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This respiratory therapist misleadingly reports that: "emergency rooms across the United States have been reporting visits from patients that use e-cigarettes, with a variety of complaints, includingblood clots, difficulty breathing, coughing, headaches and chest pain." But he fails to also mention that emergency rooms across the nation have also been reporting visits from patients who use NRT, with a variety of complaints that include blood clots, difficulty breathing, coughing, headaches and chest pain.

Another problem with what Dr. Glantz has done is that it is fundamentally dishonest. He is essentially lying to the public about the science regarding electronic cigarettes. He knows full well - as he acknowledges in the paper - that this study provides no answer regarding whether e-cigarettes precede and lead to smoking or whether youths who are heavier and more dependent smokers are more likely to experiment with e-cigarettes. Nevertheless, he is telling the public that he has answered the question and that the answer is that e-cigarette use precedes and leads to smoking. This is tantamount to lying to the public.

I had tried to quit smoking many times. I tried going cold turkey, the patch, the gum, , the pill, and even a mild form of shock therapy using a rubber-band on my wrist. I could not quit. I hated cigarettes, but I did not have the willpower to quit using them. I felt weak and depressed. But when I found electronic cigarettes, everything changed.

Apparently, the science no longer matters. You can acknowledge that a study does not allow you to determine the direction of a relationship, but then go ahead and draw such a conclusion anyway. Frankly, this is junk science, and it is just as bad as what we have attacked the tobacco industry for doing in years past.

Given the controversial nature of the recommendation that treating every smoker with drugs is the "standard of care," I believe that the long and intense history of conflicts of interest with Big Pharma is absolutely relevant to the present article.


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