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Smoking & Chewing tobacco problem; Heart disease - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Smoking and Alcohol Addiction
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
Doctor :   hi
Doctor :   It shows you have moved away from the chat, so I close the window. Please log in again if you need further medical advice.
User :   hi doctor
User :   hi doctor
Doctor :   hi
Doctor :   how can i help u?
User :   i am XXXXXXXX didwania a fresh person enrolled just now
Doctor :   k ur welcome
User :   thanks
Doctor :   pl proceed wd the queries
User :   do i have a place where i can post my basic body structure online with this site
User :   so that it can help u people to give me the revert
User :   hellooo
Doctor :   well we r under the process of developing it
Doctor :   by which u can put all ur details there
User :   okey thanks i will update when u finish with it
Doctor :   but still u can send us
User :   i would like to ask for some questions relating to smoking and eating pan AAAAAAA
Doctor :   k
User :   what are the detail that you would require
Doctor :   sure
User :   anyway we will go step by step
User :   first please let me ask specific to smoking
Doctor :   k
User :   i smoke about 10-20 cigarettes a day
User :   and want to quite smoking
Doctor :   yeah
User :   will power is not very high
Doctor :   tell me since how long ur smoking
Doctor :   ur frequency
User :   about 15 to 17 yrs. with a break of about 3 years in the middle
Doctor :   k
User :   when in office i smoke say 2-3 i.e. when on desk job and when on field smoke about 8-10 in the same period of about 6-7 hrs.
Doctor :   yeah
Doctor :   pl tell ur age/profession
User :   by profession am a travel agent i mean a tour operator who is taking care of doctors during their cme through pharma companies
User :   age is 38
Doctor :   thats gr8
Doctor :   k
User :   job is very stressfull
User :   but i love my job
User :   i am a blood pressure patient
Doctor :   well it seems that u have addiction towards it
User :   and am taking covance .25 mg daily in the morning
User :   yes
Doctor :   do u take medication for BP?
User :   sort of
Doctor :   k
User :   yes covance
Doctor :   since how long ur on BP treatment?
User :   i am scared to say i am addicted by i am
User :   since quite some time
User :   about 4-5 yrs.
Doctor :   yeah
Doctor :   the BP probs might be related with the smoking
User :   strong family history from fathers side of cardiac problems
Doctor :   as its increases the BP
Doctor :   k
User :   yes
Doctor :   have u ever tried quitting it
Doctor :   or reducing it
User :   want to but cannot
Doctor :   well
User :   reducing it tried
User :   but to stop never
Doctor :   it requires some will power
User :   in the middle during my college times left it for 3 yrs
Doctor :   & certain other things
User :   yes
User :   i know
User :   what are the other things that are required
Doctor :   i will just tell u certain things
Doctor :   regarding it
User :   will power is something that no doctor can give me or any one else rather that has to come from me
User :   okey
Doctor :   yeah
User :   but why not in detail
Doctor :   there r many things which can substitute the smoking
User :   i mean is it too long or ...
Doctor :   not that long
User :   okey i tried chewing gums once
User :   okey
Doctor :   like
Doctor :   Nicotine replacement
User :   okey
Doctor :   which can be in the form of: Doctor :   Nicotine patches
Doctor :   Nicotine gum: Doctor :   Nicotine inhaler
Doctor :   Nicotine nasal spray: User :   inhaler sounds like another cigarette
Doctor :   Nicotine tablet
Doctor :   yeah
Doctor :   but less amount of nicotine
User :   i mean nicotine is something which give the creed to the cigarette
User :   so why nicotine again
Doctor :   yeah it makes physically dependent
User :   okey
Doctor :   well it is reducing amount
User :   any other ways
User :   okey yes that is also good enough
Doctor :   its not eaxctly the same chemical composition
User :   what company and what is the prescrition
Doctor :   there r other alternative methods
User :   e.g. please let me know
Doctor :   k
User :   i also eat pan AAAAAAA
Doctor :   how much do eat
User :   ferocious
Doctor :   well it both dangerous
Doctor :   if taken together
User :   okey food can control
Doctor :   there r other alternative methods
User :   food can fully control
Doctor :   to quit smoking
Doctor :   like
User :   please tell me
Doctor :   Divide the number of minutes per day awake
Doctor :   by the number of daily cigarettes
User :   i did not get you
User :   okey i can do that
Doctor :   the result is the minute-long wait between smokes.
User :   i will stop buying packets
Doctor :   k
User :   then what else
Doctor :   thats good
User :   do u prescribe medicines
Doctor :   Set up a schedule with time intervals
User :   but just by reducing this it may not reduce the creed of the nictoine
User :   as they nictoine in the body will keep on asking for more and more
Doctor :   well its a starter
Doctor :   thats where these things help u
User :   is there any medicine that can stop the cry for nicotine
Doctor :   yeah
Doctor :   theres
User :   ohh yes these measures will
User :   okey which one
Doctor :   like nicotine patches
User :   i will reduce the cigarets
Doctor :   nicotine gum
User :   i have a friend who has started taking champix from pfizer
User :   how is that and what is that
Doctor :   but they r to be taken only after Doc's supervision
User :   okey
Doctor :   yeah
User :   ohh but he has not taken any doctors supervision
Doctor :   Champix was launched in 2008
Doctor :   used by many
User :   he has consulted healthcaremagic and started it
User :   he was told that it is safe
User :   okey i will go with your method please let me know
Doctor :   but these meds req proper supervision
User :   what supervision e.g.
Doctor :   saftety is always there under guidance
User :   i need detailed information on this
Doctor :   what i suggest is
User :   yes please tell me
Doctor :   before taking Medication
Doctor :   i advice u to go in the alternative method
User :   okey please give me your advice
User :   would u like to mail it to me
Doctor :   like what i have suggested before+
Doctor :   change in ur life style like: Doctor :   Change the daily schedule as much as possible.
User :   okey the nicotine patches
User :   yes
Doctor :   Eat at different times
User :   can i please request you to please give me a detailed mail on this as that would help me to make my schedu;le
Doctor :   or eat many small meals instead of three large ones,
User :   okey
Doctor :   yeah sure
User :   thanks please help me on the same
Doctor :   will send u all the details
User :   my mail id is YYYY@YYYY
User :   also please give me your name and contact details if okey with you or if you are allowed
Doctor :   yeah we have noted them
Doctor :   Substitute oral habits (eat celery, chew sugarless gum, suck on a cinnamon stick.)
Doctor :   Go to public places and restaurants
Doctor :   where smoking is prohibited or restricted.
User :   okey when can i get a mail from you doc. what i need is more support on the will power building and there is not medicine that can give that to me
Doctor :   very soon we will send it to u
User :   secondly i will just cancel the champix which i have ordered if you say yes to cancel the same
Doctor :   k fine
Doctor :   yeah
User :   fine i will cancel the champix
Doctor :   once u have adopted the alternative methods
Doctor :   it will surely bring the improvement
User :   okey then u mean to say no to champix totally
Doctor :   but pl dont expect the over night success
Doctor :   yeah
User :   or take it once i start the change in my schedule
User :   no i can wait for the same i am patient in that sense
Doctor :   first ur will power+alternative mehod
Doctor :   then lastly medication
User :   okey then the later one
User :   fine i get your point
Doctor :   yeah
Doctor :   sure
User :   i just recd a mail saying that i can consult doctors multiple times upto 25 sessions during the time period
User :   what does that mean please
Doctor :   ye
Doctor :   its true
User :   cna i not consult this site on day to day basis
User :   that means i can only log on 25 times and chat with a doctor
Doctor :   well u can have chat till 25 sessions
Doctor :   with no limilt in time
Doctor :   but can be avalied till the time period
Doctor :   any thing else i can help u
User :   that means for a period of 12 months i can chat with a doctor 25 times
User :   okey
User :   can u email me the detail
Doctor :   yeah sure
Doctor :   will do that
User :   okey please do that doctor so that i can go ahead with the same treatment on the same
Doctor :   yeah
Doctor :   we will sending all the details
User :   okey will u be able to give me your contact details
Doctor :   which u have asked
User :   or that is not allowed
Doctor :   yeah sure
User :   okey thanks doctor what is your name
Doctor :   The number is +91-80-----.
Doctor :   I am Dr H----
User :   thank u doc.
User :   any mobile number
Doctor :   Please fill the feedback form say done when done
User :   oh something just came up and i said excellent and closed the same
Doctor :   u can call in the above number
Doctor :   from
Doctor :   0900 hrs
User :   doc one more thing if you are not online then how does the other person know my history
Doctor :   to 2100hrs
User :   okey and what at time of emergency
Doctor :   we have the chat history with us
Doctor :   well
Doctor :   we dont deal with emergencies
User :   okey i will await the mail from your side and when estimated can i get it sir
User :   okey
User :   not an issure
Doctor :   but surely can advice u in all details
User :   one more thing
Doctor :   u will receive in the morning
User :   how do i log on
User :   once i log out
Doctor :   by ur id
User :   i do not have a log in id
Doctor :   same
User :   what is my id
User :   i do not know it
Doctor :   which u have used right now
User :   well i just paid the money and the chat started
Doctor :   u have created by registering it
Doctor :   k
Doctor :   dont worry
User :   yes but my id i do not know
Doctor :   will mail u that also
User :   i just put my details in it
Doctor :   k
Doctor :   about the Id
Doctor :   7 log in
Doctor :   Log in
User :   no i do not know anything about it
Doctor :   need not worry for that
Doctor :   in any case
Doctor :   we r there to help u
Doctor :   u have our tele no
User :   okey can u please help me with my log in id
Doctor :   yeah
User :   password i know about it
Doctor :   k
User :   i also tried a free session but did not work also
User :   is my email id my login
Doctor :   yeah
Doctor :   thats the login
User :   okey then no issue
Doctor :   Is there anything else I can help you with
User :   well can my wife also chat with you or need a separate log in id
Doctor :   no
User :   she is a rheumatic heart patient\
Doctor :   she can
Doctor :   k
User :   okey then i will create an id for her
Doctor :   yeah sure
User :   okey not an issue thanks for the permission i will let her know
User :   of the same
Doctor :   yeah
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   okey sir
User :   thanks will do thatn
User :   bye
Doctor :   bye
User :   will wait for my email to come
User :   bye
Doctor :   sure
Doctor :   Good night
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