Dr.Siegels "Rest of The Story"

Posted by on 3/20/2012 to Dr. Siegel "Rest of the Story"
From Stan at HowToE-Cig.com
Last Feb 2011 my lung function was measured at 60% and blood/oxygen was dangerously low. I then tried E-Cigs and have not had a tobacco cigarette since. I now have normal lung function and high normal oxygen levels despite the fact that I had smoked for more than 45 years and never could quit. I was killing myself and nothing but e-cigs had ever helped. I admit to being addicted to the e-cig but I believe that they saved my life and want to help as many as possible learn the truth about E-Cigs. If E-Cigs were outlawed, I have no doubt that I would once again take up smoking and start down that dark path again.

The Rest of the Story by Dr. Siegel at tobaccoanalysis.blogspot.com/ 

Let me first note that this is not the only letter I have received from an electronic cigarette user who has successfully quit smoking and written to express thanks for my willingness to disseminate the truth about the relative health risks of these products compared to regular tobacco cigarettes. In fact I have probably received nearly one hundred similar letters, of which this one is typical.

Let me also note that not once in my career have I ever received a letter from a nicotine patch user, expressing his or her relief and gratitude that nicotine replacement therapy helped to quit smoking and resulted in immediate, measurable improvement in their lung function.

Of course, these anecdotes - in and of themselves - do not constitute valid evidence for making public policy decisions regarding these products. However, the letters are important because they do demonstrate the kind of public health benefits which electronic cigarettes are providing to literally thousands of ex-smokers. This is a critical piece of information which I believe has not adequately been considered by those anti-smoking groups and researchers which have called for the removal of electronic cigarettes from the market, and/or for a stringent regulatory procedure to be put in place before electronic cigarettes are approved for sale.

This truly is the rest of the story, because it's not something that you're going to hear about on anti-smoking web sites, or read about in newsletters sent out by the major national, state, or local anti-smoking organizations. You're only going to hear about stories like this if you seek them out and/or if you are willing to entertain this type of evidence.

Sadly, many tobacco researchers and anti-smoking groups do not consider smokers to be a valid source of information (not worthy of providing useful information, not worthy of holding a job, you get the picture). So this type of anecdotal information has almost completely escaped the radar screen of the official anti-tobacco movement.

I can assure readers that I am always ready to listen to personal accounts, and that this type of anecdotal evidence plays a critical role in informing me about important scientific and policy issues. In the case of electronic cigarettes, the anecdotal information is abundant enough to make it clear that removing electronic cigarettes from the market, as recommended by a number of anti-smoking groups, would be a grave public health mistake, causing many vapers to return to smoking and to suffer substantial and immediate health effects.

While the clinical trial is the "gold standard" of scientific knowledge, it is only one of many ways of knowing. Case studies, case series, and clinical anecdotes play (and have always played) a major role in medical knowledge. They occupy an important place in the overall development of medical knowledge, and can no longer be ignored by the anti-tobacco movement.

About the Electronic Cigarette

Posted by Rick M on 6/28/2010 to About E Cigs
An electronic cigarette is a rechargeable battery powered personal vaporizer (PV) or inhaler, often in the form of a cigarette, and can contain either flavored nicotine liquid or refills with no nicotine. The nicotine strength can also be varied according to the users requirement. The refill is usually called e-liquid. High Powered models are also available that do not resemble an ordinary cigarette but instead look like a thick tube or a small box with a mouthpiece attached. Ecigarettes are a modern way to obtain nicotine and replace smoking an alternative to smoking tobacco cigarettes, desirable since they are likely to be several orders of magnitude less harmful. They can also be used without nicotine. The refills contain about half a dozen ingredients that are all licensed for human consumption and considered acceptably safe, as against the 5,300 discovered so far in cigarette smoke of which many are known to be toxic and/or carcinogenic. 

How do e-cigarettes work? 
All ecigarettes have a rechargeable battery or batteries, an atomizer coil which is heated by the battery, and a cartridge containing refill liquid. In some models the last two components are combined. When the switch is pressed, or in the case of auto models, when air is pulled through, the heating element vaporizes the liquid and produces a mist. You draw or pull air through it just like a tobacco cigarette. 

Why use an e-cigarette? 
The main reason is consumer choice simply as an alternative to tobacco cigarettes. The idea is to obtain the nicotine in a cool mist with a few well-known ingredients that are all approved for human consumption, instead of inhaling the smoke from burning plant materials, since it is known that smoking tobacco cigarettes has many health issues and perhaps around a one-in-three chance of early death. 

Who can use an e-cigarette
Electronic cigarettes are used by smokers over 18 who are looking for a better alternative. No one else should use one. 

Can I use one anywhere? 
Definitely not. Local regions such as cities can introduce byelaws that prohibit their use indoors. Anyone can allow or prohibit anything in their own premises, and some building owners prohibit them. 

Are ecigarettes healthier? 
No one can say, because there are no long-term clinical trials or any other research that could verify or disprove such a statement. They were invented in 1995 and have only been widely used for a few years. This is one of those things on which you have to make your own decision. However, many people regard the decision to inhale a cool mist with half a dozen ingredients, none of which are known to be toxic or carcinogenic, or alternatively inhale a bonfire, as what is popularly termed a no-brainer which is why ecigarettes are taking the world by storm.
Isn't nicotine harmful?
Nicotine is not the harmful ingredient in tobacco, it is the smoke that kills: the smoke and combustion artefacts cause lung cancer, heart disease and many other illnesses. Also, everyone tests positive for nicotine in the bloodstream, in very small amounts, since it is a common ingredient in vegetables. A related material, nicotinic acid, is a vitamin Niacin or Vitamin B3 so to say it is universally harmful is obviously untrue. Without the smoke, smoking is likely to be far less harmful, as nicotine may be as harmful as the caffeine in coffee. Nicotine is best avoided by those who are pregnant or have heart disease. You may want to avoid it if you also do not take caffeine or alcohol by drinking coffee, tea, wine or beer. Like these substances, it should probably not be started in the first place. Some people however find their lives are dysfunctional without nicotine, and an electronic cigarette is probably as good a way as any to supply it.

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