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Do You Know How Smoking Affects Your Unborn Child

The reasons to quit smoking could fill a book. If you’re planning to have a baby or are already pregnant, you have one more very important reason to quit smoking—the health of your unborn child. Consider these facts.
Smoking and Birth Weight

When you smoke, your unborn baby smokes, too. On average, babies of women who smoke weigh less at birth than babies of nonsmokers. And if you smoke a lot during pregnancy—more than a pack a day—the baby’s birth weight is likely to be even lower. This is not surprising, since the nicotine in cigarettes causes the baby’s blood to be starved of the oxygen needed for healthy growth. Although the baby quickly gains back the lost weight, by age 7 a child of a mother who smoked during pregnancy is still more likely than other children to be shorter in height, slower at reading and lower in “social adjustment” than children of nonsmoking mothers.

Smoking and Infant Mortality

Statistics show that infant mortality—the death of the baby either at birth or through a miscarriage—is 50 percent higher when the mother smokes. That means nonsmokers experience half as many infant mortalities. Children of smokers are also 2½ times more likely to die of sudden infant death syndrome, or crib death. The good news is that if you stop smoking by the fourth month of pregnancy, you can significantly reduce these dangers.

The Benefits of Quitting

You can see that your unborn child will benefit from your quitting. This goes for fathers as well as mothers. And the benefits start right away. With time, you—and your children—e cig clearomizer will be just as healthy as nonsmoking families.

Smoking and Your Health

Parenting is a demanding job. You need to be in peak condition. And you want to be there for your children. People who smoke have higher rates of illness and more serious health problems than nonsmokers. Lung cancer alone kills 30,000 women a year. Stop smoking now, so you’ll be able to take care of your children when they need you.

Smoking and Your Family’s Health

It’s now known that passive smoking—the smoke inhaled by nonsmokers when a smoker is in the room—is unhealthy. This is especially true for children who are particularly sensitive to the problems caused by passive smoking.

Quitting smoking is not easy, but with Electronic Cigarette help, you can do it. Enroll in a stop-smoking program now. Make it a family project.


Smoking may increase the risk of the most common type of breast cancer

To investigate, Christopher Li, MD, PhD, of the Fred Hutchinson Cancer Research Center in Seattle, and his colleagues conducted a population-based study consisting of 778 patients with estrogen receptor positive breast cancer and 182 patients with triple-negative breast cancer. Estrogen receptor positive breast cancer is the most common subtype of breast cancer, while triple-negative breast cancer is less common but tends to be more aggressive. Patients in the study were 20 to 44 years old and were diagnosed from 2004-2010 in the Seattle-Puget Sound metropolitan area. The study also included 938 cancer-free controls.

The researchers found that young women who were current or recent smokers and had been smoking a pack a day for at least 10 years had a 60 percent increased risk of estrogen receptor positive breast cancer. In contrast, Electronic Cigarette Help You! smoking was not related to a woman's risk of triple-negative breast cancer.

"The health hazards associated with smoking are numerous and well known. This study adds to our knowledge in suggesting that with respect to breast cancer, smoking may increase the risk of the most common molecular subtype of breast cancer but not influence risk of one of the rarer, more aggressive subtypes," said Dr. Li.

Young women who smoke and have been smoking a pack a day for a decade or more have a significantly increased risk of developing the most common type of breast cancer. That is the finding of an analysis published early online in Cancer, a peer-reviewed journal of the American Cancer Society. The study indicates that an increased risk of breast cancer may be another health risk incurred by young women who smoke.

The majority of recent studies evaluating the relationship between smoking and breast cancer risk among young women have found that smoking ( ego-t starter kit ) is linked with an increased risk; however, few studies have evaluated risks according to different subtypes of breast cancer.


Does Your Doctor Feel More Like a Medical Clerk?

Ask any doctor what inspired him or her to go to medical school, and not one will say it was a vision of spending chunks of their days filling out insurance forms. But that’s the reality of the job for many. And as the patient, you might feel their frustration.

In a March column in Forbes, physician Robert Pearl contrasted the mission that drives people to practice medicine and the economic realities that intrude. The column drew more than 400,000 views online and has struck a chord among patients and physicians alike, says Pearl, executive director and CEO of The Permanente Medical Group.

In individual practices, where insurers reimburse doctors on a fee-for-service basis, job satisfaction is "plummeting," he says in an interview with U.S. News. Part of the problem, according to Pearl, is that some doctors are forced to spend nearly half of each day doing clerical work in order to eventually get paid.

Less Time for Patients

"What’s happening in primary care now is we’re all being asked as physicians to do more with less or 'work at the top our license,'" says Michael Klinkman, Electronic Cigarette a professor of family medicine at the University of Michigan Medical School. "If I hear that one more time I’m probably going to shout and scream."

With pressures to see more patients each day, doctors have fewer minutes to spend with and listen to each individual, Klinkman says. Cumbersome administrative duties also take their toll, and patients could be affected.

As a patient, you should care about these time restrictions whether you're seeing a doctor for "an acute issue – because you’re having a heart attack, and you want to get care right away – or you’re getting preventive services because you don’t want to have a heart attack," says Reid Blackwelder a family physician in Kingsport, Tennessee, and president of the American Academy of Family Physicians.

“You want to have that time with your physician,” he says. “You don’t want to lose out for a piece of paper or a phone call for a prior authorization or for hours of documentation, so that a physician pulls away from your care for the burdens of administration.”

Doctor or Medical Coder?

If you’re under the impression that front office staff handles all the insurance company red tape, that’s not so, Blackwelder says. It's doctors who determine diagnostic codes, based on their encounters with patients.

It would be ideal, he says, if every practice could hire medical coders, who would work in synergy with doctors, using advanced forms of electronic health records to streamline the documentation process.

But, Blackwelder says, while that might be possible for large health providers with the resources to afford professional coders, most solo, small group or rural physician practices just don’t have the money to hire more staff.

 Do Electronic Health Records Help?

Electronic health records are meant to improve and help coordinate patient care, keeping your important medical data from falling through the cracks.

Ideally, each health professional you see – from an ER doctor to your diabetes specialist – works from the same record and has instant access to complete, up-to-date information. It really does work that way in organized health systems, Pearl says.

In much of medicine, however, electronic health records vary from one medical provider to the next, Blackwelder says, and systems "don't speak to one another." So when patients see a new doctor, they’re starting from scratch. And rather than boost efficiency, he says, electronic health records can initially decrease productivity of staff members trying to learn how to use them.

Patient advocate Trisha Torrey​ ​says that, at least for now, doctors are overwhelmed. "And when they’re stuck in a patient’s exam room trying to update the EHR [electronic health record] – they can’t find something they need that they’re supposed to input – I think their frustration comes across," says Torrey, author of "You Bet Your Life!: The 10 Mistakes Every Patient Makes."

 The Big Picture

Blackwelder says payers – private insurers, Medicare and Medicaid – best electronic cigarette need to simplify and standardize their reimbursement forms. But documentation woes are just one factor in the dissatisfaction with the current state of medicine, and both doctors call on their professional peers to speak out for change.

Patients "should see this as a transition," Pearl says. "We had a fee-for-service system that worked relatively well for a long time. It’s not working now."

There's still plenty of room for optimism, Pearl says. In organizations like his, he says doctors are freed from insurance hassles and have more time to spend with patients – and job satisfaction has never been higher. Pearl, also a professor at the Stanford University School of Medicine, says medical school enrollment in general is at a record high.

The last 20 years have brought vast advances in medical knowledge, and "now we can not just treat disease in patients such as stroke, but we know how to provide the medications to avoid that stroke," he says. "I find it remarkably fulfilling that we’re seeing a decrease of about half in patients having heart attacks. The ability to prevent and cure cancers – that is why I went into medicine in the first place."


Journaling Your Way To A Successful Quit

As you begin your quit smoking journal, you may be wondering, "How will I quit smoking?" Journaling is a private way to vent and record how you feel under moments of stress, happiness, joy or frustration. There are no rules to follow; use a notebook, scrapbook, diary or your computer or tablet. Use your creativity. Include your favorite slogans, poems or affirmations.

Imagine for a moment: Anytime you have a thought about your quit, good or bad, you can record it. Journaling is most effective when done regularly. Write for several minutes at a time, and do not stop writing to edit your work. Your journal can be kept private or you can choose to share with others.

QuitNet offers a Q journaling tool, available under the My Quit tab. The journaling tool includes a new QComic Protank 3 Clearomizer to greet you each day. You can choose to make your journal visible to other Qmembers or keep it private.

Here are 5 ways journaling can help you with your quit:

1. Define your purpose for quitting

Journaling allows you to reflect. For example, observe your smoking patterns. Ask yourself, "How many cigarettes do I smoke a day? When do I tend to smoke less? Do I smoke more when I am bored?"

On another day, list what you like the most about smoking versus what you like the most about quitting. Create another column and list what you like the least about smoking versus what you like the least about quitting. Compare your responses. This is an effective evidence-based exercise called The Decisional Balance. It will help you decide why you want to quit smoking. Here are some other suggestions for journaling:

-Write about the vision of your quit.

-Write about lessons learned from previous attempts and what would you do differently.

-Write about the people or life experience that has motivated you to quit.

2.Track your progress

Monitor your progress. If you are cutting back, maintain a smoking log. Write down every time you are triggered to smoke and how you handled the situation. Keep track of your savings. List ways to reward yourself. Document your treatment plan. Reflect on how you feel. Make reminders of when your dosage changes. Include how many days you've been quit.

Utilize the QGadget together with your journal. The QGadget will automatically compute the lifetime and money you'll save by quitting (a quit date has to be entered for calculations). Devote journal entries to reflect on your stats! Document any recommendations made by your doctor, including the quit smoking medications you are using. If you have discontinued a medication, write about what worked and what did not work. If you are not sure you want to commit to a quit date, write about your reasons. Discuss what information would help you make a decision. Journal the steps to obtain the information you need.

3.Stay focused on your quit

Journaling will help you stay focused. Write down your reasons for quitting. Review your reasons daily. It will help you stay strong. Determine if you want to journal in the morning or right before bed. If you want to make additional lifestyle changes such as losing weight; devote a journal entry about it.

If you belong to a QuitNet forum or a QuitNet club, write about your experience (i.e., connections with other members, finding a quit Q buddy); include anything that will inspire you, such as another quitster's Q testimonial or suggestions, quotes, poems. The choice is yours!

4.Manage your stress

If you are stressed about quitting, consider writing about these stressful events. It will help you come to terms with them, thus reducing the impact of these stressors on your physical health. Listen to music while you journal. Write about how good you will feel after you quit. Write about the immediate health benefits and your strong reasons for quitting. After writing, you will feel in a more relaxed state. Review your previous entries, and notice your progress.

In conclusion, journaling is a therapeutic method that will help keep you close to your quit. Protank 2 Atomizer It can be very liberating. You will feel a sense of control over your quit. Rereading your entries can be empowering and offer insight and understanding about yourself and your quit!

5.Journal your way through a craving

Each time you have a craving, grab a pen and write about something else (i.e., write about going to the beach, your next vacation, a party or fun event you went to). The key is to keep writing about a topic that will keep you distracted. Empower yourself to work through this alone, especially if your support network is not available. Cravings typically last several minutes; overcoming a craving will help you develop a non smoker image, greater confidence and higher self-esteem.

<< 07/2014 >>




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