES
Surgery - General
SAUSHEC
-
Brooke Army Med. Center
Urology
U. of Texas Health Sciences
San Antonio, TX
ETHAN MOSES
Transitional
St. Anthony's Hospital
Oklahoma City, OK
AYE MYINT-U
Psychiatry
Brown Univ
Providence. RI
BIBA NIJJAR
OB/GYN
Boston Univ Med Cent.
Boston, MA
CHRIS OBRIEN
Transitional
U. of Tennessee Grad. SOM
Knoxville, TN
Ophthalmology
LSU/Ochsner
New Orleans, LA
EVE OSTER
Pediatric - Primary
Mt. Sinai Hospital
New York, NY
LEENA PANDE
Surgery - Prelim
Mt. Sinai Hospital
Chicago, IL
Radiology-Diagnostic
Cook Co. Stroger Hosp.
Chicago, IL
SZEKIM PANG
Family Practice
St. Francis Hospital
Memphis, TN
MATTHEW PATTERSON
Medicine - Prelim
Emory Univ SOM
Atlanta, GA
Anesthesiology
Emory Univ SOM
Atlanta, GA
ROD PELLENBERG
Pediatrics
Baylor Coll. Of Medicine
Houston, TX
ANTHONY PERRY
Pathology
St. Joseph's Hospital
Phoenix, AZ
WYNTER PHOENIX
General Surgery
U. of Arizona Affil. Hosp.
Tucson, AZ
GAYLE PLETSCH
Medicine/Neurology
Tulane Univ SOM
New Orleans, LA
ULANA POGRIBNA
Pediatrics
U. Texas Med. Cent
Houston, TX
DAVID POPOLI
Medicine-Prelim
Boston Med. Cent.
Boston, MA
Physical Med. & Rehab.
Harvard/Spaulding
Boston, MA
NATHAN POULSON
Anesthesiology
Hershey Med. Cent.
Hershey, PA
NEEMA POURTAHERI
Oithopaedic Surgery
St. Joseph's Reg. Med
Paterson, NJ
SARAH PRESENT
Family Medicine
Oregon Health & Science
Poitland, OR
LAUREN RABIN
OB/GYN
U. of Maryland Med. Ctr
Baltimore, MD
ERIK REITE
Family Medicine
USAF Regional Hosp.
EglinAFB,FL
KELLY RENNIE
Surgery Post. Doc. Research Fellow.
Tulane Univ SOM
New Orleans, LA
ADAM RIVES
Orthopaedic Surgery
Univ of Missouri
Kansas City, MO
TANYA ROGO
Pediatrics
INOVA/Fairfax Hospital
Falls Church, VA
ROBIN ROLAND
Emergency Medicine
Washington Hosp. Center
Washington, DC
ACHAL SAHAI
Internal Medicine
Baylor College of Medicine
Houston, TX
GOPI SHAH
Otolaryngology
Thomas Jefferson Univ
Philadelphia. PA
MARGARET SOULEN
Pediatrics
Wright St. U. Boonshoft SOM
Dayton, OH
REBECCA STACKHOUSE
Medicine-Prelim
Norwalk Hospital
Norwalk, CT
Radiology-Diagnostic
Yale/New Haven Hosp.
New Haven, CT
JEFFREY STIMAC
Orthopaedic Surgery
U. of Louisville SOM
Louisville, KY
LUISA TODD
Emergency Medicine
U. of Utah Affil Hosp.
Salt Lake City, UT
JENNIFER TORP
Pediatrics
Tulane Univ SOM
New Orleans, LA
LANDON TROST
Surgery-Prelim
Mayo Sch. of Grad. Education
Rochester, MN
Urology
Mayo Sch. of Grad. Education
Rochester, MN
MICHAEL TUBIANOSA
Family Medicine
Univ. of Hawaii
Mililani, HI
HARMEETH UPPAL
Surgery - Prelim
Harbor/UCLA Med Center
Torrance, CA
ADAM VAN DEN BOOM
Pediatrics
Naval Medical Center
Portsmouth, VA
ROSALBA VARGAS
Pediatrics
Baylor College of Medicine
Houston, TX
SHANNON WAGNER
Psychiatry
Northwestem/McGaw
Chicago, IL
JARED WAKEMAN
Psychiatry
George Washington U.
Washington, DC
KATHRYN WATTS
Radiology-Diagnostic
Ochsner Clinic Found.
New Orleans, LA
SACHA JUNIUS WAX
OB/Gyn
Ochsner Clinic Foundation
New Orleans, LA
MEGAN WESTBROOK
Pediatrics
Baylor College of Medicine
Houston, TX
LUKE WILKINS
Medicine-Prelim
Case Western Univ. Hosp.
Cleveland, OH
Radiology-Diagnostic
Case Western Univ. Hosp.
Cleveland, OH
AARON WILSON
Psychiatry
Tulane Univ. SOM
New Orleans, LA
JEFFREY WOLTERS
Surgery-Prelim/Urology
Virginia Commonwealth
Richmond, VA
DANIEL WOMAC
General Surgery
Med. Center S. Carolina
Charleston, SC
AMY YANG
Internal Medicine
Brown Univ Med. Res.
Providence, RI
BRIAN YOUNG
Pediatrics
Tulane Univ SOM
New Orleans, LA
60 1 Tulane University
Zeena Al-Dujaili Dudley Atkinson April Bailey Oscar R. Batlle III Elizabeth Borshard Mandy Crause
Craig Denlinger Issam Eid Jonathan Friedman Aaron Fritts Morgan Haile Jeffrey Harr
Jay Heintz Jennifer Hewson Kristen Jones Douglas Lincoln Mike Lindsey Steph Malliaris
John Kim
Calvin Lee
Dan Mantuani
Erica Marin Sarah Markley Erik Martin Reite Landon Irosl
Tulane University | 61
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L. Lee Hamm, M.D.
Interim Dean
Mark Kahn, M.D.
Associate Dean for Admissions and Student Affairs
Ernest Sneed, M.D.
Assistant Dean for Student Affairs
N. Kevin Krane, M.D., FACP
Vice Dean for Academic Affairs
Barbara Beckman, Ph.D.
Assistant Dean for Admissions
Rondel Frank, M.A.
Registrar
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Tulane University | 65
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Tulane University | 67
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New Orleans...there's no place I would've rather done it!
Jay- What can I say brother... 4 years of friendship much appreciated. Congratulations on AOA, UMD-urology (keep your eye on
the...), and meeting your lovely wife. You did well during these four years! Never forget though, no matter what, I'll always be taller (I
don't care what your driver's license says), younger (by a year), and while we're at it more handsome. You owe me $50 for Bonds...I'll
take It out of the wedding gift. I will see you and Eva soon. Megalo- You'll always be very special to me. I wish you the best in all
your pursuits and know you will find happiness. ..Your kind-heartedness (which is only rivaled by your lack of knowledge of the world-
What language do we speak in India? In fact, where is India?) assures you of it. Also, you're a hippie, I think you look good in earrings,
and it's about time you bought a big purse. I love you very much. Kev- Who's the biggest guy in the med school? Pound for pound you
know the truth, I missed you third year, but I guess if you were around all we would've done is drink protein shakes, eat Roly Poly, and
talk about your girl troubles. Thanks for everything man. AY, AY- I'm glad we were able to spend these last four years building on
what has to my delight turned into a lifelong friendship. I'm sorry about the Chinese food, but I wonder ''are you not entertained?" Oh
and "guys if I wasn't, like, her sister I would totally..." Ap- Lab partners to great friends. It's like destiny. Houston was the best,
once you got rid of that ball and chain. Who else can I daydream about being filthy rich with while lying in the sun, poolside. "So away
from my window..." And don't worry, I was only joking when I said getting dogs cuts your dating pool in half. See you somewhere in the
sun. My girls+l...I couldn't have asked for better roommates. Jess- I think you are one of the sweetest and kindest souls I have ever
met, who can also cook with the best of them. Please try to hold your vodka down and keep the dogs in the front of the house like you
promised! Nate- You're not in school with us, but how can I leave you out. You want to walk up the off ramp to meet Jess in the
middle of the highway? I don't get it, smoke dawg. I know that you and Jess are going to be great together and I look forward to
visiting you guys over the years. Kothryn- "I don't know what it is, but I want it." I love listening to you speak. I'm so glad that you
came back to us. Cool to chill out with, cool to go out with, and cool to spend New Year's with. You've got it all. Morco- We had great
times V year, .then you got married, had a kid, moved to Metairie all in the blink of an eye and I never sow you again. Just joking, I
look forward to always keeping in touch and I wish yourself, Barrie, and Riley (the cutest kid I know) all the happiness in the world.
You'll be good in whatever you chose to do. And Bam'e- Thanks for your friendship. You'll always be a southern belle with social
standing in my eyes. Art- It was good to know you buddy. Wake boarding, Centreville, making you cry on the golf course, tennis court,
and racket-ball court. I enjoyed it all. If anybody did medical school the right way, it was you. FPlttS- One of my favorite memories
remains playing pool, eating a cheeseburger, and having a beer at Igor's. You're a great person, which is maybe why you're so terrible at
talking trash. I'm always there for you. Sopi...come on be honest-who talks more? I wish you guys the best of luck together. MJ-Who's
got a chip on their shoulder? Thanks for taking care of me when I was sick 1^^ year and for everything since! It's too bad you
moved to the AAarigny...You like my jokes, come on! Roddy- I'll never bet with you again, but I love you never the less. My mom is still
worried that you're going into pediatrics. I know you'll do great though. So Hoyas! Nicole- Your charm is in your cynicism. ..but don't
forget that you're destiny is a happy one. Thanks for picking me up on St. Charles at 6am. Zeena- You're not high maintenance. I
loved all the time we spent together V^ year and you get a standing happy birthday from me on Feb 23'"'^ of every year.
Lauren/Liat/Seeta- I only lump you guys together b/c you're such good friends, yet I had separate friendships with each of you
and appreciated each one of them. Thanks. Pinner- Hey man, you made my third year of medical school easy. Lab A2
Craig, Amy, Aimee,Ap,RJ- Let's just start by asking which lab group was the best in our class? You guys were the beginning of a
great experience. Others, all of whom I thank for your f riendship-AB,AH,AS,BB,BM,BN,BY,CBx2,CD,CJ,DB,D&,CiM,FaD0,DW,HU,IG,
JBx4,JC,JD,JF,JG,JWx2,DrJW,KJ,KK,LM,LP,MD,MA,MC,ML,NG,NM,NN,NP,OB,RB,RK,RR,SB,SC,SK,SL,SM,SY,SW,TB,TG,TI,TR,WP.
Dad, Mom, Anuj, Rohan, as well as family and friends from further away- im where i am today
because of all your help. Thank you!
144 1 Tulane University
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Farmiiigtoiii, CT
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160 1 Tulane University
Stephen Agans Jean Auzenne
Opelousas, LA
April Bailey
Wenatchee, WA
Julia Barnett
Houston, TX
William Beck
Stayton, OR
John Bernard
Boston, MA
Oren Bernstein
Oahu, HI
Luisa Berry
Boulder, CO
David Bowden
Decatur, GA
Ash Bowen Arthur Caire
Slidell, LA
Craig Conard
Bennett Davis Kapil Dhingra Renee Doll
Orange Park, FL MiUington, NJ
Meenakshi Dutta
Palo Alto, CA
Adil Fatakia Joshua Fowler
Gladstone, OR
Jonathan Friedman
Franklin, LA
Dallis Green
Fayatte, MS
Robert Jungman
Kuston, LA
Kiran Kaur
Houston, TX
John Kim
Pearl City, Hi
Brenna Klovning
Charlottesville, VA
Scott Bourgeois Natalia I lannan
New Orleans, LA
Tulane University 1 161
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Spencer Krane
Metairie, LA
Matthew Ladra Nicole Lazarciuc
Toronto, Ontario
Liet Le Thu-Ba Leba Calvin Lee
Houston, TX
Kristina Lewis Steven Ludwin Daniel Mantuani Erica Marin
Chapel Hill, NC Randolph, NJ Rochester, MI
"^^pr^^
Alexander Matthews Ethan Moses
Denver, CO
Aiidrea Montis Beck Aye Myint-U
New York, NY
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QiiTstopher O'Brien Szekim Pang Anthony Perry Gayle Pletsch
Baton Rouge, LA
Erik Reite
Denver, CO
Margaret Soulen
Colombus, OH
Luke Wilkins Aaron Wilson Daniel Womac Brian Youiig
Adrian, MI New Orleans, LA San Antonio, TX
162 1 Tulane University
Stacy Heimburger Jennifer Hewson Douglas Lincoln
Stephanie Malliaris Jennifer Torp Shannon Wagner
Tulane University 1 163
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ConaraUdcdimvi Dr. HedMJruraer,
wt are p<? i^try f^oud ofyou.
We CoT/eyou.
Unxie, At4Mt Kcnui, MaMsoK,y(n4r
joddAu^vterJacky omA Arthur
XOXO i
^^5^^^^^5^?5^^5^^^^^^^^^^^^^^^^^^^^^^^^^^«^^^^
Con^iatuiationi on, t^out ^iadtiation ^m. ^uiuuii SchooU
LUi. uui/igou. aJl tfu. bi^iit 06 tiou, iLoch t/u, nuu-^oaLb aou. tet ^ot
gouztd^ and idte. the, taUntii that Qod^aue,gou, to htlp ot/uii
UJt. aii, io fiioud o^t^ou./
Couf,, ^ad,, 9^7001, and ^Uan,
(^reatworh, Stephyl
Wey owe^ Kf- IncredMyiy
proud/ ofyaw!
Lovey, Moo-, Ted/, OAnd/lvy
164| Tulane Univtrsity
Con/jrahdcutumA to ovw um Seth omA to tke cUm of2007
We wUk you all ike htst oMd for a, s44Axe9sfid cmA rmmrdum
ccure^tr i4t -medkMie. May tke itadcy of TutLute Medlad Sckaoi
cofvti4iAU to Lwt OK.
Frmt tke Coivefi FoMuhj: EUetK, EiLuft) ^eik omA VUia
Tulone University 1 165
landCiljLL
We Me so p\oud of l/oli and we love you
witli all of out hearts'.
mom, ibad, ^skleu, Jiati, and J)ee
You /yiOi/ GinC-tDi^tit&r- /yieaj^ d^-f^ats^ ^ut you /yju^t fiot £>&
de/sai^J. Xjo -fad, it /yios/ ie. ne-C^SSai-y to £nC-oatit^r
t/is de-feats, So you doj^ /(nouj uj/io you are, c^hat you
<ia^ t'iSe -fi-o/t^, Jioto you dori StU/ c.o/yi& o^ of it.
-Maya Atiae-Iou
Dear Stephanie Rose,
You have encountered more in the past four years than many see in a
Ufetime, and you have not been defeated. You have risen from your
experiences in New Orleans and, through it all, you know who you
are more than ever before. We have always been and continue to be
your proud and loving parents. You are a phenomenal woman!
XOXO, Mom and Dad
A ^
Congratulations
morgan ana Jennl
We ale so incieatbiLj
ploaa oj yoal
Witk all oj oul love,
J-^om goal entile J4ailejamdg
The/ early carving of a/ future/
hrcuyW HAr^e^yn/.
Con^atulcutuyn/y ViMviphin/,
we/'re/ yo- proud/ ofyou/!
Love/,
Monvand/Johrx/
166| Tulane Univirsity
Michael,
Uove of m.y life, oucrjoutriA/ey together startecH wheiA. we
were ±S years old. (ia, the last decade we have growiA.
together aiA/d achieved oucr dreai/vts haiA/d aiA.d haiA/d. i
will always be your # i. faiA/ aiA/d will su.pporfc y out Iia/
aiA.y eiA^deavor youc u.iA/dertal^e. ThaiA.teyoi/tfbrlettliA/g
n/te walle this jou.riA.ey fucll ofjoy aiA/d laucghter with
you.. I am. so 'prou.d aiA/d hoiA/ored to have you. as m.y
hu.sbaiA/d. CoiA/gratu.latloiA/s!
You.r best frleiA^d aiA/d wife
L-ove always,
3ylvla
Tulane University 1 167
Con^iaUdatwnJi to nui in£i£dihk. dau^htei,, ^eehi.l
(]amiio pioudo^aou,. WhiJi.!iowuui£./a!ita,littU.QiiidtEa/nin^
0^ luhat liou. rruui tomedaii bicomi,, ^ knuu- now would find
liouiidjj hilpin^ ot/uii . l^ou, haue- atuuuit bun. io aaiins and
oompaMiijonati., <u)upUdutilJidiiui,cuiddUtiJninjatwn.. L^oiLhaui,
ajC£omf)li!>kuL luhat ii attainable, ba only a, ^ew-. <7 uulL nufii.
jjoi^it hoiu. ^fulpedgou. kain. hoiu- to lual/c. and tktn. gou, hdptd
mi. utalk, a^aui. LJou, aze, ma biight and thinJny !>tai,l
fllLnm bui,,
^om.
/o^ iha/'^ aVi^l-C^o/y^e. aj/ /('it^dS of oAstaCi/e.3 ujith
youI- usuaj style, and QtaCe. l^e. ic^ouj you cui//
i^e ari e><(Ze-//&tit physic-icxn., ancl are. vet-y ptoud a-f
yoa . ijooJ ludk) 2)/-- Pande!
LoVe, Petty, Mo/y?, aid 3>ad
CoMtai^/al'ioriS Js/^nl-f&t arid Mor-QOM. A//
yoc^t /lard ujot^ /las ce.ttai/i/y pojJ o-f-f.
You uj'i/I ii>ot/i Ae coojnd&i-fu/ /?h/3idia/i3
/^&Ciau3& you are. Aoth iAjotide-tfu/^&op/e.
iOe.ite Very proud o-f you
A// out /oVe. Mo/y?, 2>acl and Brian.
168 1 Tulane University
Dearjejf,
We feel such pride and happiness for you. You kept smiling, believing in yourself and following that third grade dream of
becoming a doctor You are there! CONGRATULATIONS
We love you.
Mom and Dad
Seize the Moment
Seize the moment before its gone Ifor another day begins at dawn. I Embrace the )iight winch brings you rest I awake and know
you did your best. /Fight each fight and run each race-it matters not ifyou win or place. I Seize the moment you'll be blest
I then rest assured you passed the test, Ifor he who tries can never fail I when God directs the ship lue sail. I Seize the moment
and hold it dear / and rise by faith above yourfear
Dearest Beckv,
I'm 50 very proud of you and all you've accomplished! I'd be
remiss if 1 didn't take credit for a little moral support here
and there, but you're the one who did the studying, endured
ail the crappy residences and spent endless nights on call. The
time I've spent with you has been the best three years of my
life. 1 can't wait to start the rest of our life, finally and really.
together, forever.
Congratulations, I love you with all my heart,
Don ^^^^^^^^^^^^^^^^
p^'-f wHT^^^^^l
^^pcnccr — \/i^UA ^rcdt -^riAe dnd X/DVi/
Tulane University 1 169
iJlllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllb
"You've come a fona way, 6a6xjl We're
ver\jj)roudoj ifou, Jessical"
Love, ivlom ancf'Kim
/" =
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-riiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiir
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":y'ootsie/M'' ut/iere al tt/n.&s t/ia'e (ucrc cAaateo .s.te/>S' ana-io/
w/t c/ti£siianecl, ffod resAoru/ed (Aat (Aose a/e/'e fu/ies
iv/ien (oe^ c/anced.' ^lis-is a/ie o/'lAo<se Cime-s. c/i ac/di/:io/i to
^t/-i£ /4. l^S'O. y/oti /laae mac/c /ne />rouc///luou/' a/.///el-ios,
mime, acac/e/n/cs a/7z//'n eoc/y c/qy ///c' '2/ou tve/'e lAc/t.
nacv' anc/III///a/wrn/J!- 6e nw. /ia6u..
0ad
170| Tulane University
Congratulations to Dr.
Stacy Heimburger, my smart,
Deautiful and talented
daughter- a 2poo ana Icind
sister who overcame manu
obstacles to achieve this
reat success.
Love Mom, Aaam, and Kommel.
Co/iataici/cjiiiofiSi coe aye proud o-p you :
IaJ/net-&/e.t yout jPa^ih /^lay /ea<J, e/voy li-fe,
e><p/o)-e. and Jo your ouj^ t/ii^a.
l<)& /oVs. you, 2>r. Pi~eS£*it!
Mo^ and ^eeJ
Adaw (The Trophy Husband)
You have made we so proud.
From the moment that I met
you, I knew that my life would
never be the same. The courage
and endurance that you showed
during this journey is inspiring.
You are a strong, beautiful
loving, and brilliant man; and I
have never been happier to call
someone my own.
All of My Love,
Marylyn (The Pabe)
Tulane University 171
Fy^o^AA, the vem begLiA.iA,LiA,0 there
was, a dreci^vt
Yesterday is already a dream, and tomorrow is only a vision; but today,
well-lived, makes every yesterday a dream of happiness, and every
tomorrow a vision ofhope.
-from the Sanskrit
Congratulations Kelly!! Love, Mom, Dad, Uam, Scott & Rachael
Coi^gratu.LntioiA,£ Dr. Chad Abbott'.
I am. io ffou-d of you. aiMi uour m,cit\.M ciccokM,pUskim,ei«-t£ Iia, Life.
c^radnatlvK-Q from. Tulav^e hAtdlcal SolnooL Ls a big oiM'.
As n teeiA-dger, you. showed n grewt Love forpeopLe ai^d heLpLi^g
others. I was, thrlLLed wheiA- mdk. voLu.n,teerecl with m.e, coacM-L^
vg the s-peciciL oLMMA-pLts Trcicte team,. An.d, wu hoiA-ed youtr
dain,cl\^Q slelLLs at the AdnptLve VroQi-am, dcnA-tes. t+ow does the
'"RM-v^i/^ii/^Q MciiA.' go aQaivLl
Yon wi-LL hcix/e m,fiw,y i/nore Life eAperi.eiA,ces thcit l hope you. ltar\r^
from. niA,d treasure. I feiA-ow Losi.iA,g your father was tough, but
youfoLLowed uou.r drtam^to cittei^d m,edlcciLschooL. your father
wouLd have laeeiA- very proud ofiAou. tte's teeepi-i^-g ciia, eye oia, you
frokw. dloove.
you teki-ow I wLLL be there for wu everu step of the way.
Lovi/tgLy, your step-«<.om.,
Lisa Kadowatei
YoiA/ are/ going^ to- he^ cvyv e^ccepttoncib
doctor hecau4,e/ of- your convpcMMyOn/,
inteUlg^yncey, oYidy ev\thuH<Mnv! Yow
cdwayy g^e^ your heart cvnd/ youh. We/
love/ you/ cmd/ are/ yy- very proud/ ofyow!
Way to go-, Vr. WagnerI
Love/,
Mama/, Vaddy, Anvuv, Verek/, Keith/, and/
Morgarv
172 1 Tulane University
Jennifer,
Even as young as seven you had dreams. Through
your perseverance, hard work, gentle personality and
intelligence, you have earned your own cap.. .and a white
coat to go along with it We are so very proud ofyou. We
wish you happiness and we know you will be a competent
andcaringphysician. Tourpatients will love you almost as
much as we do.
Love,
Mom andDad
Team Family Practice
L-lfe Is R series, o-f begliA^iA^LiA-gs. Y^^^
grfldu-fltloiA. frowL the Tulav^e s>c.V\ool o-f
MedlcliA^e Is iA.0 exceptloiA,. you. begliA,
fliA/Other phase of \AD\A.r Life, ci Life -filled
with prlvlLeges society ooiA/fers to oia^Lu
the very best, oia.Lm to those who have
eariA^ed. thei^. ALoiA^g with the privileges
co\^es a great bu-rdeiA, of respoiA^slblLlty.
We feiA^ow Mouc wlLL serve Mou.rpatleiA.ts
to the best of ujour ability; they wlLL
be fortu.iA.ate to have you. as their
physlclaiA.. we wlLL always be there to
su.pport Mou. liA, aiA,y way we c-aiA..
U)ve,
i>ad a\A.d iaov\a^
Tulane University 1 173
^^'si'^Jvw--'^*''*^' '
Jenica.,
I've 'nen/tr htut -vMxre fmid cfyim. thMt I oml today. Ynt
koA/t cicc&iAwU^keA mAAyck bivt ymr Ire^t dam are yelr to
c&me. Take tmu to itoP omA um.M the ras^ aJxnw tke umy
(arUmMy). FaMuiy k vtry iMAMrtoMt to you and kjtyw
thai I wMalways Ik there -for you. That's what duds are
for! I wi/sh. you a/s i^uickjoy 04 you haxn aU/en -me. ifyou
evtr aeir tired of praxiicUia mzdiclne, I Imow -where you
and I coK aet a. areat fiafter route. Lei- -mi leoA/e you with
one Piece of adidce that I'm. sure they -Kever unrered in
nted sckffol - viervtr fut salt ok a -wound.
CoKaratuiatiom!
Dad
We
commend you
for your „ ,
accomplishments
and wish you
continued
success.
Anaheim Memorial
Medical Center
Congratulations, Tulane University
Medical Sctiool Graduates!
For over 25 years, Bryan Corporation has
been devoted to providing health care
professionals W\\h unique, high quality
nnedical devices and innovative
pharnnaceuticals.
We look forward to working with you
in the future!
For more information, call 1 -800-343-771 1 or visit our website at www.bryancorp.com
BRYAN CORPORATION
174 1 Tulane University
Benchmark Brands
Congratulates the
Tulane Class of 2007
u FootSmart SMARTER, BETTER PRODUCTS FOR LOWER BODY HEALTH
Benchmark Brands is the leading
U.S. direct response marketer of foot
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Visit us at www.footsmart.com
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www.chaffe.com
Congratulations
Tulane Class of 2007!
We wish you the best!
•VeCisco is proudto Have servedthe
dermatoCogic communityfor o-ver 25 years
6y offering innovative products,
superior customer sendee and
a comprenfiensive new practice
start-up program.
uEst. rgSo
DELASCO
VISIT US AT WWW.OhLASCO.COM
At First Bank and Trust we understand
the importance of investing in the future. We
congratulate you on investing in your
future as v/ell.
As a Financial institution invested in community vitality, First Bank and Trust
is ready to cultivate a strong partnership with you, servicing your
private banking and investment needs by grovs'ing your business, building
dream equity, and delivering service that is alv/ays personal. Congratulations
(o the gradijaling class of Tulane University Medical Center.
ik'
.FIRST BANK
AND TRUST i
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Tulane University 1 179
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Tulane University |181
As an adjunct to diet
CRESTOR is indicated as an adjunct to diet to reduce elevated levels of total-C,
LDL-C, ApoB, non-HDL-C, and TG, and to Increase HDL-C in patients with
primary hypercholesterolennia (heterozygous familial and nonfamilial) and
mixed dyslipidemia
CRESTOR is contraindicated In patients with a known hypersensitivity to
any component of this product, in patients with active liver disease or
with unexplained persistent elevations of serum transaminases, In
women who are or may become pregnant, and in nursing mothers
It is recommended that liver function tests be performed before and at
12 weeks following both the initiation of therapy and any elevation of dose,
and periodically (eg, semiannually) thereafter. Should an Increase in ALT or
AST of >3 times ULN persist, reduction of dose or withdrawal of CRESTOR
Is recommended
The effect of CRESTOR on cardiovascular morbidity and mortality has not
been determined; long-term outcome studies are currently underway
Please see Brief Summary of full Prescribing Information
on reverse side of this advertisement.
Please visit our Web site at www.crestor.com
• Rare cases of rhabdomyolysis with acute renal failure secondary to
myoglobinuria have been reported with CRESTOR and with other drugs In
this class. Patients should be advised to promptly report unexplained
muscle pain, tenderness, or weakness, particularly if accompanied by
malaise or fever. Therapy with CRESTOR should be discontinued If markedly
elevated CK levels occur or myopathy Is diagnosed or suspected
• CRESTOR 40 mg is reserved only for those patients not achieving LDL-C
goal at 20 mg. Patients initiating statin therapy or switching from another
statin should begin treatment with CRESTOR at the appropriate
starting dose
• Adverse reactions were usually mild and transient; the most frequent
adverse events thought to be related to CRESTOR were myalgia (3.3%),
constipation (1.4%), asthenia (1.3%), abdominal pain (1.3%), and
nausea (1.3%)'^
HELPS GET CHOLESTEROL RIGHT
loe CRESTOir
rosuvastatin calcium
AstraZeneca^
182| Tulone University
BRIEF SUNWAARY: For lull Prescribing Inlormalion, see package insert.
INDICATIONS AND USAGE CRESTOR is mdicaleti: i. as an adjunct lo diet la
reduce e^evaled latal-C, LDL-C. Apo8. nonHDL-C. and TG levels and to increase HDL-C in
patients ftith prmary hyperctiolesleralemia [heterozygous familial and nonramilial) and
mixed dy^lipidemia (Frednckson Type lla and lib); 2. as an adjunct to diet for Ihe treatment
of patienis ft-ith elevated serum TG levels (Fredrickson Type IV): 3. to reduce LDL-C, lotal-C,
and ApoB jn patienis vviih tiomozygous lamilial hypercholesterolemia as an adjunct lo olher
lipid-lowering treatments (e.g., LDL aphersis} or if such treatments are unavailable
CONniAINDICAnONS CRESTOR is contraindicated m palients witfi a known hyper-sensitivity
to any component ot this product Rosuvastatin is contraindicated in palients
with active liver disease or with unexplained persistent elevallons of serum transaminases
(see WARNINGS. Lver Enzymes). Pregnancy and Lactation Alherosclerosis is a
dironic process and discontinuation ol iipid-lowenng dnigs during pregnancy should have
Bttle impact on Ihe outcome ol long-term therapy of primary hypercholesterolemia
Cholesterol and other producls of cholesterol biosynthesis are essenlial components for
fetal development (including synthesis ol sleroids and cell membranes). Since HMG-CoA
raiuclase inhibitors decrease choleslerol synthesis and possibly the synthesis ot other
biologically active substances derived from cholesterol, they may cause fetal harm when
^ministered lo pregnant women. Tfieretore, HMG-CoA reductase inhibitors are coniramdi-cared
during pregnancy and in nursing mothers. ROSUVASTATIN SHOULD BE ADMINIS-TERED
TO WOMEN OF CHILDBEARING AGE ONLY WHEN SUCH PATIENTS ARE HIGHLY
UNLIKaVTO CONCEIVE AND HAVE BEEN INFORMED OF THE POTENTIAL HAZARDS, Itihe
palKnt becomes pregnant while taking Ihis drug, therapy should be discontmued immedi-ately
and Ihe patient appnsed oi the potential hazard to the lelus WARNINGS liver
Enzymes HMG-CoA reductase inhibitors, like some other lipid-lowering therapies, have
been associated with biochemical abnormalities of liver function The incidence qI persis-tent
elevations (>3 times Ihe upper limit ( normal [ULN] occurring on 2 or more consec-utive
occasions) in serum Iransaminases in lined dose studies was i. 0. 0, and 0.1 % in
patients wbo received rosuvastatin 5, 10, 20, and 40 mg, respecliveiy. In most cases, Ihe
elevations were transient and resolved or improved on continued therapy or after a brief
interruption in therapy Tiiere were two cases of jaundice, for which a relationship to rosuva-sHIin
Iherapy could not be determined, which resolved after discontinuation ol therapy
There were m cases ol \m lailure or irreversible liver disease in these tnals. H is recom-mended
hat liver function tests be performed before and at 12 weeks tollowing bo^ (tie
mitiab'on of therapy and any elevation ol dose, and periodically (e.g.. semiannually)
thereafter. Lr/er enryme changes generally occur in the first 3 monlhs ol treatment with
rasu'i'astatin Patients who develop increased transaminase levels should be monitored until
Ihe abnormalities have resolved. Should an increase m ALT or AST of >3 times ULN persist,
reduction of dose or wiina'av.-al ol rosuvastalm is recommended Rosuvaslatin should be
used w:th caution m pa'ienls who consume subslaniial quantilies of alcohol and/or have a
history of liver disease {see CLINICAL PHARMACOLOGY, Special Populaiions, Hepatic
Insufficiency). Active liver disease or unexplained persistent transaminase elevations are
contraindications to the use of rosirvastatin (see CONTRAINDICATIONS) Myopothy/
RKabdomyolysis Rare cases ol rhabdomyolysis ivrth acute renal lailure secondary
to myoglobinuria have been reported nilh rosuvaslatin and with other drugs in this
class. Uncomp;:caieo myaigia has been reported m rosuvaslalin-lreaied patienis [see
ADVERSE REACTIONS). Creatine kinase (CK) elevations (>10times upper limit of normal)
occurred in 02% to Q,4% of patients taking rosuvastatin at doses up to 40 mg in clinical
studies. Treatment-related myopathy, defined as muscle aches or muscle weakness in
conjunclion vrth increases in CK values >10 times upper limit of normal, v/as reported m
up lo 0-1% ol patients taking rosuvastatin doses ol up lo 40 mg in clinical studies. In clin-ical
triafe, Ihe incidence ol myopathy and rliabdomyotysis increased at doses ol rosuva-statin
above ^e recommended dosage range (5 lo 40 mg). In postmar1(eting experience,
effects on skeletal muscle, e.g. uncomplicated myalgia, myopathy and, rarely, rhabdomy-olysis
have been reported m patients trealed wilh HMG-CoA reductase inhibitors including
rosuvastatin As wilh olher HMG-CoA reductase inhibitors, reports ol rhabdomyolysis wfih
rosiwastatin are rare, but higher at Ihe highest marketed dose (40 mg). Faclors that may
predispose patients lo myopatliy with HMG-CoA reductase inhibilors include advanced age
{>K years), hypolfiyroidism, and renal insufficiency. Conseouently: t. Rosuvastatin
should be prescribed with cautran in patients wilh predisposing factors for myopathy, such
as. renal impairment (see DOSAGE AND ADMINISTRATION), advanced age, and inade-qualely
treated frypotftyroidism Z Palients should be advised to promptly report unex-pbined
muscle pain, tenderness, or weakness, particularly if accompanied by malaise or
fwer, Rosirvastatin iberapy should be discontinued if markedly elevated CK levels occur or
myopathy is diagnosed or suspected. 3. The 40 mg dose of rosuvaslatin is reserved only for
those palients vrtio have not acfiieved Iheir LDL-C goal utilizing Ihe 20 mg dose of rosuva-stalm
once daity (see DOSAGE AND ADMINISTRATION). 4. The risk ol myopalhy during
Ireatment with rosuvaslatin mjy be increased vflth concurrent admimslralion ol olher lipid-lo-
ivering therapies or cydosporine, (see CLINICAL PHARMACOLOGY, Drug Interactions,
PRECAUTIOfJS, Drug Interactions, and DOSAGE AND ADMINISTRATION), The benefit of
brfier alterations in lipid levels by the combined use ol rostivastatin with fibrates or
niacin sliojid be carefully weighed against Ihe potential risks of this combination.
Combination tfierapy wilh rosuvastatjn and gemlibrozil should generally be avoided.
ISe« DOSAGE AND ADMINISTRATIOH and PflECAUTIONS, Drug Interactions). 5. Tlie risk
of myopathy ilurinfi treatment with rotuvastatin may be increased in circumslances
liitft increae roiuvajtatin drug levels (tee CLINICAL PHARMACOLOGY. Special
PopslalJon], Race and Renal Insufficiency, and PRECAUTIONS. General)
: Rosnislatin Itierapy should alto be temporarily withheld In any patient with an
aole, unois condition tuggeitne ol myopathy or predisposing b the development ol
renal faikve tetondary lo rhabdomyalysts (e.g.. sepsis, hypotension, dehydration,
mjir sniffy, trajma. severe melabolic. endocrine, and electrolyte disorders, or
tmatiM utzures) PRECAUTIONS Generol Be'ore \'\:mmq therapy with
raswasWin, an attempi 'MM be rr.aOe to control hypercholeslerolemia with appropriate
(M and atercse, wti^nl recuclm 'n obese patients, and ireatment ol underlying medical
proWemi _($« INDKATIOMS m USAGE). Admmistralion ol rosuvastatin 20 mg to
padents wWi iwere rena) impairmenl (0^ <30 mL/min/1.73 m^) resulted in a 3-foltl
increase ii pfasma cononlraliofis ol roswastiiin compared v/ilh healthy volunteers (see
WARNINGS, Myopathy/Rhabdomyolysisand DOSAGE AND ADMINISTRATION). The resull
Ola taiQe phamiacofcMieliC study conducts) in Ihe US demonstrated an approximate 2-loid
ctovaEiofl In median exposure in Asian tubieds (having either Filipino, Chinese. Japanese.
Korea/t, Vietnamese or Asiart-lndian origin} compared with a Caur^ian control group. This
inueau should be considered when making rosuvaslatin dosing decisions lor Asian
patienis. (See WARNIW^, Myopathy/Rhabdomyoiysis; CLINICAL PHARMACOLOGY
Special PopUatiOin, Rac«, and DOSAGE AMD ADMINISTRATION l Information for
Parienl>Raiefl(SthouldbeadviMdlorepor1(>rompl)yune):ptainedm/.<J-::i;i- - n.
iMse,or«eato>ess,parifcul3/lyllaccomi>anledbymalaii«orf?/er. V/huii/i'inr. >.
stMlriiiMh3n3taTiinurn2rKJmaone«umhydrnidecomt)frt;ton^ii'.>-.'; [ii".i't^<ri'h'.iri
telalW3llo$t2fiOOTaflerroj(MSUlmadmiriiflra!/;n(>,^',_'. '.^ 'h;--!/;-' ,,/
Drvo H«actiom) laboratory Jtttt in the tc,i;/s:'^l' :I'k^i I' i ,\ '.(.mi
(fpMicfcDDMi/e proieruria and rnvjoKopic nemaiuria were otn«''r-] '((i'.(«, -,
tttMiett6 vdtatt, predominant^/ in p3i«fits dcrKd above the '': "hm> i.: < r
afigeftt,WnHi)-Hoi(iwef,ttoriidi*iaw5imo(elfe<]uerrinp?i<^f[' unw./.iwt.uui
40iiig,wlMconiparedtolowefdOKiolr(>wvastiIinorc^ym[. ^'.r t::ii i -..jnttv^as
generjly tiani«« andw not SMOceUd wilh wortenirj r-:^^ '.ww.u ^iirMjgFi the
cMcaliigfliftanctdthafndinoisiKilcrwwn.adosered/.''.' '.ti'^u': v '.w.&M
for paiM on roiwaititin 40 mg Ihe^ wfth umtiUw-.i '/'.\-<-\ p'-'cnr.^
10 ii0ii»coatfaMHlef(diiillhGyct«porfne in cardiac tr:.f >w.i 'in
MeaHCnaMfmeanWCverelflerssedll-foldandM'.' < i v i<
lKa%^m«f).ThHeitwea$es are cornideted lobe'. 'i ' m ii^I'mj-^
fpecol comiMfafion ii the doting ot rojwattabn lo ini^ii:. ^hn(i mu>mm\
cyclosporine (see WARNINGS, Myopalhy/Rhabdomyolysis, and DOSAGE AND ADMINIS-TRATION)
Warfarin: Coadministration of rosuvastatin to palients on stable warfarin
therapy resulted in clinically significant rises in INR (>4, baseline 2-3). In patients taking
coumarin arlicoagulants and rosuvaslatin concomitantly, INR should be determined before
starting rosuvastatin and Ireguently enough during eariy Iherapy to ensure thai no signili-cant
alteralion of INR occurs. Once a stable INR time has been documented, INR can be
monrtored at the intervals usually recommended lor patienis on coumarin anticoagulants. II
Ihe dose of rosuvaslatin is changed, the same procedure should be repeated. Rosuvaslatin
Iherapy has not been associated with bleeding or with changes in INR in patients not laking
anticoagulants. Gemfibmzil: Coadministration of a single rosuvastatin dose to heahhy
volunteers on gemlibrozil (600 mg twice daily) resulted m a 2.2- and 1 .9-lold, respecliveiy,
increase in mean Cmax and mean AUC ol rosuvastatin [see DOSAGE AND ADMINISTRA-TION).
Endocrine Function Although clinical studies have shown that rosuvastatin
alone does not reduce basal plasma Cortisol concentration or impair adrenal reserve,
caution should be exercised if any HMG-CoA reductase inhibitor or other agent used to
lower choleslerol levels is administered concomilanlly v/ith drugs thai may decrease the
levels or activity of endogenous steroid hormones such as keloconazole, spironolactone,
and cimelidine. CNS Toxicily CNS vascular lesions, characterized by perivascular
hemorrhages, edema, and mononuclear cell infiltration of perivascular spaces, have been
observed in dogs treated with several other members of this drug class A chemically
similar drug in this class produced dose-dependent optic nerve degeneration (Wallenan
degeneration of relinogeniculate libers) in dogs, at a dose that produced plasma drug levels
about 30 times higher Ihan the mean drug level in humans taking Ihe highest recommended
dose. Edema, hemorrhage, and partial necrosis in the inlerslitium of Itie choroid plexus was
observed in a female dog sacrificed moribund at day 2'1 al 90 mg/kg/day by oral gavage
(systemic exposures 100 times the human exposure at -lO mg/day based on AUC compar-isons)
Corneal opacity was seen in dogs trealed lor 52 weeks at 6 mg/kg/day By oral
gavage (syslemic exposures 20 limes the human exposure al 40 mg/day based on AUC
comparisons). Cataracts were seen in dogs trealed for 12 weeks by oral gavage at
30 mg/kg/day (systemic exposures 60 limes Ihe human exposure at 40 mg/day based on
AUC comparisons). Retinal dysplasia and retinal loss were seen in dogs treated for <! weeks
SOS
CRESTOR^
rosuvastatin calcium
by oral gavage al 90 mg/kg/day (syslemic exposures 100 limes the human exposure at
40 mg/day based on AUC) Doses <30 mg/kg/day (systemic exposures <60 limes the
human exposure al 'lO mg/day based on AUC comparisons) following Ireatmem up lo one
year, did not reveal retinal Imdings Carcinogenesis, Mutagenesis, Impairment
of Ferriiily In a 104-v/eek carcinogenicity study in rals a! dose levels ol 2. 20, 60, or
80 mg/kg/day by oral gavage, Ihe incidence of uterine stromal polyps ms signilicanlly
increased in females at 80 mg/kg/day at systemic exposure 20 limes the human exposure
at 40 mg/day based on AUC. Increased incidence of polyps was not seen al lower doses. In
a 107-v/eek carcinogenicity study in mice given f 0, 60, 200 mg/kg/day by oral gavage, an
increased incidence ol hepatocellular adenoma/carcinoma was observed al 200 mg/kg/day
al syslemic exposures 20 times human exposure al 40 mg/day based on AUC. An increased
incidence of hepatocellular tumors was not seen al lower doses. Rosuvastatin was not
mutagenic or clastogenic with or without melabolic activation in the Ames test with
Salmonelis typhimurium and Escherichia coli, the mouse lymphoma assay, and the chro-mosomal
aberralion assay m Chinese hamsler lung cells Rosuvaslatin was negative in the
in vivo mouse micronucleus lest In rat fertility studies with oral gavage doses of 5, 15,
50 mg/kg/day, males were treated lor 9 weeks prior lo and throughout malmg and lemales
were trealed 2 weeks prior to mating and throughout mating until geslalion day 7. No
advene effect on fertility was observed at 50 mg/kfi/day (syslemic exposures up lo 1 times
human exposure at 40 mg/day based on AUC compansons). In testicles ol dogs treated
with rosuvastatin at 30 mg/kg/day lor one momh, spermatidic giant cells were seen.
Spermalidic giant cells were observed in monkeys afler 6-monlh Ireatment al 30 mgAg/day
in addition to vacuolation of seminiferous tubular epithelium. Exposures in the dog were 20
times and in the monkey fO times human exposure al 40 mg/day based on body surface
area comparisons. Similar findings have been seen with other drugs in this class.
Pregnancy Pregnancy CalsgoryXSee CONTRAINDICATIONS. Rosuvaslatin may cause
felal harm when adminislered lo a pregnant woman. Rosuvastalm is conlraindicaled in
women wtio are or may become pregnant. Safety in pregnant women has not been eslab-lished.
There are no adequate and v/eil-controlled studies of rosuvastatin in pregnant
women. Rosuvastatin crosses the placenta and is found in fetal tissue and amniotic lluid at
3% and 20%, respectively, ol Ihe maternal plasma concentration lollowmg a single
25 mg/kg oral gavage dose on gestation day 16 in rats. A higher lelal lissue dislnbulion
(25% maternal plasma concentration) v/as observed in rabMs aHer a singfe oral gavage
dose of 1 mgAg on gestation day !8. If this drug is adminislered to a woman wilh repro-ductive
potential, the palient should be apprised of the polemial hazard lo a fetus. In female
rats given oral gavage doses of 5. 15. 50 mg/kg/day rosuvastatin before mating and contin-uing
through day 7 postcoilus results in decreased fetal body weight (female pups) and
delayed ossilicalion al the high dose (syslemic exposures 10 times human exposure at
40 mg/day based on AUC comparisons), in pregnant rats given oral gavage doses of 2, 20.
50 mg/kg/day Irom geslatlon day 7 through lactation day 21 (weaning), decreased pup
survival occurred in groups given 50 mg/kg/day, systemic exposures >12 limes human
exposure at 40 mg/day based on body surface area comparisons. In pregnant rabbits given
oral gavage doses ol 0.3, 1 , 3 mgAg/day Irom gestalion day 6 lo laclalion day 18 (weaning),
exposures equivalent lo human exposure at 40 mg/day based on body surface area compar-isons,
decreased fetal viability and maternal mortality was observed. Rosuvaslatin was not
leratogenic in rals at £25 mg/kg/day or in rabbits <3 mg/kg/day (syslemic exposures
equivaleni to human exposure at 40 mg/day based on AUC or body surlace comparison,
respecliveiy). Nursing Mothers It is not known whether rosuvaslatin is excreted in
human milk Studies in laciaimg rals have demonslraled that rosuvastatin is secreted into
1.' :! '(ilk at levels 3 times higher than thai obtained in Ihe plasma following oral gavage
''
I Because many drugs are excreted in human milk and because of the potential lor
Hi'.ir, adverse reactions in nursing inlants Irom rosuvastatin, a decision should be made
v/hether lo discontinue nursing or admimslralion ol rosuvastarn laking mlo accoum the
importance ol ihe drug lo Ihe ladalmg woman Pediatric Use The safely and elleclive-noss
in pediatric patienis have nol been established Treatment experience wHh losuvaslalin
in a pediatric populalion is limited to 8 palients with homozygous FH. None ol those patients
was below 8 years ol age. Geriatric Use Of the 10.275 paliems in clinical studies with
rosuvaslalin. 3.159 (31%) were 65 years and older, and 698 (6 8%) were 75 years and
older The overall Irequency of adverse evems and types ol adverse events were similar in
palients above and below 65 years ol age. (See WARNINGS, Myopathy/Rhabdomyolysis
The efficacy ol rosiwasiatin In tlio geriatric population !^-G5 r^r. ol ;ion) was comparable
10 the ellicacy observed in tho non-elderly ADVERSE REACTIONS Rosuvaslatin Is
oenerall/ well tolerated Adverse readions have usu;;!!; mm: Luiniiansienl Inclmical
'ii'ii- . 'i\ 10.275 patienis, 3.7% were discontinued due lo adverr,(; expriiiences allnbulable
i'> r.'M/A'Min. The most Irequent adverse events thought lo be relaled lo rosuvastatin
•"": :v/;i|Qla, constipalion, asthenia, abdominal pain, and nausea. Clinical Adverse
Exporiencet Adverse experiences, regardieGS of causalily assessmonl, rcponod In ^2%
of palients m placebo-corlrolled clinical studies of rosuvaslatin are shown in Table 1;
discontinualions due lo adverse events in these studies ol up to 12 weeks duralion occurred
in 3% of palients on rosuvastatin and 5% on placebo.
Table 1. Adverse Events in Placebo-Conlrolled Studies
Rosirvaslalin Placebo
Adverse eveni N=744 N=382
Pharyngitis 9.0 7,6
Headaclie 5.5 5,0
Diarrtiea 3,1 2,9
Dyspepsia 3,4 3,1
Nausea 3,4 3.1
Myalgia 2,8 1,3
Asthena 2,7 2.6
Back pain 2,6 2.4
Flu syndrome 2,3 1,8
Urinary Iracl inlection 2,3 1.6
Rhinitis 2,2 2,1
SinusMs 20 1,8
In addition. Ihe following adverse events were reported, regardless of causality assessment.
in >1% of 10,275 patients trealed wilh rosuvastatin in clinical studies. The evenis in
Italics occurred in >2% ol these patients Body as a Whole: AbiJominal pain,
accidental injury, chest pain, inlecHon. pain, pelvic pain, and neck pain. Cardiovascular
System: Hypertension, angina pectoris, vasodilalalion, and palpitation. Digestive
System: Constipation, gastroenteritis, vomiting, llatufence. periodontal abscess, and
gastritis. Endocrine: Diabetes mellilus. Hemic and Lymphatic System: Anemia and ecchy-mosis
Metabolic and Nulrilional Disorders: Peripheral edema. Musculoskeletal
System: Arthritis arthralgia, and pathological Iraclure Nervous System: Dismess,
insomnia hypertonia, paresthesia, depression, anxiely, vertigo, and neuralgia Respiratory
System: Bronchitis, cough increased dyspnea, pneumonia, and asthma. Skin and
Appendages: RsshM pruritus. Laboratory Abnormalities: In Ihe rosuvastatin clinical trial
program, dipstick-posilive proteinuria and microscopic hematuna were observed among
rosuvastalin-trealed patienis, predammanlly in palients dosed above the recommended
dose range (i.e., 80 mg) However, this linding v/as more Irequent in palients taking rosuva-statin
40 mg, when compared to lower doses of rosuvastatin or comparator statins, though
ft was generally transient and was not associated wilh worsening renal function. (See
PRECAUTIONS, Laboratory Tests) Other abnormal laboratory values reported were
elevated crealinine phosphokmase, transaminases, hyperglycemia, glutamyl transpepli-dase,
alkaline phosphatase, bilirubin, and Ihyroid lunction abnormalities Other adverse
events reported less frequently than 1% in the rosuvastatin clinical study program, regard-less
of causality assessment, included arrhythmia, hepatitis, hypersensitivity reactions
(i.e., lace edema, thrombocytopenia, leukopenia, vesiculobullous rash, urticaria, and
angioedema). kidney lailure, syncope, myaslhema, myositis, pancrealitis, photosensitvify
reaclion, myopathy, and rhabdomyolysis. Postmarketing Experience In addition lo
the evenis reported above, as with olher drugs in this class, tlie following event has been
reported during post-marketing experience with CRESTOR, regardless ol causality assess-ment:
very rare cases of laundice. OVERDOSAGE There is no specilic Ireatment in the
event of overdose. In the event ol overdose, the patient should be heated symplomaticaliy
and supportive measures inslituted as required Hemodialysis does nol signilicanlly
enhance clearance ol rosuvastalm. DOSAGE AND ADMINISTRATION The patiem
should be placed on a standard cholesterol-lowering diet belore receiving CRESTOR
and should continue on Ihis diet during treatment, CRESTOR can be adminislered as
a single dose at any lime of day. wilh of without food. Hypercholesterolemia
(Heterozygous Familial and Nonfomilial) and Mixed Dyslipidemto
[Fredrickson Type lla and lib) The dose range tor CRESTOR is 5 to 40 mg once
daily. Therapy with CRESTOR should be individualized according to goal ol therapy and
response. The usual recommended starting dose ol CRESTOR is 10 mg once daily.
However, inilialion of therapy with 5 mg once daily should he considered (or patients
requiring less aggressive LDL-C reductions, who have predisposing laclors lor myopathy,
and as noled below lor special populations such as patienis laking cyclosporine, Asian
palients, and patienis wilh severe renal msulliciency (see CLINICAL PHARMACOLOGY,
Race, and Renal Insufficiency, and Drug Inferactions. For patienis with marked hypercho-lesterolemia
(LDL-C > 1 90 nig/dl) and aggressive lipid targets, a 20-mg starting dose may
be considered. After initiation and/or upon titration of CRESTOR, lipid levels should be
analysed wilhin 2 to 4 weeks and dosage adjusted accordingly The 40-mg dose ol
CRESTOR is reserved only lor those patients who have nol achieved their LDL-C goal
utilizing the 20 mg doss ol CRESTOR once daily (see WARNINGS, Myopathy/
Rhabdamyolysis). liVhen initiating statin therapy or switching Irom another statin
therapy, the appropriate CRESTOR starting doss sfiould lirst be utilized, and only then
titrated according lo the patient's individualized goal ot therapy. Homo^gous
Familial Hypercholesterolemia The recommended starting dose ol CRESTOR is
20 mg once daily in palienis wilh homo^gous FH The maximum recommended daily dose
is 40 mg. CRESTOR should be used in these palients as an adjunct to olher lipid-lowering
treatments (e.g., LDL apheresis) or if such treatments are unavailable. Response lo therapy
should be estimated Irom pre-apheresis LDL-C levels Dosage in Asian Patients
Inilialion ol CRESTOR therapy wilh 5 mg once daily should be considered lor Asian
palients The potential lor increased syslemic exposures relative lo Caucasians is relevant
v/hen considering escalation ol dose in cases where hypercholeslerofemia is not adequately
controlled at doses ol 5, 10, or 20 mg once daily. (See WARNINGS, Myopathy/
Rhabdomyolysis. CLINICAL PHARMACOLOGY, Special Populaiions, Race, and PRECAU-TIOMS,
General) Dosage In Patients Taking Cyclosporine In patienis laking
cyclosporine, Iherapy should be limited to CRESTOR 5 mg once daily (see WARNINGS,
Myopalhy/Rhabdomyolysis, and PRECAUTIONS, Drug Interactions). Concomitant
Upid-Lowering Therapy The effcci of CRESTOR on LDL-C and tolal-C may be
enhanced v/hen used in combination wilh a bile acid binding resin. If CRESTOR is used in
combination wilh gemfibrozil, the dose ol CRESTOR should be limiled lo 10 mg once daily
(see WARNINGS, Myopalhy/Rhabdomyolysis, and PRECAUTIONS, Drug Inleraclions).
Dosage in Patients With Renal Insufficiency No modilication ol dosage is
necessary lor palients wilh mild to moderate renal insufliciency. For palienis with severe
renal impairment {Ql^, <30 mLymln/1.73 m^) not on hemodialysis, dosing ol CRESTOR
should be started al 5 mg once daily and nol lo exceed 10 mg once daily (see
PRECAUTIONS, General, and CLINICAL PHARMACOLOGY, Special Populations, Renal
Insufliciency).
Rjt only
flelerenees: 1. Prescribing Inlormalion for CRESTOR, AslraZeneca Pharmaceuticals LR
Wilmington, DE. 2. Data on file, DA-CRS-OI
CRESTOR is a registered trademark of the AslraZonoca group ol companfes
Pleaso visil our Web site at www.creslorcom
©AslraZonoca 2007 Licensed from SHIONOGI & CO,, LTD., Osaka. Japan
Manulaciured lor AslraZeneca Phaimaceulicals LP Wilminglon.DE 19850
By IPR Pharmaceuticals, Inc. Carolina, PR 00984
PCC 630101 30043-00
Rev 08/05 247665
AstraZeneca ir
Tulane University 1 183
SPONSORED BY
Salix#.
Pharmaceuticals, Inc.
Advancing Treatment in Gastroenterology™
MAKERS OF
l^llOoVvIIiPrep Cbsmo
(PEG-3350, Soim Sulfate, Sodium Chloride, Potassium Ctiloride,
Sodium Ascorbate and Ascorbic Acid for Oral Soioo)
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and sodium ptiosphate dibasic aotiydraus, USP) Tablets
COLAZAl^ Xifaxan©
balsalazide disodm (rifaximin) tablets 200 mg
www.Salix.com
184| Tulane University
We Impact Life
at Every Stage
At Abbott, we deliver
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Tulatie University |185
The Perfect Combination
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1 South Limestone St.
Suite 600
P.O. Box 688
Springfield, OH 4,5501
E-mail: dandrick@health-partners.org
^\
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% Community Mercy
Health Partners
186 1 Tulane University
CLEAN
t.OFMETAIRIE.J
MEAN
ATTENTION:
OF METAIRIE
885-3000 ' 3100 LIMT. STREET
WWW.CADII.UCOFMKTAIRIR.COM
Family Practice and
Internal Medicine ResiderTEs
Exciting opportunities for
Primary Care Physicians:
In an effort to meet the healthcare needs of the
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This is an opportunity to be involved in the evolution
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Emailyour resume to
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mdrecruitment@ejgh.org
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BEYOTND THE CUTTIMQ EDGf..
WWW.EJGH.org
Tulane University |187
Quest Diagnostics
Nationally Recognized,
Locally Committed'
As the nation's leading provider of diagnostic testing, information and services. Quest
Diagnostics offers the broadest range of innovative diagnostic services to meet the needs
of you and your doctor.
So, when your doctor wants you to have a health related test, count on Quest
Diagnostics. With patient service centers in Mississippi, Louisiana and Texas, finding a
location convenient to you will never be a problem.
For more information on our services, speak to your physician or visit us at
www.questdiagnostics.com.
Quest, Quest Diagnostics, the associated logo and all
associated Quest Diagnostics marks are the
trademarks of Quest Diagnostics. © 2004 Quest Diagnostics
Incorporated. All rights reserved.
(4W^ Quest
Dias^rnostics®
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IV Sets Et Access Devices
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Vascular Access
Sharing Expertise.™
It's more than a philosophy.
It's a promise.
Sharing Expertise includes listening to the wisdom of
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All to help improve and save lives.
This is Sharing Expertise.
This is B. Braun.
BIBRAUN
SHARING EXPERTISE www.bbraunusa.com
Rx Only. a2006 B. Braun Medical Inc., Bethlehem PA. All rights reserved, UofFL 307 JH
188| Tulane UnivL^rsity
LEADING THE QUEST FOR HEALTH.
More than 100 years ago, Cedars-Sinai was a small
hospital whose goal was to provide the finest quality
care to the Los Angeles community.
Today our reputation for excellence extends around
the globe. Our commitment to medical research and
innovation, combined with our passion for patient
care, has made us one of the most dynamic and
highly renowned medical centers in the world.
Medical education has been a core mission of
Cedars-Sinai since its inception. Our residency and
fellowship programs enable physicians to develop
their clinical expertise as well as participate in a wide
range of research activities.
At Cedars-Sinai, there are more than 600 research
projects underway, and we're making new discoveries
and putting them into practice every day.
Our goal is to stay at the forefront of medical
advancement. Only in this way can we maintain the
gold standard of excellence in healthcare for another
century to come.
FIND OUT MORE ABOUT OUR GRADUATE MEDICAL EDUCATION
WWW.CEDARS-SINAI.EDU/GME
Cedars-Sinai.
Tulane University 1 189
<(Roche>
We all dream ofdoing big things.
Solving importantproblems.
Making a difference. Improving lives.
Transforming these dreams
into reality requires ambition,
creativity, and a company like ours to
help put all the elements together.
We Innovate Healthcare
From Research
to Real Life
Roche is a leader in preventing, diagnosing and treating
disease, enhancing the quality of life for everyone.
We invest almost $5 billion a year in innovative research,
and our capabilities combine traditional biomedical
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Few companies possess the global strength in both
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190| Tulane University
Pediatrix Medical Group, the nation's largest physician group practice of maternal-fetal, newborn
and pediatric subspecialists, congratulates Tulane University Medical School's Class of 2007.
1 ediatrix offers physicians the best of both worlds: the chnical autonomy and atmosphere of a local private
practice coupled with the opportunities, administrative relief and clinical support that come from an affiliation with
a nationwide network. The company is unique not only because of its clinical and business expertise, but because
it has made a major commitment to education. Through our Professional Development Award program we have
extended that commitment to the support of neonatal, pediatric cardiology, pediatric critical care and maternal-fetal
medicine fellows. The program, which provides recipients up to $25,000 annually, allows interested and
qualified individuals to pursue these fellowship programs while relieving some financial burden.
For more information, visit www.pediatrix.com.
P€DIRTRi:i:. OBSTETRIC.
MEDICAL GROUP MEDICAL GROUP
1301 Concord Terrace, Sunrise, Florida 33323 Tel: 800.243.3839 www.pediatrix.com
Tulane University 1 191
Notes
192| Tulane university
Tulane University
Rudolph Matas Medical Library
1430 Tulane Avenue (SL-86)
New Orleans, LA 70112-2699
DEMCO
11 llllllllllllll
OCT 2 1 2008