Temple University School of Dentistry - Odontolog Yearbook (Philadelphia, PA)

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Faculty Dedication Dr. Andrea Haber-Cohen Department of Oral and Maxillofacial Surgery The Class of 2007 proudly dedicates the 2007 Odontolog to Dr. Andrea Haber-Cohen. Although she was a little intimidating at first, today we realize that her tough love was just her style to get the best out of each and every one of us. We are truly blessed to have been trained by such a knowledgable and inspirational surgeon. Thank you Dr. Cohen!

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Temple University School of Dentistry Health Questionnaire Appleby Dr David Last First Ml Fixed Removable Address Kornberg City State Zip Code Social Security Number Home Phone Work Phone Answer all questions by circling YES” or NO’ and fill in all blank spaces when indicated. 1. No Yes ... Has there been any change in your general health within the past year? If yes. what was the change? Anxiety caused by seniors not being able to fill out authorization forms correctly 2. No Yes ... Have you ever been hospitalized or under the care of a physician? If yes. what was the problem? Fatigue from having to do everyone's work for them 3. No Yes ... Are you now under the care of a physician? If yes. for what? Dr Tarnoff helps me cope with these conditions DO YOU HAVE, OR HAVE YOU HAD ANY OF THE FOLLOWING: 4. No Yes ... Rheumatic fever or rheumatic heart disease7 5. No Yes ... Heart murmur? 6. No Yes ... Heart trouble, heart attack, stroke, pacemaker, or prosthetic (artificial) heart valve? 7. No Yes ... Shortness of breath or chest pain after mild exercise? 8. No Yes ... Shortness of breath when you lie down7 9. No Yes ... Do you use more than 2 pillows to sleep? 10. No Yes ... High Blood Pressure 11. No Yes ... Do your ankles swell? 12. No Yes ... Asthma, emphysema or difficulty in breathing? 13. No Yes ... Seizures or convulsions7 14. No Yes ... Diabetes? 15. No Yes ... A loss or gain of 10 pounds or more in the past year7 16. No Yes ... Frequent urination (pass water more than 6 times a day)? 17. No Yes .. Excessive thirst? 18. No Yes ... Hepatitis, jaundice or liver disease7 19. No Yes ... AIDS or HIV+? 20. No Yes.. Arthritis? 21. No Yes ... Cancer Chemotherapy? 22 No Yes ... Stomach ulcers? 23. No Yes ... Kidney trouble or renal dialysis? 24. No Yes ... Tuberculosis? 25. No Yes ... A persistent cough or coughing up blood7 26. No Yes ... Venereal disease, gonorrhea, syphilis7 27. No Yes ... Psychiatric therapy? 28. No Yes ... Thyroid disease? 29. No Yes ... Have you had any artificial bones or joints (prosthesis) implanted? 30. No Yes ... Do you have any blood disorder such as anemia or sickle cell disease? 31. No Yes ... Have you had surgery or radiation (x-ray) treatment for a tumor, growth, cancer or other condition of your head, neck or mouth? 32. No Yes ... Do you bleed excessively after you are cut? 33. No Yes ... Have you ever required a blood transfusion? 34. No Yes ... Have you ever been denied permission to give blood7 35 No Yes ... Do you have any hearing or visual problems, or other disabilities which we should consider in planning your dental treatment (e g. glaucoma)? 36. No Yes ... Do you have a family history of heart disease, diabetes or immunological diseases such as lupus7 (---------------------------------------------------------------- Medical Doctor's Name and Address: Dr Louis Tarnoff Date of last visit: Condition being treated: My major dental problem or reason for seeking treatment is. Date of Birth; Today's Date: (1) 5

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Dr. Andrea Haber-Cohen Department of Oral and Maxillofacial Surgery Thank you for this honor. The Class of 2007 is special in many ways. As budding odontoblasts you have conquered clinical dentistry. More importantly you have grown into professionals, each with your own unique doctor persona. We have authoritarians, comedians, and sympathizers. However, peculiar to your class is LOVE. Incestuous? Financially hazardous? A record breaking eleven known couples within the same class!! In addition, the friendships and experiences shared by all of you during your journey through dental school will last long into your futures. After all, dental bonds are very resilient. This is all confirmation that dentists are warm and fuzzy people. I wish you the best that life has to offer. May the forceps be with you. Andrea Haber-Cohen, D.M.D. M.D.