2 Doctors 1 E-Cig And A Rant

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JohnReagan

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Sorry to vent. Sorry that this is long. Whoever makes it to the end has my appreciation.

I had the rare opportunity to be in the presence of two physicians and speak to them about my e-cig at a nice cozy dinner at the home of my own primary care physician on Friday evening. My primary care physician is around 62 years old and has been my doctor for over 10 years. He is currently not a specialist, he is a general practitioner or simply "family medicine" as it's known although he did focus on cardiology at one point. After years of upgrading his home network, repairing his computers and assisting him with the design for many of his lecture presentations, I think we have become friends. I was at his home for this dinner with his family and friends because he has some big ideas regarding the future of Health Information Technology and Electronic Medical Records.

The other doctor present, also in his early 60's, is a very charismatic figure that has a PhD in Psychology and specializes in "Cross Culture" therapy. He's worked for 18 years at one of our largest hospitals and has spent several years in Rhodesia helping those with mental illnesses and currently travels and gives lectures on a variety of subjects including, to my surprise, quitting smoking. Perfect opportunity I thought to bring up vaping and ask for their opinions.

First I asked my doctor if he'd ever seen an e-cig and if he's had patients that have used them. He said no patients have ever shown him one and that he'd only seen them in malls and he believed they had some tobacco. I explained what's in them, how they work, and how my 510 is quite different to what is being sold at malls as I purchase my refilling liquid from companies that list the ingredients and offer reputable methods of quality control. He seemed very happy that this has kept me off analogs but gave me a stern warning about the dangers of nicotine with my current high cholesterol, the very real problem of blockage and hardening of the arteries in all nicotine users and especially me, with my family history and predisposition to cardiovascular disease later in life.

When I explained that the nic levels can be progressively lowered from 48mg all the way down to 0mg he seemed very impressed and said, "I must admit if it's the way you say it is and you'll be down to zero level of Nicotine, I'd support on this lifestyle choice. I would, however, not recommend this to my patients until government studies indicating exactly what is in the liquid you are vaping become widely available." Naturally we had a talk about the FDA and if their decisions are truly in the best interest of the public. He feels there is much politics involved and possible lobbying and/or kickbacks from big tobacco that may prevent these devices from becoming successful in their present form.

At that moment the psychologist jumped in and said, "You are certain to develop throat cancer from these devices, I know them well." which I thought was a bit confrontational.

Just my luck to find a doctor that gave quit smoking seminars for years and believes that mind control is the only way to quit. It may be, I just never reached that mind control plateau.

I said, "Doctor, this is truly free of the carcinogens that can be found in a cigarette. There is no tobacco here." He said that was indeed true but that Nicotine is a carcinogen and went on to say that Nicotine in the body of a person that may have a propensity to develop cancer will accelerate it at light speed. He cited no specific studies but I believe he was referring to this: (Cited from Wikipedia)

"The carcinogenic properties of nicotine in standalone form, separate from tobacco smoke, have not been evaluated by the IARC, and it has not been assigned to an official carcinogen group. The currently available literature indicates that nicotine, on its own, does not promote the development of cancer in healthy tissue and has no mutagenic properties. However, nicotine and the increased cholinergic activity it causes have been shown to impede apoptosis, which is one of the methods by which the body destroys unwanted cells (programmed cell death). Since apoptosis helps to remove mutated or damaged cells that may eventually become cancerous, the inhibitory actions of nicotine may create a more favorable environment for cancer to develop, though this also remains to be proven"

This PhD went on to opine that the medical community is aware of information that will come to light in the next few years that will see the removal of all NRTs made by pharmaceutical companies from the market place in America. The carcinogenic discovery will be huge, he said, and mentioned that he had read cases of people using the patch that have developed Nicotine related cancer. This was just too much for me at this point and is very frustrating as there is no common knowledge evidence of this as I post this in 2010.

I had to say, "Don't you think there's an irony in the fact that the FDA allows the sale of tobacco cigarettes then?" He said the problem will occur only with NRT products which are all marketed as "quit smoking" assists. He said the only way to quit smoking is through strength of mind and I should be looking for a way to quit vaping as well. "Even at 0mg nicotine?", I asked. He then asked me if I wouldn't rather be truly free of any habit or addiction, not just physiological ones but psychological ones as well. "There is no need for a pacifier once we truly know ourselves." I mentioned caffeine and other addictions but the discussion was going nowhere.

Right, that was enough for me. I'm frustrated.

I so need something short and simple to "feed" these people who demonize the e-cig with. At least to educate the people present around the demonizers. I need the "right" article to carry around, a post from this forum - maybe from someone like Vocalek who writes very well - or something straight from Casaa themselves. I need to weed through it all on this forum and pick and choose and condense. I need to carry that paper around because the level of cluelessness and misinformation is enormous, even among my last hope - physicians.

Whoever made it this far, thank you. On a lighter note, I typed this post on a mid 60's electric typewriter. I'm not sure why. Had to give Harriet (it's pet name) some use! Pic related ;)

harrietforum.jpg
 
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Bovinia

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Harriet is a beauty! Thank you for sharing your experience with the Drs. Did Dr. Psych happen to be drinking a glass of wine or perhaps a nice brandy at the time of this conversation? If so he might want to look into his own *strength of mind*

You will never convince anyone who doesn't want to believe. Especially someone whose living depends on convincing others that there is no gray area...it's quit or die. He obviously wants others to believe that nicotine is born of Satan himself.

Again, thank you John and Harriet for sharing :)
 

JohnReagan

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Harriet is a beauty! Thank you for sharing your experience with the Drs. Did Dr. Psych happen to be drinking a glass of wine or perhaps a nice brandy at the time of this conversation? If so he might want to look into his own *strength of mind*

You will never convince anyone who doesn't want to believe. Especially someone whose living depends on convincing others that there is no gray area...it's quit or die. He obviously wants others to believe that nicotine is born of Satan himself.

Again, thank you John and Harriet for sharing :)

Thank you Bovinia! Harriet thanks you too :D
 

JohnReagan

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Harriet did a good job! I read all of it, and must say his scar tactics scared me a bit. Why would inhaled nicotine be any worse than FDA-approved nicotine gum or patch? I hope the food was good, but I think I'd opt for KFC next time!

Thanks! He was saying that all nicotine is carcinogenic on its own, and that's not been proven to my knowledge. They are vegetarians, he was confrontational and I think I am going to KFC next time instead LOL!
 

PoliticallyIncorrect

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It seems clear that the Dr. Blowhard, PhD. to whom you refer argues his case by means, where neccesary, of strategic withdrawl. When a position becomes untenable (such as his attack on your nicotine use when you're vaping 0-strength juice), these types conduct collapsing-bag retreats, falling back to more easily defended ground--in this case, your PV as pacifier. To do so, he's taken so broad a view, defined so loosely the term addiction that he not only cheapens the term down to a concept so soft it's useless for little other than filling 10 minutes on the Oprah Show, he's created so many addiction sand traps as to surely locate his own feet within a few of them.

But to your point, I've taken the time to read your entire post, hence you owe me the favor of reading a few of Mike Siegel's blog entries. His bio and credentials are in the upper right of the page, and they're bullet-proof--and the blog is filled with just the sort of ammunition I believe you're looking for: The Rest of the Story: Tobacco News Analysis and Commentary
 

Bovinia

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Thanks! He was saying that all nicotine is carcinogenic on its own, and that's not been proven to my knowledge. They are vegetarians, he was confrontational and I think I am going to KFC next time instead LOL!

Well there you have it...all that cabbage has rotted his brain! Next we'll be hearing about a ban on farting because methane is a poisonous gas:ohmy:
 

JohnReagan

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It seems clear that the Dr. Blowhard, PhD. to whom you refer argues his case by means, where neccesary, of strategic withdrawl. When a position becomes untenable (such as his attack on your nicotine use when you're vaping 0-strength juice), these types conduct collapsing-bag retreats, falling back to more easily defended ground--in this case, your PV as pacifier. To do so, he's taken so broad a view, defined so loosely the term addiction that he not only cheapens the term down to a concept so soft it's useless for little other than filling 10 minutes on the Oprah Show, he's created so many addiction sand traps as to surely locate his own feet within a few of them.

But to your point, I've taken the time to read your entire post, hence you owe me the favor of reading a few of Mike Siegel's blog entries. His bio and credentials are in the upper right of the page, and they're bullet-proof--and the blog is filled with just the sort of ammunition I believe you're looking for: The Rest of the Story: Tobacco News Analysis and Commentary

That's what I'm talking about. You put my thoughts down in a way that I couldn't articulate. Checking out that link a.s.a.p. Thank you!
 

lmrasch

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Thanks! He was saying that all nicotine is carcinogenic on its own, and that's not been proven to my knowledge. They are vegetarians, he was confrontational and I think I am going to KFC next time instead LOL!

Oh my! Next time you see him, please let him know that his vegetables are probably accelerating his chances of getting cancer...potatoes, tomatoes, cauliflower and eggplant just to name a few, part of the nightshade family.
I'd be curious if he ever uses hard candy or chews gum?Both of these have the pacifier effect as well, lol! And, did you happen to notice his fingernails? Is he a nail biter?
What is it with this sadistic type of thinking anyways? I.....must.....deny.....myself....any form of....pleasure....sheesh!
Btw, the link politicallyincorrect provided is an excellent resource :).
 

maclean

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He said the only way to quit smoking is through strength of mind and I should be looking for a way to quit vaping as well.
<snip>
"There is no need for a pacifier once we truly know ourselves."

Boy, I HATE people who make these kind of statements!

These statements only hold water if you assume that all human being are equal, physically and psychologically, and there's no such thing as addiction. To anyone who's ever been addicted to alcohol, drugs, nicotine, caffeine, etc, telling them that willpower is the answer is the most useless thing you can say. It does NOT address the problem. All it does it make the person feel small by implying they're not 'strong enough' to overcome their addiction.

No drugs counseller worth their salt would ever dream of telling an addict to try sheer willpower. And while we smokers aren't at that level of addiction, it's really only a matter of degree.

The next time you meet a clown like that, try pointing out to him that a large percentage of vapers have already tried every method under the sun, from brute force to Chantix, et al, with little or no results. Whereas vaping appears to have an (anecdotal) success rate of 60-80%.

Thanks for posting this. It confirms how far we still have to go with some members the medical profession.

mac
 

tarheeldan

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Meh. People like to promote their way as the only way. "Strength of mind" means diddly against addiction - maybe a heavy dose of fear will help, but...there's a reason we have cessation aids....and a reason why PV's work so bloody well.

To the nicotine point - studying causation NRT-->cancer without subjecting never-smokers randomly to NRT/placebo AND controlling for ridiculous numbers of environmental factors is pretty bunk. Any monkey will likely find statistically significant relationships between NRT and cancer, because NRT users smoked cigarettes. Smokers are probably generally less risk averse than non-smokers all else equal, so confounding cancer-causing factors are a potential concern.

Anyway, this was a psychologist not an oncologist.
 

Zelphie

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Thank you for posting this. This attitude is the very same on Ive been encountering in my 30 year career as a psych client. Perheps people need to free themselves from the dependence of food, shelter, and oxygen as well. Life is to short to smoke, but its WAy to short not to enjoy it with a vape, or something with an element of uncertain pleasure.
I am now studying psychology, I want to know why psychologists get brainwashed so easily! lol *irony*
 

Shotline

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For myself at least, I had not intention of quiting smoking. To be sure I wanted to, but over the last 30 years I had tried so many times, will power, pills, patches, etc., and failed that I had given up on quiting. The PV was an attempt to still be able to "smoke" but at a less deadly level. So while I know that abstaning from nicotine would be best, at this point it is not an option and the PV gives me a much better way to get it. Only now that I have been free from cigarettes for over 2 months do I see a possibility of quiting all together.

Anytime you have someone say that "this is the only way to do it" you can be sure that they either don't know what they are talking about, or have a monitary interest in getting you to do "it" the way they say. This goes with everything not just quitting cigarettes. Next time, ask the doctor which they prefer, cigarettes or PV? Of course they will say neither but you tell them that is not an option in the question.
 

RedForeman

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Its cool that he knows what discoveries WILL be made in the future - I shall send him my future lottery tickets for more future predictions, oh sorry, discoveries of winnings.

He may very well be privy to some studies in progress that are not yet published or public knowledge. The only thing that bothers me is the lack of any concession that vaping is less dangerous or less risky than smoking, given the absence of the 1,000's of other nasty chemicals associated with burning tobacco. Nor is there any quantifiable input to relate the relative risk.

Fact is, it sounds like the OP had a really unique opportunity to get some professional opinions in a casual dinner conversation. Of course the risk of that is that the opinions offered may not be what you (or we) want to hear. If anything, it tells me how some professionals are digging deep into studies that prove their own assumptions and aren't necessarily open to comparative analysis.

The other interesting thing is that the professionals offering these opinions either have never experienced smoking or nicotine addiction first hand, or they conquered it and think their way is the only best way. I'm sure the PhDs and MDs that invented the nicotine patch or Wellbutrin will always say those are the best approaches to smoking cessation.

OP: Nice typewriter. I'm also a fan of old-tech. My house is equipped with Western Electric model 500 phones. They have actual bells that ring and it's fun to tease anyone under 30 years old with a phone that has a dial and no buttons. I also have a 1940's era adding machine with the buttons in columns. One of these days I'll get it running or those that inherit my empire will put it in a landfill with the rest of my stuff.
 

The Fool

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Hey John, Man, talk about the dinner party from hell! I feel for you having to sit through that. What a pompous .... Even if he has a direct pipeline to new information about nicotine that may prove it's more dangerous than previously thought, his delivery of this information to you was abrasive. His attitude about addiction is so lacking in compassion (and fact) that I ask you to look at THAT and then question the information he has given you.

It is true that we don't have much data on the e-cigarettes yet. I will be glad when we have more, but until then we have lots of floks out here like myself who would still be smoking without this alternative.

Thanks for fighting for us!
 
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