Doc says I'm "still a smoker"

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EddardinWinter

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I refuse to mess around with it. I never saw that problem coming. I am glad your wife is taking care of it. Does she get blood work done regularly? I recommend labs at least quarterly to check.

Yeah it is maddening, this experience. That doctor trying to use my need for medicine as leverage against my liberty bothers me the more I think of it. "I am not asking you, I am changing the prescription". It will be a long time before I forget that conversation.
 

zapped

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I refuse to mess around with it. I never saw that problem coming. I am glad your wife is taking care of it. Does she get blood work done regularly? I recommend labs at least quarterly to check.

Yeah it is frustrating, this experience. That doctor trying to use my need for medicine as leverage against my liberty bothers me the more I think of it. "I am not asking you, I am changing the prescription". It will be a long time before I forget that conversation.

She grumbles about it but she goes for the labs. At the time we were dealing with her being bi-polar, underactive thyroid and pre-menstrual. Im damn lucky I'm still alive. :)

Ive never been a fan of any kinds of medicine but getting her on the right ones were the key. Im really proud of her and how far shes come.
 

zapped

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I think even more of you than I had previously, Zapped. Survival skills are under-appreciated.

Thanks man that means a lot coming from you. Its been hard at times but what can I say? I love her and no matter how hard it is for me, its been even harder for her trying to deal with that for half her adult life and not knowing what the problem was.

Keep plugging away at new doctors, you'll eventually find a great one.
 

Cyrene

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What is up with Doctor's these days? Don't they know that we (and our insurance companies) are paying their salary? So in effect, they are working FOR us. I wouldn't go to a backazzwards doctor that doesn't keep up on all the new technology.

With that said, my doctor is in his 60's (hope he doesn't retire anytime soon), and considers me a non-smoker and is up-to-date on all the latest information on e-cigs. He isn't to the point of recommending them, but he's all for it.
 

Skeetorius

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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.

As a physician assistant I am disgusted by the attitudes of the medical community in regards to e-cigarettes. "The FDA and my 12 years of medical training."

Perfect example of embellishing. 7 years dude (Medical school =4, residency=3. 4+3=7.) Unless college counts as "medical training." I'll get into the whole embellishing thing, and why physicians feel they need to do that later.

It took me less........LESS.....than a week to do enough research to know THAT "DOCTOR" is full of shyte. I have been a practicing PA for nearly a decade. My main areas of practice have been urgent care / primary care and sports medicine (current). I have been on a serious health kick for 7 weeks TODAY. My wife and I have both quit smoking for the exact same 7 weeks. We started vaping the instant we quit. BOTH of our lung functions have improved from purely an anecdotal standpoint. I guarantee....in fact.....I PROMISE....if I ran PFT's (pulmonary function tests) on both of us, which I have some good experience in, they would be improved. Perhaps not incredibly improved, but significantly improved. I can run. YEP! I can farther, faster, and with less effort than in the past FIFTEEN years.

I have lost weight. NO....quitting smoking did not cause me to gain weight. I have been exercising....and HARD. I am starting to feel really good and look pretty good as well. Patches didn’t do this. Gum didn’t do this. Lozenges didn’t do this. SSRI’s didn’t do this. Chantix sure as heck didn’t do this (I wouldn’t touch that stuff even if it could.)

Any physician who considers e-cigs more dangerous, or equally as dangerous as, analog cigs is lying to you. There isn’t enough prospective or retrospective data out there to make that claim. In fact, the vast majority of the data that does exist speaks to the contrary. End of story.

My father is a primary care practitioner (MD) and has seen both of his son's quit smoking using this method and could NOT be happier that neither of us had to use brain altering prescription chemicals, given the thumbs up by the FDA, as our means of doing so (Chantix etc.) Oh, by the way, he has been a doctor (MD) for 30+ years.

I have worked with around 10 doctors in my career. I've been in charge of their patients when they leave town, call in sick, or leave work early. I write their prescriptions (I have my own license to do this), take patient calls at 2AM, and round on the weekends. I can say EASILY 50% of them are self proclaimed D O U C H E S!

If you are not happy.....get the heck out of there. In fact, RUN. Many of them are embellishing how WIDE their knowledge about a particular topic is when, in fact, it is quite minimal. Dr. House is the exception. Your doctor is most likely not Dr. House. The key to having good patient rapport is being honest with your patients. When you don't know enough about a particular subject; the very next thing out of your mouth should be, "I've not heard or read enough about that, but I will get back with you on it."

Patients are VERY capable of seeing through your B S. The problem is, many MD's believe it is impossible to distinguish B S from the real thing, because they are SO GOOD AT……….well………….shall I say……….embellishing.
 
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Skeetorius

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First off. New York times. Enough said. Second. Docs, PA's, NP's.....etc. We can't even be given PENS anymore. It's illegal. If a doc is taking "kickbacks" from drug companies he/she is breaking federal law. End of story.

Here is a up to date source for ya. It's called the Stark Law. It's been in place for quite some time now.

1. STARK LAW - INFORMATION, REGULATIONS, LEGAL SOLUTIONS
2. http://www.ama-assn.org/resources/doc/washington/stark-law-webinar-13july2012.pdf


That article was written in March of 2009 man......lol. Try finding a more up to date source for your quotes. Not trying to flame here, but your "kickback theory" is not the standard in this day and age. Its the dirty, very infrequent, very shady, and very ILLEGAL underbelly of the medical community.
 

armchairnomad

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First off. New York times. Enough said. Second. Docs, PA's, NP's.....etc. We can't even be given PENS anymore. It's illegal. If a doc is taking "kickbacks" from drug companies he/she is breaking federal law. End of story.

Here is a up to date source for ya. It's called the Stark Law. It's been in place for quite some time now.

1. STARK LAW - INFORMATION, REGULATIONS, LEGAL SOLUTIONS
2. http://www.ama-assn.org/resources/doc/washington/stark-law-webinar-13july2012.pdf


That article was written in March of 2009 man......lol. Try finding a more up to date source for your quotes. Not trying to flame here, but your "kickback theory" is not the standard in this day and age. Its the dirty, very infrequent, very shady, and very ILLEGAL underbelly of the medical community.

No matter the source, or the year, it still shows it's not a "myth".
 

Skeetorius

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It may not be a myth, but it is as likely as it is for me to wake up tomorrow morning a rich man who is able to retire at 37. Not impossible, just very very unlikely. It's like saying, "I will not swim in the ocean because it is likely that I will get eaten by a shark." Possible, yes. Rare, exceedingly. I would not base my decision making, picking a doctor, on something that is based on a rarity that occurrs even less frequently now than it did when that article was written.

Besides, I'll take the embellishment theory (as I've seen that one countless times and far more profligate) over the theory that a doctor is on the take, willing to put his/her life and profession at risk (prison time) for a few bucks from some drug company in a dark back alley somewhere.

I have got go with the most likely. At least for me, the most probable. It pays off much more frequently. Not the outlier. But I suppose some people judge the whole on the bad deeds of a few rather than the good deeds of the many.
 
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Strangebrew

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Doctor is wrong , insurance company is wrong ! Both are.worried about their wallets . Insurance company does NOT care about anything but profits . Doctors worry about big drug company's not.giving them kickbacks for the patches/gums/ chantix and such . Dump your doctor and get a better doc .

100% in agreement!
 

zapped

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Insurance companies use testing that determines the amount of cotinine in your bloodstream, which is produced in the liver when nicotine is present. There is no way to determine whether this nicotine is from a cigarette or from a PV, so they would not differentiate the two.

There is also NO WAY for them to determine if the nicotine is from the use of approved nicotine replacement therapy or NRTs.

Go buy some nicorrette gum and make sure you can return it if its unopened then hand them a photocopied receipt.

Dishonest maybe but who are they to judge?
 

EddardinWinter

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It may not be a myth, but it is as likely as it is for me to wake up tomorrow morning a rich man who is able to retire at 37. Not impossible, just very very unlikely. It's like saying, "I will not swim in the ocean because it is likely that I will get eaten by a shark." Possible, yes. Rare, exceedingly. I would not base my decision making, picking a doctor, on something that is based on a rarity that occurrs even less frequently now than it did when that article was written.

Besides, I'll take the embellishment theory (as I've seen that one countless times and far more profligate) over the theory that a doctor is on the take, willing to put his/her life and profession at risk (prison time) for a few bucks from some drug company in a dark back alley somewhere.

I have got go with the most likely. At least for me, the most probable. It pays off much more frequently. Not the outlier. But I suppose some people judge the whole on the bad deeds of a few rather than the good deeds of the many.

I don't think he disagrees with your premise that it is rare. He is responding to a previous post that called it a "myth". I think Uncle Willie just made a bad word choice there, and that Willie meant to say what you have documented to some degree, that Doctors on the take is talked about with much greater frequency than it occurs. I happen to agree with you. Logically, the risk greatly exceeds the payoff for a successful doctor with good judgement.
 

It's Only Me

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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.

The better half is also a nurse, a good one if I must say so myself. as I'm a volunteer firefighter/EMT so I've been to the hospitals in our area too many times to count over almost 20 years. She has a lot to say about doctors that I won't go into here but I do also follow her advice. Make your doctor talk sense or find a new one.

My wife is elated that I stopped smoking stinkys and started vaping. She is most likely happier than I am.
 

armchairnomad

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There is also NO WAY for them to determine if the nicotine is from the use of approved nicotine replacement therapy or NRTs.

Go buy some nicorrette gum and make sure you can return it if its unopened then hand them a photocopied receipt.

Dishonest maybe but who are they to judge?

I'm not sure what you're getting at. I wasn't siding with anyone...just stating that they test for nicotine via cotinine.
 
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