Doc says I'm "still a smoker"

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Uncle Willie

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I'm sorry to hear of your health issues, Uncle Willie. Sure, inhaling air is best for you.

I'm glad you have a doctor and a cardiologist you trust and who are good at what they do. And any adviser should be ready, willing and able to tell you there real opinion and what the facts are behind that opinion.

It is quite unfortunate that there always has been and perhaps always will be, quite a few doctors that are not good at what they do. It is up to us, as patients, to make a decision on who will treat us, since the medical profession does not have a good system to weed out the bad doctors. And there are some pretty bad doctors out there.

There are also some very good doctors one of whom helped my old lady friend. She had talked to numerous doctors when she was in the hospital. She was in a huge amount of pain and had been for some time although it wasn't actually related to the reason she was hospitalized. He listened and then he said he would get back to her. And he did. He found an answer and tried something new. She wasn't cured of all her afflictions but she was cured of unrelenting pain. The right doctor can make such a difference in people's lives and they should be proud to be good doctors who help people have better lives.

Very true .. and much of modern medicine is experimentation until something is found that works .. because we are all different .. I like to believe that the vast majority of health care pros are caring, concerned folks ..
 

EddardinWinter

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No swipe .. I am lucky in that I have a primary DR as well as a cardiologist that are very good at what they do .. and I trust and value their knowledge and experience .. you see, I have had multiple heart attacks caused by the 45 years of smoking .. 2 stents .. the PV may be saving my life .. so I am indebted to the technology .. however, I also know that these guys are not always going to tell me what I want to hear .. and that the OP's original question on his DR is not a basis to poo poo that physicians opinion .. because, it is an opinion ..

I also believe not voluntarily inhaling anything other than air is the best policy .. my opinion ..

I hope my doctor never tells me what I want to hear, if so, time for me to find another. I think vaping is less risky than smoking, in fact, I know it is. I cannot prove it is, however.

I do agree nothing beats vaping and/or smoking. It is the least risky, it is difficult to argue with that rationally. Even if the risks of vaping are as minimal as I believe they are, there are still some risks.
 

patkin

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It still boils down to prejudice. If one digs deep enough or opens their eyes, they see it starts with opportunitsts. They influence. When it becomes a moral good to have a closed mind there's always gonna be some sort of corruption in the drivers seat. Now its smoking/vaping... next it will be weight/food (already begun really) and then it will be caffeine... next. Well, its never ending. Its always going to be something... that's the way of humanity. There is no amount of logic that can speak to a closed mind nor prejudice of any kind. The best one can do is recognize what you're dealing with. If it looks like an open mind (not so open the brains fall out)... you have a fighting chance. If it looks like a closed one... move on... you don't have a chance.
 

dirfm

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Funny timing of this post! I am in the process of hiring myself a new doctor. My last one moved to another state, so that kind of sucked for me. I really liked my former doctor. So I have met a couple, I am still in the process of deciding. Here is a closely paraphrased version of one of the conversations with one of the prospective MDs. The first question I ask him is...

Edd: How do you feel about e-cigarettes?
Doctor: They are dangerous and should not be used. They are no better than standard cigarettes.
Edd: Where did you get that information form?
Doctor: (clearly shocked at my question) The FDA and my 12 years of medical training. You want to argue with a doctor?

Now at this point, I am pretty sure that I am done with this doctor. But I want to make sure.

Edd: I did not realize I was arguing. It seemed to me I was asking a question as to where you got information from. You know, to learn something new.
Doctor: Sometimes a patient just needs to do what their doctor says. Why are you debating this with me? Do you think you are smarter than a doctor?

Now I am certain I am done with him.

Edd: Certainly I am smarter than some, not as smart as others. You think it's smart to get all of your information on a subject from the FDA? For that matter, to get all of your information on any subject solely from one source?
Doctor: (standing up, clearly irritated by my 'uppity' attitude, he is as done with me as I am with him) I think I don't need to explain myself to you. Patients like you are the problem with practicing medicine today.
Edd: (standing up as well) I agree, you do not need to explain anything. I won't work with a doctor who feels he does not need to answer my questions.
Doctor: (fuming, glaring) You will be looking for a doctor for a long time, Mr. XXXXXX
Edd: Perhaps, but there are worse alternatives, sir.

The consultation took less than sixty seconds. Okay, so in addition to it being an entertaining story, the lesson is to choose a doctor who suits you. You do not have to put up with the doctor you have now. You do not have to confront the doctor like I did, you can just hire a new one.

I work in healt care. I love and support this story. Physicians practice an art that is now shared with me and my family. If I have questions...
 

Baditude

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I work in surgery at a mid-sized suburban hospital. When I proudly announced to the surgeons that I work with that I had stopped smoking and had been smoke-free for XX weeks, they typically asked how I did it. When I explained about e-cigs they typically say "That's nice, but you're still using nicotine in those."

I counter with, "Sure, but I've weaned my dose of nicotine down to half already. Besides, tell me what studies you know that show that nicotine alone is any more harmful than that half a pot of caffeine-loaded coffee that you drink all day?" Got'em! :p
____

I happened to notice a patient vaping a cigalike in the pre-op area one day. This surprised me, because the hospital clearly has "This campus is a No Tobacco Area..." signs at every entranceway. I personally stealth vape by my locker in the dressing room, and I have very carefully read the hospital's no smoking Policy & Procedures Manual, which has no mention of electronic cigarettes or even alternative nicotine delivery devices such as nicotine gum and patches.

I was curious to find out from the Pre-Op Head Nurse what the hospital policy was concerning e-cig use by patients. She was unaware of the patient that I had observed vaping, and really had no clue what an e-cig was. I gave a brief explanation, and she told me she would consult with her Higher Ups and get back with me.

She called me over to her about a week later and told me that "They" had made a decision that electronic cigarettes would not be allowed because there have been no acceptible scientific studies on their effectiveness or safety.

I couldn't really debate this issue, unfortunately. My personal MD is pleased that I have stopped smoking, and he now calls my Provari my "water pipe".
 
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mayhue1

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My daughter checked with HR where she works. They checked into it, and told her e cigs were okay, that since she switched to them she was now considered a non smoker. My Dr. had heard of them, but didn't know much. He actually let me talk and explain them to him, and he agreed that they were way safer than analogs.
 

gumchewer

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I couldn't really debate this issue, unfortunately. My personal MD is pleased that I have stopped smoking, and he now calls my Provari my "water pipe".

I like that.
My doctor is all for that.
My Father In Law , who is a retired MD agrees that it is way better than smoking cigs., But now it's "so, when are you going to give THAT up?"
Doctors are often Never Happy.
 

Abe_Katz

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Mrs. Katz is a Registered Nurse, and I've always followed her advice when it comes to doctors. If they won't explain why they think you need something, get a new doctor, or at least get a second opinion. If they won't answer any of your questions get a new doctor.

I've still yet to see my doctor since I switched. That said, she is most likely to not view it as much of a problem.
 

supertrunker

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Give a guy a MD or a PhD and they think they know everything. They don't.

Did you ask him why he had the opinion you were still a smoker? Might be because he doesn't know much about/understand vaping. Might be because of the one year thing. Might be because you're still taking in nicotine. Might be because he had a fight with his wife last night and was taking it out on you.

well they specialise more and more and know more and more about less and less until soon they know everything about nothing! My doc considers me a non-smoker and so do i. I frankly don't care what the doctor says anyway - i can breathe and smell and taste and that's the payback.

T
 

Pentarth

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"Condemnation without investigation is the highest form of ignorance" Albert Einstein.

Get a new doctor. He's closed minded and predudicial. I work in a hospital with hundreds of doctors (no exageration we have over 60 operating rooms) and about 40% of them are intrigued and excited about electronic cigaretts and refer their smoking patients in that direction. About 30% are on the fence waiting until more studies come out, and the last 30% are outright flat against them and refuse to even discuss the issue or read some of the studies I've brought in to work.
Have you not experienced an increase in energy, easier deeper breathing, return of sense of smell and taste just to name a few of the perks of quitting smoking? Some studies are saying nicotine in vapor form is no more harmful than caffiene and based on the way I personally feel I agree.
Edd Harbin is correct but not all doctors are closed minded. Insurance companies on the other hand will use ANY EXCUSE to make you pay more money/punish you. That's all they exist for is to make money, they provide a service but not for altruistic reasons at all. They are purely entities to generate money for the owners/stockholders of said company.
My hat off to you Sunnymoon for the excellent progress you have made.
Just remember it's still a free country to make your own choices of how you live your life.
 
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Bosco

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Funny timing of this post! I am in the process of hiring myself a new doctor. My last one moved to another state, so that kind of sucked for me. I really liked my former doctor. So I have met a couple, I am still in the process of deciding. Here is a closely paraphrased version of one of the conversations with one of the prospective MDs. The first question I ask him is...

Edd: How do you feel about e-cigarettes?
Doctor: They are dangerous and should not be used. They are no better than standard cigarettes.
Edd: Where did you get that information form?
Doctor: (clearly shocked at my question) The FDA and my 12 years of medical training. You want to argue with a doctor?

Now at this point, I am pretty sure that I am done with this doctor. But I want to make sure.

Edd: I did not realize I was arguing. It seemed to me I was asking a question as to where you got information from. You know, to learn something new.
Doctor: Sometimes a patient just needs to do what their doctor says. Why are you debating this with me? Do you think you are smarter than a doctor?

Now I am certain I am done with him.

Edd: Certainly I am smarter than some, not as smart as others. You think it's smart to get all of your information on a subject from the FDA? For that matter, to get all of your information on any subject solely from one source?
Doctor: (standing up, clearly irritated by my 'uppity' attitude, he is as done with me as I am with him) I think I don't need to explain myself to you. Patients like you are the problem with practicing medicine today.
Edd: (standing up as well) I agree, you do not need to explain anything. I won't work with a doctor who feels he does not need to answer my questions.
Doctor: (fuming, glaring) You will be looking for a doctor for a long time, Mr. XXXXXX
Edd: Perhaps, but there are worse alternatives, sir.

The consultation took less than sixty seconds. Okay, so in addition to it being an entertaining story, the lesson is to choose a doctor who suits you. You do not have to put up with the doctor you have now. You do not have to confront the doctor like I did, you can just hire a new one.

So, with all the problems facing healthcare today - litigation, insurance companies that under-pay, uninsured patients, doctors having to do 20-30 appointments per day, etc . . .the *real* problem is patients who ask questions?

The fact of the matter is that patients today have to be primarily responsible for thier own health. Do you want to put your life in the hands of somebody who is extremely overworked and sees so many patients in a day that they all blur together? Last time I was at the doctors office, the doc came in and announced that my flu test came back negative . . .except I had never had a flu test and was not there for the flu.

Dr House is just on TV. There's no tortured genious sweating over test results . . just a bunch of doctors rushing from appointment to appointment trying to match symptoms to insurance codes. "Just listen to your doctor" at your own peril.
 

Leatherneck

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The fact of the matter is that patients today have to be primarily responsible for thier own health.

This!

Just as much as we have each exhibited a level of personal responsibility for our personal health by not smoking, we must also exhibit that same level of responsibility for not just taking someone's word for what's good for us.

And that doesn't just go for health.
 
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