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Quit Smoking for a Healthy Mouth
If you’re a smoker, you’ve likely heard all the health problems that smoking can cause—emphysema, pregnancy complications, and heart disease, to name a few.2 But did you know that smoking can also harm your mouth? Not only does tobacco stain teeth and fingernails an ugly yellow,5 but it can also cause gum disease,3,4 which can lead to tooth loss,4 and mouth and other cancers.3,5 With all these harmful effects, it’s no wonder that many people decide to quit. Prescription for Change
Once you’ve decided you want to quit, you have many options to turn to, including nicotine-replacement therapy (NRT), medication, and counseling.1,2,3,5 NRT provides nicotine without the other harmful components of tobacco smoke. Because nicotine is the physically addictive substance in tobacco, NRT allows you to focus on the psychological side of quitting. Once you’ve had a chance to change your behavior, you can then wean your body off the nicotine.2,5 Five types of NRT products have been approved by the U.S. Food and Drug Administration (FDA). Nicotine gums, patches, and lozenges can be bought over the counter. Nicotine sprays and inhalers are available by prescription.2 If you’re pregnant or have heart or circulatory disease, be sure to talk with your doctor before using one of these products.5 Two non-nicotine medications have also been shown to help smokers quit. Bupropion (Zyban) affects brain chemicals that play a key role in the craving for nicotine.2,5 Varenicline (Chantix) was also approved by the FDA in 2006.2 It acts at sites in the brain that are affected by nicotine to lessen the pleasurable effects of smoking and reduce withdrawal symptoms.2,5 Talk with your doctor about the best option for you. Also ask about counseling and support programs. These programs can advise you about the best quit method to fit your needs and can provide encouragement to stay quit. Aside from your doctor, other sources for referrals include your local hospital, health department, or American Cancer Society chapter (800-ACS-2345 or 800-227-2345).2,5 Another resource is the National Network of Tobacco Cessation Quitlines (800-QUIT-NOW or 800-784-8669).2 A recent study of 837 daily smokers found that telephone counseling increased the use of other quit-smoking aids and improved the chance of success compared to routine health care alone.6 You Can Do It
Giving up smoking isn’t easy, but it can be done. In fact, current smokers make up only 21 percent of the adult population.5 Soon after quitting, you may notice that food tastes better, your sense of smell is more acute, and you can more easily be active without getting winded. Other people will notice that your breath and clothes smell better.5 And you’ll have the satisfaction of knowing that you’re keeping your mouth—and your entire body—healthy.3,5 1 “QuitSmoking (Tobacco) Cessation.” American Dental Association. www.ada.org/2615.aspx?currentTab=2 Accessed 2010. 2 “Quitting Smoking: Why to Quit and How to Get Help.” National Cancer Institute, August 17, 2007. www.cancer.gov/cancertopics/factsheet/Tobacco/cessation Accessed 2010. 3 “Smoking & How to Quit.” National Women’s Health Information Center; U.S. Department of Health and Human Services, March 19, 2008. www.womenshealth.gov/quit-smoking/index.cfm Accessed 2010. 4 “Disease, gum (Diseases, Periodontal).” American Dental Association. www.ada.org/2660.aspx?currentTab=2 Accessed 2010. 5 “Guide to Quitting Smoking.” American Cancer Society, August 7, 2008. www.cancer.org/docroot/PED/content/PED_10_13X_Guide_for_Quitting_Smoking.asp Accessed 2010. 6 “Benefits of Telephone Care Over Primary Care for Smoking Cessation.” Archives of Internal Medicine. L.C. An, et al. March 13, 2006. Vol. 166, no. 5, pp. 536–42.

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Baxter case

In a 60 Minutes Report on March 16, 2008, Dennis Quaid and his wife Kimberly reported on the near death of their newly born twins. The twins had been taken to the hospital a few days after coming home because they showed signs of a staph infection. Part of the standard treatment in such cases, apparently, is the use of a blood thinner to prevent clotting. But the twins were given a blood thinner

Self-medication form.xls

This form is for over-the-counter as well as prescription medications. It indicates that permission is given by parent and physician or other authorized prescriber (physician, dentist, advanced practice registered nurse, physician's assistant, optometrist, podiatrist) for the following child to self-administer the following medications Physician's signature:___________________________ D

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