Why does the medical field know so little about vaping?

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DC2

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Marvin & Sennie

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Thankfully this wasn't my Dr but the triage nurse in the ER. The Dr herself seemed cool with it as is my Dr and nurse :)
After reading this thread, I think a number of you have bad doctors.

See this poll for further information...
http://www.e-cigarette-forum.com/forum/polls/120181-did-your-doctor-approve-your-vaping.html

The foot soldiers of the medical community (doctors) may be one of our best allies.
They, for the most part, seem to get it.

And if you have a doctor that doesn't get it, it might be time to get a new doctor.
 

Heavyrocker

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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!!

Because they will lose their jobs if they say anything that goes against big pharma and FDA.
 

CarbonThief

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The real problem is that medicine is more evidence-based now, and this is a newer technology so evidence of being safer and effective for tobacco cessation, harm reduction, etc just hasn't been accumulated enough yet, but it will eventually. However, there is the art and clinical instinct (termed clinical impression) side to medicine, which is why many doctors are tentatively on board with this, as common-sense medicine is practiced as well.
 

RoseB

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Yeah and to me knowledge is power and there is a difference between ignorance because it's never been presented to you, and choosing ignorance because you would prefer to be stupid than to admit that there might just be a better way!

There's no solid proof right now about long term effects on using e cigarettes. One of my doctor's smokes 2 pad and the other is the complete opposite. Both of them are ok with my vaping. Think of doctor's back in the 50's who ended looking like complete fools for backing cigarette companies. I don't blame most of them for being reluctant. That is why I give out a ton of info. Even show my e cig to other patients in the waiting room. Only the ones who smell like smokes ;) An ingredient list and a simple explanation to my docs. That was all it took to convince them that vaping nicotine was a far lesser evil than smoking cigarettes.
 

Thucydides

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If only Oprah Winfrey would come out in favor of vaping, all of our problems would be solved (just kidding...)

With all of the superstitions that folks have about the possible harm done by anything new, you have to ask yourself how anything at all can get into the marketplace without the thread of being encumbered by massive amounts of regulation. Thank goodness carbonated soda was invented in the 19th century -- it could never pass muster in today's regulatory environment.
 

rolygate

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The real problem is that medicine is more evidence-based now, .....

This is an interesting concept :)

Flagrant violations of that ideal with regard to the safety and effectiveness of pharmaceutical interventions for smoking cessation are more or less the order of the day. In fact you might say that this whole field of pharmacotherapy is based on the evidence being unable to oppose the profitability of the products. If these pharmacotherapies were the only ones under consideration, we could change the statement 'medicine is evidence-based now' to a far more accurate 'medicine is propaganda and profit-based now'.

Luckily that is not the case in every area. I think perhaps it is because smokers are the new lepers, and the removal of their basic rights in any form is perfectly acceptable. Try doing that to any other group in society.

It would be interesting to see how long a description of medicines as 'safe and effective' lasted in any other area of treatment where the average failure rate is about 95% and almost half of the patients face a significant risk of serious disease and death as a result. The evidence basis for such treatments would probably come under a little more examination...
 
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2GLR

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You guys must be going to the wrong doctors. Every doctor, dentist, or surgeon I have seen in the last year has congratulated me on switching. They all ask me if I understand the risks and what the FDA has said. I ask them if they would like to discuss the validity of those studies, and then we both chuckle and move on. Of course they are not going to recommend (prescribe) them, they are not approved by the FDA, nor do any of my doctors tell me to use any of supplements that haven't been proven by the FDA. I try to emphasize the improvements that I have seen in my life since quitting analogs, and agree with my doctors when they say anything negative about nicotine.
 

JoAnnW

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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...

Isn't that what the FDA is doing??? :ohmy:
 

JoAnnW

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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.

I’ve smoked for 36 years and have seen the same primary care physician for almost as long. He has constantly been on me to stop smoking. According to him, that was the main factor for my high blood pressure, high cholesterol levels, sinus problems etc. These problems have barely been maintained with medications, just barely. Also, I struggled with weight problems. My doctor is the old country/grandfather type who knows all about my family history and situations. Before my appointments, I used to suck on a mint so he wouldn’t smell tobacco on my breath. Of course, he would comment… no need for him to ask if I stopped smoking because he could smell it on my clothes and hair. When I recently went for a checkup, it had been 3 months after I started vaping. My BP was the lowest it had ever been. At my last visit 6 months prior, he wanted me to lose 5 pounds. I lost 23 pounds. My breathing was better and my sinuses were clear. He was amazed and asked me what I’ve been doing differently because I seemed so much happier. Then he asked me if I stopped smoking because he didn’t smell the smoke on me or my breath. I told him I’ve been exercising more and started using the ecig. He didn’t know much about it but because he saw the evidence from my examination, he was very pleased. His response was “well it definitely made a big improvement and he was very proud of me for taking this step”. I let him know that I was still getting nicotine and his response to that was… “…it can’t be hurting you since your health has improved..” I was the one shocked by HIS response. He ordered some blood tests and told me if my cholesterol level was down and my BP was down on my next visit, he would discontinue the cholesterol meds and reduce my BP meds. I currently take two BP meds.

My doctor saw improvements in my health after I stopped smoking using the ecig and I feel attitudes in the medical field in general will gradually change when doctors see firsthand the improvements in their patients’ health.
 

kristin

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The real problem is that medicine is more evidence-based now, and this is a newer technology so evidence of being safer and effective for tobacco cessation, harm reduction, etc just hasn't been accumulated enough yet, but it will eventually.

I'm sorry but this literally made me laugh out loud. ;) How much "evidence" do they really need to determine that something that contains just water, (GRAS) propylene glycol, vegetable glycerine, nicotine and food flavoring wouldn't be as harmful as inhaling something that contains arsenic, benzene, ammonia, acetone, carbon monoxide, formaldehyde, tar, cyanide, etc., etc., etc? Could you imagine if doctors said they needed years of long-term study to determine if packaged foods with the fat removed and substituted with (GRAS) gelatin or corn starch was "safe and effective" to recommend to obese patients? They'd think the naysayers were either incredibly stupid or had some hidden agenda. Hmmm....lol

As far as "effective," as I mentioned in an earlier post, that depends upon intended use. E-cigarettes were not designed to be used as a treatment for nicotine addiction, they were designed to be a less toxic and less carcinogenic (ie. safer) replacement for traditional cigarettes. E-cigarettes don't need to prove themselves as an effective smoking cessation treatment same way NRT must, anymore than smoke-free tobacco does. The purpose is to eliminate smoke exposure NOT treat addiction. In the same way, the "intended use" of fat-free food isn't as a "treatment" for obesity that needs FDA approval as a weight loss drug. It's an alternative PERSONAL CHOICE to high-fat foods for people who want to reduce their health risks from fatty foods. Aren't some things just common sense? Remove the stuff that is bad for you and it is automatically safer/healthier? Maybe not 100% safe (nothing is) but there is no denying that it MUST be safer than the highly toxic alternative!

I recommend people read this article that I came across yesterday: Feds keeping people sick: The Vitamin D story

It gives a clear picture of how "evidence based" medicine and research really is (not). The parallels to how the medical and science establishment treat smoking harm reduction are uncanny:
"The medical community has always been subject to “group-think,” but in recent decades we have become the leaders. Numerous physician-scientists have been ostracized, defrocked, de-licensed and in some cases driven to self-destruction by a medical community that has embraced consensus in science.

In essence, “We don’t care about your data; we all agree you are wrong."

"With time, ultimately, truth prevails, and renegade but correct physicians are vindicated – but not in time to save those patients who die from the mistaken consensus. Today, this “group-think” is depriving people from some of the best and cheapest medical treatment available"

"Now it doesn’t take a medical degree to figure out that a cheap treatment that has such potential upside with so little (if any) downside is worth doing as real preventive medicine. But the government consensus – developed by intellectuals who feel they are infinitely smarter than we are, and should be able to make our choices for us – is that there is no evidence for the beneficial claims.

Really? If they emerge from their collective basement, they will find pages and pages of references. Don’t believe it? Do a simple Google search. Or just read the newspaper."

"Sadly, the government doesn’t just want to discourage you...they want to prohibit it...introduced a bill...which would so over-regulate the...industry that they could no longer supply products...at a cost affordable to the average consumer."
 

JoAnnW

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

I don't think that we should. The term "electronic cigarette" was the thing that caught my eye during an internet search looking for something else. If it was not called that, I would never have started doing research about it. Most smokers want to quit but don't know about this alternative. When I started vaping, no one else I knew vaped. I knew nothing... nada. Internet research got me into it. Further research led me here. All I can add to that is "Bless you ECF!" We have each other for support. :thumbs:
 
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