Cigarettes

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SurgeDO said:
people who smoke in medical school do not know it is bad for them. you should explain the pathophysiology behind smoking to your friends, OP. i am sure they will thank you and quit on the spot.
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Yes, there is a place around campus where smokers go for smoke breaks during studying. In med school, some of the residents smoked, and all the OB residents smoked A LOT.
 
KnuxNole said:
Yes, there is a place around campus where smokers go for smoke breaks during studying. In med school, some of the residents smoked, and all the OB residents smoked A LOT.
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I was recently at a conference in New Orleans and a bunch of Orthopods were chastising me for NOT smoking at the blackjack table at Harrah's. A lot of people smoke during pre-clinical/clinical years. A lot of residents and attendings smoke. Maybe on vacation or when they're drunk, but the number is a lot higher than you would think.

BTW Hookah is probably worse for you than smoking a few cigarettes (if somebody knows what article i'm talking about please post the reply), but I smoke hookah with my friends too!
 
People sure binge drink a lot in medical school. Many don't exercise, don't go regularly to the doctor or dentist, and eat crummy diets. Some get fat. I'm sure some also smoke, and it doesn't seem particularly more contradictory or incompatible with learning to be a fine doctor except that it's achieved social-pariah status in most high-income/high-education circles.
 
Honestly, when med students are considering tobacco usage, they really need to reflect upon the lifestyle choices that come with the profession they've decided to join. How can a physician tell an overweight patient that they need to exercise, if the physician himself/herself is overweight and doesn't exercise. Likewise, it's hypocritical for a physician to tell a patient to stop smoking if the physician hasn't even STARTED smoking. The physician is an entire step behind the patient in the process of quitting tobacco.

Med students who don't smoke disgust me.
 
Desk_Jockey said:
Honestly, when med students are considering tobacco usage, they really need to reflect upon the lifestyle choices that come with the profession they've decided to join. How can a physician tell an overweight patient that they need to exercise, if the physician himself/herself is overweight and doesn't exercise. Likewise, it's hypocritical for a physician to tell a patient to stop smoking if the physician hasn't even STARTED smoking. The physician is an entire step behind the patient in the process of quitting tobacco.

Med students who don't smoke disgust me.
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Like Charles Barkley says, I am not a role model.
 
Desk_Jockey said:
Honestly, when med students are considering tobacco usage, they really need to reflect upon the lifestyle choices that come with the profession they've decided to join. How can a physician tell an overweight patient that they need to exercise, if the physician himself/herself is overweight and doesn't exercise. Likewise, it's hypocritical for a physician to tell a patient to stop smoking if the physician hasn't even STARTED smoking. The physician is an entire step behind the patient in the process of quitting tobacco.

Med students who don't smoke disgust me.
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??

So if we don't start smoking, we can't tell people to quit? Lol, that makes no sense. But, I appreciate your love of med students smoking and YOUR love of smoking, after all, 1/3 of your class would love to be smoke buddies with you 🙂

And 70% of med students IN YOUR CLASS would be poor role models haha. I would never look at a med student/resident as a role model for the community, like ever. After all, people in medicine are just regular people in society. Nothing special or unique that they would care about health. If everyone in medicine all didn't eat fast food, exercised more than 2 times a week never smoked or drank, that would be an insanely rare group of people.
 
KnuxNole said:
??

So if we don't start smoking, we can't tell people to quit? Lol, that makes no sense. But, I appreciate your love of med students smoking and YOUR love of smoking, after all, 1/3 of your class would love to be smoke buddies with you 🙂
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Please resubmit after your sarcasm-meter is repaired.
 
colbgw02 said:
Please resubmit after your sarcasm-meter is repaired.
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To be fair, you need to read past the second sentence to catch the sarcasm. I rarely read past the first if the post doesn't sound interesting.
 
Desk_Jockey said:
How can a physician tell an overweight patient that they need to exercise, if the physician himself/herself is overweight and doesn't exercise.
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Because they are ethically and legally obligated to do so.

Convo I had with my doc, during finals week, of second year.
Doc: You know shifting, the best thing you can do is get a good night sleep.
Me: Blank stare.
Doc: As your physician I'm obligated to tell you this; I didn't say it was practical given your situation.

On a side note - there are some residency programs that screen for nicotine. One said that if you come back positive, you are put on leave to do a smoking cessation program. If you have another positive, it is ground for dismissal.
 
shiftingmirage said:
Because they are ethically and legally obligated to do so.

Convo I had with my doc, during finals week, of second year.
Doc: You know shifting, the best thing you can do is get a good night sleep.
Me: Blank stare.
Doc: As your physician I'm obligated to tell you this; I didn't say it was practical given your situation.

On a side note - there are some residency programs that screen for nicotine. One said that if you come back positive, you are put on leave to do a smoking cessation program. If you have another positive, it is ground for dismissal.
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Please refer to colbgw02's post.

I don't believe there are any laws that require physicians to tell their patients to exercise.
Also, why schedule a doctor's appointment during final's week? There's your problem.
 
Desk_Jockey said:
I don't believe there are any laws that require physicians to tell their patients to exercise.
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True, there are also no laws requiring that a person with triple vessel disease gets a CABG, but it is the industry standard.
With malpractice, physicians have to perform at the industry standard. When organizations like the US Preventative Task Force, the AFP, and the AAP, have all come out with guidelines of how to address obesity that include things like counseling a patient on exercise, it's hard to argue that it is not the industry standard.

Desk_Jockey said:
Also, why schedule a doctor's appointment during final's week? There's your problem.
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Unfortunately I don't have the luxury of choosing when a problem arises, and some problems need to be addressed in a timely manner.
 
Re: weight loss counseling

Meaningful Use notes checking weight and counseling patients outside of certain BMI parameters as a Clinical Quality Indicator. Since I don't see children, give vaccines, screen for Chlamydia, manage DM, HTN, glaucoma etc., this becomes one of the requirements for my practice and for others.
 
Winged Scapula said:
Re: weight loss counseling

Meaningful Use notes checking weight and counseling patients outside of certain BMI parameters as a Clinical Quality Indicator. Since I don't see children, give vaccines, screen for Chlamydia, manage DM, HTN, glaucoma etc., this becomes one of the requirements for my practice and for others.
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Huh. I always find it funny when I go to the doctor and get something along the lines of "you're not fat. That's good. Keep being not fat"

Too be fair though the last time I got this was from my surgeon and I get that being not fat is important for surgery.
 
I smoked Camel Crushes during the basic science years, but now I only smoke additive-free cigarettes (e.g., American Spirits - light blue packaging). Trying to keep it healthy.
 
my motto for the longest time was "if she smokes, she pokes." never failed.

i used to smoke for like 8 years, quit cold turkey too when my first kid was born
 
No - I am addicted to ice cream ... I have no idea why I am not overweight but I am sure I'm made of all fat.
 
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