Why does the medical field know so little about vaping?

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JudeD

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The reason is that we work on "evidence based practice". That means that until there is a study proving we can't be sued for divulging information, we keep our trap shut on our personal opinions. One lawsuit can ruin a career and quite frankly, it isn't worth it. Since there are no studies and the effects of long term vaping are unknown, you aren't likely to get many to go on board. If the patients would stop suing, we would be much more willing to use you as our experimental subjects. I VAPE because I BELIEVE it to be better than smoking cigarettes, but if I were to recommend it to you and you had an allergy to whatever you could then sue me for your bad reaction and promoting an unproven cessation device. Until it is "approved" by our facility, you won't see us putting our necks and livelihood on the line. There are some hospitals that do allow it in the units, and some forbid it within their walls.

Sorry, that is the hard facts. Society is too litigious. Get people to stop suing us for trying to help you and we would.

To the student who is reaching out to patients without a license, I applaud you for your efforts. I also warn you to get some good malpractice insurance and read your coverage very carefully.

What people who sue without good reason fail to realize or care about is their behavior forces doctors to be less then honest and forthright with all of us because of their fear of being sued. I woke up during surgery and only found out about it because the post-op nurse let it slip. My surgeon, who is very good at what he does, never told me and I don't blame him because I'm sure many patients would sue the hospital out of business if they were told. I believe in suing when there has been malicious, purposeful harm or negligence, but not when an accident happens or for every little innocent mistake made. I was sent home from an ER and told I had a stomach flu when in fact I had a complete intestinal blockage. My family doctor insisted I go back to the ER where I was admitted, but it took them three more days to finally make the right diagnosis and perform surgery. By that time, I was in the beginning stages of sepsis and part of my intestine was necrotic. I could have died from being misdiagnosed and I certainly could have sued, but I didn't. The doctors and nurses were all trying their best, they just missed it. I think we are too sue-happy as a society and instead of making doctors better at their job, it makes them afraid to be honest and sometimes too cautious to try new promising treatments.
 

C Heise

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I had my checkup with my allergist this month. He's been after me for years to quit smoking. He's written several prescriptions for Chantix to get me off cigarettes which I never took. This month I proudly told him that I quit smoking, and started vaping. He wasn't overly happy with my announcement, and preceded to tell me nicotine was a drug. I told him it was no worse for you than caffeine and told him to do some research. He said he would, but I doubt that he'll bother.

The medical community is hell bent on pushing drugs or the big tobacco alternatives than exploring something new.

There is a minus to nicotine exposure. Nicotine is known to erode or thin the lining of the disks in your back making a person more susceptible to disk herniation. I don't know if it's really relevant and I highly doubt anyone else can answer with absolute certainty. What level of exposure causes this to happen? Nicotine absorption rates from cigarette and chewing tobacco use causes this, but does vaping? Nicotine absortion by type from most to least is chewing tobacco, cigarette, then vaping. The absorption rate of vaping is known to be 1/6th of the rate of cigarettes. Is that significant enough to cause thinning of the disks? I highly doubt anyone has studied this.
 

C Heise

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So true! I have a professor that's a Nurse Practitioner, that tells me it's bad and I tell him to look at the facts and the literature. He tells me that he won't and he refuses to believe vaping works and doesn't have a negative impact on health. He chooses to remain ignorant! It pisses me off a little bit, but oh well.

Don't you know by now that professors know everything and they are always right? JK!
 

C Heise

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I've never heard of the disk issues. I'll have to ask my chiropractor on my next visit.

It's published and available online. It's a study done by the Mayo Clinic.... I can't find it right now. I didn't look that hard though. I'm about to leave the house. They changed around the whole site. I may have it in print in my file. I can look later if I remember after a night of drinking and debauchery. :)
 

Marvin & Sennie

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I woke up during a surgery and had a long conversation with the Dr, I wasn't in any pain and I just laugh. No way would I sue over something as stupid as that!!
What people who sue without good reason fail to realize or care about is their behavior forces doctors to be less then honest and forthright with all of us because of their fear of being sued. I woke up during surgery and only found out about it because the post-op nurse let it slip. My surgeon, who is very good at what he does, never told me and I don't blame him because I'm sure many patients would sue the hospital out of business if they were told. I believe in suing when there has been malicious, purposeful harm or negligence, but not when an accident happens or for every little innocent mistake made. I was sent home from an ER and told I had a stomach flu when in fact I had a complete intestinal blockage. My family doctor insisted I go back to the ER where I was admitted, but it took them three more days to finally make the right diagnosis and perform surgery. By that time, I was in the beginning stages of sepsis and part of my intestine was necrotic. I could have died from being misdiagnosed and I certainly could have sued, but I didn't. The doctors and nurses were all trying their best, they just missed it. I think we are too sue-happy as a society and instead of making doctors better at their job, it makes them afraid to be honest and sometimes too cautious to try new promising treatments.
 

Baditude

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I work in surgery at a hospital. "Tobacco" has been banned on the campus for patients, visitors, and of course employees. I've read the hospital's policies and procedures manual about cigarettes and tobacco, and e-cigarettes are not mentioned at all.

My personal belief is that e-cigarettes are not a tobacco product. I even cringe from the "e-cig" term, and only use it because most people have no clue what a personal vaporizer is. My thoughts are that a PV is merely an alternative nicotine delivery device, not unlike the nicotine patches and gum. If asked if I smoke, I honestly answer no.

I do stealth vape at work on my breaks. My locker is conveniently located in the back of the locker room where I change into my scrub uniform. My locker is blocked from the only entrance by other lockers, so I can easily see who is entering the room. I know who I can trust to vape in front of, and my co-workers are proud of my 8 months of not smoking due to vaping. A couple even like to test out my new flavors.

A couple of months ago I happened to see a patient vaping in the pre-op area, and got excited to see this in the hospital. I asked the head nurse about it, and she wasn't aware that it happened and wasn't even aware of what PV's were. I did a short explaination and she said she would inquire to her supervisors if this practice could be approved by the hospital.

She got back with me a few days later. The hospital's policy would be to NOT allow them because there have been no medical studies done concerning their safety or effectiveness. I figured as much.

Having said all of that, I have read here on ECF that there is at least one hospital that hands out FREE disposable e-cigs to patients and visitors that feel the need to smoke on campus. Now that is what I'm talking about!
 

Robino1

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I had my checkup with my allergist this month. He's been after me for years to quit smoking. He's written several prescriptions for Chantix to get me off cigarettes which I never took. This month I proudly told him that I quit smoking, and started vaping. He wasn't overly happy with my announcement, and preceded to tell me nicotine was a drug. I told him it was no worse for you than caffeine and told him to do some research. He said he would, but I doubt that he'll bother.

The medical community is hell bent on pushing drugs or the big tobacco alternatives than exploring something new.

I'm surprised no one has picked up on this.... The doctor is trying to get you to take the DRUG chantix..... then proceeds to tell you nicotine is a drug?!?!?! Trying to wrap my brain around the idiocy of this statement.... Chantix has caused great problems in people even so far as suicidal thoughts..... Nicotine in the relatively small amounts... Seriously?!?!?!

I'm sorry but there really seems to be something wrong here... That blows my mind, what little there is left of it...
 

NICnurse

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I work in healthcare as an RN and I can totally sympathize with those that are upset and outraged at the response some physicians give about vaping. Sadly, until the vaping industry becomes mainstream with credible repeatable research performed to show the long term harm reduction and (hopefully) lower risk factor versus smoking, there are not many physicians who will support vaping. Trust me, I hate that it is like this. In order to fight potential bans, a lot of us were ok with vaping being classified as a tobacco product a couple of years ago. This protected us from complete FDA shutdown. Unfortunately, that also opened the door to lump vaping with tobacco products. Double edged sword. Mainstream vaping by the masses is still in the evolutionary process, and until the industry goes through many other transitions to provide credible evidence based research to support the efficacy and safety of vaping, we are kind of stuck in limbo. :(

Noone, and I mean NOONE that I work with knows that I vape. In the healthcare world where smoking is "evil" and nicotine is the "boogeyman", I am very very careful to keep my vaping practices to myself. I hope that someday vaping can become a recommended cessation tool for the medical healthcare model. I personally believe in it 1000%! Without vaping, I would still be a smoker. Sadly, all of my physicians know that I quit smoking, but none of them know how I did it or that I vape. I work in the same hospital as my providers, and I have to do a little CYA to keep my vaping life private and protect my job. Between the litigious society we live in and the nonexistent loyalty that employers have toward employees, I have little choice but to keep my mouth shut and vape privately. I just hope that this all changes someday.
 

Tail11

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I'm surprised no one has picked up on this.... The doctor is trying to get you to take the DRUG chantix..... then proceeds to tell you nicotine is a drug?!?!?! Trying to wrap my brain around the idiocy of this statement.... Chantix has caused great problems in people even so far as suicidal thoughts..... Nicotine in the relatively small amounts... Seriously?!?!?!

I'm sorry but there really seems to be something wrong here... That blows my mind, what little there is left of it...

Me too! I can't wrap my head around it except to blame BP. They have a pill for everything, but the wicked side effects are worse than what the symptoms are. I told him the last time he wrote a prescription for Chantix I was uncomfortable with it. I have taken anti depressants before and didn't do well on them. He said Chantix was a lower dose of what I used to take and that I should be ok. Operative word - should. I know better and went home and shredded the prescription.

Vaping has gotten me off of cigarettes. And I'm not gaining a bunch of weight either. I hate to say, but I don't trust doctors much any more. It all seems to be about $$$ and if people are helped along the way, then it's a plus but not the original goal. I'm sure there are still good doctors out there in the world, but I've not found any the past few years.
 

Tail11

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The worst thing we, as a community, has done is attach the cigarette part to ecig. Though, when I say vaporizer everyone assumes I am doing an illegal drug. Lose lose I suppose.

I agree. Cigarette = bad,filthy, stinky, cancer. I wish we could get rid of that term completely when it comes to vaping.
 

Butters78

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Triage nurse asked if I smoked, I said I quit 2 months ago, She said CONGRATS, I said with ecigs, She said what's the point? I wanted to punch her in the throat for making me feel like I was doing something dirty and like I hadn't quit smoking because I am very proud of this!! Instead I responded with cigarettes have like 4000 ingredients that are bad for you, ecigs have 4 ingredients that aren't. She was just like ok but I could see that mental eyeroll written all over her face. UGH!!

I don't really have anything constructive to add I just wanted to say that the punch in the throat line was awesome. Had me lolin and what not.

When in doubt, punch em in the throat! Lolz
 

Marvin & Sennie

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it's always funny until someone really does get punched in the throat! Then it's even funnier ;) hahahahaha
I don't really have anything constructive to add I just wanted to say that the punch in the throat line was awesome. Had me lolin and what not.

When in doubt, punch em in the throat! Lolz
 

Marvin & Sennie

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Makes me wonder if I should just not tell anyone HOW I quit smoking, especially with the new Obamacare thing?
I work in healthcare as an RN and I can totally sympathize with those that are upset and outraged at the response some physicians give about vaping. Sadly, until the vaping industry becomes mainstream with credible repeatable research performed to show the long term harm reduction and (hopefully) lower risk factor versus smoking, there are not many physicians who will support vaping. Trust me, I hate that it is like this. In order to fight potential bans, a lot of us were ok with vaping being classified as a tobacco product a couple of years ago. This protected us from complete FDA shutdown. Unfortunately, that also opened the door to lump vaping with tobacco products. Double edged sword. Mainstream vaping by the masses is still in the evolutionary process, and until the industry goes through many other transitions to provide credible evidence based research to support the efficacy and safety of vaping, we are kind of stuck in limbo. :(

Noone, and I mean NOONE that I work with knows that I vape. In the healthcare world where smoking is "evil" and nicotine is the "boogeyman", I am very very careful to keep my vaping practices to myself. I hope that someday vaping can become a recommended cessation tool for the medical healthcare model. I personally believe in it 1000%! Without vaping, I would still be a smoker. Sadly, all of my physicians know that I quit smoking, but none of them know how I did it or that I vape. I work in the same hospital as my providers, and I have to do a little CYA to keep my vaping life private and protect my job. Between the litigious society we live in and the nonexistent loyalty that employers have toward employees, I have little choice but to keep my mouth shut and vape privately. I just hope that this all changes someday.
 
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