When I say ignorant, i mean it in it's purest form. Not stupid, not a moron, just unaware.
I've watched my dad smoke since I was born, and the discussion comes up all the time about him stopping, and it always frustrates me.
Know this: they don't want to die, they don't want to lose their limb, they aren't doing these things hoping they'll be worse for it. Sometimes the ramifications aren't closely enough attached to the action to give someone's brain a push to stop them.
Kids that rob a store and get away are going to be more likely to rob another than a person who was caught during the act, and goes to jail for 10 years.
Someone that eats a bowl of ice cream and their leg gets blown off will have a tendency to avoid ice cream in the future.
It's a tougher connection to make, especially when the immediate consequences are things that take years to develop, and often aren't even seen by the naked eye.
Anyway...sorry if I started the trend of using derogatory terms to describe patients, I didn't mean it to go that way. I just wanted to use the word the way it's defined, and illustrate that patients haven't gone to school for these things, haven't seen picture after picture of diabetic ulcers and amputations, so the ramifications of their actions are harder to stress and get them to understand.
Thanks for changing the direction of the thread, PADPM.
Btw, the way my brain works, I only realized now that your name had "DPM" in it...I always figured it was "PAD" something or other and split the letters that way...now I feel dumb.