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Transcript of .j I › content › aapnews › 14 › ....j-.\ ri /---.A"-\F-71).-.) I. 5 ( ._-rl Gail R....
.j -.\ ri /---.A"-\ F-71).-.) I . 5 ( ._-rl
Gail R. Goodman, M.D.130 Culver RoadBuffalo,W 14220
Asma Haque, M.D.32 Clover Park Dr., #2Rochester, NY 14618
Judith Anne Lucas, M.D.621 Vanderlyn LaneSlingedands,W 12159-9544
Satish Kumar Mahaian, M.D.Valley View Gardnes215 Buckley St, #24Liberty, NY 12754
Janette S. Malavet M.D.130 CenterwayComing,W 14830
Syema Muzaffar, M.D.Universfty of RochesterDept of Anthropology440 Latimore HallRochester,W 14627
Syed Hassan Mehdi Rizvi, M.D.35 Crismon HeightsAlbion,W 14411
Shellie Kirkegaard Sasscer, M.D.238 Susquehanna Road
E Rochester, NY 14618
Robert Piotr Woroniecki, M.D.1 01 Brady RoadSackets Harbor, NY 13685
Odet Edward Yousse-Effar, M.D.2 lngfidshire DrivePiWord,W 14534
New York 2
Anju Dolly Airen, M.D.7 Maple Drive PortPort Washington, NY 1 1050
Sellathurai Kanagarajah Dhayaparan, M.D.PO. Box 120960Brooklyn, NY 11 212-4700
Pervez Zafar Faruqi, M.D.57 70th SbfttBrooklyn,W 1 1209
Yaffa Fishman, M.D.1771 E. 29th StBrooklyn,W 11 229-2516
Jmphine 0. Jung, M.D.16 Aldgate Dr., WestManhassetW 11030
Bogdan Lekan M.D.45-47 Parsons Blvd.Flushing, NY 11355-2253
Louella M. Miranda, M.D.7 Valley View RoadGreat Neck, NY 11021-3917
Josie 0. Niu, M.D.23 Anger LaneCenterach, NY 1 1720
Isaac Nnamdi Nwajide, M.D.1 1 1 1 4-76th Ave., Apt. 208Forest HillsQueens, NY 11 375
Louisdon Pierre, M.D.75-19 217th St, LowerBayside. NY 1 1 364
Thomas M. shim, M.D.142-09 37th Ave., Apt 3FFlushing, NY 11354-4102
Amena Suftana, M.D.6560 Wetherole St, #6ERego Park,W 1 1 374
Dornenico Zanolin, M.D.12W BelmontBayshoie, NY 11706
Irina Zhabinskaya, M.D.Dept of PediatricsNew York Methodist HospU506 6th St, Box 159008Brooklyn, NY 11 215
New York 3
Jennifer L. Bass, M.D.2500 Johnson Ave., #1 2EBronx, NY 10463
Virginia L. Gray-Clarke, M.D.130 Grand StCroton on Hudson, NY 10520
Andrea Beiser Hagani, M.D.15 lnness RoadTenafly, N) 07670-2714
Ferdousi A. Khan, M.D.34 Capri DriveRoslyn, NY 11576-3205
David Frederick Kronn, M.D.13 Creek RoadStaatsburg, NY 12580
Maria A. Lavaia, M.D.435 E. 70th St., 22-GNew York,W 10021
Adam Scoft Levy, M.D.401 E. 74st St, Apt 8FNew York,W 10021
Elaine Moustafellos, M.D.435 E. 70th St, #20ANew York, NY 10021
Audrey Olivera, M.D.3601 Johnson Ave., #2BBronx,W 10463
Colin Kit Lun Phoon, M.D.Pediabic EchocardiographyNew York Univ. Medical Center530 First Avenue, Suite 9UNew York, NY 1001 6
Mary Celaine See, M.D.21 3 Lees Ave.Teaneck, NJ 07666-3907
Rosa Maha Seijo, M.D.1755 York Ave., #2PNew York, NY 101 28
Scott Howard Sicherer, M.D.Dept of Pediabics, Box 1198Mount Sinai HospitalOne Gustave L. Levy PlaceNew York, NY 10029-6574
Muhammad Waseem, M.D.50 Beaumont Circle #2Yonkers, NY 10710
Joli Kada Yuknek, M.D.86 Morsemere Ave.Yonkers, NY 10703
Orthopaedics Specialty FellowRoger F Widmann, M.D.Hospital for Spedal Surgery535 East 70th StreetNew York, NY 10021
DISTRICr IIIMID ATLANTIC
Distrid of Columbia
Jeralyn Anise Bemier, M.D., MPHGeorgetown Univ. Medical Center3800 Reservoir NWWashington, DC 20007
Sushma N. Jani, M.D.10485 Owen Brown RoadColumbia, MD 21044
Gail Denise Pearson, M.D., Sc.D.10909 Ralston RoadN. Bethesda, MD 20852-3529
MarylandKathehne L. Hopkins, M.D.3646 Old Level RoadHavre de Grace, MD 21078
Michael Nolen Johnston, M.D.6112 Bellinham Court, Apt. 531Baltmore, MD 2121 0
Grace Kobusingye, M.D.2103 Laurel Bush RoadBelair, MD 21017
Wing-Hang Leung, M.D.2903 Cub Hill RoadBaltimore, MD 21234-1126
Jennifer S. Read, M.D., MS, MPH11920 Cragwood WayPotomac, MD 20854
Katie L. Snead, M.D.1447 Meridene DhveBaltmore, MD 21239-2028
New JerseyMaureen Elizabeth Baxley, M.D.61 Hillside Ave.Florham Park, NJ 07932
Madesa E. Espana, M.D.2855 Debra WayUnion, NJ 07083
Gaspar Luis Ginart, M.D.27 Tefface RoadWayne, NJ 07470
Jose 0. Maldonado, M.D.187 Avenue EBayonne, NJ 07002
Rodulfo P Moises, M.D.703 Passaic Ave.Clifton, NJ 07012-1824
Michael N. Musci, Jr., D.O.P.O. Box 349
E West Bedin, NJ 08091-0349
Lisa Maxine Nalven, M.D.473 Caldwell Dr.Wyckoff, NJ 07481
Piotr Wojciech Oko, M.D.62 Hunter Road SouthNorth Haledon, NJ 07508
Paresh Pandit, M.D.One Cooper PlazaSarah Cooper BuildingCamden, NJ 08103
Usha A. Phillips, M.D.49 Hamilton Terrace, #4FNew York, NY 10031-6402
Stacey Ann Berg Rosenzweig, M.D.143 Booth Ave.Englewood, NJ 07631
Thomas Felix Santucci, Jr., D.O.Agantic City Medical Center1925 Pacific Ave.Aganbc City, NJ 08401-0102
Stephanie N. Schlitt, M.D.360 Station Ave.Haddonfield, NJ 08033
John B. Tedeschi, M.D.99 Tavistock LaneHaddonfield, NJ 08033
PennsylvaniaLod Anne Cook, M.D.Dept. of PediatricsMercy Hosp./Pittsburgh1400 Locust St.Pittburgh, PA 15219
Darren A. Franczyk, M.D.5 West St., Unit BMedia, PA 19063-2607
Mitchell Jay Goldman, D.O.405 Potomac CourtWexford, PA 15090
Jeremiah Goldstein, M.D.217W Mt Airy Ave.Philadelphia, PA 19119
Barbara Lynn Henshell, M.D.353 Hunbngton CourtWest Chester, PA 19380
Ronald Jay Horowitz, M.D.2201 Cherry St., Unit 204Philadelphia, PA 19103
Elizabeth Marie Imboden, M.D.188 Oak Ridge DdveYork, PA 17402
Debra Lynne Kruse, M.D.3208 Fallow Dr.Allentown, PA 18104
Naline Lerue Lai, M.D.11 -6 Aspen WayDoyietown, PA 18901-2744
Tarek Adib Nakhla, M.D.1 00 Old York Road, #419Jenkintown, PA 19046
Barbara Judith Negdni, M.D.10196 Woodbury Dr.Wexford, PA 15090
Nod Yueh-Shuan Ruo, M.D.20 Taylor Dr., Unit EReedsville, PA 17084
Leslie Beth Soloshatz, M.D.3324 Beechwood BlvdPittsburgh, PA 15217-2902
Pedita Kwan Tam, M.D.400 Highland Ave.Lewistown, PA 17044
Toby Debra Yanowitz, M.D.6702 Beacon StreetPittsburgh, PA 15217
Julie M. Yen, M.D.2405 Fifers WalkPhiladelphia, PA 19103
Nader Younes, M.D.615 Sixth Ave.Altoona, PA 16602
Rana Ziadeh, M.D.3200 Daniel Lane, #202Monroeville, PA 15146
West VirginiaRobert Joe Steelman, M.D.Box 9214 Dept.of PediatdcsWest Virginia UniversityMorgantown, VW 26506
DISTRICr IVSOUrHEAST
Florida
Marcia Eliza Antiqua-Lee, M.D.6201 Glenmoor DdveWest Palm Beach, FL 33409
Laleh Bahar-Posey, M.D.3320 Sandy Ridge DdveClearwater, FL 34621-1937
Angela Rose Burrafato, M.D.4412 N.W. 73rd Ave.Coral Spdngs, FL 33065-2150
Tracey R. Burton-Lindner, M.D.Pediatrics of Okaloosa1 001 -CW College Blvd.Nireville- FL 3257R-104(
Lara Matsalia Cavanaugh, M.D.2154 Feathersound Dr.Clearwater, FL 33762
Rafael A. Cheas, M.D.9832 S. U.S. Hwy. 441, Suite 101Leesburg, FL 34788
Joseph J. Dallessio, M.D.6752 Highland Pines CircleR. Myers, FL 33912
Peter F. De Souza, M.D.4138 Chelmsford Dr.Tallahassee, FL 32308
Ma. Teresita Carangal Dela Rosa, M.D.2901 SW 41 st Street, #3106Ocala, FL 34474
Gabdele lngdd Hosemann, M.D.4418 Winding River Dr.Valdco, FL 33594-7830
Marcy Lee Howard, M.D.3 SW 2nd AvenueHawthorne, FL 32640
Mohammad ilyas, M.D.1600 Archer Road HD214Gainesville, FL 32601-0296
Chdstopher P. Keuker, M.D.4800 S. Westshore Blvd. #1 01 6Tampa, FL 33611
Wilfred Kwong Lee, M.D.6201 Glenmoor DdveWest Palm Beach, FL 33409
Jennifer Lynne Root Mayer, M.D.7159 PrestvAck Ct.University Park, FL 34201
Victor J. Mc Kay, M.D.West Coast Neonatal, Inc.880 6th Street, So., Suite 470St Petersburg, FL 33701
Maria Eugenia Medina-Capotex, M.D.1052 S.W. 78th PlaceMiami, FL 33144-4250
Jacqueline Maria Niebles, M.D.1375 Indian Trails NorthPalm Harbor, FL 34683-2809
Humeraa Qamar, M.D.1916 Clafterbridge RoadOcala, FL 34471
Jeronimo Jose Ramirez, M.D.6540 SW 114th Place, Unit AMiami, FL 33173-4710
Rachel A. Ray, M.D.2821 Clubhouse DrivePlant City, FL .13567-7000
Amanda F. Romano-Silva, M.D.9345 SW 17 StreetMiami, FL 33165
Alicia Beth Salland, M.D.16400 RLiby Lake220 SW 84th Ave., Suite 206Weston, FL 33331
Asif Abdulla Suchedina, M.D.252 Three Islands Blvd., #203Hallandale, FL 33009
Esther Leika Molina Tatoy, M.D.39132 CR 54 East, #2062Zephyrhills, FL 33540
Madfe Rosanna Samaniego Tolenbno, M.D.3714 Divot RoadSebdng,FL 33872
Joanna Yu Yao, M.D.3911 Joel Aman RoadPerry, FL 32347
GeorgiaSylvester Chibueze Ajufo, M.D.3213 Femddge Dr., #AAJbany, GA 31707
Roy Gordon Benaroch, M.D.2165 Seaman CircleChamblee, GA 30341
Traci T Brumund, M.D.Medical College of GeorgiaGeneral Pediatrics1120 15th St., HF 1131Augusta, GA 30912-3770
Norman Carvalho, M.D.Scotbsh Rite Children's Medical Center1001 Johnson Ferry Road, NEAflanta, GA 30342-1600
Joshua Benjamin Donner, M.D.1 1 8 Westmore RoadRome, GA 30165
Alesia LaVar Hayes, M.D.421 1 Sheppard Crossing WayStone Mountain, GA 30083
Wanda Jackson, M.D.7968 Woods LaneJonesboro, GA 30236
Allison Ackley-Benneft Kassels, M.D.7 Buckingham CourtCartersville, GA 30120-6449
James H. Lin, M.D.2364 Henderson Mill CtAbanta, GA 30345
r-lavia Flaine Mprcadn- M_D_896 Los Angeles Ave.'Aganta, GA 30306
Juliana N. Nahas, M.D.1822 Keswick Village CtConyers, GA 30013
Melissa Kari Renolds, M.D.123 Kathi Ave.Fayetteville, GA 30214
Helen Elizabeth Roberts, M.D.4264W Club LaneAflanta, GA 30319
John Robert Williams, M.D.1610 Kinsmon LaneMadetta, GA 30062
KentudcyAna Made Angeles Casbllo, M.D.11 8 Campbell Dr., Apt 11 2Hazard, KY 41701-9407
Vivian C. Ong, M.D.P.O. Box 746Mc Dowell, KY 41647
Suzanne Pickles Pica, M.D.1109 McCann Ddve, Suite #2Winchester, KY 40391
North Carolina
Lucy Jean Brown, M.D.1312 Carroll St.Durham, NC 27707
Medhavini H. Dhandha, M.D.P.O. Box 1731Henderson, NC 27536
Graciela Faith Egli, M.D.204 Winter RoadJacksonville, NC 28540
Kerft Lyn Jaeckel, M.D.4209-J AJdershot CtChadotte, NC 28211
Jayesh J. Kinadwala, M.D.1103 E Williams CirdeElizabeth City, NC 27909
Smruti J. Kinadwala, M.D.1103 E. Williams CirdeElizabeth City, NC 27909
Arthur Bennett Spell, M.D.Chadofte Pediatria4501 Cameron Valley Pkwy., #100Chadotte, NC 28211
South Carolina
Marc G. Bahan, M.D.1307 Whitehall RoadMarion, SC 29571
Michael J. Bykowsky, M.D., PhDCarolina Allergy & Asthma Con.One Richland Medical ParkSuite 200Columbia, SC 29203
Laura Benecki Cooper, M.D.909 Chinquapin RoadColumbia, SC 29212-3503
Patrida Lee Hutchison, M.D.198 Rufledge Ave., Suite 1Chadeston, SC 29401
Angela D. Millon, M.D.1249 Hester Store RoadEasley, SC 29640
R. Bhanu Vikraman Pillai, M.D.1 01 Winding Creek RoadAnderson, SC 29621-4461
Claudius 0. Shuler, III, M.D.2 Richland Medical ParkSuite 306Columbia, SC 29203
Tennes
Robert B. Lembersky, M.D.712 Westborough RoadKnoxville, TN 37909
Laura Anne Powell, M.D.1721 Chdstmas Dr.Mordstown, TN 37814-2603
Suzanne Patricia Stading, M.D.Vanderbik University Medical CenterT-3320, Medical Center NorthNashville, TN 37232-2575
Keith S. Thompson, M.D.313 Bluebird DrGoodiettsville, TN 37072
VirginiaRaymond Davis Amaker, M.D.2107 Cassell Ct.Richmond, VA 23233
Tammy Linda Braun, M.D.844 First Colonial Road #204Virginia Beach, VA 23451
Vito Antonio Capotorto, M.D.7617 Litde River Tumpike, Suite 600Annandale, VA 22003
Maria Elizabeth Chen, M.D.5033-B G. Washington Memodal Hwy.Grafton, VA 23692
Chdsty Delaossa Fontana, M.D.801 Quail Point CoveVirginia Ri-ach- VA 234S4
Linda R Gottftied, M.D.109 William ClaibomeWilliamsburg, VA 23185-6536
Theresa E. Guins, M.D.2608 Wheathusk CourtVirginia Beach, VA 23456
Mezgebe Haile, M.D.5500 Clonmel Ct.Alexandda, VA 22315-5533
Michael Patrick Poider, M.D.601 Children's LaneNorfolk, VA 23507-1910
Mary Michael Schweiker, M.D.Monument Avenue Pediabics3602 Monument Ave.Richmond, VA 23230
Barron Kefth Taylor, M.D.109 Turde Creek Road, #7Chadottesville, VA 22901-6720
Michele Rohe Wadsworth, M.D.601 Children's LaneNorfolk, VA 23507-1910
UNDISTRICTED
lssarang Nuchprayoon, M.D.50/94 Sukumvit Road, 62Bangkok, 10250Thailand
Coffesponding FellowMinda Lao Toledo, M.D.Toledo Meda ClinicKM 52, BUHOSilang CavitePhilippines
DISMCr INORTHEAST
Conneckut
Leonard L. Comeau, M.D.282 WashingtDn StHartford, CT 06106
Douglas Chades Curtiss, M.D.180 Broad St, #1331Stamford, CT 06901-2075
Jeanine Teric Freliech, M.D.271 Rivergate DriveWiftDn, CT 06897
Jennifer Baum Gruen, M.D.1275 Summer St, Suite 301Stamford, CT 06905
Jennifer F Henkind, M.D.48 Eastover RoadStamford, CT 06905
Vasantha H. S. Kumar, M.D., MBBSI 1 1 -C Bdttany Farms RoadNew Britain, CT 06053
Phoebe J. Leith, M.D.208 Shore DrBranford, CT 06405-4857
Katherine N. AAini, M.D.2 Wahneta Rd.Old Greenwich, CT 06870-2119
Philip V Scdbano, D.O.ConneLtcut Children's Meda CenterDivision of Emergency Medidne282 Washington StHartford, CT 06106
Massachusetts
Pamela L. AJix-Bloznalis, M.D.Child Health Associaies604 Main StShrewsbury, AAA 01 545
Nancy Giannini, M.D.35 Harrison Ave.Aubum, AAA 01501
Natalia Golova, M.D.138 Old Elm StMansfield, MA 02048
Janice Marie Lopez, M.D.103 Sewall Ave., #2Brookline, AAA 02146
Kate H.C. Mc Intosh, M.D.128 Highland StWest Newton, AAA 02165
Diana AJison Palmer, M.D.300 Ocean Ave.Revere, AAA 02151
Carolyn Roy-Bomstein, M.D.5 Chain Bddge Dr.Newburyport, AAA 01950-1723
Beata Joanna Tyminska, M.D.37 Magnolia Terrace/Ground FloorSpdngfield, MA 01 108
Debra L. Weiner, M.D.Children's HospitalDivision of Emergency Medicine300 Longwood Ave.Boston, AAA 02115
New HampshireStephan R. Le Blanc, M.D.34 Kessler Farm Drive, Apt 594Nashua, NH 03063
Ouebec
Francoise AAamet, M.D.462 rue Des PinsAmos, PQ J9T 1A3Canada
Unifomied Services East
Glynda Williams Lucas, M.D.USA MEDDACCMR 442, Box 175A.PO.,AE 09042-0101
Ven,nont
John Mark Di Michele, M.D.4 Sherman DriveSt. Johnsbury, Vr 05819
Chdstopher John Peterson, M.D.134 Church StNorwich, VT 05055
DISTRICr 11NEW YORK STATE
New Yock 1
Barbara Jean Bambach, M.D.8372 Black Walnut Dr.East Amtwrst,W 14051
July 1998 AAP News 35
Dear Academy Fellow: In submitting these names of board-certified pediatdcians to you, it is understood that acaIn order to fulfill the admission requirements of AAP Bylaws, you are requested to: atdc credentials are not in question. Comments are requested concerning possible legal ar
1) carefully review the following list of new applicants for Academy membership; and relay your reactions situations of which you might have personal knowledge.directly to your Distdct Chairperson, whose name and address is at the end of this list. Send any comments on the following list of new applicants to your Distdd Chairperson
emic and pedi-J/or ethical
y August 15.
-1 ....,_ t1
Audrey Ukachi Njgmanze Robertson, M.D.204 West 8th StreetMacon, MS 39341-2626
*.Robert Joseph Russell, M.D.:2001 Oak Creek Road, #1D229*River Ridge, LA 70123
*Kathryn Laura Sigumjak, M.D.*Golf Coast Medical Plaza*180 DeBuys Road, Suite 105
Biloxi, MS 39531
.Oklahoma
Amanda Lynn Bogie, M.D.*3124 NW43rd St.Oklahoma City,OK 73112
Robert Blaine Lawson, D.O.1120 S. Utica #4503Tulsa, OK 74104
Charles Richard Mettry, D.O.1023 Arlington St.
*Ada, OK 74820
.Texas
Kimberly Baxter Albert, M.D.*1803 Parkview Ln.Missouri City, TX 77459
Muharnad Nazm Almouie, M.D.*.P.O. Box60113*Corpus Christi, TX 78466-0113
Patricia L. Ashley, M.D.4415 Ridge Road
*Dallas, TX 75229-6337
*Janet Charlene Ching, M.D.1330 Kingwood Dr.Kingwood, TX 77339-3747
Joseph Nathaniel Chorley, M.D.*.6621 Fannin St., MC 3-3340*.Houston, TX 77025-2399
Charles David DuBose, M.D.*601675th StreetLubbock, TX 79424
*Rebecca Greenlee Girardet, M.D.*.3221 Westridge St.*.HoustDn, TX 77025-4555
Javier A. Gonzalez, M.D.3111 Rimrock DriveMissouri City, TX 77459-3947
*Patricia Marie Hagan, M.D.*2225 Bay Haven WayLeague, TX 77573
*Mark Doyle Hormann, M.D.Department of Pediatrics6431 Fannin
.Houston,TX 77030
*Bryan Kalil, M.D.309 Laurel Ridge CircleShermnan, TX 75092
Jyoti Krishna, M.D.7003 Wayne Ave.
*.Lubbock,TX 79124
Cam-HaT. Nguyen, M.D.8003 Aqua LaneHouston, TX 77072-4706
Maria Vemadette Eleazar Ofreneo, M. D.*.4210 N. Main St., Apt. #72Mc Allen, TX 78504
Kalyan K. Rath, M.D.304 Lake Drive
.Jasper,TX 75951-1426
*Allinson Macaulay Rose, M.D.1826 Pebblebrook LaneSherman, TX 75092
Shabbir Ismail Saherwala, M.D.1 Block Circle
*.Rio Grande City, TX 78582
*Helene Rae Sheena, M.D.117 Marrakech Ct.
*Bellaire, TX 77401
*Nighat Sultana, M.D.5050 Tanglewood, Apt. 603
*Odessa, TX 79762
*.James A. Thomas, M.D.6838 Arboreal Dr.r
*Dallas,TX 75231-8128
*Jesus D. Ucol, M.D.*P.O. Box4167Wichita Falls, TX 76308
*.Elsa H. Von Schulenburg, M.D.11839 Parliament St., #1922
*San Antonio, TX 78216-2487
*.Suzanne Wright, M.D.*1948 Vantage Drive*Piano, TX 75075-6759
*Matthew Melville Yaeger, M.D.Woodhill Pediatrics
:8335 Walnut Hill Ln., Suite220.Dallas,TX 75231
*.Anesthesiology Specialty FellowDebra Ann Transtrom, M.D.
*3114 Underwood*Houston, TX 77025
:DISTRICT VlillWEST
*Arizona
*Patrick James Arambula, M.D.*.4212 E. Terrace Ave...Higley, AZ 85236-8000
Albert Anthony Callie, M.D.310 N. Wilmot, Suite 205
.Tucson,AZ 85711
Joseph V. Dobson, M.D.7137 N. 15th St.Phoenix, AZ 85020
Gregory M. Eberhart, M.D.Sycamore Pediatric Group2115 Leiter Rd.Miamisburg, OH 45342
Jennifer Kay Fallon-Delucia, M.D.7023 Shooters HillToledo, OH 43617-1320
Michael Aron Gittelman, M.D.7985 Schoolhouse LaneMontgomery, OH 45242
Thomas A. Griffin, M.D.8025 Buckland Dr.SycamoreTwp.,OH 45249-1206
Robert J. Hopkin, M.D.3333 Bumet Ave.Cincinnati, OH 45229
Barbara DiBenedette Lanni, D.O.Hillcrest Farmm7806 SR 159Chillicothe,OH 45601-9188
Christopher Patrick Moore, M.D.320 East Vine St.Oxford, OH 45056
Marinel Munda Pamatmat, M.D.140 East Second StDefiance,OH 43512
Jamal Ahmad Rana, M.D.1267 Weathervane Lane, Apt. 1AAkron,OH 44313
Patrica Fine Rosenstein, M.D.500 Lincoln Park Blvd., Suite #302Kettering, OH 45429
Grace Young Ryu, M.D.4462 Ashview St.Hilliard, OH 43026
Thomas Patrick Shanley, M.D.Children's Hospital Medical CenterDiv. of Cntical Care Medicine3333 Burnet Ave.Cincinnati, OH 45229-3039
Titus G. Sheers, M.D.346 Oak StreetWadswroth, OH 42841-2264
Margo A. White-Archer, M.D.2915 Clifton Ave.Cincinnati, OH 45220
Stephanie Anne Zimmerman, M.D.3680-D StDnebridge Dr.Cincinnati, OH 45209
Radiology Specialty FellowKimberly E. Applegate, M.D.Cleveland Clinic FoundationDept. of Radiology Hb69500 Eudid AveCleveland, OH 44195
Ontarlio
Carol Portwine, M.D.P.O. Box 69, Station DToronto, ON M61P 3J15Canada
DISTRICT VINORTH CENTRAL
Illinois
Margarite M. Angelopoulos, M.D.15431 Orchid Ct.Orland Park, IL 60462-5018
Kevin Anderson Cassady, M.D.1455 W. Rascher, Apt. 1 WChicago, IL 60640
Sheilah B. Cintron, M.D.675 W. North Ave.Melrose Park, IL 60160
Edmundo Padilla Cortez, M.D.5517 W. BereniceChicago, IL 60641
Sylvia Irizarry, M.D.256 S. Maple Avenue, 3rd FloorOak Park, IL 60302-3023
Cynthia Renae Jackson, D.O.530 N.E. Glen OakPeoria, IL 61637
Children's Memonial Hospital2300 Children's Plaza, #62Chicago, IL 60614-3318
Praveen Kumar, M.D.1516 Willowcreek Ln.Darien, IL 60561
Stacy A. McConkey, M.D.Genesis Medical Group648 N. Chicago St.Geneseo, IL 61254
Zahida L. Muzaffar, M.D.1605 Kenyon Dr.Naperville, IL 60565-1720
Phineas Phillip Oren, M.D.3354A N. Clifton Ave.Chicago, IL 60657
Ayca Olut Raif, M.D.RR#1, Box 2 Kendall DriveBarry, IL 62312
Kathy Seskiewicz, M.D.1053 W. Sutton Ct.
*Palaffne, IL 60067
Masako Shimamura, M.D.:1455 West Rascher Ave., #1WChicago, IL 60640
*Michael Maxino Soberano, M.D.*.9117 Chrisffna Dr.
Hickory Hills, IL 60457
Ananya Thanasri Spann, M.D.*10406 S. Hamilton Ave.Chicago, IL 60643-2512
Jayesh C. Thakker, M.D.Mt. Sinai Hospital Medical CenterDept. of Pediat-rics, OS 451Carifomia Ave. at 1 5th St.Chicago, IL 60608
David MacRae Williams, M.D.3510 32nd St.Moline, IL 61265
Iowa
Judith Maria Bemhard, M.D.4603 Blarney Drive, NECedar Rapids, IA 52411-8015
Donna Marie D'Alessandro, M.D.Univ. of Iowa Hospitals and Clinics200 Hawkins Dr.Iowa City, IA 52242
Renee Lynn Davis, M.D.1005 E. Oakbrook PlaceMount Pleasant, IA 52641
Dianne Marie McBrien, M.D.926 Westside Dr.Iowa City, IA 52246
Laudy George Naimeh, M.D.2318 Plane ViewIowa City, IA 52246
Jaffar Ali Shaik, M.D.1005 Briarstone DriveMason City, IA 50401-4639
Nuha Shash-Barazanji M.D.2586 Hubble, Suite ADes Moines,lIA 50317
Kansas
Todd Eugene Bush, M.D.1009A N.E. \Ahispering Winds CircleLeesSummit,MO 64064-1778
Minnesot
IrisWagman Borowsky, M.D.Div. of General Pediatrics andAdolescent Healh
Box 721 - UMHC420 Delaware St., SEMinneapolis, MN 55455-0374
Missouri
Ajoke Ajayi Akintade, M.D.5549 Terraceview Ct.St. Louis, MO 63128
Joseph Albert Aldrich, D.O.Kirksville College of OsteopathicMedicine, Div. of Pediatrics
800 West JeffersonKirksville, MO 63501
Christina Marie Hicks, M.D.110 N. Hospital Dr.Callaway Physicians ClinicFulton, MO 65251
Jeanne Diane Mrozek, M.D.2316 E. Meyer Blvd., Room 526Kansas City,MO 64132
Laura Ann Vrlenich O'Gorman, M.D.621 S. New Ballas RoadSuite 2016St. Louis, MO 63141
Bindya Singh, M.D.11980 Moorland Manor Ct.St. Louis, MO 63146-5359
Nebraska
Patrick Doherty, M.D.2115 N. Kansas, #120Hastings, NE 68901
Sheryl Lin Pitner, M.D.60 So. 42 StreetOmaha, NE 68198-2167
Chitrita Roy, M.D.2645 N. 1 60th Ave.Omaha, NE 68116
North Dakota
Wlilliam Lawrence Bock, M.D.1000 S. Columbia RoadGrand Forks, ND 58206-6003
Klristin rhover Iokkespmoe, AAD.905 1 5th Ave., SEMinot, ND 58701-5997
Southi Dakota
Lynette Kayona Martin, M.D.3316 Kirkwood Dr.Rapid City, SD 57702
James J. Matsuda, M.D., PhD1511 17th Ave., SEAberdeen, SD 57401
Christopher H. Tiongson, M.D.3609 S. Anita Ave.Sioux Falls, SD 57103-7217
Wisconsin
Sharon L. Busey, M.D.Downtown Health Center1020 N. 1 2th StreetMilwaukee, WI 53233
Sudarshan RaoJadcherla, M.D.Dept. of PediatricsDivision of Neonatology9000 W. Wisconsin Ave.Medical College of WisconsinMail #21 3AMilwaukee, WI 53226
William D. Jeruc, M.D.3870 S. Pohl Dr.New Berlin,WI 53151
Stephen Shih-Chung Lo, M.D.6834 Schroeder Road, #19Madison,WI 53711
Timm Scott Missbach, M.D.3021 Voyager DriveP.O. Box 19070Green Bay, WI 54307
Samir Mullick, M.D.9997 West North Ave., #179Wauwatosa,WI 53226-2514
Sadoun I. Omari, M.D.10909 W. Bluemond RoadWauwatosa, WI 53226
Matthew Charles Scanlon, M.D.W15N9501 Cherokee DriveMenomonee Falls,WI 53051-1568
Kay Annette Sichting, M.D.120 Friendship LaneSaukville,WI 53080
Lisa Marie Stukenberg, M.D.3133 N. Marietta, #9Milwaukee, WI 53211-3130
Cari Hamilton Ullrich, M.D.318 Park DriveNeenah, WI 54956
David Antone Van de Loo, M.D.Midelfort Clinic733 W. Clairemont Ave.Eau Claire,WI 54702-1510
DISTRICT VllSOUTH CENTRAL
Alabama
Dante Adan, M.D.433 E. Broad St.Ozark,AL 36360-1510
Siridao Laohasatit Cheng, M.D.140 Medical Circle, Suite FMoulton, AL 35650
Francoise Mouroux Cressman, M.D.2308 Altadena Crest Dr.Birmingham, AL 35242
Stephanie Anne Denton, M.D.227 Miller CirdePelham,AL 35124-3749
Sesi Olufunmilayo Dosunmu-Ogunbi, M.D.208 Green StAubum, AL 36830
Ashley Evans, M.D.Box 870378Tuscaloosa, AL 35487-0378
Maria Luisa Garcia, M.D.5700 Grelot Road, #228Mobile, AL 36609
Max Howard Hale, M.D.3590 Westbury RoadMountain Brook,AL 35223-1469
David Wiston Kimberlin, M.D.1600 Seventh Avenue So.Suite #616Birmingham, AL 35233
Ramarao Vullaganti, M.D.12 Country SquireAnniston, AL 36207
Arkansas
Laura Phillips James, M.D.AR Children's Hospital800 Marshall St.Little Rock, AR 72202
Gari Mills Rucker, M.D.1632 NorthridgeArkadelphia,AR 71923
Christine Ziebold, M.D.413 Pine St.Newport,AR 72112
Louisiana
Mary Cummins Darken, M.D.4205 lberville St.New Orleans, LA 70119
Bonnie Claire Desselle, M.D.Children's Hospital/Cirtical Care200 Henry Claya AvenueNew Orleans, LA 70118
Lucy M. Goh, M.D., MPH, TM
Sicily Island, LA 71368-0101
Patricia Severson Greene, M.D.71107 Hwy. 21, Suite 1Covington, LA 70433
Melvin Adam Kohn, M.D.1430 Tulane Avenue, SL-37New Orleans, LA 70112
Michael Jude Marzullo, M.D.6213 West Taylor, #1Alexanadria, LA 71303
Anne T. Nelson, M.D.2504 Gates Circle #28Baton Rouge, LA 70809
Cherron A. Philippe, M.D.2647 Riverview Blvd., Suite 100Gonzales, LA 70737
Maria Treme, M.D.East Jefferson Medical Plaza4228 Houma Blvd., Suite 520Metairie, LA 70006
Kelly O'Brien Zieske, M.D.71107 Highway 21, Suite 1Covington, LA 70433
,Mississippi
*Cynthia Moore Bonner, M.D.4684 Sunningdale Drive
*.Belden, MS 38826
Silvia Kaufmann, M.D.*P.O. Box 1359
Centreville, MS 39631
Brenda Mae Kronborg, D.O.P.O. Box 11000Mesa, AZ 85214-1000
Susan Emily Omura, M.D.P.O. Box 1944Chinle,AZ 86503-1944
Michael C. Robles, M.D.P.O. Box 1489General DeliveryChinle, AZ 86503-9999
Neil Aaron Russakoff, M.D.5721 E. 6th StreetTucson,AZ 85711
Margery Amy Anne Shoptaugh, M.D.1545 W. Lewis Ave.Phoenix, AZ 85007
British Columbia
Jorge L. Pinzon, M.D.British Columbia's Children's Hospital4480 Oak StreetVancouver, BC V61- 3V4Canada
Colorado
Sharisse Marie Amold, M.D.1310 S. Monaco Pkwy., Unit FDenver, CO 80224
Gary A. Bellus, M.D., PhDDept. Dematology B-153Univ. Colorado H.S.C.4200 E. 9th Ave.Denver, CO 80262
Joseph Allan Craig, M.D.1531 Stout St., Unit #609Denver, CO 80202-3207
Curt Gerald DeGroff, M.D.The Children's HospitalBox B-100Dover,CO 80218
Dirk R. Gottman, M.D.P.O. Box 1894Alamosa,CO 81101
Meshelle Kolanz, M.D.4918 23rd StreetRoadGreeley, CO 80634
Catherine Marie Van Kerckhove, M.D.Colorado Allergy & Asthma Center1450 S. Havana St., Suite 500Aurora, CO 80012
Hawaii
Carol Titcomb Hartley, M.D.Kapiolani Medical Center forWomen & Children, Suite 1100
1319 Punahou StHonolulu, HI 96826
Lynn Mie Iwamoto, M.D.Dept. of Neonatology1319 Punahou St.Honolulu, HI 96826-1032
Erin Akemi Nakano, M.D.45-602 Kamehameha Hwy.Kaneoho, Hl 96744
Idaho
Matthew Spurrier Brown, M.D.Family Medical Clinic222 E. LoganCaldwell, ID 83605
Nevada
Hesham Al Sirsy, M.D.2249 Midvale TerraceHenderson, NV 89014-5347
New Mexico
Elaine Allen Bradshaw, M.D.Arroyo Chamiso Pediatric Clinic2025 South GalisteoSanta Fe, NM 87501
Louis G. Chicoine, M.D.UNM/HSC ACC 3-WAlbuquerque, NM 871 31-5311
Preston B. Herrington, M.D.641 TetonFarmington, NM 87401
Emily Field Warm, M.D.3901 Georgia, NE, Suite D-1Albuquerque, NM 87110
Oregon
Dana A.V. Braner, M.D.OHSU3181 SW Sam Jackson Park Rd.Portland, OR 97201-3042
Janet Marie Sherman Hipshman, M.D.1912 S. Echo Dell LaneOregon City, OR 97045
Rebecca Eve Mischel, M.D.3728 N.W. ThurmanPorHand, OR 97210
Utah
Robert Howard Lillard, Jr, M.D.1620Jamestown Dr.Salt Lake City, UT 84121-2023
Amy North MacRitchie, M.D.2285 Benchmark CircleSalt Lake City, UT 84109-1471
Timothy Mark Olson, M.D.3170 S. Kaibab WaySalt Lake City, UT 84109
Uniformed Services West
Deborah Ann Baumann, M.D.13510 Fairfield FarmsSan Antonio, TX 78232
36 AAP Newgs July 1998
Anesthesiology Specialty FellowLucinda Lee Everett, M.D.10823 Stanton WayRichmond, VA 23233
DISTRICT VGREAT LAKES
Indiana
Steven R. Asdell, M.D.6129 Dan Patch Ct.Indianapolis, IN 46237-3132
CoraJuliette Elliott, M.D.525 E. 57th St.Indianapolis, IN 46220-2555
Benjamin S. Gilmore, M.D.Northpoint Pediatrics8101 Clearvista Pkwy., Suitel185Indianapolis, IN 46256
Sandeep K. Gupta, M.D.5132 Robinsrock WayIndianapolis, IN 46268-4008
Eric James O'Banion, M.D.3506 S. LaFountain StreetKokomo, IN 46902
Snehal V. Parikh, M.D.191 6 West 85th AvenueApt #K-297Merrillville, IN 46410
Gary Michael Podhaisky, M.D.1525 Bramoor Dr.Kokomo, IN 46902
Brenda Bradley Poindexter, M.D.10085 Hickory Ridge DrZionsville, IN 46077-9423
Rebecca Susan Rose, M.D.7526 E. 82nd St., Suite 100Indianapolis, IN 46256
MichiganJohn T. Adams, M.D.17 ElmsleighGrosse Pointe City, MI 48230-1902
Mohammad Al-Harastani, M.D.1254 N. Main St.Lapeer, MI 4844
Basel Abbo Brikho, M.D.2258 Oakcrest Rd.Sterling Hts, MI 48310
Anne G. Butler, M.D.18101 Oakwood BlvdSuite #103GMOBDearbom,MI 48123
Colleen Myers Carey, M.D.3789 Fleetwood Dr.Portage, MI 49024-5520
Mitchell H. De Jonge, M.D.William Beaumont Hosp.3601 W. 13 Mile RoadRoyal Oak, MI 48073-6769
Anna Dobracki, M.D.2424 Stone RoadAnn Arbor,Ml 48105
Daniel J. Golin, M.D.Northshore Pediatrics, PC291 W. LakewoodHolland, Ml 49424
Craig M. Joseph, M.D.27346 Strawberry Ln., 204Farmington Hills, MI 48334-5051
Esam A. Kazem, M.D.6021 Hearthside Dr.Troy, MI 48098
Davis Berrey Kershaw, M.D.2785 Danbury LaneAnn Arbor, MI 48103
Katherine A. Ling-Mc George, M.D.24101 Fourteen Mile RoadBingham Farms, Ml 48025-2400
Nancy M. Mannisto, M.D.25881 IvanhoeHuntingtonWoods,MI 48070-1607
Harold D. Margolis, D.O.6165 Ledgeway Dr.West Bloonfield, MI 48322
Angela Christine Martin, M.D.47841 Royal Pointe Dr.Canton,Ml 48187
Catherine Ann Mc Dermott, D.O.94 Campau Cr., NWGrand Rapids, MI 49503
Hanan A. Sedik, M.D.25696 W. 12 Mile Road, #204Southfield, MI 48034
Rohit Patrick Shenoi, M.D.42505 Amherst Ct.Canton,MI 48187
Ohio
Henry T. Akinbi, M.D.346 Fleming Dr.Cincinnati,OH 45215-2559
Jayne Anne Barr, M.D.503 Plaza DriveCircleville,OH 43113
David Earl Borgemenke, M.D.6691 Woodland Trace Ct.Middletown,OH 45044-9175
Amy Marie Cedargren, M.D.5662 S. State Route 7Gallipolis, OH 45631-8350
Kelley T. Cerroni, M.D.408 Devon Place, Suite BKent, OH 44240
G3aO L3@WiWOGm~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~.
ok
Ana Ceide Hodges, M.D.16106 Rustic WaySan Antonio, TX 78247
Katrina McMurry Hood, M.D.335 AvenueSan Diego, CA 921 18
David E. McHomey, M.D.115 Rolling Ridge Dr.Del Rio, TX 78840
Stephen Xavier Skapek, M.D.Wilford Hall Medical CenterPediatrics/MNPO2200 Bergquist Dr.Lackland AFB, TX 78236
Paul Anthony Tomcykoski, D.O.1615 NW 79th St.Lawton,OK 73505-2413
WashingtonElizabeth Cason Benton, M.D.UWPNKDM Clinic23213 Pacific Hwy. SouthKent, WA 98032
Judy L. Felgenhauer, M.D.P.O. Box 8066Spokane, WA 99203
Martha Ellen Geib, M.D.10912 Hillsboro DriveSilverdale, WA 98383
Carrie Larson Jenner, M.D.34610 Second Lane S., #G97Federal Way, WA 98003
Cynthia T. Kertesz, M.D.2027-1/2 Yale Ave., E.Seattle, WA 98102-3515
Thomas Edward Numrych, M.D., PhD14338 160th Ave.,NEWoodinville, WA 98072-9035
Ray Y. Sato, M.D.315 Martin Luther King Jr. WayTacoma, WA 98405
Jennifer Susan Taylor, M.D.2428 258th St., NEArlington, WA 98223-7295
Kevin Thio, M.D.1111 South 2nd AvenueWalla Walla, WA 99362
WyomingKathleen Ann Gibbons Thomas, M.D.731 Custer St.Cheyenne, VWY 82009
DISTRICT KXCALIFORNIA
Califomia 1
Susan M. Abraham, M.D.4776 Amanda PlacePleasanton, CA 94566-7452
Denise Marie Amaud-Turner, M.D.39499 Gallaudet Dr., #351Fremont, CA 94538
Deborah Walgrove Bassett, M.D.1125 Bucknell DriveDavis, CA 95616
Margarita Berrios, M.D.318 S. Clark Ave.Los Altos, CA 94024
Craig Charles Corp, M.D.43 Forest Creek CircleChico, CA 95928
Sylvia M. Delius-Maxwell, M.D.33947 Juliet CircleFremont, CA 94555-3457
Richard Jay Dow, M.D.141 CaminoAltoMill Valley, CA 94941
Jenny Chen Griswold, M.D.1103 A Madison Ave.Redwood City, CA 94061
Henry Loc Kano, M.D.Woodland Clinic Medical Group1207 Fairchild Ct.Woodland, CA 95695-4398
Grace Cheng Kwok, M.D.P.O. Box 231Novato, CA 94948-0231
Mohammad Anoosh Malaekeh, M.D.9001 Immelmann Ct.Fair Oaks, CA 95628
Jeffrey G. Miller, M.D.3873 Coolidge Ave.Oakland, CA 94602
Steven Sherman Prager, M.D.Salinas Allergy Clinic45 E. San Joaquin St.Salinas, CA 93901
Amparo Romero-Hirahara, M.D.19550 Windrift WayWoodridge, CA 95241-2405
Pamela Janine Simms-Mackey, M.D.7957 Fontaine St.Oakland, CA 94605
Jason R. Snitzer, M.D.20631 Oak Creek Ln.Saratoga, CA 95070-3043
Alice Lynne Truscott, M.D.1310 Neilson St., Apt. BBerkeley, CA 94702-1166
Deborah E. Wardly, M.D.15120 Golddust RoadVolcano, CA 95689
D'Juanna O. White, M.D., MPH4425 Terrabella PlaceOakland, CA 94619
Lee Anne Wong M.D.8680 Greenback LaneOrangevale, CA 95662
Califomia 2
Felice Cara Adler-Shohet, M.D.624 Balboa DriveSeal Beach, CA 90740
Gabriela Isolina Angulo-Zevallos, M.D.4433 Gainsborough Ave.Los Angeles, CA 90027
Sabry E. Bakr, M.D.23680 Via OliviaMurrieta, CA 92562
Lori Wilson Brown, M.D.2320 Bath Street, Suite #107Santa Barbara, CA 93105
Yonca Bulut, M.D.448 Kelton Ave., Apt 1Los Angeles, CA 90024-6701
Samir Shebl Diab, M.D.1164 Justin Ave., Unit #1Glendale, CA 91201-1876
Lisa A. Hashman, M.D.1308 Komblum Ave.Torrance, CA 90503-6015
Charlene Elizabeth Luke Huang, M.D.1329 Yale St., #5Santa Monica, CA 90404-2446
Barbara Alexia Finger Landeg, M.D.5952 N. Las Virgnes Road, #698Calabasas,CA 91302
Zonia A. Leon, M.D.14600 Sherman Way, #300Van Nuys, CA 91405
Michael Glen Marino, D.O.18200 Yorba Linda Blvd.Suite 108Yorba Linda, CA 92686
Christopher Jay Muntz, M.D.5601 DeSoto AvenueWoodland Hils, CA 91365-4084
Rossana Figuracion Natividad, M.D.9716 Loftus Dr.Rosemead, CA 91770-2138
Vipul J. Parikh, M.D.291 S. Euclid Ave., #PH-1Pasadena, CA 91101
Ekuase Igiehon Sanusi, M.D.1601 Barton Road #1006Redlands, CA 92723
Sandra Kay Tice, M.D.1 2 WayfarerIrvine, CA 92614
Califomia 3
Chanelle R. Calhoun, M.D., MPH1283 Sungrow DriveOceanside, CA 92056-2529
Michelle Silva Dern, M.D.7044 Petit St.San Diego, CA 921 11-3431
Katherine Karin Feinstein, D.O.6323 Dwane Ave.San Diego, CA 92120
Julie Lynn Snyder, M.D.185 Saxony Rd., #102Ehunitas, CA 92024
Lindia Janina Willies-Jacobo, M.D.11392 Paseo AlbaceteSan Diego, CA 92129-1310
Califomia 4
Bernard W/lihelm Dannenberg, M.D.2773 Pelham PlaceLos Angeles, CA 9006
DISTRICrCHAIRPERSONS
DISTRICT I
Gilbert L. Fuld, M.D.The Hitchcock Clinic590 Court St.Keene, NH 03431-171 9
DISTRICr II
Louis Z. Cooper, M.D.St. Lukes Roosevelt Hospital1000 Tenth Ave.New York, NY 10019
DISTRICT III
Susan Aronson, M.D.605 Moreno RoadNarberth, PA 19072-161 8
DISTRICr IV
E. Stephen Edwards, M.D.2800 Blue Ridge Blvd.Suite 501Raleigh, NC 27607-6496
DISTRICr V
Stanford A. Singer, M.D.16800 W. Twelve Mile RoadSuite 205Southfield,Ml 48076-2138
DISTRICr VI
Ordean Torstenson, M.D.1313 Fish Hatchery RoadMadison,WI 53715
DISTRICT Vll
Carden Johnston, M.D.Children's Hospital of Alabama1600 7th Ave., SouthSuite 001Birmingham, AL 35233-1711
DISTRICT Vlill
Donald E. Cook, M.D.The Monfort Children's Clinic947 First St.Greeley, CO 80631
DISTRICT IX
Lucy S. Crain, M.D.UCSF Box 0374400 Parnassus Ave.San Francisco, CA 94143-0374
AmericanAcademy ofPediatrics
I-Lj-
.A\.-.Dcl---.0c (:. I. D) olp13\ c3_
"I' th7oughtt nothing coul uwalke oursix year ol sorn .But wh/en a urologistrecomnmenc e the JPottyPagr, uedecided to give it a try. "Three uwee*slater our son' beuwetttrngproblemnsuwere over!
Jan Van Hoffo
BEDWETTING! WHY JUST "'CONTROL" IT WHEN YOU CAN CURE IT!
WITH THE WIRELESS ALARM THAN ALERTS THE BEDWETTER... NOT
THE WHOLE HOUSE!
THE POTTY PAGER TEACHES BEDWETTERS TO RESPOND NORMALLY TO
BLADDER FULLNESS. IT USES A TACTILE ALARM,9 MUCH LIKE A SILENT
BUSINESS PAGER. IT IS I100% SAFE, RUNS ON TWO 4lAAl' BATTERIES,AND COSTS JUST $49.95 + S&H. IT COMES WITH A 30 DAY NO-QUES-
TIONS GUARANTEE. WE'RE THAT SURE IT'LL WORK!
FOR COMPLETE INFO: 800-497-6573 OR 303-440-8517
IDEAS FOR LIVING, INC. BOULDER.,COLORADO 80304
July 1998 AAP News 37
"We do the wo OSF _%
Well. Ir MEDICAL GROUPThe Sisters of the Third Order of St. Francis (OSF) have beenproviding medical care for residents of Illinois, Iowa andMichigan for more than 120 years. Their corporation, nowknown as OSF HealthCare, includes seven hospitals, twoextended care facilities, an insurance company with its ownmanaged care products, more than one dozen affiliated com-panies providing medical products and services, and OSFMedical Group, a multi-specialty physician group with morethan 220 providers in its multi-state service area. We nowhave general pediatrics opportunities in:
Peoria, IllinoisFor more information, please contact:
Wendy Bass at (800) 462-3621; Fax (309) 685-2574;Email: [email protected]
_ zzYlrrm.-ffiv
October
"Aloha Update: Pediatrics49 1998" Kauai, Hawaii, Oct. 3 - 9,1998. Sponsored by University Children's Medical Group and AAPCalifomia Chapter 2, District IX. Contact Laura Thomas, 6430 SunsetBlvd., Suite 600, Los Angeles, CA 90028. Phone (800) 3-KID-CME.
"Pediatrics for the Practitioner" -Big Island, Hawaii, Oct. 12-15,1998. Sponsored by Saint Luke's Hospital and Children's MercyHospital of Kansas City. Call (816) 932-2220 or send e-mail toCME?SAINT-LUKES.ORG for information.
"Pediatric Infectious Disease Seminar" (Sixteenth Annual LloydNoland)-at the Buena Vista Palace, Walt Disney World, Fla., Oct.14-17, 1998. Faculty: Drs. Feder, Jr., Barson, Romero, Brady andSawyer. Call, fax or write: George M. Converse 111, M.D., FAAP,Department of Medical Education, Lloyd Noland Foundation, P.O.Box 925, Fairfield, AL 35064-0925; (205) 783-5276 (voice and fax).
Connecticut
Fairfield County -Norwalk Hospital is seeking a full-time BC/BEpediatrician to provide primary care in a new, off-site multispecialtyambulatory health center. In addition, the person will teach in ouractive Pediatric PA Postgraduate Program which is conducted jointlywith the Yale University School of Medicine. Spanish speaking abil-ity desirable. Please forward CYV to Mark Ditmar, M.D., Chief,Section of General Pediatrics, Department of Pediatrics, NorwalkHospital, Maple Street, Norwalk, CT 06856. Fax: (203) 855-3683.
Delaware
Excellent opportunity for BC/BE pediatrician -Physician-ownedmultispecialty practice in historic Lewes. Minutes from the beach.Excellent salary, benefits and pleasant work environment. Contact:Gina, Bayside Health Association. Telephone (302) 645-4700; fax(302) 645-6285; or e-mail bhacOdmv.com
may
MAYO CLINIC COMMUNITYPEDIATRICANDADOLESCENT MEDICINE
The Mayo Clinic is seeking to fill three staffpositions in theSection ofCommunity Pediatric and Adolescent Medicinewith individuals interested in academic community-basedprimary care. Candidates must be board certified/eligiblein Pediatrics and have an interest in primary care as well asteaching medical students, residents, and nurse practi-tioners. This recruitment effort includes our interest inadolescent medicine and/or primary care research.Academic rank would depend on certification and experi-ence. Candidate should be interested in becoming part ofa large, unique multi-specialty group practice in an acade-mic setting. For information, please enclose a curriculumvitae and write to:
Jay Hoecker, M.D.Chair, Search Committee
Department ofPediatric andAdolescent MedicineMayo Clinic and Foundation
200 First Street, SW * Rochester, MN 55905Mayo Foundation isan affirmative action and equal opportunity educatorand employer.
Massachusetts
Boston -Pediatrician: Matemal and Child Health Program 10 milesoutside of Boston seeks part-time/full-time BC/BE pediatrician tostaff Pediatric and Adolescent Clinic. Adolescent experience essen-tial. Multidisciplinary team serving multiethnic community. Excellentcompensation package with very reasonable call coverage schedule.Send vitae to: Director, Maternal and Child Health, DeaconessWaltham Hospital, Hope Ave., Waltham, MA 02254, or call (781)647-6426.
New York
Join successful practice in Upstate New York fl BC/BE pediatricianneeded to join group practice in Watertown, N.Y. Compefftve salaryand benefits, call 1 in 8, partnership desired. Contact Dr. AlGianfagna, (315) 782-7330; fax (315) 782-5773.
Oklahoma and Texas
Spectrum Healthcare Resources-has excellent full- and part-timeopportunities for pediatricians to provide services at our PediatricClinics in Altus, Okla. (55 miles west of Lawton), San Angelo andAustin, Texas, areas. These are lucrative, full-scope insured patientpopulations. Perfect opportunity to focus only on medicine ... notadministrative hassles! For consideration, contact: Altus, Okla.:Dan Miller, (800) 325-3982, ext. 9208. San Angelo and Austin,Texas: Mike Caimi (800) 325-3982, ext. 9305, or fax CYV to (800)774-9083
OregonPortland/Salem -Experience the best of the Northwest! Practice ina stimulating professional environment in one of the most successfulmanaged care systems in the country and enjoy a quality lifestylein'herent to the beautiful Pacific Northwest! Our physician-managedmultispecialty group providing care for 430,000 Kaiser Permanentemembers, is seeking two BC/BE pediatricians. One position is full-time at our medical offices in Salem, the other a part-time position inPortland. We offer our physicians a competitive salary and a benefits
0 . . . . . .
CLASSIFIED)ADVEERlTSING POLICY
Whenyou need tocontactpediatricians, contactAAPNews. Each month more than 53,000pediatricians,pediatricspecialists, third-yearpediatric residents and othersubscribers turn toAAPNewsforchild healthinformation theycannotgetelsewhere, With a classifiedad,you canspeakdirectly to those readers.
Althoughi theAcademy believes these classified ads are fromreputable sources, the Academy does not investigate theoffers made and assumes no responsibility concerriing them.
Occassionally, it is necessary to modify the wording ofclassi-fied ads. These changes are generally made in compliancewith the regulations ofvarious federal and/or state conmmiis-sions against discrimination or because they might beinterpreted as being unlawful or in conflict with accepted pro-fessional standards ofmedical practice.These advertising modifications are made to maintain a clas-sified section that is professionally responsible, lawful,scientific and free ofdiscrimination.
AAPNEWSPublishedMonthily i[ AAmeica AcademyyofPediatrics v 2
Elk GroveVillage,IL60009-09277
Publication ofan advertisement inAAP News neitherconsti-tutes nor implies a guarantee or endorsement byAAP Newsor the American Academy ofPediatrics ofthe product or ser-vice advertised or of the claims made for the product orservice by the advertiser.
Classification: Classified ads are accepted under BusinessServices, General Announcements, Medical Meetings,Physicians Wanted, Positions Wanted, Practices Available,Publications, Real Estate and Residencies/FellawshupsAvaiable.
Display Classified Ads: Carnera-ready, 4-color, 3-color and2-color display classified ads are accepted under GeneralAnnouncements, Medical Meetings, Physicians Wanted,Positions Wanted, Practices Available and Residencies/Fellowships Available. ContactAAPNetvs for display classifedad sizes and rates.
Formoreinformation,contact: Pete Petersen, ClassifiedAdCoordinator, at (800) 433-9016, ext. 7667. In IUinois, (847) 981-7667. Ad copy and payments may be sent to: Classified Ads,AALPNews, RO. Box927, ElkGrove ViUage, IL60009-0927.
38 AAP News July 1998
Ken-Crest 3 ServicesPresents
Children Who Are Medically Complexor Technology Dependent:-
"Safe At Rome, Safe in the Community"PMarch 3, 4 & 59 1999
Philadelphia, PA
A Call for Presentations
This national conference will bring together more than 500professionals from healthcare, child welfare, education, law andgovernment along with famnily members to gain information andknowledge about best practices on the care of these children.Workshop and poster presentations are being sought in thefollowing areas: "The Medical Home" concept, Primary Care,Models of Collaborative Practice, Continuum of Care for Childrenwith Special Healthi Care Needs, Innovative Medical Practices,Current Phannacological Treatrnents, Research & Outcome Studies,Emergency Care, Resuscitation, Etiology & Physiology of ChronicDiseases, Case Management, and Impact ofManaged Care.
Proposals must be submitted by July 24, 1998For more details, visit our website at
http://www.kencrest.or,plmedfray./conE.htm Ior call:
Andrea Imperatore at (215) 844-60:et 122
Specialty Reviewsm 'in Pediatric CardiologyJul 23-27, 1998
Specialty Reviewsm in Pediatric Hlematology/OncologySeptember 13-15, 1998
THE Call 800-404-3637s NEATIO°NAL to register or for more information on these2 forAdvanced outstandfing courses providing comprehensive,_ _Medical Etucationm fully-accredited Board preparation and
200 Crawford Place * Suite lO100 . r 1Mount Laurel, NJ 08054 practical applications for dlirlcal practice
.11 LI, -n --l. 5 . 51 11 I 11 )I-:) C!. 1 D:) (IL-.l
ZITHROMAX"(azithromycin for oral suspension)
BRIEF SUMMARY
INDICATIONS AND USAGE(azithromycin) is indicated for the treatment of patients with mild to moderate infections (pneumonia: seecaused by susceptible strains of the designated microorganisms in the specific conditions listed below. Asdosages, durations of therapy, and agplicable patient populations vary among these infections, please seeD ADMINISTRATION for specific dosing recommendations.
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Donate Pediatrics and other books fl Universities in Sudan desperatelyneed recent American textbooks and reference works for use by facultyand students. You can help by donating books you no longer use. We willship them to Sudan for use at the Ahfad University for Women, which alsohas a medical school with an emphasis on rural community health. Booksalso are supplied to other medical libraries in Sudan. For information and toarrange delivery to our warehouse in Silver Spring, Md., contact: Dr. LeeG. Burchinal, lburchinQ?osfi.gmu.edu; fax (703) 351-0782; phone (703)525-9045. Acces the best
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E pediatn-i. Join twoiared with!if desired.
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Schelkly W, xmacrolide wit1987;31: 193(.management6. Khurana Ctreatment of;~Agents and C
Augmentin (~Pharmaceutic
ZITHROMAX"WARNINGS)}recommended cDOSAGE AND
package which includes a generous retirement program, professicity coverage, sabbatical leave and more. For information regardexciting opportunities, please forward CYV to A. P. Clark, DiProfessional Resources, Northwest Permanente, P.C., 500 N.E. MlSuite 100, Portland, OR 97232-2099; (800) 813-3763. EOE.
Pennsylvania
Penn State Geisinger Health System -currently is seeking BC/Blcians to join its multispecialty group practice in State College, Penn.other pediatric physicians in this busy medical practice. Call is shnearby sister clinic and is 1:5. Administrative opportunity availableState College, located in the heart of Pennsylvania, ishome to Penn State University. The area offers atremendous amount of educational, cultural and recre-ational activities to enjoy. State College provides anexcellent business climate and offers a superior qualityof life. We offer a competitive salary and excellent ben-efit package. For additional information, please contact:Penn State Geisinger Professional Staffing (PP-AB), 100North Academy Ave., Danville, PA 17822-1528; phone(800) 845-7112; fax (800) 622-2515. E.O.E. M/F/H/V.
Texas
San Antonio: Pediatrician needed ASAP -to join 2other pediatricians in busy private practice. Flexiblehours. Excellent salary with opportunity for partnership.Send C.V. to V. Ostrower, M.D., 4499 Medical Drive,Suite 280, San Antonio, TX, or call (210) 614-4499.
Washington
Pediatrics -Kitsap Peninsula, Washington State: TheDoctor's Clinic of Bremerton, Wash., a 55-provider, mul-tispecialty medical clinic, has an outstanding opportunityavailable for a BC/BE pediatrician to work in our CentralPediatrics Clinic in Silverdale. The Kitsap area is rankedas one of the top places to live and work in the U.S. andoffers a variety of outdoor and recreational cpportuni-ties with Seattle's cultural and sports events a short ferryride away. We offer an excellent compensation pro-gram. Send C.V. to Human Resources, The Doctor'sClinic, 2512 Wheaton Way, Bremerton WA 98310; fax(360) 792-2716. EOE
A well established solo pediatric practice in the San Francisco area-Respond to: AAP News, Box 01228, 141 Northwest Point Blvd., Elk GroveVillage, IL 60007.
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1. Data on file. Pfizer Inc, New York, NY. 2. McLinn S, Williams D. High incidence of;pneumoniae and Haemophilus influenzae (beta-lactamase) resistance in recent otitis mediaisolates. Presented at the 35th Interscience Conference on Antimicrobial Agents andpy; September 17-20, 1995; San Francisco, Calif. Abstract. 3. Hardy DJ, Hensey DM, Beyer- McDonald EJ, Fernandes PB. Comparative in vitro activities of new 14-, 15-, and 16-nacrolides. AntimicrobAgents Chemother. 1988;32:1710-1719. 4. Retsema J, Girard A,et al. Spectrum and mode of action of azithromycin (CP-62,993), a new 15-membered-ringith improved potency against gram-negative org-anisms. Antimicrob Agents Chemother.39-1947. S. McLinn S. Double blind and open Tabel studies of azithromycin in theof acute otitis media in children: a review. Pediatr Infect Dis J. 1995;14:S62-S66.
C, McLinn S, Block S, Pichichero M. Trial of azithromycin (AZ) vs Augmentin (AUG) for*acute otitis media (AOM). Presented at the 34th Interscience Conference on AntimicrobialChemotherapy; October 4-7, 1994; Orlando, Fla. Abstract.
(amoxicillin/clavulanate potassium) is a registered trademark of SmithKline Beechamicals.
Pregnancy- Teratogenic Effects. Pregnancy Category B: Reproduction studies have been performed in rats and mice atdoses up to moderately maternally toxic dose levels (i.e., 200 mg/kg/day). These doses, based on a mg/m2 basis, areestimated to be 4 and 2 times, respectively, the human daily dose of 500 mg. In the animal studies, no evidence of harm tothe fetus due to azithromycin was found. There are, however, no adequate and wellsontrolled studies in pregnant women.Because animal reproduction studies are not always predictive of human response, azithromycin should be used duringpregnancy only if clearly needed.Nursing Mothers: It is not known whether azithromycin is excreted in human milk. Because many drugs are excreted inhuman milk, caution should be exercised when azithromycin is administered to a nursing woman.Pediatric Use: (INDICATIONS AND USAGE.)
Acute Otitis Media (dosage regimen: 10 mg/kg on Day 1 followed by 5 mg/kg on Days 2-5): Safety and effectiveness inthe treatment of children with otitis media under 6 months of age have not been established.
Community-Acquired Pneumonia (dosage regimen: 10 mg/kg on Day 1 followed by 5 mg/kg on Days 2-5): Safety andeffectiveness in the treatment of children with community-acquired pneumonia under 6 months of age have not beenestablished. Safety and effectiveness for pneumonia due to Chlamydia pneumoniae and Myoplasma pneumoniae weredocumented in pediatric clinical trials. Safety and effectiveness for pneumonia due to Haemophilus influenzae andStreptococcus pneumoniae were not documented bacteriologically in the pediatric clinical trial due to difficulty in obtainingspecimens. Use of azithromycin for these two microorganisms is supported, however, by evidence from adequate and well-controlled studies in adults.
Pharyngitis/Tonsillitis (dosage regimen: 12 mg/kg on Days 1-5): Safety and effectiveness in the treatment of children withpharyngitis/tonsillitis under 2 years of age have not been established.
Studies evaluating the use of repeated courses of therapy have not been conducted.Geriatric Use: Pharmacokinetic parameters in older volunteers (65-85 years old) were similar to those in younger volunteers(18-40 years old) for the 5-day therapeutic regimen. Dosage adjustment does not appear to be necessary for older patientswith normal renal and hepatic function receiving treatment with this dosage regimen.
ADVERSE REACTIONSIn clinical trials, most of the reported side effects were mild to moderate in severity and were reversible upondiscontinuation of the drug. Approximately 0.7% of the patients (adults and children) from the multiple-dose clinical trialsdiscontinued ZITHROMAXI (azithromycin) therapy because of treatment-related side effects. Most of the side effectsleading to discontinuation were related to the gastrointestinal tract, e.g., nausea, vomiting, diarrhea, or abdominal pain.Potentially serious side effects of angioedema and cholestatic jaundice were reported rarely.Clinical: Adults: Multiple-dose regimen: Overall, the most common side effects in adult patients receiving a multiple-doseregimen of ZITHROMAXI were related to the gastrointestinal system with diarrhea/loose stools 15%), nausea (3%), andabdominal pain (3%) being the most frequently reported.
No other side effects occurred in patients on the multiple-dose regimen of ZITHROMAXI with a frequency greater than1%. Side effects that occurred with a frequency of 1% or less included the following:Cardiovascular Palpitations, chest pain.Gastrointestinal: Dyspepsia, flatulence, vomiting, melena, and cholestatic jaundice.Genitourinary: Monilia, vaginitis, and nephritis.Nervous System: Dizziness, headache, vertigo, and somnolence.General: Fatigue.Allergic: Rash, photosensitivity, and angioedema.Single l-gram dose regimeff Overall, the most common side effects in patients receiving a single-dose regimen of1 gram of ZITHROMAXI were related to the gastrointestinal system and were more frequently reported than in patientsreceiving the multiple-dose regimen.
Side effects that occurred in patients on the single one-gram dosing regimen of ZITHROMAXI with a frequency of 1% orgreater included diarrhea/loose stools (7%), nausea (5%), abdominal pain (5%), vomiting (2%), dyspepsia (1%), and vaginitis(1 %).Single 2-gram dose regimen: Overall, the most common side effects in patients receiving a single 2-gram dose ofZITHROMAXI were related to the gastrointestinal system. Side effects that occurred in patients in this study with afrequency of 1% or greater included nausea (18%), diarrhea/loose stools (14%), vomiting 17%), abdominal pain (7%),vaginitis (2%), dyspepsia (1%), and dizziness (1%). The majority of these complaints were mild in nature.Children: Multiple-dose regimens- The types of side effects in children were comparable to those seen in adults, withdifferent incidence rates for the two dosage regimens recommended in children.
Acute Otitis Media: For the recommended dosage regimen of 10 mg/kg on Day 1 followed by 5 mg/kg on Days 2-5, themost frequent side effects attributed to treatment were diarrhea/loose stools (2%), abdominal pain (2%), vomiting (1%), andnausea (1 %).
Community-Acquired Pneumonia: For the recommended dosage resgimen of 10 mg/kg on Day 1 followed by 5 mg/kg onDays 2-5, the most frequent side effects attributed to treatment were diarrhea/loose stools (5.8%), abdominal pain, vomiting,and nausea (1.9% each), and rash (1.6%).
Pharyngitis/tonsillitis: For the recommended dosage regimen of 12 mg/kg on Days 1-5, the most frequent side effectsattributed to treatment were diarrhea/loose stools (6%), vomiting (5%), abdominal pain (3%), nausea (2%), andheadache (1 %).
With either treatment regimen, no other side effects occurred in children treated with ZITHROMAX- with a frequency ofgreater than 1%. Side effects that occurred with a frequency of 1% or less included the following:Cardiovascular Chest pain.Gastrointestinal: Dyspepsia, constipation, anorexia, flatulence, and gastritis.Nervous System: Headache (otitis media dosage), hyperkinesia, dizziness, agitation, nervousness, insomnia.General: Fever, fatigue, malaise.Allergic: Rash.Skin and Appendages: Pruritus, urticaria.Special Senses: Conjunctivitis.Post-Marketing Experience: Adverse events reported with azithromycin during the post-marketing period in adult and/orpediatric patients for which a causal relationship may not be established include:Allergic: Arthralgia, edema, urticaria.Cardiovascular Arrhythmias including ventricular tachycardia.Gastrointestinal: Anorexia, constipation, dyspepsia, flatulence, vomiting/diarrhea rarely resulting in dehydration.General: Asthenia, paresthesia.Genitourinary- Interstitial nephritis and acute renal failure.Uiver/Biliary: Abnormal liver function including hepatitis and cholestatic jaundice.Nervous System: Convulsions.Skin/Appendages: Rarely serious skin reactions including erythema multiforme, Stevens Johnson Syndrome, and toxicepidermal necrolysis.Special Senses: Hearing disturbances including hearing loss, deafness, and/or tinnitus, rare reports of taste disturbances.Laboratory Abnormalities: Aduls: Significant abnormalities (irrespective of drug relationship) occurring during the clinicaltrials were reported as follows: with an incidence of 1-2%, elevated serum creatine phosphokinase, potassium, ALT ISGPT),GGT, and AST (SGOT); with an incidence of less than 1%, leukopenia, neutropenia, decreased platelet count, elevated serumalkaline phosphatase, bilirubin, BUN, creatinine, blood glucose, LDH, and phosphate.
When follow-up was provided, changes in laboratory tests appeared to be reversible.In multiple-dose clinical trials involving more than 3000 patients, 3 patients discontinued therapy because of treatment-
related liver enzyme abnormalities and 1 because of a renal function abnormality.Children: Significant abnormalities (irrespective of drug relationship) occurring during clinical trials were all reported at afrequency of less than 1%, but were similar in type to the adult pattem.
DOSAGE AND ADMINISTRATION (See INDICATIONS AND USAGE.)Acute Otitis Media and Community-Acquired Pne_nimi: The recommended dose of ZITHROMAX" for oral suspensionfor the treatment of children with acute otitis media and community-acquired pneumonia is 10 mg/kg as a single dose on thefirst day (not to exceed 500 mg/day) followed by 5 mg/kg on days 2 through 5 (not to exceed 250 mg/day).Pharyngitisflonsillitis: The recommended dose for children with pharyngitis/tonsillitis is 12 mg/kg once a day for 5 days(not to exceed 500 mg/day).ZffHROMIWC for oral suspension should be Om at lust I hozr before or 2 haws dter a meal.ZITHROMAX fof oral suspension should not be taken wiffi food.
More detailedprofessional inforrnation av/ailable on requestRevised January 1997
Acute otitis media caused by Haemophilus influenzae, Moraxella catarrhalis, or Streptococcuspneumoniae. (Forspecific dosage recommendation, see DOSAGE AND ADMINISTRATION.)
Conmmunity-acquired pneumonia due to Chlamydia pneumoniae, Haemophilus influenzae, Mycoplasma pneumoniae,or Streptococcuspneumoniae in patients appropriate for oral therapy. (For specific dosage recommendation, see DOSAGEAND ADMINISTRATION.)
NOTE: Azithromycin should not be used in pediatric patients with pneumonia who are judged to beinappropriate for oral therapy because of moderate to severe illness or risk factors such es any of thefollowing: patients with cystic fibrosis, patients with nosocomially acquired infections, patients withknown or suspected bacteremia, patients requiring hospitalization, or patients with significantunderlying health problems that may compromise their ability to respond to their illness lincludingimmunodeficiency or functional asplenia).
Pharyngitisitonsillitis caused by Streptococcus pyogenes as an alternative to first-line therapy in individuals whocannot use first-line therapy. (For specific dosage recommendations, see DOSAGE AND ADMINISTRATION.)
NOTE: Penicillin by the intramuscular route is the usual drug of choice in the treatment of Streptococcus pyogenesinfection and the prophylaxis of rheumatic fever. ZITHROMAX" is often effective in the eradication of susceptible strains ofStreptococcus pyogenes from the nasopharynx. Because some strains are resistant to ZITHROMAXI, susceptibility testsshould be performed when patients are treated with ZITHROMAX". Data establishing efficacy of azithromycin in subsequentprevention of rheumatic fever are not available.
Appropriate culture and susceptibility tests should be performed before treatment to determine the causative organismand its susceptibility to azithromycin. Therapy with ZITHROMAX" may be initiated before results of these tests are known;once the results become available, antimicrobial therapy should be adjusted accordingly.
CONTRAINDICATIONSZITHROMAXI is contraindicated in patients with known hypersensitivity to azithromycin, erythromycin, or any macrolideantibiotic.
WARNINGSSerious allergic reactions, including angioedema, anaphylaxis, and dermatologic reactions including Stevens JohnsonSyndrome and toxic epidermal necrolysis have been reported rarely in patients on azithromycin therapy. Although rare,fatalities have been reported. (See CONTRAINDICATIONS.) Despite initially successful symptomatic treatment of theallergic symptoms, when symptomatic therapy was discontinued, the allergic symptoms recurred soon thereafter in somepatients without further azithromycin exposure. These patients required prolonged periods of observation andsymptomatic treatment. The relationship of these episodes to the long tissue half-life of azithromycin and subsequentprolonged exposure to antigen is unknown at present.
If an allergic reaction occurs, the drug should be discontinued and appropriate therapy should be instituted. Physiciansshould be aware that reappearance of the allergic symptoms may occur when symptomatic therapy is discontinued.
In the treatTment of pneumonia, azithromycin has only been shown to be safe and effective in the treatment ofcommunity-acquired pneumonia due to Chlsmydia pnoumonine, Haemophilus influenzaa, Mycoplssmepnoumonise, or Streptococcus pneunmoniae in patients appropriate for oral therapy. Azithromycin should not beused in patients with pneumonia who are judged to be inappropriate for oral therapy because of moderate tosevere illness or risk factors such as any of the following: patients with cystic fibrosis, patients withnosocomially acquired infections, patients with known or suspected bacteremia, patients requiringhospitalization, elderly or debilitated patients, or patients with significant underlying health problems that maycompromise their ability to respond to their illness (including immunodeficiency or functional asplenia).
Pseudomembranous colitis has been reported with nearly all antibacterial agents and may range in severityfrom mild to life-threatening. Therefore, it is important to consider this diagnosis in patients who present withdiarrhea subsequent to the administration of antibacterial agents.
Treatment with antibacterial agents alters the normal flora of the colon and may permit overgrowth of clostridia. Studiesindicate that a toxin produced by Clostridium difficile is a primary cause of 'antibiotic-associated colitis."
After the diagnosis of pseudomembranous colitis has been established, therapeutic measures should be initiated. Mildcases of pseudomembranous colitis usually respond to discontinuation of the drug alone. In moderate to severe cases,consideration should be given to management with fluids and electrolytes, protein supplementation, and treatment with anantibacterial drug clinically effective against Clostridium difficile colitis.
PRECAUTIONSGeneral: Because azithromycin is principally eliminated via the liver, caution should be exercised when azithromycin isadministered to patients with impaired hepatic function.
There are no data regarding azithromycin usage in patients with renal impairment; thus, caution should be exercised whenprescribing azithromycin in these patients.
The following adverse events have not been reported in clinical trials with azithromycin, an azalide; however, they havebeen reported with macrolide products: ventricular arrhythmias, including ventricular tachycardia and torsades de pointes, inindividuals with prolonged QT intervals.
There has been a spontaneous report from the post-marketing experience of a patient with previous history of arrhythmiaswho experienced torsades de pointes and subsequent myocardial infarction following a course of azithromycin therapy.Information for Patients: Patients should be cautioned to take ZITHROMAX" suspension at least one hour prior to a mealor at least two hours after a meal. This medication should not be taken with food.
Patients should also be cautioned not to take aluminum- and magnesium-containing antacids and azithromycinsimultaneously.
The patient should be directed to discontinue azithromycin immediately and contact a physician if any signs of an allergicreaction occur.Drug Interactions: Aluminum- and magnesium-containing antacids reduce the peak serum levels (rate) but not the AUC(extent) of azithromycin absorption.
Administration of cimetidine (800 mg) two hours prior to azithromycin had no effect on azithromycin absorption.Azithromycin did not affect the plasma levels or pharmacokinetics of theophylline administered as a single intravenous
dose. The effect of azithromycin on the plasma levels or pharmacokinetics of theophylline administered in multiple dosesresulting in therapeutic steady-state levels of theophylline is not known. However, concurrent use of macrolides andtheophylline has been associated with increases in the serum concentrations of theophylline. Therefore, until further dataare available, prudent medical practice dictates careful monitoring of plasma theophylline levels in patients receivingazithromycin and theophylline concomitantly.
Azithromycin did not affect the prothrombin time response to a single dose of warfarin. However, prudent medicalpractice dictates careful monitoring of prothrombin time in all patients treated with azithromycin and warfarin concomitantly.Concurrent use of macrolides and warfarin in clinical practice has been associated with increased anticoagulant effects.
The following drug interactions have not been reported in clinical trials with azithromycin; however, no specific druginteraction studies have been performed to evaluate potential drug-drug interaction. Nonetheless, they have been observedwith macrolide products. Until further data are developed regarding drug interactions when azithromycin and these drugs areused concomitantly, careful monitoring of patients is advised:
Digoxin-elevated digoxin levels.Ergotamine or dihydroergotamine-acute ergot toxicity characterized by severe peripheral vasospasm and dysesthesia.Triazolam-decrease the clearance of triazolam and thus may increase the pharmacologic effect of triazolam.Drugs metabolized by the cytochrome P450 system-elevations of serum carbamazepine, terfenadine, cyclosporine,hexobarbital, and phenytoin levels.
Laboratory Test Inreractons: There are no reported laboratory test interactions.Carcinogeonesis, Mutaglenesis, Impairment of Fertility: Long-term studies in animals have not been performed toevaluate carcinogenic potential. Azithromycin has shown no mutagenic potential in standard laboratory tests: mouselymphoma assay, human lymphocyte clastogenic assay, and mouse bone marrow clastogenic assay. No evidence of impairedfertility due to azithromycin was found.
ZC1 78A97
July 1998 AAP News 39
(az trom cin. fo0orul suspension)
Mid-Atlarntic
Intemal Medicine/Pediatrics: Kaiser Perrnanente, TheMid-Atlantic Permanente Medical Group, P.C. -aphysician owned and managed medical group, is grow-ing and expanding our facilities in Virginia, Maryland,and Washington, D.C. We are seeking top qualityphysicians with residency training in a combined IntemalMedicine/Pediatrics position to provide excellent servicein our modern, state-of-the-art offices. Excellent salaryand benefit package including vacation and sick time,health/life benefits, malpractice coverage, retirement,relocation allowance, shareholder opportunity, andmuch more. Very reasonable call schedule allows forpredictable time off. Nationally recognized for qualitycare, Kaiser Permanente presents an ideal opportunity.To learn more about this ideal opportunity, send/faxC.V. to: Dorothy Houlihan, Physician Recruitment,MAPMG, 2101 E. Jefferson St., Box 6649, Rockville,MD 20849; (800) 227-6472; fax (301) 816-7472;www.kaiseronline.com.
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Adverse events in children following exposures toinsect repellents containing DEET -PEGUS Research,Inc., is studying adverse events following exposures toDEET. We are seeking information from pediatriciansregarding patients who may have experienced neuro-logical, systemic or unusual symptoms. Parents ofpatients will be asked to participate in a telephone inter-view. For additional information, please call Dr. BrentPage, or Karen Bateman, R.N., at PEGUS Research:(800) 949-0089.
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The most frequent side effects are
diarrhea/loose stools UV%, abdominal pain UV%,vomiting (1%), and nausea (1%). ZithromaxO
(azithromycin) is contraindicated in patients withknown hypersensitivity to azithromycin,erythromycin, or any macrolide antibiotic.
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