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Thread: Nicotine most harmful cigarette ingredient, GPs think

  1. #1
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    Nicotine most harmful cigarette ingredient, GPs think

    How can these results be real?? Eejit bureaucrats maybe, but people who actually went to med school?? I think my brain just combusted.

    Nicotine most harmful cigarette ingredient, GPs think | Nursing in Practice

    "The study participants (100 UK, 120 Sweden) were asked about the risks associated with tobacco and nicotine products, smoking cessation and tobacco harm reduction approaches, and influential sources of information.

    The majority of survey respondents (96% UK, 98% Sweden) said that they regularly discussed smoking cessation with their patients, but less than half believe that long-term nicotine replacement therapy (NRT) is preferable to smoking (31% UK, 48% Sweden).

    The survey findings show that a substantial proportion of GPs (40%) believe nicotine to be the first or second riskiest component of cigarettes, incorrectly identifying it as more harmful than smoke.

    Many (44% UK, 56% Sweden) also wrongly believe that nicotine in tobacco products is associated with cancer, while 15% in the UK and 22% in Sweden believe the same for pharmaceutical nicotine."
    wood duck, margyb and tally-ho like this.

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    Wow, trained medical professionals are as educated on nicotine as the mouthy 19 year old girl that told me vaping would give me cancer because nicotine.

    I believe that the reason they're so skewed is because of the "denormalisation" and demonisation of cigarette smokers. Nicotine is a key substance, obviously it must be bad and totally awful for you because the anti-smoker brigade has been saying so for the last 30 years.

    Never mind all this scientific evidence to the contrary, even providing evidence of possible and verifiable health benefits. I mean, screw science and facts, right?

    It's a sad side effect of the anti-tobacco campaign.
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    After my heart surgery, my GP, in a futile attempt to get me to quit smoking, used to bang on about nicotine and red blood cell clumping. There are studies that support this but there is equally compelling research to suggest this is not the case. Being an addict I chose to believe the information that allowed me to continue smoking.

    On reflection I still don't know what the truth is. But a doctor who is governed by 'first do no harm' is going to take the default position that introducing a foreign substance with at least potential negative effects should be discouraged, especially when it is almost always concomitant with smoking.
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    I find comments like that terrifying. It's not complicated, just some fairly simply chemistry and toxicology.

    GP's spend YEARS learning about these sorts of things. I didn't even finish high school and seem to understand it better.

    What is the world coming to?
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    even if it was true (which I totally do not believe is the case), surely nicotine minus all the other bad crap in smokes is better than nicotine plus all the other crap?? The arguments against vaping just seem to get more and more ridiculous and bizarre.
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    Note to self: don't get sick.
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    I find comments like that terrifying. It's not complicated, just some fairly simply chemistry and toxicology.

    GP's spend YEARS learning about these sorts of things. I didn't even finish high school and seem to understand it better.

    What is the world coming to?
    Actually they don't. GP's are generalists, they spend years learning all sorts of stuff much of which is seldom used in the real world. Much of what GP's know is down to their own nous and efforts to find out. Hence there is a fair degree of variation in the quality of service and knowledge. There is a reason why it is often said always seek a second opinion.
    soundasleep and Genecigs like this.

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    theres a reason GPs get called specialists when the learn a lot about something specific.
    the 'G' in GP stands for 'general' .. and it ain't a military term

    they learn about how it all works in general but toxicology of a single chemical is not going to be much more than a passing comment if that.
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    Quote Originally Posted by kay67kay View Post
    even if it was true (which I totally do not believe is the case), surely nicotine minus all the other bad crap in smokes is better than nicotine plus all the other crap?? The arguments against vaping just seem to get more and more ridiculous and bizarre.
    On an imaginary scale of 1 being breathing sea air on the high oceans and 10 being a F1 pit crew mechanic, let's imagine smoking is an 8 and vaping unflavoured PG is a 2. Since the only thing stopping you losing those extra 2 risk points is nicotine, it's a health hazard, even if it were absolutely safe in itself. And if you are a hard core smoker nicotine is responsible for you continuing to smoke. It is therefore a health hazard.

    From a health viewpoint, and yes, there is more to it from an informed standpoint than just health considerations, we are still in an addiction phase and that leads us to want to see vaping as an end destination and to dismiss those heath risks.

    My position on this is evolving the further I'm away from tobacco. But honestly, we all know that not vaping at all is better than vaping. I didn't delude myself for decades on tobacco to start that routine up again with vaping. While it would be great if doctors encouraged people to vape as a way of stopping smoking, expecting doctors to okay it as an ongoing lifestyle choice is asking them to forget what their job is.

    And not to be picky, but BAT sponsored that study. It consisted of only 240 GPs. Most of whom were in Sweden where the tobacco product of choice is chewing tobacco, so the issue of 'smoking' vs nicotine gets confused. Should we be surprised that some Swedish doctors see no appreciable benefits moving from chewing tobacco to Nicorette chewing gum?
    Last edited by Humbuggery; 04-06-13 at 04:14 PM.

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    Quote Originally Posted by Humbuggery View Post
    While it would be great if doctors encouraged people to vape as a way of stopping smoking, expecting doctors to okay it as an ongoing lifestyle choice is asking them to forget what their job is.
    Given all the best evidence so far, what happens if we find out 100% that vaping is no more dangerous than drinking coffee?

    I've never had a Dr tell me I should be cutting back on my caffeine intake. Sugar, yes, but not caffeine
    tugboatofdeath and Roguex2x like this.

 

 
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