Cessation and Prevention Prescription

Tobacco Theory
11/20/14

Theory of Tobacco
Addiction with the
Biomedical and
Chemical Equations for
smoking cessation.

Written by
Doctor Theory

Tobacco Theory Video Smoking Cessation Presentation:

https://www.youtube.com/watch?v=GnW7tCxpt9M

Science Entertainment Enterprises

For those who

Want to quit
or
Continue to Smoke

Tobacco Theory Chapters

1.00
1.01
1.02
1.03
1.04
1.05

BRAIN DOMAIN
Electricity Harmony
Reward Path
Synapse Gap
Brain Drain
Dope to Cope

2.00
2.01
2.02
2.03
2.04
2.05
2.06
2.07
2.08
2.09

TEST QUEST
Smoked the Lungs
Get Smart
Scan the Plan
In-SPECT the Brain
PET the Brain
Hard Knocks
Spaceship Earth
Prophetic Genetics
PISS and POOP

3.00
3.01
3.02
3.03

CANCEROUS CORPORATIONS
Cancerous Empire Objectives
Additive Chemistry Experiment
Corporate Genetics

4.00
4.01
4.02
4.03
4.04
4.05
4.06
4.07
4.08
4.09
4.10

DISEASES Of ADDICTION
Cancer
Lung Diseases
COPD
Youre Sick
Bug Wars
Consultations and Medications
Treating the SOB
Artery Diseases
Cause and Effects
Data

5.00
5.01
5.02
5.03

PRESCRIPTIONS for ADDICTION

Tobacco Cessation Medications
More the Merrier
Obesity Theory

6.00
6.01
6.02
6.03
6.04
6.05
6.06
6.07
6.08

STREET DRUG THEORY

Gangs Of Dealers
Pot or Not
Medical Marijuana
Crack the Ice
Head Case
Smokin Data
ReSPECT ADHD
Medication Consideration

7.00
7.01
7.02
7.03
7.04

SMOKE BRAKE
Medication Consultation
Know Your ABCs
All Together Now
EDucation

Brain Domain (1.00) Identifies the chemical reactions, of the brain in action
Test Quest (2.00) Presents the situations, which justify further investigations.
Cancerous Corporation (3.00) Informs us how the corporate empire, increases our smoking desire.
Diseases Of Addiction (4.00) Provides defensive medicine to ease, the tobacco-connected disease.
Prescriptions for Addiction (5.00) Describes available medication, for tobacco termination.
Street Drug Theory (6.00) Offers some hope, to stop the illegal dope.
Smoke Brake (7.00) The final act, to help with the craving attack.

Dedicated to the school teachers of planet Earth,

the most underpaid district in the Galaxy!

Cover the Patients and My Gluteal Deal

The contents of Tobacco Theory, including the text, graphics, and illustrations, as well as the
material provided by others for this venture are for informational (instructional) purposes only.
Tobacco Theory is NOT intended as an alternative for professional medical advice and
consultation, or for diagnosis, or treatment. Always seek the advice of your Primary Care
Provider (PCP) such as your physician, nurse practitioner, physician assistant, psychologist,
social worker, or other qualified health professional with any questions or difficulties you may
have concerning your medical condition.
Most of the written material in Tobacco Theory is my own creation to be offered as pubic
domain, a community service venture. Some of the written material and pictures are from other
sources (see references) and thus require authorization for reproduction or use. This material is
for health education and is freely available to assure the best opportunity for distribution for all
those seeking to be drug free. In my perspective, drug addiction is an insidious disease, as well
as bio-chemical warfare infecting Earth and material (ammunition) to conquer this pandemic
should be freely available for all.
I am not a real doctor, although I have played one on TV. I have taught on stage and on
television with the theme of health and sciences. Presently, I am an active duty commissioned
officer with the U.S. PHS (Public Health Service-PHS) and this material is NOT affiliated with
or created by U.S. PHS, or any governmental agency. In the real world I hold a masters degree
as a Physician Assistant, have been in practiced for over 20 years, and have specialized in
tobacco cessation. Biography of Doctor Theory is in The Ends chapter.
Hopefully, I have covered everybodys gluteus.
2

By far the most

popular and
potentially
dangerous
chemical
substance
in the world,
especially when
laced with lethal
additives and
smoked, is
TOBACCO.
Welcome to the Tobacco Theory chemical equations for tobacco cessation to
inspire inhabitants of Earth to be smoking free. This includes understanding the
brains chemical activity of addiction and the medications available for smoking
cessation.
Many are not able to be free from tobacco/drug addiction and will smoke till death
do they depart. Therefore, for those who have no plan to quit, along with those
who already have chronic diseases from smoking, this material offers pearls of
preventative medical wisdom for protection from the disabling diseases so one may
live smokin ever after - a little longer and healthier. It is important to understand
the diseases caused by smoking, as well as the medications that guard one from the
early onset of a heart attack or stroke and particular treatment plans for lung
infections and diseases to protect every last breath of fresh air.
Tobacco Theory includes a segment dedicated for those sucked into smoking
street drugs, such as methamphetamine, crack cocaine, and marijuana, with a
different perspective to deal with the objective to be or not to be drug free.
One must capture the concepts in the chapters prior to this Street Drug Theory
for the big picture to come into focus.
3

Traditionally, Native Americans used tobacco for medicinal and ceremonial purposes. (49)
(Curtis Zunigha, former Chief of the Delaware Tribe of Indians in Oklahoma and the
Executive Producer Smoke Brake IHS, Claremore Indian Hospitals DVD Presentation)

Most tobacco products are contaminated with chemical additives that cause
cancer, a craving to smoke more, and an addiction to a particular brand. As we
know, tobacco is not vitamin enriched for your health. In this planetary domain,
one must be educated about the tobacco companies that saturate their products
with addictive chemical additives. It is imperative to be aware of the chemical
warfare played on ones life. So be advised, my dear smokers and dippers, it is in
your best interest to stop these brands of tobacco that are laced with vicious
additives.
For those who are not smoking, this material will broaden your view to empathize
with family and friends who are addicted to tobacco and/or street drugs and
perhaps be more understanding and supportive.
We must investigate what is going on inside the brain, what drives the frustrating
cycle for many to smoke, drink, and cuss, and live in captivity of addiction. Once
we have an insight into the synaptics of the brain, being able to see what is
screwed up inside, then we can fix the brain, or at least get it running a little
better.
4

1.00 BRAIN DOMAIN

To secure smoking cessation success we need to recognize what issues may have
shuffled the deck of life such as biological and/or sociological events.
From a biology point of view, just as some are born, conceived, with the genetics
for having alcoholism, colon cancer, or diabetes, it appears drug addiction may run
in the family as well (1, 2).
New research offers several equations for addiction treatment. As we understand
the genetic programs in the brain that cause this addiction process, then it is a
matter of turning off the DNA program. Dr. Eric J. Nestler states, "Our research
suggests that testing chemical compounds that reverse chromatin remodeling is a
promising approach to seeking treatments for drug abuse. This is already a major
strategy for cancer therapy development" (3).

The National Institute on Drug Abuse (NIDA) Gene Model

Gene experimentation confirms a possible cocaine genetic interaction. With this
finding, we are getting closer to finding the code, a password, to open up the
secrets of addiction. To KISS it (Keep It Short and Simple) we may have found a
genetic addiction switch and now we are searching to find out how to turn it off.
It would be ideal if we could just find a cure (repair) for the genetic part of
addiction and fix it.

So some are born with addiction and the other part of addiction in continued drug
abuse is like a hideous computer virus that re-programs the chemical equations in
the brain, causing one to become more deeply addicted and possibly develop
psychiatric illness (4). The earlier in life one begins chemical abuse, be it nicotine
or methamphetamine, the more control it claims and difficulty to reframe.
Sociological issues for drug abuse may have been encouraged by the pusher, be it
the tobacco companies or street drug dealers, who have lured multitudes into using
or selling drugs, some recruited into the industry before puberty.
The street is not sweet, and working in the Federal Bureau Of Prisons (BOP)
providing medical care for the nations most notorious violent and drug trafficking
villains, I have seen this glamorous road of crime and drug dealing lead into a dead
end collision of harsh reality, death, and loss of fame. Some choose to live in the
storm while others are able to reform.

(50)

Many of us have lots of issues, a lifetime subscription, playing games on the mind
and have been hit hard with dysfunctional families, divorce, incarceration, death of
friends and family, and physical and/or mental abuse and live with these haunting
memories from the womb to the tomb. When confronted with these traumatic
events, the brain short circuits into survival mode and starts reprogramming the
synaptic chemistry, implanting new subroutines (5).
This self-preservation code is designed to protect humans from these stressful
environments survival of the fittest. In return, the sociological and biological
changes for protection may alter ones character, which may not fit well in Earths
civilized society, yet work ideally on the battlefield or on the street. Many of us
recover well, while others continue to live in hell.
6

1.01 Electricity in Harmony

Just as electrical power is distributed throughout a city, so are the neural
pathways (neurons and axons) transmitting messages throughout the brain. A
lightning storm may cause a power outage and black out an entire city; likewise part
of the brain may malfunction following the storms of life.
Consider planet Earth from space at night, looking down at the city lights from the
USA. Now imagine how it would look when we short circuit part of the country, the
state of Tennessee, with a power outage. Now we cannot see Tennessee.

Just as a power shortage would be seen from space showing which areas are out,
we have the technology to see parts of the brain in action, or not working at all. If
the USA lost the resources from Tennessee - the music dies. Similar in thought,
our brain would lose its memory for country music. Now let us get a picture of the
brain from inside the skull, to see if the brain is working or not working at all.

1.02 Reward Path

For a visual of the brain in action we would have to secure a specimen, a volunteer.
I have opened, dissected many a male volunteer skulls before my smoking cessation
classes called Smoke Brake only to learn it is not the place dudes store their
brains, and I am not going down wherever to search for gray matter. Say I found a
brain and split it open (half) for illustration.
The following picture A shows how different parts of the brain have special jobs
to perform such as providing information about pain, access to memory, and
transforming light into vision.
To understand the chemical orchestra that takes place, the following models B
show the effects on the brain during nicotine stimulation. To KISS it, take note to
the reward pathway as seen in the yellow and blue-circled area. This is the
location of the brains drug craving and addiction (9). Observe the smokers reward
pathway that exhibits more electrical activity (enlarged circled area) after
smoking a reward response.
A)

B)

These are exaggerated (KISS) illustrations, as the areas of the brain presented are not exact
or does the areas get larger in size.

One of the main chemicals that turn on the reward pathway is called dopamine.
Simply speaking, a dopamine surge is the rush in the brain that drives drug-seeking
behavior. When smokers receive their dosage of dopamine, they feel balanced or
supercharged. This is just one of several chemicals in the brain that humans may
have a desire for or shortage of.
Not having the correct harmony of chemicals in the brain is called a
chemical imbalance where one is not receiving his/her fair share.

1.03 Synapse Gap

To understand chemical imbalance, let us look deep into the brain, a Fantastic
Voyage into the synapse of a tobacco abuser/user. To get a visual of a chemical
imbalance in action we will now magnify the reward area of the brain, closer and
closer microscopically, to look deep into the cells.
Follow through these
magnifications to see the neurons (nerve cells) of the reward pathway. These
neurons have a special connection (gap) called the synapse.

(47)
With a normal level of dopamine in this gap, the synapse keeps one balanced smooth sailing. The neurons in the brain need the right amount of chemicals to
work properly.
Some of the chemicals of importance are serotonin, norepinephrine, dopamine,
and endorphins (7).

Within seconds of inhaling cigarette smoke or chewing tobacco, a rush of nicotine

along with a cigarette butt-load of others chemicals travels into the brain and
increases chemical activity. This activity releases the norepinephrine and
serotonin into the synapse (the gap). Together, they enhance memory and
concentration and decrease anxiety. Also dopamine is released, which causes a
pleasurable sensation and calms down the craving (8) I feel good or I feel
normal.
1.04 Brain Drain
If there are not enough chemicals (such as serotonin, norepinephrine, or dopamine)
in the synapse, then that part of the brain does not work correctly, just like an
electrical outage. This is a chemical imbalance.
Just as an engine requires:
Oil to lubricate, gasoline to run, and water to cool the engine,
The brain requires:
Serotonin to "lubricate," norepinephrine to "run," and dopamine to "cool" the mind.
The car engine oil warning light lets us know when the engine is low on oil. When
the light goes on one must immediately turn off the engine prior to burning it up.
If you do not shut the engine down, it will turn off for you and cost a couple of
thousand dollars to turn back on (to replace the engine). In the same way, the
brain has a warning light when low on serotonin, with the response of depression or
anxiety. In return some develop social isolation or anger issues. Untreated it may
cost more than an engine; you may lose the entire car following the divorce
settlement.
In a kitchen sink, the faucet regulates how much water enters and the drain
determines how much water stays in. To wash the dishes in the sink we need the
right amount of water to get the job done, not overflowing or dry. Likewise our
brains require the right amount of chemicals in the synapse (gap) to work correctly
- not overflowing or dry.
So chemicals travel across the synapse where they can attach to a receptor site
(like a catchers mitt) to cause a signal to travel through the brain. Then that part
of the brain gets the message to walk, talk, smell, cry, smoke, or laugh.

10

Balanced Brain (Synapse)

For a balanced synapse there is a correct amount of

Serotonin (S), Norepinephrine (N), and Dopamine (D): SND

SND SND SND SND SND SND SND

The above brain shows balanced chemistry with an equal amount of SND
Brain is Low on Serotonin
If a brain is low on

S for Serotonin and a normal amount of N and D

(Norepinephrine and Dopamine) then there is an imbalance.

ND

ND

ND SND

ND

ND SND

This brain is low on Serotonin, which may lead to problems with depression,
anxiety, social phobia, or compulsive behavior.
To increase the serotonin in the synapse we use the drugs called Selective
Serotonin Reuptake Inhibitors (SSRIs). These drugs will Inhibit (stop) the
reuptake (the draining away) of the Serotonin. When we plug up the drain then
the Serotonin fills up the synapse in the brain. This is the KISS it version of
chemical imbalance.
One of the first popular drug plugs that accomplished this is called fluoxetine
(Prozac - a.k.a. Vitamin P).

11

Brain is Low on Norepinephrine and Dopamine

SND S

SND S

Here one may experience depression and/or drug addiction. When low on
norepinephrine one may feel lazy and less alert. Normal levels in the synapses
may increase energy and alertness. When low on dopamine one may have
problems with attention, motivation, pleasure, and/or reward activity.
Medication can chemically increase the norepinephrine and dopamine in the
synapses of the nicotine addicted species.
The drug of choice may be bupropion (Wellbutrin, Zyban) - all the same
medication, just different names.
There are several other medications that may return balance to the synapse,
depending on the chemical imbalance.
Just as some have a problem with their pancreas (an organ that regulates the
sugar level in the body) causing diabetes mellitus, some may not have the correct
balance of these chemicals, causing depression, bi-polar disorder, anger issues, or
drug seeking behavior (9, 10). It depends on what part of the brain is affected, as
well as the chemicals involved for that part of the brain.
For example, a chemical imbalance may energize parts of the brain that causes
inappropriate social behavior leading to criminal acts - in other words, some dudes
may just have some bad-ass protoplasm (genes). Or it may be an injured organ of
the body, the brain, just taking care of oneself with survival tools of violence. So
do not kick yourself or others, just seek out the consultation or medication for
treatment. Depending on ones ailment, it may take imprisonment to keep one from
committing repetitive harmful acts to others and this may be a good thing.

12

An inmate patient of mine was in for his chronic care clinic to have his blood
pressure medications renewed. This was one big mean, not so lean dude. This man
was angry at the world, which in turn, promoted him up the food chain of respect
behind the bars. He wore a deep burden on his shoulder; a history most would not
want to hear. If one looked closely, on his face and the body language, you could
see it was depression, not anger that had been etched into his expression. After
the medical exam and work-up for his hypertension was completed, I asked
outright how long he had been depressed.
He was surprised and inquisitive of what was to come. I briefly explained that just
as his blood pressure medication calmed down his high blood pressure, perhaps we
should try an anti-depressant medication to see if it would calm down some of the
anger and depression issues. He agreed and thankfully our psychiatrist jumped all
over it and asked for this patient to be sent directly to his office and sure enough
he started him on an antidepressant so cool. Three weeks later this inmate
approached me with a smile that overshadowed his scars, sharing how he feels
great. The best part was when he told me even his mother noticed, over the phone,
her boy was happy again. Three months later he returns for his follow-up visit and
has lost over 30 pounds, runs regularly, and is cheerful, with plans to get out to
start life over as a barber. Now thats corrections!
So if one has problems with a particular disease, be it diabetes or high blood
pressure, it is best to get the correct medication, education, or consultation to
solve the situation. Just as one cannot just stop their diabetes from happening,
drug addiction may require outside support to help those suffering to move on with
life. Some situations require medical intervention to calm down the disease(s).

13

I have met many angered patients who have found the ideal medications that have
calmed down their hostile synaptic storms they just needed the right dope to
cope.
1.05 Dope to Cope
Some people are missing the neurochemistry for peace of mind. This chemical
imbalance may be restored with the right medication. Some pharmaceutical drugs
work better than others. It does not depend on the price of the drug as much as
it being a good match. We need a chemical plug or pacifier for a particular
persons brain.
Some drugs are mixtures of the serotonin, norepinephrine, and dopamine and this
may be a better match to stop up the drain(s) and provide chemical balance the
more may be merrier.
If one has too much dopamine in the synapses, this may cause psychosis, giving
symptoms of hallucinations (seeing and hearing things not here in reality),
delusions, disturbed thinking, bizarre behavior, and agitation. This psychosis is
seen with a person who has the chemical imbalance causing the disease
schizophrenia. Similarly, when taking excessive controlled prescription medication
(narcotics) or street drugs, dopamine invades the synapses, which may present one
as having a Substance-Induced Psychotic Disorder (gone mental). In that case it
may be ideal to let time heal or use prescribed medications designed to lower the
dopamine level and calm down the psychosis.
Many have never taken street drugs and through the probability of nature, or
perhaps the corporate chemical contaminants, and/or genetic anomalies, escape the
real world and develop schizophrenia. Some of the new atypical antipsychotic
medicines may help, such as abilify (Aripiprazole), clozaril (Clozapine), geodon
(Ziprasidone), risperdal (Risperidone), and zyprexa (Olanzapine).
The older,
inexpensive medications are haldol (Haloperidol) and thorazine (Chlorpromazine).
These older medications may exhibit more undesirable side effects, yet are not as
deadly as some of the street drugs and the bullets dodged to secure them. Some
need medications for their personality to return to reality.
For some individuals, it is not their fault they were short-changed on dopamine or
have too much dopamine saturating the brain. Some have a balanced synapse full of
dope, while others seek to find drugs to repair this chemical disparity.

14

Consider a 20-year-old male smoking 2 packs per day will statistically live only 40
more years (death at about 60 years old). If this same dude were not to smoke he
would live over 50 more years (average life expectancy over 70 years old). Why
would he smoke even though he may lose over 10 years of life and suffer from the
tobacco related diseases?
Consider what it would be like if we lived in another world, a parallel universe,
where it is ass-backward and Mother Nature made it safe to smoke tobacco and
dangerous to take antidepressant pills (over 10 years of lost life from taking
prescription medications).
Now, ask one to STOP his/her antidepressant (such as fluoxetine), which is
improving the quality of life.
What would be a normal, acceptable response?
I would rather be happy for 40 years than depressed for 50.
Some people seek out drugs to calm the mental and psychological pain. Some need
to restore this chemical imbalance and have not found the right formula.

Science Experiment:
20 subjects (volunteers) were tested, not knowing what they are about to
receive (placebo or the real drug)
10 received intravenous (IV) normal saline (placebo - plain salt water) and the
other 10 received IV cocaine (Dope).

Results The 10 who received the IV normal saline had no effect, of course.
Of the 10 who received the IV cocaine:
-Half enjoyed the cocaine, wanting more (lots) and offered to
return for more testing.
-The other half did NOT like the cocaine, did not like the feeling
and wanted to pull out the IV.

15

Some people have enough dopamine and do not want any more, while others need
and seek to find their dope to cope.
Research Data:
Which state has the LOWEST TOBACCO usage per capita in the country?
Utah (46)
They do not smoke or drink as much as those in other states, since the most
popular religion in that part of the country discourages these activities.
Which state has the HIGHEST ANTI-DEPRESSANT prescriptions written
(such as fluoxetine) per capita in the country?
Yep
Utah (11); Wonder why?
The moral of the story is, We will get our dope to cope!
Or serotonin for copin.
Years ago, a patient came to our clinic requesting an antidepressant that was not
available through our formulary called citalopram (Celexa), so her medication was
changed to a similar antidepressant, fluoxetine, which was freely available through
our pharmacy. Citalopram is a SSRI, which is a serotonin type of medication just
as fluoxetine. In this transition the citalopram was stopped and the fluoxetine
started the next day. The problem was, when changing these medicines, that have
particular differences, there was no overlap from one drug to the next and the
Prozac takes a while to kick in, so she was out of antidepressant for 2 weeks. An
overlap would require continuing the citalopram for about 2 weeks while taking the
fluoxetine. On our visit following this transition, she informed me of troubles that
were encountered during this transition. She was not depressed or agitated; yet,
for about one week she was ready to check-out from planet Earth with the
thought and plan to end her life. After the fluoxetine kicked in she realized how
out of her motherly personality this was. Her being off the serotonin was not in
balance with her nature and almost cost her and family greatly she needs her
serotonin to keep on going.
Tobacco is an amazing drug! With this antidepressant you do not have to wait at
the pharmacy; you can get it anywhere, anytime, and you do not need to see a
doctor for a prescription. On the other hand, this most popular drug in the world
claims more death than all the other drugs of abuse combined. It may be a
chemical catalyst that may cause a chain reaction of events for one to seek out
new drugs of abuse (12).

16

In review, nicotine stimulates the brain, activating the chemicals Serotonin,

Norepinephrine, Dopamine, and Endorphins, among others.
The chemical Serotonin is found in the class of antidepressant medications called
Selective Serotonin Reuptake Inhibitors (SSRIs), such as fluoxetine.
Norepinephrine and Dopamine are found in the aminoketone class of antidepressant
medication called bupropion. This prescription medication is one of the original
tobacco cessation pills.
When consuming tobacco, it is similar to taking anti-depressants such as fluoxetine
or bupropion.
So to wrap it up,
Stop practicing neuro-pharmacology;
stop rolling and smoking your anti-depressants and get on the pill!"

Doctor Theory rolling up bupropion pills.

17

2.00 TEST QUEST

Sometimes the path to be smokin free is simple, with just consultation, medication,
meditation, and a lot of determination. Other times, especially when smoking
chemicals off the street, we must take it to the next level with extensive
consultation, psychiatric evaluation, multiple trials of medications, and laboratory
and radiological investigation to get a visual of what is broke and needs fixing.
Sometimes your Primary Care Provider (PCP) will want to get some tests done, such
as laboratory blood work, special x-rays, and lung function testing to see if a
disease is creeping in or has already claimed its territory. Depending on ones drug
of choice, special testing may be needed depending on what organs may be damaged
such as the lungs or brain. Smoking tobacco sucks the life from ones lungs as well
as clogging of the arteries. Depending on the pack years one smokes the risk is
increased. Pack years are calculated by taking the number of years smoked times
the portion of packs smoked per day. For example a one-half Pack Per Day (PPD)
user smokes for 40 years (1/2 PPD X 40 years) is a 20 Pack Year Smoker. Street
drugs have the tendency to cause injury such as short-circuiting the brain
instigating mental illness. There is no means of measuring the quantity of drug
abuse such as with Pack Years because a user could devastate and debilitate the
brain for life from a one time high and be stuck in mental disability for life.
Tests may reveal the deterioration of the brain, lungs, or kidneys or hormonal
imbalance and perhaps provide vital data that can be used to improve the quality
and quantity of life.
2.01 Smoked the Lungs
The three common and important tests for smokers are the Chest X-rays (CXR),
the Pulmonary Function Test (PFT), and the Pulse Oximetry.
Radiological tests such as a Chest X-Ray (CXR) may be helpful to find diseases
such as pneumonia or cancer. It is not good practice to get a CXR for all smokers
just to see if there is cancer. A normal CXR does not mean you are cancer free.
Your provider may order a CXR if there are problems such as a cough for weeks,
fever, shortness of breath, or chest pain. When cancer grows large enough in size
it may show up on a CXR of the lungs. If one has cancer it can spread throughout
the body (become metastatic). It would be ideal to catch cancer early, or better
yet take steps to lower the chances of getting it in the first place, which will be
covered in detail in the following chapter.

18

The American Cancer Society studied the National Lung Screening Trial and
developed new guidelines that recommend providers to discuss lung cancer
screening with those who are at high risk such as 55 to 74 years, smoker for over
30 Pack Years, and currently smoke or have quit in the last 15 years. The
recommended test is a Low Dose Computed Tomography (CT) scan and found those
with the CT scan had a 20% lower chance of dying from lung cancer than those who
just got a CXR. The screening should continue yearly thereafter till 74 years old
(56).

Infected
Area

The above Chest X-Ray of the lungs shows pneumonia. The cloudy area is where the infection is.
The name of the infection that invaded this patients lungs is called Streptococcus pneumoniae (13).

A PFT evaluates the working ability of the lungs by measuring how fast and how
much the air flows in and out of the lungs. For example, the readings from a PFT
may show a 50-year-old smoking patient may have the same lungs of a 90-year-old
non-smoker. This test gives a reading of the type of lung disease one has, such as
asthma or COPD (Chronic Obstructive Pulmonary Disease), which helps the provider
decided the best of medication to help with the SOB (Shortness Of Breath). Also,
it is a good baseline (starting point) for one to see improvement on their PFT after
they stop smoking for six months. This may be encouraging news that can help one
along the path of recovery when they are breathing better and seeing the PFT
shows that their lungs improved from a 90 to a 70-year olds lung.

19

Doctor Theory with Celebrity

The late Dr. Thomas Petty (world renowned pulmonologist) demonstrating a handheld PFT machine
(Picture from the Tulsa World)

A Pulse Oximetry (Pulse Ox) device presents the oxygen saturation level in the
blood from the fingertip. It provides information if one is not getting enough
oxygen through the lungs and into the blood, which can happen with pneumonia or
lung disease caused by smoking. Good oxygenation is in the range from 95 to 100
percent, although some smokers may have readings down to 90%, which may be ok.
The following picture shows the Pulse Ox on the tip of the finger, which is reading
a Saturation of Peripheral Oxygen (SpO2) of 97%.

2.02 Get Smart

The goal of psychiatry is to identify the neurological confinements one may be
subject to, and then optimize brain function through modern medical technology
and medication. To KISS it, the shrinks job is to use modern-day tools to crack
open the brain to figure out whats cooking and put the fire out. To understand
the diseases of addiction and treatments available it is important to be familiar
with the special procedures available and the genetics of what is to come.

20

With these tools our complicated cases may be able to get a visual of why they are
not able to easily be drug free. It is best to investigate (test) all possible
situations that may cause mental turbulence, to find out what else could be going
wrong either biologically or sociologically. On occasions it may be best to fix
other mental issues before attempting to start someone on tobacco cessation
medications. The Veterans Administration (VA) has been alert to this by
identifying other conditions, such as a Post Traumatic Stress Disorder (PTSD) that
many of our veterans are experiencing from the theatrics of war. While assisting
these veterans to stop nicotine, VA found it beneficial to evaluate and fix the
other problems. The concern is that some tobacco cessation medications are not a
good match for some psychiatric illnesses. Also, tobacco is an antidepressant and
stopping this sort of drug could escalate PTSD.
One's medications (such as hormones) may be helping or causing turbulence and
must be identified and resolved. Most coming off their female hormonal therapy
(estrogen and progesterone) do great, while others develop symptoms of hot
flashes, depression, anxiety, anger, insomnia (problems sleeping), and agitation. I
have had several patients tell me their thyroid medication is off (too much or not
enough) and they feel tired or depressed. Off to the lab and sure enough their
thyroid test (TSH) is out of bounds and the adjustment of their medication
restores chemical balance. A patient requested her expired estrogen prescription
be renewed, as she was experiencing depression being out for several months. It
was discontinued, as this is the recommendation following recent research and
other risk factors she presented. She expressed that after her hormones were
stopped depression was hovering about. Some women in their 40s start to notice
the world is changing about them. This is a good time to follow-up with their
provider to get labs to evaluate the hormonal levels that correspond to menopause
or a trial on hormones.
I was seeing a patient for flu symptoms (cough, fever, chills, body aches,
headache) when I became side tracked by his blatant mental dysfunction, which
was memory problems and bizarre behavior. I learned that he was pursuing
disability compensation for severe memory problems and some undiagnosed mental
illness that left him non-functional in a working environment. I was concerned
about an undiagnosed neurological or biological disorder being missed. His inability
to communicate and follow instructions was so devastating that I just had to run
him through the lab to see if I could find something on the other side. I was
relieved to find that the cause of his dysfunctional character was indeed chemical
in nature and was fixable. All his labs such as chemistry, blood count, thyroid
function, minerals, and vitamin levels were within normal limits except his drug
screen was positive for methamphetamines, benzodiazepines, and marijuana.
21

Now put that in your pipe and smoke it and see if you have memory problems. Well
not the benzos dont get any ideas. In this case the street drugs were causing
the mental disorder. Once the patient is off these drugs, then we can get down to
finding the root of the problem(s). I believe this time it was a sociological event, a
quest to be paid to party not on my watch and not on my taxes. There are so
many talented people who are lured into the disability society and do not belong
there. It is true however that some who come off the methamphetamines do have
permanent memory problems.
2.03 Scan the Plan
In modern automotive mechanics, when the engine is running poorly and the trouble
light is on, you take your car to the automotive technician to find the problem.
Then computer diagnostic testing is performed on a car instead of just replacing
expensive parts to try and fix the problem (as I do).
Likewise, many should get a diagnostic evaluation of the brain. Just as we have
regular x-ray machines to show us if one has a broken bone, we have special
radiological machines (cameras) that can give us better pictures of the bones or
other organs like the brain.
These machines are as follows:
SPECT (Single Photon Emission Computed Tomography)
PET (Positron Emission Tomography)
fMRI (functional Magnetic Resonance Imagining)
CAT scan (Computerized Axial Tomography or CT scan)

CT Scanner

PET Scanner

22

(48)

The SPECT, PET, and fMRI can give us unique pictures of the brain activity, which
is the blood flow or metabolism or energy of these brain cells (15). These tests
differ from the CAT scan that shows a still (snap-shot) picture of the brain versus
the brain in action as with the SPECT, PET, or fMRI.
In most situations the scans of the brain should be performed when all drugs are
filtered from the body, as certain drugs interfere with the activity of the brain
and may not provide a good baseline of the brain. These tests may provide us with
the brains ability or disability.
If someone is unable to move one side of their body (arm and leg) or has lost
speech or eyesight, it is critically important to go to the Emergency Department
for a CT scan of the brain - STAT (from the Latin stattim: meaning immediately).
A CT scan is a powerful tool, which takes many x-ray pictures (slices) of the organ
or bones for a better visual of whats up. For this situation it is important to
determine what kind of Cerebral Vascular Accident (CVA) took place. This CVA is
commonly called a stroke or brain attack and may be a life threatening or cause
permanent injury to the brain. It is important to find out if an artery (blood
vessel) in the brain is bleeding or clogged up. A brain attack is like a heart
attack a medical emergency.
One type of CVA is from an artery in the brain that ruptured and requires
emergency surgery to stop the bleeding. This type of bleeding is commonly seen
with methamphetamine use (16). Meth raises the blood pressure and/or causes the
artery to spasm (cramp up) in the brain, which then explodes. When one burst an
artery it is like blowing a fuse in your home and the power is out to that part of
the house (brain). Some brain injuries can be reset while other types the fuse is
burnt out for life and there is no way to turn that part of the brain back on.
The other kind of CVA that may happen is when an artery is clogged up from
plaque. This plaque is hardening fatty stuff that is stuck to the walls of the
arteries in the brain. This condition worsens from nicotine, causing fat to attach
to the walls of the arteries. When ones artery becomes completely closed off it is
an emergency and requires a special medicine to be injected into the blood stream
to possibly unclog it - chemical rotor-rooter of the arteries. This is why there is a
campaign to rush a brain attack patient to the Emergency Department within
three hours of the stroke for the medication to work.

23

After three hours it will be too late for the medication to restore activity to the
part of the brain that was blocked off. If the blood flows again then there may be
return of speech or eyesight or muscle movement that was injured by the stroke.
I have heard of situations in which family and/or patients, knowing they are too
late, will lie to the physician that the time was shorter than three hours hoping to
get the medications anyway. If the medication is given after the three hours, it
could cause worse problems than the stroke. Research has revealed that there is
more possibility of bleeding problems from the drug than the problems from the
stroke.

(48)
The arrows are zooming in microscopically to the part of the brain where the vessel is clogged up.

So just as a CT scan is used to determine what is appropriate for treatment, such

as surgery or medication, so are other special procedures needed to determine
what is wrong with the brain that may be causing psychological problems.

24

Psychiatrist and revisionist thinker, Dr. Daniel G. Amen, believes that,

"Psychiatrists are the only medical specialists who rarely look at the organ they
treat. The odds are that if a patient is having serious problems with feelings (e.g.,
depression), thoughts (e.g., schizophrenia), or behavior (e.g., violence), the
psychiatrist will never order a brain scan. He or she will prescribe medication,
psychotherapy, electroconvulsive therapy, or a host of other treatments that will
change brain function - but will not know which areas of the patient's brain work
well, which areas are over worked, and which do not work hard enough. In my
opinion, the lack of brain imaging has kept psychiatry behind medicine's other
specialties, reducing our effectiveness with patients and hindering our efforts to
reduce stigma and improve compliance (17)."
These special tests are a small price to pay to find a problem that may cause a life
long disaster of drug abuse, mental illness, incarceration, poor productivity,
divorce, and remorse. It is always best to test the brain as one may have a fixable
problem. Also these tests may give us a baseline to check for improvement
following the treatment of certain medications. A before and after scan may help
us see if the prescribed drug is working or not.
2.04 In-SPECT the Brain
For an inside visual of the brain in action we have the radiological procedure called
Single Photon Emission Computed Tomography (SPECT). To be a useful tool, these
scans require one experienced in reading the test results.
Dr. Daniel Amen (psychiatrist) is the world's leading specialist in reading SPECT
images. He is a psychiatrist and owner of Amen Clinic, who provides the SPECT
images and an elaborate work-up (history, laboratory, and physical exam). The
procedure is coordinated with one's local physician for follow-up medication to be
prescribed per Dr. Amen's recommendations from reading the SPECT images.
Amen Clinic performed SPECT studies to look at the brains effect by street drug
abuse compared to drug free brains. All of the drug abusers show problems in the
parts of the brain interfering with judgment (prefrontal cortex) and also learning
and memory (temporal lobes).
These areas of the brain are important in the decision-making processes of life.
One important decision is to stop abusing drugs. So the drug addiction cycle
begins as one takes the drugs, then loses the decision making process to not take
the drugs, so they forgot to stop. Then the drug trap has been set, over and over,
again and again.
25

To see an illustration of a SPECT scan in action, take note of the following images
of the brain. These pictures show the top of the brain looking down from above as
if the top of the skull was taken off. It is just like opening the hood of a car and
looking down onto the engine. When the hood is up then we can work on finding the
problem by checking for loose wires, low oil, or burnt spark plugs.
The smooth healthy (drug free) brain is at the top of the poster and it is
compared to the other images that show injured brains caused by drug abuse now
we can see where the problem is.

26

2.05 PET the Brain

PET (Positron Emission Tomography) scans are very popular in evaluating the
presence of cancer in the body. With these images a specialists can accurately
diagnose and find the diseased area of the body then fine-tune the treatment.
The National Cancer Institute presents some excellent PET pictures of a patient
with active cancerous sites (15). With PET images the oncologist (cancer doctor)
seeing where the remaining cancer is hiding is able to focus the therapy in that
area to finish the treatment.
PET images of the brain are motion pictures that show which parts of the brain are
not working normally. They help in the investigation of brain tumors, brain damage,
and/or drug injury. An experienced doctor in psychiatry who reads these tests can
look at the problem areas of the brain and fine-tune the medication in an attempt
to restore these areas of concern.
2.06 Hard Knocks
When the head is clobbered (traumatized), the brain may be damaged at the
impacted site and by sharp parts of the skull that holds the brain in position.
When a particular part of the brain is injured, this concussion could lead one to
have the condition called Post-traumatic Thalamic Syndrome.
This head injury may render the user with anger issues, irritability, violence, and
abusive behavior and this may be a good thing. Throughout history when attacked
and injured, if those souls lived, they learned from their mistakes. It is a survival
of the fittest feature of the creatures. Thankfully, Nature has developed a
splendid way for animals, and humans, to protect themselves from dangerous
situations by having them become ferocious and losing particular morals. As a
result, an ass-whipping may help one become more developed as a warrior critical for survival. This once whipped and now wicked character is mentally
groomed to kick-ass with his tools of rage and anger, protecting himself, or
his/her people, tribe, or platoon.
Through the school of hard knocks these dudes are re-programmed to be rude
and rule with one of the essential survival traits that has persevered humanity
throughout history. Nowadays, violent behavior has limited outlets. So these
comrades who won our wars and secured tribal survival are locked up in jails, roam
the ghettos, become politicians, and rage the Los Angeles highways. The evidence
of head injury/concussions causing long lasting irreversible neurological
complications is on air in the world of sports. Thankfully, the medical/sports
industry has intervene with the Heads Up four step action plan to identify an
athlete that has had a concussion and to initiate treatment for the brain to heal.
27

During my employment with the local jail and active duty tour with the Bureau Of
Prisons (BOP), I have met many combatants. In the 70s the jail rock scene was
long hair, today Kojak takes the stand with the head shaved down to the bone.
Interestingly, while conducting hundreds of physical exams, I noticed so many head
injuries, skull indentations and scars - everyones got a story.
As Dr. Daniel Amen explains on his web site: The impact of head trauma is often
overlooked in psychiatry. Even minor head injuries to vulnerable parts of the brain
can cause problems for years to come. SPECT is one of the best tools in evaluating
functional deficits from head trauma that are often not seen by other studies,
leading to better understanding and effective treatments for patients.
One of his examples is a 15-year-old student whose case sheds light on this school
of thought. This dude from early childhood displayed severe conduct problems,
had been arrested for shoplifting, frequently cut school, was defiant, raged with
anger, and was abusive. He did not get along with others at school. He smoked
tobacco and pot, and used cocaine regularly. And now for the rest of the story
His brain SPECT study showed severe damage to his left prefrontal cortex as
presented by the arrow.

Brain injury to the prefrontal cortex

Causing problems with behavior.

When he was 18 months old he fell down a flight of stairs. His mother said
afterwards he had a drastic change in his personality he was never the same.
Think about it. If a person's judgment, behavior, morals, learning, and memory are
damaged, how can that individual change when that part of the brain is not
functioning well? For this situation specific medications were found to calm down
the squall of anger.

28

As many are led to self-medicate (take street drugs) for one reason or another, we
may need to secure scans of the brain to give us insight on how to treat
psychological problems with the right medication, as well as consultation. Ideally,
follow up images after treatment give us a clear picture of the success of the
medication and may further aid in the prescription adjustment. This is just like a
PET scan is ordered to see if cancer is in remission (cleared). The concern is just
as some cancer is not treatable likewise not all traumatic and drug induced brain
injuries are mendable.
2.07 Spaceship Earth

NASA - Jet Propulsion Laboratory Earth Scientists Reflect on Earth day

Consider planet Earth as a living organism with the rock providing the structure,
just like our bones do, with the nutrients and minerals needed for life. The
atmosphere and magnetic field are the skin for this orbiting body securing
protection. The plants and animals, rivers and oceans are the organs and blood
vessels essential to maintain the biological dynamics of life. When any sort of
catastrophe occurs, such as a chemical spill, a war, or natural disaster, it disturbs
the balance of nature and could in turn cause a devastating rippling effect across
the entire planet, interfering with others here for the ride.

29

Mindfully we must all strive to keep the planet Green and our mind Clean. Drug
abuse, be it nicotine or methamphetamines, causes the user and others to suffer
(family, friends, and victims). This Drug World War of Addiction parallels
deployment of a Weapon of Mass Destruction and a viral pandemic and requires
intervention before it becomes contagiously metastatic infecting generations.
A patient of mine was in his high school senior year, a wrestler and college bond
when introduced to methamphetamines. He experienced a drug-induced psychotic
episode. By the end of two weeks of being totally spaced out on meth he had no
idea what happened until he woke up in jail. He is now doing life in exchange for
the life he took during an armed robbery.
2.08 Prophetic Genetics
In the future we will hold the crystal ball of genetics to identify diseases and
provide treatment before it causes problems. To understand genetics and how it
will change the entire world of medicine, let us start with the basics of
DeoxyriboNucleic Acid (DNA). These are the molecules that hang out in the
nucleus (control center) of the cells. During fetal development the DNA transmits
architectural information, special programs for what the cell is to become. This
program tells the cell what to be and where to be when it grows up like the hair,
skin, brain, or lungs. The DNA also keeps cells of the body working properly
throughout the course of life. DNA programs or traits, are the "who, when, where,
how, and why" we are what we are. It is all in the genes; everything runs in the
genes even diarrhea runs in the jeans (down the pant leg). Moving it right along
DNA determines your physical makeup and may influence your sociological destiny.

The above illustration is provided by the Human Genome Project coordinated by the U.S.
Department of Energy and the National Institutes of Health, U.S. PHS (18). This molecular
machine is the foundation of life and controls the living organisms characteristics.

30

Some of the genes malfunction, causing various physical and mental problems and
diseases. These genetic expressions, such as breast and colon cancer, the color of
hair, and diabetes mellitus are passed down through generations. That is why
Primary Care Providers (PCPs), such as physicians, nurse practitioners, physician
assistants, psychologists, social workers, among others, are so interested in getting
a family history. We are trying to get a genetic (family) history of events to
foresee if history might be repeating itself. Just as one may have a family history
of colon or breast cancer, also one may have the genetics for drug addiction. The
National Institute on Drug Abuse (NIDA), Molecular Neurobiological Branch has
recent data showing evidence that there is a genetic trait for human addictive
disorders (1) vulnerability to drug abuse and addiction.
2.08 PISS and POOP
Some of these genes (cells) do not develop well, causing problems and diseases.
These developmental problems may originate from family DNA, but may also be the
outcome of genetic derangement from the Poisonous Industrial Seepage and
Sewage (PISS) in our environment found in contaminated water, polluted air,
chemically processed foods, and cigarettes laced with additives. In fact, research
may be showing Persistence Of Organic Pollutants (POOP), these synthetic
chemicals in the food chain may be triggering the increase in diabetes mellitus type
2 (19) as well as causing other problems such as obesity and cancerous and genetic
malformations.
There is evidence of gene sites that correspond to particular psychiatric illnesses.
Someday we will have the technology to use a sample of ones DNA to find the
exact gene that has caused one's brain to dysfunction. For example, research is on
the way to find ways to manipulate a particular gene, the CYP2A6 to help in the
prevention and treatment of tobacco abuse, thus lowering the risk for tobacco
related cancers (20).
Once the problem genes are identified we will be able to design the drugs to match
a patient's particular genetic conflict. Better yet, in time we will be able to test
one for particular diseases and begin the treatment before the problem sets in.
This will transform the entire medical industry from a practice to a scientific
adventure.

31

3.0 CANCEROUS CORPORATIONS

Tobacco companies hire Evil Mad Scientists to design the most addictive product
on this planet - turning the cigarettes into Trojan Horses. In addition to the
nicotine found in pure tobacco, these cash-sucking vampires add dangerous
addictive chemicals, making their cancerous malicious product more irresistible
than methamphetamines, heroin, cocaine, and alcohol.
3.01 Cancerous Empire Objectives
Guys, think of tobacco as the alluring fragrance of perfume on some hot babe. One
may decide to just flirt with the hottie, have a drink, and go home. Life sucks
when the male subject is drugged up and then wakes up in a hotel room with his
kidney missing now that would really be a bitch, especially if they decide to
harvest a few other organs. Nicotine is addictive enough without spicing it up.
Infecting tobacco with additives, luring one to consume more of these dangerous
chemicals, will take more than your kidney in the years to come. Are these tobacco
companies subjecting you to unknown dangerous chemicals, manipulating your neural
chemistry and thus practicing genetic engineering on your brain, without your
consent? Yes! This is chemical warfare! In the 1988 report of the Surgeon
General (21) we were informed that "Nicotine is the drug in tobacco that causes
addiction" and also "The pharmacological and behavioral processes that determine
tobacco addiction are similar to those that determine addiction to drugs such as
heroin and cocaine." These reports set off a course of legal events, during which
several of these tobacco executives perjured (lied) before the U.S. Congress that
nicotine was not addictive, not any more than eating Twinkies! Who knows what
else is going on behind CEO corporate closed doors?
In the office, I never advise my patients to stop smoking. I do ask for them to
stop smoking the additive tobacco and switch to a non-additive brand and sign up
for my Smoke Brake program to put the brakes on tobacco addiction. The goal
is for my patients to first go through the withdrawals from the additives laced in
the tobacco. Then in about two weeks it is time for Smoke Brake a three-hour
entertainment tobacco cessation presentations (with a 10-minute smoke break).
Most stop the additive-laced tobacco, which just so happens to be the more
popular expensive brands. Hum, wonder why they became so popular? The
Chemicals! The same business plan used to sell street drugs is being used on the
smoker. They lure you in and reap the harvest. That sucks - to secretly lace in
your cigarettes chemicals to make you want to smoke more of their brand. I have
heard over a hundred times of my students/smokers reducing from a pack per day
(PPD) to one-half PPD just from getting off the additives. Some have quit all
together just by getting of the laced brands. Put that in your pipe and smoke it.
32

By the way, do not give up when experiencing the additive withdrawal side effects
of headaches, anxiety, irritability, nausea, and/or fatigue. Also, one may develop a
cough and harsh taste from smoking the non-additive tobacco. Your lungs will
adjust to coming off the soothing chemicals making it so easy to inhale. That is
why new smokers start the most popular brand, as it is chemically tuned to make it
easy on the lungs. The following list is just a few chemicals of concern.
Chemical Additives:
Methanol: Rocket fuel used to calm down the burning irritation of smoke traveling to the lungs
Arsenic: Wicked pesticide important in growing process to keep the insects from eating profits
Coumarin: Spice similar to rat poison and a lung specific carcinogen that can causes cancer (57)
Ammonia: Toilet cleaner and rises the absorption of nicotine into the blood, thus addiction (58)
Toluene: Industrial degreaser with a sweet taste and caustic to humans and the environment
Polonium: Soil condition and fertilizers - makes tobacco radioactive, which poisons the lungs (59)
Formaldehyde: Industrial chemical, bacterial and fungal disinfectant, good for embalming organs
Cadmium: Battery power not to be disposed in the trash, yet added to tobacco and smoke
Butane: Lighter fluidhelps keeps the cigarette lite and ensures complete and fast consumption
Methane: Natural gas, the flammable part of a fart. Put that in your pipe and smoke it!

Tobacco companies hold back crucial information. Note the script from 60 Minutes
News (22) or watch the movie "The Insider," which tells the story of the 60
Minutes News producer portrayed by Al Pacino covering a story of a whistleblower
on the tobacco industry. Russell Crowe played the tobacco company scientist Dr.
Jeffery Wigand who exposed the tobacco additive industry. Dr. Wigand, who was
not evil, informed the tobacco company CEO, his boss, that one of the additives
they created and laced into their product was a lung specific carcinogen (coumarin).
He was concerned and wanted this additive out (22). The company refused to
remove this chemical that enhances addiction, as it would "impact sales!" In other
words, they would lose customers because their product would not be as addictive.
It does not enter their equation that there would be less cancer, suffering, and
death. What is more important?
Tobacco companies do not care about losing customers to death - that part is not
important, except in the calculations of lost years of life that equates to lost years
of a good customer. In other words, they probably do calculate the increased sales
from the additives compared to the customers early death to find a good profit
margin. So the chemical additives stay.
The bottom line of the financial equation is sales, not death and suffering! This
is malicious and must not be allowed it is like ignoring a factory that is dumping
poisonous carcinogenic (cancer causing) chemicals into the communitys water
source, thus causing cancer and birth defects in the nearby community. As this
would not be tolerated, why is lacing of chemicals into tobacco allowed?
33

The Tobacco Empire is in the science of creating additives to enhance the nicotine
delivery system to make smoking more addictive and requiring more quantity to
quench the thirst, no matter the cost of life or health. I suspect that it does not
stop there, since they are in the business of withholding information and making
money. It would be interesting to see the secret recipes of these corporations, as
well as the by-products of the chemical reactions that take place when the
cigarette burns several chemicals together. Hidden CEO games were found with
the advertising scam of Light and Low Tar that so appeared to be safer than
Regular cigarettes. The scientific evidence reveals that changing to light from
regular is not any safer and does not decrease the health risks of smoking (60).
When I was in elementary school, I always wondered why it was so easy for my
friend Randy and I to steal cigarettes. Then one of my patients told me when she
worked in a convenient store back in the 60s and the tobacco companies
encouraged the cashiers to let the kids steal the cigarettes and the companies
would provide cartons in compensation. They wanted kids to get addicted, then pay
for life. Randy was at 3 packs/day smoker for decades but had to stop this year
as he needs oxygen therapy secondary to severe COPD the tobacco companies
made a good investment (assholes).

Randy and Me
[Oh My; I was just getting ready to call Randy to ask permission to included the picture of us when
I noticed his neck (throat). As I was pasting the photo into this document, I zoomed onto the
picture and noted the right side of his throat and that there is a mass. He assured me he would
make an appointment to see his provider this week to consider an ultrasound of the neck/thyroid.]

34

Study the technology to create such additives. Do you think these chemical
recipes could be designed to make one more addicted to tobacco only? That would
be relatively technically complicated. These additives would be programmed to
alter your brain chemistry to give you overall addictive characteristics. Thus
tobacco may be a "Gateway Drug" to poly-substance abuse. And of course, if they
created something like this by mistake, we know these villains would not take this
additive out, as it would Impact $ales!
3.02 Additive Chemistry Experiment
Years ago, I asked for a cigarette from one of our patients waiting in the hospital
lobby. Then I asked for our laboratory technician to mix the tobacco (and the
paper) into some water, and then pour it into a urine drug screen testing devise.
We found a light positive for opiates an addictive drug. No, I am not telling you
the brand of cigarette; it may be a false positive test, but it makes you wonder.
Just imagine what new drugs are invented when these different chemicals mixed
into tobacco are cooked during smoking. So, what are the hidden addictive and
cancerous compounds created during this combustion and then absorbed into the
lungs? This should be public information just like a label on food containers or a
medication package insert.
In the sixties, one company was the smallest of America's six leading cigarette
companies, which ruled the market. By the mid seventies there had been a seismic
shift; this company emerged to the top and is the world's best selling cigarette
with a smokin one out of five of all cigarettes sold. Also over half of smokers who
are below 17 years old are chemically seduced by this brand. Ya wonder how?
Perhaps the CEOs have an ACE up their sleeve with tobacco that is chemically
engineered (laced) with seductive additives.
One of my patients, with a significant substance abuse history, during my most
entertaining Smoke Brake seminar indicated that when he smokes a particular
brand he can feel a similar mental chemical reaction, a synapses, as to that of
smoking a formaldehyde dipped cigarette (extremely dangerous street drug/high
that causes severe brain damage) just a thought. Consider also what other
popular event took place in the sixties the birth of the street drug era.
Hold this thought, that the additives, along with nicotine, may cause the brain to
change and lead to drug abuse as we look at the other side of the coin - genetics.

35

3.03 Corporate Genetics

Scientists have confirmed that if one has the DRD2 gene (a particular genetic
program) and smokes, that person can plan on getting lung cancer (23). Consider
the possibility, a theory, of another gene; let us call it the PM88 gene that some
people may have. When exposed to a common additive such as formaldehyde or
ammonia this gene trait may be activated and set off a cascade of psychiatric
illnesses and/or addiction beyond nicotine, and into meth, heroin, marijuana, or
alcohol.
This PM88 gene trait, when exposed to certain chemicals, may be causing the rise
in the mental illness and/or the drug addiction that has rampaged our nation and
world. This sounds like genetic engineering being practiced on smokers without
their knowledge or permission with a neural manipulating marketing scheme
(brainwashing) that surpasses them all, legally - the drug sells itself! Think about
it now, no wonder it is so hard to quit tobacco, with the nicotine, additives, and
possibly genetics playing a powerful role in reprogramming the brain.
My guess is that the tobacco companies do not care if it were to be causing the
drug abuse crises, psychiatric illness, cancer, and death around the world just
sales.
Another theory: what if the hormones, insecticides, and other chemical additives
used in the food industry to accelerate the growth and preservative process of
cattle and chickens where found to cause obesity? Would the food industry take
out these additives?
Thankfully the U.S. Government recently signed legislation into law that will allow
the U.S. Food and Drug Administration (FDA) regulatory influence over the
manufacture of tobacco products. Most importantly is the ingredient disclosure
where tobacco companies will be required to list out all of the ingredients in their
products. Then ingredient control will require tobacco companies to remove or
reduce harmful ingredients in tobacco products. This technicality battle (pissing
contest) will take some time before the smoke clears and the ingredient control
kicks in.
U.S. legislation does take into account importers of tobacco products yet what
concerns me is there are no legal restraints to keep these U.S. and foreign tobacco
companies from continuing their chemical warfare outside the USA - worldwide.

36

Tobacco companies chemical additives make you become THEIR:

Addicted smoker to their brand of cigarette
(with their secrete recipes of additives)
Smoker of more cigarettes than you would without the additives
(the more chemicals added the more you want to smoke)
Sick with Cancer from the chemicals they put in the tobacco
(it is the chemicals they add to their cigarettes that causes cancer)
Or another way of putting it, you become THEIR:
Biochemically
Infected
Tobacco
Consuming
Human!
The bottom line is that these vicious cartels will keep the cancerous additives in
their products just to hold their customers captive even though they will suffer
and die sooner. Their profits are more important than your life and health.
Tobacco companies involved in lacing their product with chemicals and lying before
the U.S. Congress stating that nicotine (their product) was not addictive, not any
more that eating Twinkies, is genuine horseshit.

And that be my Smokin Theory!

37

4.0 DISEASES Of ADDICTION

In 2004 the U.S. PHS Surgeon General's Report (www.SurgeonGeneral.gov) states
that nearly all the organs of the body are affected by tobacco abuse and the list
grows even longer. The three leading causes of these Diseases Of Addiction
(DOA) are from problems with the Cancer, Lung Diseases, and Artery Diseases.
The objective of this section is for smokers and dippers to be prepared for what is
to come. I do not deploy scare tactics of deranged blood and guts to divert my
patients into quitting but I find it crucial to equip one with preventive medical
measures to preserve life. This is best accomplished by assuring one knows the
basics if they are receiving the best of medical care when diagnosed with
pneumonia, heart attack, stroke, or cancer. Or better yet, know how to take a few
preventative measures to prevent some of these DOAs and catch it before it is too
late.
We know to back up our work from the computer not for if your hard drive
fails, but for when it fails. Just the same, when it comes to medical care, be
prepared. Do not be caught with your pants down unless it is for cancer
screening (colonoscopy, prostate exam, or pap exam).
4.01 Cancer
As discussed, genetic traits may be passed down through generations. If one has
the DRD2 gene (program), then lung cancer is likely to happen. DNA determines
your destiny: Some can smoke for a 100 years and never get lung cancer (they
dont have the DRD2 gene); On the other hand, gentlemen, you may end up with, or
come down with, some other side effect, such as impotence (Erectile
Dysfunction). It is all in the genes.
Most popular brands of tobacco are laced with additives (chemicals). When one
inhales, snorts, or chews tobacco these additives infiltrate the blood, then travel
throughout the body particularly to the brain. Some of the tobacco additives are
carcinogens (cause cancer). These chemical additives may enter the cells nucleus
and damage the DNA program. When the DNA is damaged, the cell may become
cancerous and reproduce more damaged cells.

38

The list goes on of the chemicals that are added to tobacco for the pursuit of
seducing one into addiction and consuming more of the product. Additives also
cause other devastating cellular changes that disable or destroy life.
For a listing of 599 additives permitted into the United Kingdom take note to the
Tobacco Additives listing following the References in The Ends chapter. Several
tobacco companies have presented listings of tobacco ingredients used, which was
submitted to the U.S. Department of Health and Human Services. They comment
on their list that several of the ingredients are FDA approved food additives.
These FDA chemicals are approved for indigestion at particular amounts not
smoked at whatever concentration. It is the chemical additives in tobacco that are
primarily causing cancer, not the nicotine (23).
Our intestines are capable of taking on industrial strength foods, such as the junk
and fast food we consume; keep in mind the obesity problem is catching up to the
tobacco death rate. My suspicion/theory is that the food additives and processed
fast foods are not healthy and our bodies identifies these additive-laced foods as
not nutritional, thus our bodies are preparing for a famine, triggering obesity for
survival.
4.02 Lung Diseases
Years of smoking tobacco commonly causes COPD (Chronic Obstructed Pulmonary
Disease). COPD is a condition that includes Shortness Of Breath (SOB) and
multiple lung infections. Just as one learns how to drive, traffic laws, and the
basics of engine maintenance, so the smoker must be educated on COPD to know
how to stay out of the hospital and above ground. All smokers must know when to
see a healthcare provider -ASAP, without delay. Signs such as increased SOB,
wheezing (whistling sounds from the lungs), fever or chills, or cough (worsening of
a cough) are red flags.
4.03 COPD
COPD is the combination of chronic bronchitis and emphysema.
Chronic Bronchitis is a productive (mucus) cough for over three months caused by
lung pollution (such as smoking tobacco). Plugged-up bronchioles (tubes) cause poor
oxygen flow into the air sacs. This decreases the oxygen exchange into the blood.
This condition may improve with time when the pollutant is removed.
Emphysema is the poor air exchange from the narrowed bronchioles and the
enlarged air sacs that have lost elasticity (expandability). This loss in elasticity
causes poor air exchange, and thus a decrease in oxygen flow. Emphysema is
permanent and causes Shortness Of Breath.
39

COPD is insidious; it creeps up on you without you knowing it. I asked many of my
smoking patients if they are having a little SOB (I leaned quickly to stop asking the
pregnant one this question); many just say no. Then I offer an albuterol inhaler to
see if it makes a difference and so often they had no idea of their breathing
issues were so bad. It is best to get a Pulmonary Function Test (PFT) to evaluate
the condition of the lungs your breathing ability. The test is best done before
and after an inhaler (breathing medication) to test for improvement. This PFT
tells your provider the extent of injury and the type of treatment that may be
helpful. Also it provides one with a baseline to see the improvement provided by
the medications and after smoking cessation.
There is a light at the end of the tunnel; there is room for healing and stretching
the timeline of life even though one is disabled from COPD (on multiple breathing
medications, pills, and oxygen). Research shows that if lung disease is to the point
of disability and if one stops smoking, life will continue on for about 5 more years
IF one stops smoking. The lungs do not restore to the normal capacity, but they do
become stable and you may be able to catch a breath of fresh air once again. You
may notice an improvement of up to 30% of breathing capacity return in 6 months
of smoking cessation.
I am deeply frustrated when our lung cancer patients are still smoking with their
last breath. My concern is not because these patients are still smoking. It
agitates me to note the patients medication list and see that no one has written
this patient a prescription for any smoking cessation medications. It is especially
important to place one on the medicines that are also antidepressants (such as
bupropion or nortriptyline) for their treatment regiment.
Think about it, if you were knocking on heavens door, gasping for every breath, and
in pain, you too would be sucking up all the antidepressants and anti-anxiety
chemicals possible. Thus, I get frustrated with the Primary Care Providers (PCPs)
who have not started appropriate medications. Here, smoking is not as much an
addiction now as it is a continuation of an antidepressant (tobacco) to help one face
disability/death. It is ironic that often one is smoking the brand that is laced with
a chemical that caused the cancer in the first place and they do not even know it.
4.04 Youre Sick
Pneumonia can be a bacterial or viral or fungal infection of the lungs, where the
alveoli (air-filled sacs in the lungs) or the bronchial tubes are inflamed, irritated,
and plugged up with infectious fluid. This could be devastating to ones health,
especially if suffering from COPD.
40

Those with COPD have an increased number of lung infections because there is
poor mucociliary clearance (housekeeping is on a break) causing the airways to
become cluttered with mucus. Also the airways are inflamed (the air conditioning
is out) which causes poor air exchange and a good environment for bad things to
grow. Finally, when the immune system is compromised (the security guards are
sleeping on the job) bacterial and viral infections are invited over for the party.
Viral infections are the kind of illnesses that will hit you from all different
directions with a headache, fever, chills, body aches, sore throat, cough, and being
exhausted. All the antibiotics in the world will not change this condition, although
if this infection is caught early (first or second day) some viruses can be calmed
down with antiviral medications that decrease the duration of the infection. If
the smoker is having a little SOB then it may be ideal to start on an albuterol
inhaler and a steroid inhaler to prevent worsening of the emphysema.
Most viral infections last less than one week, depending on the type of virus and
the bodys ability to fight off the infection. Many seek antibiotics before the viral
infection clears up on its own or when the infection just starts. The problem is
that so many providers write prescriptions for antibiotics that may not be
indicated. In the long run, giving out antibiotics inappropriately may cause further
complications by creating resistant bacteria (street wise bugs). Often no effort
was made to load up on fluids and try some of the Over The Counter (OTC)
medications like expectorants, decongestants, and antihistamines. On the other
hand, for those who are not medically stable, having uncontrolled diabetes or AIDS
or COPD, antibiotics and an inhaler may prevent the viral infection from going
bacterial. It is best to secure annual flu shots and for some pneumonia
vaccinations.
Bacterial infections hit one location (throat or lungs or bladder) and with a
vengeance. If you have a sore throat it is important to secure a quick strep test
to confirm a bacterial infection (streptococcus pharyngitis strep throat) and
then treat it with antibiotics. This time antibiotics will help. Most sore throats are
viral infections or just postnasal drip which is drainage (snot) running down the
throat causing irritation and also a cough. Lung infections, such as bronchitis, may
present with only a clear productive cough (white colored sputum). If this cough
continues for over a week, the sputum becomes colored, fever sets in, and/or the
patient starts to have difficulty breathing, then antibiotics may be needed along
with a bronchial inhaler (such as albuterol) and a steroid inhaler and if suspicious a
Chest X-Ray.

41

A provider is the one who calls the shots on whether or not one should be started
on antibiotics. Usually with COPD patients, 80% of the time there is an infection
brewing. Over half are bacterial. Providers are more aggressive in the treatment
(antibiotics and steroids) of a patient with COPD, as a lung infection may become
disabling or fatal.
Just as a soldier knows his enemy and prepares for battle with the proper
weaponry, a smoker must be educated on the basics to assure protection. As for
the non-smoker, they stay cool and are armed and dangerous with their
housekeepers and security guards on duty.
Protection from infection starts with prevention. Vaccinations against influenza
(flu) and pneumonia (pneumococcus) should be taken as recommended. As most
smokers with COPD are in harms way and are more likely to catch these
preventable infections, it is best to teach your body to protect itself with
vaccines. Vaccines for the flu and pneumococcal are ideal to prepare your body for
possible invasion. It is just like finding out secret information about the kinds of
weapons and how your enemy plans to use them on you so a counter attack is
prepared for defense. This is very important for our elder smokers as they are
short on defenses and may not be able to afford another attack.
4.05 Bug Wars
When antibiotics are indicated, the provider sometimes writes a prescription for
the smoker that is the wrong type of antibiotics for treating their lung infection
(bronchitis or pneumonia). This may be because the provider is not experienced in
taking care of smokers who often may have difficult infections and/or the patient
calls back from the pharmacy complaining they cannot afford the expensive
antibiotics written, so the doc calls in a less powerful (and less effective)
prescription. Be ready to fork out the big bucks for the new bazooka antibiotics to
blow those bugs out of the water.
As far as the durability of bacteria, they take on the characteristics of
cockroaches. Using wrong kinds of antibiotics for bacterial infections is like
shooting roaches with a peashooter they eat the peas and get healthier and
smarter. When the roaches are fired upon by a more powerful weapon, a BB gun (a
stronger antibiotic) and survive, they get really smart. If the wrong antibiotic is
given or the prescription is not finished, the roaches get street-wise and go out
and buy leather jackets for protection. Next time a round of antibiotics is given to
knock off the roaches (bacteria), the BBs bounce off their leather jackets and the
roaches eat the antibiotics for breakfast.
42

The roaches secured the protection from lessons learned from the last attack or
something grandpa Oliver Roach taught them well during War Stories. Know your
enemies and let your provider pick your battles - when to start and the type of
antibiotics. You may suggest some of the following antibiotics depending on the
type of infection suspected. These antibiotic medications (infection ammunition)
might change from year to year just as the different wars that infect our planet
require weaponry up-grades or new peace treaties. Some of the more common
bacterial infections - bug wars are as follows:

Streptococcus pneumoniae: This is the most common pneumonia and it is

mostly seen in patients over 50 years old and in the winter months. People who
have this infection may have a sudden onset of shaking chills, rusty colored sputum,
have pneumonia (seen on the CXR), and higher than normal White Blood Cell (WBC)
count. These roaches are street-wise such as penicillin-resistant. Research
shows if you have COPD these little roaches may kick your ass even though you are
on the antibiotic that should be working, so you may require another round of
antibiotics. For these characters the ammunition of choice is erythromycin,
clarithromycin (Biaxin), levofloxacin (Levaquin), amoxicillin/clavulanate potassium
(Augmentin), or doxycycline. A vaccine is available called Pneumovax and will most
likely prevent this infection from happening.
Mycoplasma pneumoniae: This is the most common bug in adults less than 50
years old and among students. It commonly presents with a dry cough and
wheezing, occurs in the autumn, and causes ear infections. The munitions for this
battle are clarithromycin, erythromycin, or my favorite, doxycycline. It may be
necessary, to take this medication longer than the ten days usually prescribed.
Hemophilus Influenza (H Flu) and Moraxella catarrhalis: These two are most
commonly seen infecting smokers with COPD. Here the street-wise roaches
become even wiser, as they may eat the first choice of antibiotics for breakfast
such as amoxicillin/clavulanate potassium, erythromycin, or clarithromycin leaving
us with levofloxacin (which someday may become breakfast). These roaches put
away their leather jackets and secured Kevlar vests.
4.06 Medication Consultation
Depending on how sick one becomes, like having a fever or problems with breathing,
we may need to get a blood test to see if the WBC (White Blood Cell Count) is
elevated. The WBC tells us how stressed out your body is from fighting the
infection, sort of a measurement of how many rounds of ammo your body shot off
to fight the battle. The WBC will also give us an idea of what kind of battle is
going on, be it viral or bacterial.
43

Also a Pulmonary Function Test (PFT) will give us an idea of your breathing ability.
A Pulse Oximetry is a light wave contraption that is placed over the finger or ear
lobe and can detect how much oxygen is in the blood.
When health care providers listen to your lungs with a stethoscope, they are
checking for abnormal breath sounds like crackles or wheezing, which is a partial
closure of the airways. If there are no breath sounds at all this may be from the
infected lungs being filled up with fluid, a condition known as pneumonia.
Depending on all the above tests, along with your pocketbook or insurance
coverage, we may order a Chest X-Ray (CXR), showing us if you have pneumonia. If
the CXR shows pneumonia then it is best to get a Sputum Culture and Sensitivity
(C&S), so the results will be back by the time the recheck CXR is planned (in seven
days). A C&S is a test that finds out what kind of bacteria is growing out of
control in your body like in a skin, intestine, or lung infection. The stuff you cough
up in a cup is placed in special growing tray - sort of like placing seeds in a
flowerpot to see what kind of plants grows. The Culture tells us what kind (name)
of bacteria is causing the infection and the Sensitivity gives us a listing of the
antibiotics that should work. In 7 days if the CXR shows no improvement then this
would be the time to change or add another antibiotic and if the C&S was not
ordered then this should be considered. After recovery, it may be ideal to
recheck the CXR of the lungs to see if the pneumonia is clearing or there is
something else cooking/hiding.
We must kill these wicked bacteria with prescription medications. For most types
of pneumonia the antibiotic Augmentin is a good first-line of defense (if there is
no allergy to penicillin) or levofloxacin. For a simple cough (bronchitis) doxycycline
is ideal as it is inexpensive and is easier on the stomach than erythromycin, which
works great too. I recommend all medications be taken with a liter (quart) of
water to help calm down the nausea they can cause. This will also assure that fluid
replacement is secured.
It may be necessary to secure a prescription for an albuterol inhaler (or a
combination of albuterol and ipratropium) and a steroid inhaler to help breathing
and reduce the cough. It is important to calm down the cough at night to get some
sleep; yet during the day it is best to cough it up and out. It is not a good idea to
be coughing excessively to the point of chest wall pain, broken ribs, and exhaustion.

44

Guaifenesin will loosen up the thick mucus and may decrease the cough as well.
OTC medications like dextromethorphan may be helpful if used within the
recommended dosing overdose of this medication may cause permanent brain
damage.
A prescription medication good for a cough is (benzonatate) Tessalon. It is
inexpensive, does not cause drowsiness, and is not a controlled substance (not
addictive such as codeine can be).
Codeine works well to calm down the more severe coughs not controlled by the
other cough medications and helps with the chest pain from coughing. The draw
back is it may cause drowsiness and is addicting, which is a concern with those who
have a substance abuse/addiction history. Rarely I write this I combine the
above first and start on steroids to reduce the cough. Steroid pills and/or a
steroid inhaler decrease the inflammation, calm down the cough, and are ideal in
regaining your breathing ability during and after the infection. Recent research
found that steroid treatment for those with COPD (asthma or emphysema)
protects the patients lungs from declining.
Increasing water intake is essential in recovery.
4.07 Treating the SOB
It is ideal to start on an inhaler(s) to help the Shortness Of Breath (SOB). As for
medications, we generally start with inhaled bronchiole dilators like albuterol (a
beta-agonist) or ipatropium (an anticholinergic). A combination of these two is
called Combivent and is ideal for COPD patients. Great for As Needed type of
treatment only a few times per week. Any more, then one needs to upgrade to
daily long-acting type of inhalers.
Depending on the PFT and the problems one is having (such as COPD or asthma),
another medication may be added, such as the long-acting bronchodilators. These
include salmeterol or formoterol, (long-acting beta-agonists), tiotropium, (longacting anticholinergic). We may add inhaled steroids or salmeterol (Advair), which
contains an inhaled steroid and a long-acting bronchodilator. Also sustained-release
theophylline, is an old workhorse that may be of value.
For those who are really on the edge of life (like Randy) we may also add oxygen,
but this should be reserved for patients in respiratory failure (close to dying).
The last straw is Lung Transplantation that entails replacing a damaged lung or
lungs with healthy donor lungs not always the best solution as there is a risk of
rejection and infections and one may continue to smoke, destroying the new lung.
45

4.08 Artery Diseases

Nicotine constricts (narrows) the arteries. Over time this dangerously reduces
the blood flow to all the organs, extremities, and skin. Nicotine also causes plaque
(cholesterol or plaque crap) to collect on the walls of the arteries. If one already
has cholesterol problems it could get worse.
Over time the arteries become more and more closed off as the plaque builds up,
closing more of the artery.
When the artery clogs up, it is like a rusty corroded water pipe that does not allow
water to flow through.

Side view of rusty corroded water pipe

Side view of a clogged artery

Inside view looking through the rusted clogged pipe

Inside view of dangerous fatty deposits in an artery

A heart attack is when an artery that supplies blood flow to the heart is blocked
off by blood clot and the heart muscle starts to get injured. If the blood flow is
not restored the heart begins to die. Whenever the blood flow to the heart is
compromised it will let the rest of the body know with symptoms such as chest pain
and/or neck, jaw, or back pain and possibly shortness of breath or sweating or just
collapsing. Some may just feel tired/fatigued.

46

Some could have a heart attack and not even know it has happened while others
suddenly collapse and die. If you are the collapsing type of character then hope
and pray there is someone nearby who knows CPR to start chest compressions. It
is best to have your spouse or friends be CPR certified if you are one at risk. If
you have a heart that gives you time to let the rest of the body know great.
If one is having the following symptoms then call you PCP or get to the ER STAT.

Heart Attack Warning Signs from the National Institute of Health:

Chest discomfort: Most heart attacks involve discomfort in the center of the chest that
lasts for more than a few minutes, or goes away and comes back. The discomfort can feel
like uncomfortable pressure, squeezing, fullness, or pain.
Discomfort in other areas of the upper body: Can include pain or discomfort in one or
both arms, the back, neck, jaw, or stomach.
Shortness of breath: Often comes along with chest discomfort. But it also can occur
before chest discomfort.
Other: May include breaking out in a cold sweat, nausea, or light-headedness

A Cerebral Vascular Accident (CVA) as discussed in detail in Chapter 2.3, is when

an artery in the brain is blocked off or busts open, then that part of the brain
stops working. If so go, go, go to the Emergency Department, STAT because
every minute millions of brain cells die.

The American Stroke Association wants you to learn the warning signs of stroke
such as sudden onset of numbness or weakness of the face, arm or leg, especially
on one side of the body, confusion, trouble speaking or understanding, trouble
seeing in one or both eyes, hearing loss, trouble walking, dizziness, loss of balance
or coordination, or severe headache with no known cause.
To decrease the arteries from being clogged up, all smokers must consider taking
cholesterol medications if your cholesterol is even slightly elevated. With the
statin cholesterol medications, as most, assure your labs are checked regularly and
if you start to have muscle aches then contact your PCP to see if it may be
secondary to the medications. Every smoker should take an 81 mg Aspirin per day
to keep the blood clots away. Do not take aspirin if you have an active bleeding
stomach ulcer or have a history of ulcers that have not been completely treated.
Do not take aspirin if having signs of a stroke because if you are having the
bleeding type of cerebral vascular accident not good. This is when the CT will
determine if it is the bleeding type of stroke or clotting of the arteries.

47

4.09 Causes and Effects

Users beware of the multiple side effects or adverse reactions of tobacco abuse.
Tobacco (nicotine laced with the additives) causes or is thought to cause the
following diseases, adverse reactions, and side effects:
Cancer of the lung, mouth, throat, bladder, kidney, stomach, pancreas, cervix, prostate,
colon, and rectum. It also causes: COPD, halitosis (bad breath), deteriorating asthma,
respiratory infections, chest pain, enlarged heart, heart attack, irregular heart beat,
enlarged/clogged artery, peripheral vascular disease, wrinkling of the skin, psoriasis, postsurgical infections, delayed wound healing, poor fracture healing, disc degeneration,
decreased spinal fusion (healing), osteoporosis (low bone mass), osteoarthritis (joint
destruction), complications of Graves Disease (thyroid disorder), worsened Multiple
Sclerosis (brain and spinal cord disease), Crohns disease (inflamed bowels), ulcerative
colitis (inflamed colon and rectum), is somebody actually reading this, peptic ulcer disease
(stomach ulcer), worsening of GI reflux (food coming back up the esophagus), middle ear
infections, earlier menopause, impotence (dudes, you do not want this lame side effect),
infertility, decreased sperm count, TIA (mini-strokes), CVA (stroke), depression, anxiety,
snoring, cataracts, hearing loss, gum disease, optic neuropathy, macular degeneration,
blood-sugar abnormalities, impaired immunity, burn injuries from fires, intellectual
impairment, stillbirth, and premature birth (24).

Often I hear patients did not take their smoking cessation medicines because they
were concerned about the list of side effects from the package insert. I remind
them that the above adverse reactions and side effects are much, much worse and
are more likely to happen. One must compare and be aware.
4.10 Data
Over 20 per cent of Americans are tobacco users and in some places in the world
over 50 percent use tobacco. Outside of the United States these American
tobacco companies heavily market to young children thats sick.
American Statistics (25):
Normal life expectancy (26)
Males:
74 years old
Females: 80 years old
Average life lost from tobacco abuse is 13 years (27)
Adjusted life expectancy from smoking
Males:
61 years old
Females: 67 years old

48

Americans lost from combat deaths in 200 years of wars/conflicts is over

623,000. Americans lost from 2 years of tobacco related diseases is over
880,000. Over 1,000 Americans are lost per day (27).
One out of six who died in the year 2,000 expired from a smoking related disease
(28).

We lost over 47,000 in combat deaths in Vietnam from 1964 to 1975.

We lose over 50,000 Americans a year just from second-hand smoke (29)!

As for our children, the Nicotine Villain claims the following (30):
Miscarriage - over 50,000/year, Sudden Infant Death Syndrome
over 2,000/year, and Fetal growth retardation over 50,000/year.
Is there a world pandemic? Globally, Earth loses over 4,000,000 humans per year
to smoking related diseases. 10,000 deaths per day!
That is equivalent to three World Trade Center disasters every day (31).
Surprisingly we do not hear about this in the news!

49

5.00 PRESCRIPTIONS for ADDICTION

The United States Public Health Services (U.S. PHS) Recommendations for
Treating Tobacco Use And Dependence is available as a Clinical Practice Guideline
Book and on the Internet. It provides an elaborate information package about
tobacco addiction, other sources for support, and different medication along with
side effects and new alerts and warnings being issued (such as with varenicline).
When taking any prescription medications always seek advice from your physician,
(your PCP) and Know your ABCs (covered in the Smoke Brake chapter to follow).
The objective of this chapter is to provide a few comments about the medications
using the short course version, as it would take several years to prepare one to
practice the pharmacology of medicine. Also, if one has a preexisting or emerging
psychiatric illness tell your PCP.
5.01 Tobacco Cessation Medications (32):
U.S. PHS First-line non-addicting prescription medications that are approved by
the Food and Drug Administration (FDA) are bupropion SR and Nicotine
Replacement Therapy.
Bupropion SR
(Zyban or Wellbutrin SR/XL)
Bupropion SR is an antidepressant pill with a tobacco cessation rate of about 30%
(32). The active ingredients are norepinephrine, which helps calm down the
withdrawal and dopamine, which feeds the craving for nicotine. Together they help
in smoking cessation and treating depression (33).
This non-controlled, non-addicting medication must not be used if there is a history
of a seizure disorder, head injury, or other conditions that may have disturbed the
brain's chemistry, such as eating disorders like bulimia or anorexia nervosa (34).
As with any medication, there may be side effects such as problems sleeping,
nervousness, and constipation that rock hard sensation.
Nicotine Replacement Therapy (NRT)
This regiment includes a non-additive nicotine delivery system at a decreasing dose
via the gum, lozenges, inhaler, nasal spray, and patches. We offer nicotine
medications via the mouth, the nose, and the skin; there is only one opening
(orifice) left and FDA is not going up that way. The cessation rate of NTR varies
with different research parameters, but is between 10 and 30%.

50

As with all medications, keep NRT out of the reach of children. The old patches
need to be disposed of safely. If it falls off the skin get creative, consider taping
it on or place under your sock next to your leg. If the skin gets irritated consider
placing OTC steroid cream in those areas of concern.
One starts at an equivalent amount of nicotine consumed per day and tapers down
over months. I have had many patients do well on the nicotine gum regiment to
stop smoking, yet it seems as though they left the tapering part out and continued
to consume nicotine.
One of my patients with significant heart disease would not give up his nicotine
gum. This guy had a built in heart defibrillator onboard that would send a shock to
his heart to keep him alive. He was also a diabetic and was on his last leg of life
(many legs ago). Many times friends and nurses would tell me he is still on nicotine
gum and should stop it because of his fragile condition. I knew this guy well (he
was one of the best drug counselors I have ever met) and I figured that after all
the drugs he has been on, and now is off of we should just let him be. I was
happy he stopped smoking, which improved his health considerably, and figured
nicotine gum was his last battle and it may not be one to win. The following year he
was involved in a fatal motorcycle accident his last leg.
With the combination therapy of NRT and bupropion there is an increase in the
success rate.
Clonidine and nortriptyline (32) are the Second-line medications available if the
First-line is not working or there are problems with side effects or perhaps if a
low budget prescription is needed.
Clonidine (Catapres) is a blood pressure lowering medication with an abstinence
rate of about 26%. This medication comes in a pill and also a patch form and is
dirt-cheap. Some may experience one of the possible side effects of drowsiness,
so when starting this medication try your first dose on a day off of work or at
night.
Many like the calming down feature this prescription offers. Some become drowsy
at first, and then get used to the medication after a week or two. If one is
already on blood pressure medications, consult your provider about cutting back on
it and adding clonidine. I have seen great results with this inexpensive medication.
Some providers are not familiar with this old workhorse and are uncomfortable
using it because of the side effects of causing drowsiness or a drop in blood
pressure.
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Clonidine is a CDC recommended medication and is FDA approved. As the side

effects of tobacco are much worse, it may be a good idea to put it to work. This
medication is not addictive, yet may have withdrawal symptoms, such as rebound
hypertension, which means the blood pressure may go up very high after stopping
clonidine. So one should taper off of it slowly. Clonidine is not for anyone who can
get pregnant (fertile), or with a baby on board (pregnant), and also it should be
used with caution with the elderly. Just a thought - have you ever notice there are
not that many elderly smokers?
Nortriptyline (Pamelor) is an antidepressant medication with an abstinence rate of
about 30 per cent. This medication I would choose over the clonidine if my patient
is depressed or becomes depressed from smoking cessation or if the blood
pressure may already be too low. Also if depression is a concern and bupropion is
not a good match this is a good option. It is not as expensive as some of the other
cessation medications and should not be used if one is pregnant.
Varenicline (Chantix) was approved by the U.S. Food and Drug Administration
(FDA) for distribution in 2006. Success rate is about 44% at 3 months and comes
down to 30% at 6 months.
We get two for the price of one with varenicline. It stimulates the release of
dopamine (increases the dope in the synapse) and blocks the reward pathway (do
not get the fix). The drug turns on the faucet to the sink and plugs up the drain.
This prescription medication works by giving the brain some of the special features
of nicotine that ease the withdrawal symptoms. It has just about the same effect
when smoking without the antidepressant features. So, if one is smoking for the
antidepressant or anti-anxiety services, be careful about stopping your
antidepressant (nicotine).
Nicotine (smoking, dipping, or patches) cannot be used with varenicline for
combination therapy, as it causes nausea. On the other hand, medications such as
clonidine may be ideal if one has high blood pressure in need of treatment. There
is no current research on combination therapy.
The Varenicline Start Pak begins with a lower dose, then is increased in 7 days.
The initial side effect profile includes nausea, constipation, headache, vomiting,
flatulence (gas), insomnia, abnormal dreams, drowsiness, and change in taste
perception.
52

Varenicline appears to be a safe drug, although some warnings from the FDA are
starting to emerge as follows:
Reports of suicidal thoughts and aggressive and erratic behavior, drowsiness that
affected their ability to drive or operate machinery, new-onset of depressed mood,
suicidal ideation, and changes in emotion and behavior within days to weeks of
initiating Varenicline treatment. It has also been associated with the exacerbation
of underlying psychiatric illness.
The FDA warns about cardiovascular problems, though these are infrequent. Certain
events, such as angina pectoris, nonfatal myocardial infarction, need for coronary
revascularization, and new diagnosis of peripheral vascular disease or admission for a
procedure for the treatment of peripheral vascular disease were reported more
frequently in patients treated with varenicline (35).

So to KISS it while taking this drug you may go mental, do not take other drugs
or alcohol while on this medication (no brainer), and if you have heart problems
make certain you have fresh nitroglycerin onboard.
Know your ABCs in the Chapter: Smoke Brake.
5.02 More the Merrier
If one has high blood pressure it is not uncommon to be on several different
medications to control the pressure as well as prevent future heart problems.
Diabetics are placed on one type of hypertension medication (even if their blood
pressure is normal) called an ace inhibitor to protect the kidneys. For some
bacterial infections a PCP may place his patient on two types of antibiotics to cover
all the bases to prevent a dangerous infection from spreading.
It is recommended to combine some smoking cessation medication with the patches
(except if taking Varenicline). Consider taking bupropion with the nicotine patches
and if so then check your blood pressure regularly, one to two times per week. It
should read somewhere from 100/60 to 140/90. If the blood pressure is elevated,
greater than 140/90 (the top or bottom number), consider adding the blood
pressure medication clonidine that has good smoking cessation results.
Clonidine could cause drowsiness, so start with a low dose and at night some will
not have any problems at all and have stopped smoking on this medication alone.
Nortriptyline (Pamelor), another tobacco cessation medications may be ideal for
one having troubles with insomnia where as the bupropion may keep one up at night.
Once again, it is a great achievement to just get off the addictive additive tobacco
that in turn will reduce the amount smoked and collateral bodily damage.

53

5.03 Obesity Theory

This is my theory of the obesity crises (my next project). I would like to share a
brief two-course menu of my point of view, which will cultivate the idea of mixing
medications for combined situations. The new drug in the news is Contrave.
First is the concern of the drop of quality (caliper) of food (vegetables and meats),
thus one not receiving the needed nutrition and the body having to compensate
with quantity (volume) of food by overeating. For example, for several reasons
such as the genetic modification and drop in soil quality, it takes ONE orange from
the 1950s to equal EIGHT oranges of this era. (61) So the body sees this as a
famine and will conserve body fat for survival.
Secondly, are the chemical additives and synthetic hormones that have infiltrated
our foods designed to promoted higher volume of meat, causing human obesity too?
While they have been deemed safe, is it possible even though these chemicals are
at a low concentration and have not shown compromise to human health, there may
be a chemical or genetic adverse reaction (especially with other additives in the
industry) that may be causing some sort of anomaly under the FDAs radar? (62)
It appears that the new era of chickens are not the same caliper as their
ancestors - certainty not the survival of the fittest.
My theory is that some humans are genetically sensitive such that when they eat
these chemically and genetically infected foods they become obese too. Also, some
may need to eat more to compensate for low quality foods, to keep up with their
nutritional needs and expanding anatomy.

(63)
54

For some who are burdened with obesity and tobacco/drug abuse the drug of
choice may be Contrave (Bupropion/Naltrexone) which is two drugs working
together for helping one with weight loss food craving. By themselves they both
have shown some help in weight loss. Together they have shown that combined
with diet and exercise, patients have lost more weight than patients taking a
placebo (sugar pill) and following the same diet and exercise program. (53)
Bupropion, (Wellbutrin, Zyban) as discussed, is a dopamine and norepinephrine
reuptake inhibitor (fill the sink by closing off the drain). Thus, they stimulate the
pro-opiomelanocortin (POMC) neurons in the part of the brain called the
hypothalamus. This causes a synaptic chain reaction in the brain that decreases
the appetite and increases the energy output. This combination to decrease the
appetite and added physical activity help work it to lose weight. POMC is regulated
by endogenous opioids via opioid-mediated inhibitory feedback. (54) So bupropion
provides an ideal tobacco cessation medication that can help with the obesity
situation.
Naltrexone is an opioid receptor antagonist (keeps the opioid drug from attaching
to the brain). This drug helps one not have the desire for alcohol and opioid drugs.
Opioid are the painkillers like morphine, methadone, Buprenorphine, hydrocodone,
and oxycodone, and the street drug heroin. This particular drug suppresses the
POMC inhibition, thus causing the reduction of the seduction of narcotics. (54)
Bupropion and Naltrexone together work to calm down the part of the central
nervous system that promotes the desire to eat, drink, and be obese. (55)
As the bupropion offers tobacco cessation services, this medication is an ideal
prescription for the obese tobacco addiction situation.

55

6.00 STREET DRUG THEORY

The other name I had in mind for this book is Smokin Theory to cover the
theme of smoking drugs. If tobacco lures one into street drugs, then just a bit
about street drug addiction would be in line. One of the objectives of this chapter
will be to let you know, before starting street drugs, about the side effect profile,
as the Pusher does not make this available nor do these drugs provide package
inserts. It is important to secure this knowledge before starting these drugs, to
make a clear decision now, because once started, most addicts lose their ability
(that part of the brain) to make the decision to stop taking drugs. For those
already sucked into drugs, there is hope with medications and consultation to trim
down the seduction of addiction and allow healing of the mind. Then to secure
complete freedom one has to escape from the gangs/friends who have you in
shackles. So when infiltrating the brain with toxic chemicals one should at least
understand quitting is not easy when that part of the brain, which makes the
decision to stop drugs, is scorched from smoking.
The objective of this chapter is to also address the smokin issues that compromise
health. For some it is easy to ignore the air pollution blanketing the city until it is
too late. There are several types of environmental contaminates; some can be just
as destructive to the lungs as smoking a pack per day. Pollutants, such as tobacco,
are insidious in destroying the lungs, causing a causal suffocation over the years.
Street drugs, on the other hand, are hideous and could instantly cost you decades
of loss of life, cause permanent mental disability, time behind bars, or six feet
under.
6.01 Gang Of Dealers
It is the Drug Pusher who promotes and provides the stream of service to fulfill
their client's addiction and craving, as well as satisfy their own addiction (be it
power, drugs, money, fame, and/or sex). For some users to afford this expensive
habit they must buy the product and sell it to those in line, thus the institution of
the pyramid marketing plan. Just as one becomes addicted to drugs, one can also
become addicted to the Pusher lifestyle of having it all.
The Drug Pusher, through a cannibal-promotional plan, becomes even more evil when
the plan is channeled through children to initiate this vicious drug cycle. Some of
these street drugs are the most volatile substances of all the drugs and are
brought to you by your local kitchen pharmacist (meth manufacture). These street
pharmacists are not in the business for your health nor have the degree or FDA
approval to make drugs. Many of us are aware of the industrial strength cleaners
and battery acid used in the cooking process of these street drugs.
56

Behind bars, in the pen, if one is locked up for child molestation, there is a code of
ethics that disciplines these people, as so many recall their life being screwed-up
after being sexually or physically abused. There are those in the dealing industry
who see using children to traffic drugs or being in the transaction process (as a
human shield) as child abuse. One of my inmate patients ended up in prison because
he became angry and severed a transaction in action causing it to go bad when a
parent brought their child into this physically and mentally dangerous environment.
In the movies, television, and not so surprisingly in real life, these drug
cartels/pushers are out to murder all those in the way of their business and we
(most of us - the good guys) despise these villains and look forward to seeing them
get their share of kick-ass Karma. The drug pushers who commit vicious acts
deserve justice - preferably a scan and corresponding medication for treatment to
make them productive citizens, since the prison systems have not quite mastered
rehabilitation. Strangely enough, the leading drug industry that kills more than all
the prescription overdoses, alcoholic diseases, and street drug related deaths
combined is being advertised in the mouth of these Hollywood action heroes who
just killed all the bad guys. The tobacco empire is functioning at the same ethical
level as these drug pushers, and legally claiming over 400,000 lives per year and
the drug pusher from overdose, diseases, and murder take about 40,000 per year.
Sadly, this evil empire focuses their advertising campaigns towards children (very
heavily in third world countries).
Gangs have invaded our neighborhoods and have infected our streets and prisons.
I have talked to several inmates, big time famous gang leaders and followers, and I
have been left with the following thought.
When placed in the front lines of a war zone one has to put on a uniform and fight
and kill or be killed. One of my patients, an inmate, decided while in prison not to
be in uniform (a gang) and his face is battered with scars for his decision a price
he was happy to pay and lived to enjoy. Eventually he earned respect and was left
to be. Gangs and wars have been around for thousands of years; they just have
different names, products, and a turf to protect. It seems like it maters which
side of the tracks you were born on and more importantly who your friends are and
if you decide to make enemies. For some it is time to jump the tracks and set
yourself free.
As for the pushers, I would say retire, disappear, take the money and run, get
out, and move on before you lose your life or freedom (plan your escape from the
freedom side of the bars).
57

I have discussed with several inmates, soon to be released, and after lots of time
to think, their plan, when released to bury the past and start life over. I met one
inmate whose plan was making as much money as possible from dealing until he got
caught, then do his time, and live off the retirement he saved. He never used the
drugs knowing that it would alter the odds against him for survival sad thing is his
career goals he threaten the lives of others. Perhaps street drugs should be
legalized, require monitored of the manufacturing, kept from children/developing
minds, and taxed to the extreme.
6.02 Pot or Not
Cannabinoids (delta-9-TetraHydroCannabinol - THC) is available as marijuana and
hashish. Marijuana comes in the form of a dried, cured leaf and is also known as
pot, reefer, weed, grass, herb, joints, blunt, dope, Mary Jane, dubie, sinsemilla,
skunk, and ganja. Hashish oil is a dense resin substance of cannabinoids obtained
from the plant by solvent extraction into a harden form or an oil. It is also called
honey oil, wax, dabs, or budder and it can be the most potent of the main cannabis
products because of its high level of psychoactive compound per its volume.
Marijuana is the world's most commonly used illegal substance that is now
transitioning into the market as medicinal. It is a written prescription for multiple
medical diseases/illness. As a prescribed medication for certain aliments there is
hope and good success. There is side effects and adverse reactions profile (the
shit happens list) that all should know about before starting this controlled drug.
Primarily it is smoked in the cigarette version (without the filter), or in a pipe, or in
a bong (a pipe with a supercharger on it ram air), or digested in the form of
brownies. Intoxication begins with the possible symptoms of feeling calm, cool,
and life is good or feeling really bad with anxiety (panic attacks), psychosis, or
social withdrawal.
With long term use/abuse of THC there may be damaging side effects such as
problems with short-term memory, problems with short-term memory,
complications performing complex jobs, poor judgment, problems with perception
of the senses, impaired body performance (all extremities, gentlemen) and
sedation. The experience may also include hallucinations or distorted hearing,
seeing, or feeling things. Regular users find themselves exhausted both mentally
and physically, and one-third experience mild forms of anxiety, irritability, and
depression, (36) while others just love it.

58

With research findings of loss in IQ of 8 points for those using pot early in life, it
is of upmost concern for youth to abstain till development of the brain is fulfilled.
After one is in their 20s and older, then the loss in IQ (being stupid) is only
temporary. (56)
Many use it as a social event and it does not consume their life. However, I have
seen social use cost greatly from gross errors at work and failed drug screens,
both costing employment status. As far as on the road, marijuana drivers are
probably more inclined to be hit from behind, by the drunks, for going too slow.
This is a drug that causes euphoria and can diminish anxiety as life's problems are
blown away. Some have no dependency or withdrawal symptoms when continual use
of marijuana is abruptly stopped. Others, after three days following withdrawal,
may develop symptoms of headaches, cravings, restlessness, depression,
irritability, and loss of appetite. These symptoms may last up to two to three
weeks. Also keep in mind, initial problems with depression, nervousness, anger, and
sleep may return. These may be the underlining problems in the first place that
may have directed one to use. These problems are best treated legally and with
professional consultation and prescription medication or just meditation.
Some may be doing just fine for years on marijuana, then out of nowhere
experience a "bad trip" (been there, done that, and smoked the T-shirt). There
are multiple findings of severe paranoid episodes that incorporate delusions,
depersonalizations (party is over), problems with reality, and broken families and
friendships from the "cranium up the rectum syndrome."
Other problems I have seen with THC is the loss of memory and function to move
on in life, laced with illusions of grandeur, when s/he thinks they are intellectually
superior in wisdom and philosophy yet unable to finish high school. Looking at the
SPEC exams, we see poor activity (metabolism) in the part of the brain where one
learns from life events and mistakes. If that part of the brain is not functional,
then one may have problems with maturity and cutting the umbilical cord from
home and parents. Thus, with long-term abuse we may have the 40-year-old going
on 14 and still living with mom.
Dealers have been known to play in the chemical additive game (to make the
product more addictive and have a synaptic kick) by lacing marijuana with other
chemicals that may dangerously compromise one's mental and physical health. And
coming soon, to a treatment center near you, we will be seeing marijuana-induced
cancer. The latest findings include cancer-causing additives found in marijuana.
59

As a matter of fact, marijuana has more of the lung cancer-causing agent called
benzopyrene than tobacco (37). Two of my patients in their thirties who were
heavy users, one smoking only pot, developed cancer of the bladder. Marijuana is
also known to cause testicular atrophy, that being small testicles in a full-grown
adult - a big dude with child size balls. The children turn out ok, as far as we know,
it just may be that the child will have bigger balls than pops. Bladder cancer is a
simple cancer to fix as the surgeon just cuts out the bladder and attaches a tube
to it that penetrates out the abdominal cavity, just below the belly button, into a
pee bag. The cancer is easy to contain and keep from spreading. When the cancer
hits the lungs, options for survival are limited.
Over time with regular marijuana usage (with only one time per week) gum disease
is common, which causes jawbone deterioration and loss of teeth. It is the toxin
inhaled which causes this oral dilemma. So floss and brush your teeth.
Street drugs and alcohol have been associated with the development of psychosis
and schizophrenia. Consequently these subjects may experience hallucinations
(seeing and hearing things not here in reality), delusions, disturbed thinking,
bizarre behavior, and agitation.
Research and data reveal that Cannabis,
Marijuana (and other street drugs) have been linked to significant increases in a
person's risk for schizophrenia - up to 10 times higher risk with cannabis use (38).
There has been over 30 scientific studies (mostly in Europe) and a most impressive
one that interviewed 50,000 members of the Swedish Army that included a followup years later in the life of the users. The heavy users of cannabis at age 18 were
600% more likely to be diagnosed with schizophrenia before 30 years old. Other
research findings presented a 700% increased risk of this disease. For those who
use pot before 15 years old, the chances of developing schizophrenia are three
times more than those starting at 18 years old.
Many research scientists believe that using the drug while the brain is still
developing (under 18 years old) boosts the level of the chemical dopamine in the
brain, which causes schizophrenia. Also there is a gene that one out of four
humans inherit named COMT. If one has it, and smokes pot in their teens, it is like
playing Russian Runlet. One out of six kids smoking pot with this COMT trait will
end up psychotic and the other 5 may be hit with other side effects. In closing,
for those smoking marijuana, there is a four times increased risk of suicide in
males and five times for females. THC should not to be used for those under 18
years old, as there is a concern of life long mental disability and loss of
intelligence.
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6.03 Medicinal Marijuana

For a current listing of the medical research and the potential of this medication,
I would like to refer to Wikipedia, as follows (39):

Medical cannabis has several potential beneficial effects. Cannabinoids can serve
as appetite stimulants, antiemetics, antispasmodics, and have some analgesic
effects, may be helpful treating chronic non-cancerous pain, or vomiting and nausea
caused by chemotherapy. The drug may also aid in treating symptoms of AIDS
patients. Cannabis appears to be somewhat effective for the treatment of chronic
pain, including pain caused by neuropathy and possibly also that due to fibromyalgia
and rheumatoid arthritis. In palliative care the use appears safer than that of
opioids.
THC is not for developing minds and testicles.
6.04 Crack the Ice
All right, I will quit picking on the potheads and hit on those who have been sucked
into smokin chemicals. The statistics are not as readily available for chemicals as
the research on marijuana. It is hard to find thousands of drug addicts taking and
selling illegal drugs available for interview and testing. There is overwhelming
evidence that methamphetamines (especially during the early years of life) lead to
schizophrenia, depression, anxiety, and suicide and those in this drug bracket are
most likely to end up as BOP tenants - locked up (a bad trip lasting 10 to 30 years).
Cocaine (cocaine hydrochloride) is known under various names such as blow, bump,
C, candy, Charlie, coke, crack, flake, rock, snow, toot. The smoked form is called
crack and is the low budget version of cocaine.
Methamphetamine (Desoxyn) is also smoked and carries several names such as
chalk, crank, crystal, fire, glass, speed, go-fast, ice, and meth. Ice is crystal,
clear in appearance, looks like rock candy or rock salt. It is also commonly called
crystal or glass and is very addictive. The use of this drug results in a longer, more
powerful high, faster onset, and less negative effects than the other forms of
methamphetamine.
Cocaine is the rich man (womans) drug of choice as it is clean and more socially and
legally accepted and it goes up the nose or finds its way IV (IntraVenous).
Crack/meth is the poor man/womens curse.

61

The following are most of the side effects (adverse reactions) one may experience
from these drugs. If some of these problems arise seek help quickly.
Cardiovascular (heart and vessels):
Tachycardia (fast heart beat)
Hypertension (high blood pressure)
Arrhythmias (irregular heart beats)
Myocardial ischemia (poor blood flow to the heart that could lead to death)
Cardiomyopathy (enlarged heart) from the hypertension
Accelerated atherosclerosis (clogging of the arteries)
Metabolic acidosis (the blood becomes too acidic)
Arteries (blood vessels) have spontaneously ruptured causing organ damage in the
brain, kidney, liver, pancreas, and small bowel of methamphetamine drug abusers.
Also with any intravenous drug, bacterial or fungal endocarditis (heart infection)
can destroy the heart valves and the vessels that provide blood flow to the heart,
leading to a heart attack.
Central Nervous System (CNS-brain):
Seizures (epileptic fit such as the body radically jerking about)
Psychosis (seeing, smelling, hearing, or tasting things that are not there)
Choreoathetoid (chaotic involuntary muscle movements)
Stoke (hemorrhage or artery spasm blocking off blood flow to the brain)
Cerebral edema (brain swelling)
Cerebral vasculitis (brain vessel irritation)
Respiratory (lungs):
Pneumothorax (air becomes entrapped in the lungs)
Acute noncardiogenic pulmonary edema (fluid builds up in the lungs)
Pulmonary hypertension (high blood pressure in the vessels in the lungs)
Renal and hepatic (kidney and liver):
Renal failure (may require dialysis - kidney machine that filters the blood)
Hepatocellular (liver) damage has been reported with just using a few times and
this is especially of concern for those who have Hepatitis C
Other: GI ulcers (bleeding stomach ulcers), Ischemic colitis (blood flow to part of
the intestines is damaged), Spontaneous abortion (could be fatal to the mother)
Teratogenesis (monstrously deformed baby) birth of a freaky looking baby, Selfinduced skin picking and burns, Extreme tooth decay is common (tooth decay is
probably caused by a combination of drug-induced psychological and physiological
changes resulting in dry mouth and extended periods of poor oral hygiene, frequent
consumption of high calorie, carbonated beverages and tooth grinding)

62

With the recent Oklahoma legislation removing ephedrine (pseudoephedrine)

medications from over the counter sales, health professionals are seeing an
increase in hospital admissions that appear to be due to new substitute recipes for
meth. The poisoning effects include uncontrollable rage, with delusional, paranoid
thoughts, aggressiveness, and combative behavior.
Most users were angry with the state government for imposing this law instead of
being angry with their suppliers. These meth kitchen pharmacist were creating
new, cheaper, more dangerous recipes that are killing their clients - just to save a
buck or two.
An inmate who had a masters degree in chemistry, bragged about his technique to
make meth that cost over $10,000 in equipment, and was much more time
consuming and complex to process, thus yielding a cleaner and safer product. He
had a chosen few whom he supplied for, mostly truckers, that were particular
about their fuel supply to keep them on the road all hours of the day and night. I
recommend caffeine, versus methamphetamines, as one will never financially break
even speeding on meth.
As mentioned above, one may just be seeking treatment for a chemical imbalance,
thus prescription medications are much cleaner and safer (FDA approved).

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6.05 Head Case

For those smoking meth, jus a heads up: Say you are at a party and the host falls
to the floor and complains of not being able to move the right side of his body.
You ask about his drug use and find that he has been hitting the meth. With your
pearls of medical wisdom, you suspect he just had a CVA (stroke) and so you clear
out the party and call the ambulance, STAT!
Later that night you swing by the ER to visit your friend and you see the CT scan
of his brain on the X-Ray box:

This is a scan of your friend looking from on top (opening up the hood). The bleed
is on the left side of his brain as seen by the large white bust figure that just so
happens to have the jaw line of Jay Leno. Smoking just about anything out there is
hazardous to your health. So if you cant Just say No, then at best - dont inhale.
Sadly, this is one way to be drug free, being paralyzed in a nursing home (for life).
This patient above was a meth addict and ended up in our ER with the above issues
and abnormal CT scan.

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6.06 Smokin Data

US Recreational Drugs Deaths - Illegal: 19,102/year.
We know that substance abuse is involved in 50 percent of all highway deaths and
over 50 percent of domestic violence cases (40). Recreational drugs have been the
cause of countless fatal motor vehicle accidents a new meaning to a "bad trip!"
6.07 ReSPECT ADHD
If diagnosed with ADHD - get a PET or SPECT scan before and after medication to
see if the prescription is truly working. Dr. Amen's work on ADHD patients
actually demonstrates an improvement of brain activity after medication.
He identified the different subtypes of Attention Deficit Disorder (ADD). Brain
imaging is not necessary to make the diagnosis of ADD. On the other hand, it will
confirm that the medicine is working and is helpful for complicated cases.
Dr. Amen has mapped out the brain pictures to match up with the subtypes of
ADD. Let us look at some images of a patient who is at rest, when concentrating,
and after treatment, to see the brain in living color.
The following scans present a patient that has AD/HD Combined type - both
symptoms of inattention (cannot concentrate) and hyperactivity-impulsivity (cannot
stand still).
Brain SPECT imaging usually shows decreased activity in the front part of the
brain, called the basal ganglia and prefrontal cortex when concentrating. This
subtype of ADD typically responds best to psycho-stimulant medication such as
Adderall or Dexedrine.

65

REST, CONCENTRATION, and TREATMENT with MEDICATION:

These SPECT brain scans are views looking at the brain from below undersurface
views. This point-of-view is the same as looking at the engine from under the car.
REST

FRONTAL
Part of the BRAIN

CONCENTRTATION

REST: The arrows show decrease in brain activity in the frontal areas when at
rest. The areas of concern look like holes (pocket areas) in the brain.
CONCENTRATION: The arrows show a decrease in brain activity in the prefrontal
cortex (front part of the brain) when trying to study. The brain struggles to focus
and make judgment calls.

Treatment with Adderall

TREATMENT with ADDERALL: Overall marked improved activity.

Note the increase in brain activity where the holes were.
This patients
performance and concentration greatly improved with the right recipe of high tech
chemical tools.

66

A recent study shows that treatment with prescribed stimulants decreases the
future abuse of drugs such as methamphetamines for those who have ADHD (41).
Adderall is cleaner than the mom-n-pops kitchen-chemistry. If the brain does not
show improvement, then do not be exposed to these ADHD medications (such as
Adderall, Dexedrine, Ritalin).
Amphetamines are schedule II controlled
substances, meaning they have been deemed to have a high potential for abuse and
addiction and they could cause significant psychiatric problems and lead to polysubstance abuse. On the other hand, if you are doing better on this controlled
medication, as a prescription, it is NOT an addiction that you are attracted to
these drugs it is treatment! There are non-controlled medications, which should
be considered, which may be helpful in treating ADHD such as atomoxetine
(Straterra) and bupropion SR.
The moral of the story is to find your drug of choice or avoid the drugs that may
be keeping you from good choices.
As a science experiment, stop using caffeine, sweets, and organic pollutants (soda
pop and junk/fast food), and take vitamins (including Vit D, B12, magnesium,) and
exercise until your heart is content and see what happens. A school principal,
staff, and supportive parents were successful in removing the soda and junk food
from the cafeteria. Behold, the student population improved in their attention
span, scholastic testing, there was less disciplinary problems noted, and weight loss
was sizeable.
6.08 Medication Consideration
The FDA has not approved any medications for treating the fatal attraction to
marijuana, cocaine, and methamphetamines. Some medications help calm down the
side effects and the withdrawal, such as anti-psychotics, anti-seizure, and blood
pressure (clonidine) type of medications.
For those depressed, it is best to try a few of the antidepressants (or atypical
antipsychotic or seizure medications) through your medical provider, preferably a
psychiatrist, and manufactured by a licensed and insured pharmaceutical company
(not the mom-n-pops kitchen company). Keep in mind that several of the chain
pharmacy stores have discounted prescription medications. These are not the new
expensive medications available, advertised by the cute drug reps in the tight
dresses, but they are the old workhorses of the industry. If they work just a
little and some money is freed up from the street drug bills, then perhaps other
new prescription medications may be affordable and more suitable for your
chemical needs.
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For treatment of those smoking methamphetamines, crack cocaine, or THC several

medications are being considered to treat the underlining illness, as well as the
brain injury caused by the drugs.
It is ideal to get off the street drugs that have caustic side effects. A quiet nonthreatening environment, encouragement, and TLC (Tender Loving Care) will help
one to recover.
Naltrexone, as discussed earlier, calms down the desire for alcohol and opioid
drugs. Clonidine also may be of service. If medically indicated, a drug called
ammonium chloride to acidify the urine helps with the amphetamine excretion (42)
- the person pees it out faster. These and other prescription medications should
be channeled through one experienced with psychiatry.
Psychiatrist are using the new atypical-antipsychotics to treat the hidden condition
that has led one to self medicate and also to control the drug induced psychosis
and bizarre behavior from years of abuse. The withdrawal problems are found to
be decreased with amitriptyline (Elavil), a tricyclic antidepressant, as it may help
restore dopamine function (43). Also clonidine may be helpful, as well as the antidepressant bupropion used for smoking cessation.
It is important to test for ADHD, as some of the medication prescribed for this
condition is similar to those manufactured and on the street.
Because of these new atypical-antipsychotic medications and new anti-anxiety and
antidepressants, we are able to cover a broader range of deeply imbedded neural
issues. When the storm calms down, then it is possible that those treated with the
new drugs will feel less inclined to self-medicate with street drugs (44).
There is life and light at the end of the tunnel. If one stops abusing illegal drugs
the brain will settle down and improve in function since humans have the tendency
to reprogram, reboot the brain to survive.

68

7.00 SMOKE BRAKE

It is time for a Smoke Brake put the brakes on tobacco addiction.
Stop pulling over every 30 minutes to pour
water in your leaking radiator.
If your radiator is leaking water Fix it!
Stop pulling out a smoke every 30 minutes to pour
norepinephrine and dopamine in your synapses.
If you have a tobacco addiction Fix it!
The biological piece of machinery we ride in is a very fragile and complicated
source of transportation that must be given optimum care, respect, and the best
treatment. Our medical technology has taken great advances beyond the days of
the blood sucking leaches and lobotomies.
Get the best medication and
consultation, and if you must sell the car (if you have one) to pay for it then do it.
If you have secured the medications and you are having a problem with a
medication side effect, dont make it your excuse to start smoking. Contact your
health PCP or pharmacists for medication consultation.
7.01 Medication Consultation
One of my Smoke Brake students, Bob, was a two pack per day (PPD) smoker of
additive-laced tobacco. I met him in my office for an upper respiratory infection.
He was ready to quit, and followed my instructions to stop the additive laced
tobacco and this helped him reduce his usage down to one PPD of the additive free
tobacco, just in time for one of my Smoke Brake classes. He sat at the front of
the class and sucked it up, started the bupropion and patches, and was doing great.
When I saw him two months later - this time he was in the ER and was just
diagnosed with pneumonia and was deathly sick.
Bob told me he stopped the bupropion pills because it caused constipation. I
warned him not to stop the bupropion (the tobacco cessation pills) just because he
ended up with constipation! It's your choice dude - constipation or cardiac
catheterization (heart cath).
.

69

If one has constipation from bupropion or varenicline, well then, sing this tune Do not get constipation,
that rock hard sensation,
when you cant let go number two.
Let me tell you dear friend,
it will hurt your rear end,
when the toilet makes friends with you.
The body was made,
to eat healthy every day,
with fruits, vegetables, and water.
These are the best of foods,
to change your bowel moods,
from rock hard to smooth as butter.
If your bowels are in turmoil,
then enemas, fiber, and oil,
from the drugstore to the commode.
If it doesnt come on out,
Youre in fear and start to doubt,
Rest assured, you will not explode.
But you barf or dont have gas,
and the BM does not pass,
and the belly pain gets severe.
Then the doc you must phone,
to let him hear you moan,
and get that BM out the rear.

Learn to adjust you life styles, or bowel movements, to fix your problems, or get
them going.

70

7.02 Know your ABCs

When taking any medications it is best to know your ABCs.

Allergies:
Before starting any medications, make certain your PCP knows all the medications
that you are allergic to and the problems that you had with them.
Babies on Board:
If you even think you might be pregnant or are breast-feeding then tell your PCP
as some medications could damage precious cargo.
Contraceptives:
Antibiotics may interfere with oral contraceptives and therefore will not provide
protection - you do not want your PCP to get you pregnant.
Drug Interactions:
Tell your PCP and pharmacist about all of your medications, including OTC drugs, in
order to investigate any drug clashing.
Education:
Know what your medications are for, carry a list of all of them, know the dosage
and common side effects.
Family and Friends:
For some, especially the elderly, it may be a good idea to provide a list of your
medications and dosages to someone you trust, so they can be aware of any side
effects or adverse reactions that you may not notice.
If you have started an anti-depressant (such as bupropion or nortriptyline) for
smoking cessation and find this medication improves your quality of life, consider
staying on that medication after tobacco termination. Even if you do not stop
smoking and find that life is better while on the anti-depressant, by all means stay
on it!
Usually it is the family or the co-workers, boss, or dog, who notices a change for
the good. Other times the world is changing around you - the dog is not limping, a
promotion at work, spouse moved back in and threw away the divorce papers, and
you are out playing with the kids again, and the kids want to play with you. I have
heard from many of my patients expressing their frustration of not having been on
an antidepressant one to two spouses ago.
The medical industry is always coming up with new medications through
researching, developing, and testing new chemical technology; we just need to give
it time. In the last decade research was in progress to find a new medication for
treating angina (chest pain).
71

The new heart drug was a flop, but it became a rising star with one of its side
effects. In fact the subjects did not want to give up their samples when the study
was over. This drugs side effect delivered great results for treating one of the
common downsizing effects men experience from smoking, which is impotence.
Behold, the rise of a new drug sildenafil (Viagra). Now it is expanding its usage to
include treatment for high altitude sickness for our climbers and bicyclist to make
it on top (45).
7.03 All Together Now
Several organizations offer excellent services and links to other treatment
programs for consultation and behavior therapies to be drug free. Add this
success rate to those of the smoking cessation pill(s) and patch and one has even a
better chance of being smoke free.
Cold Turkey is when one stops all tobacco or dope at once. For some it works after
a dozen times or more. The precaution is that seven out of 100 smokers who stop
cold turkey have thoughts of hurting themselves. Be alert to this possible problem
when stopping an anti-depressant (tobacco or drug cessation).
Consultation with your psychologist or licensed counselor is ideal for some. The
success rate for Individual is 17%, Group 14%, and Phone consultation being 13%.
Fresh Start is a group smoking cessation consultation program at www.cancer.org
available in several communities in the USA.
Biofeedback is where a patient is trained to tune out undesirable feelings. Here a
health care professional uses special testing equipment to monitor one's bad
vibrations. These sensors measure skin temperature, muscle tension, and/or brain
function. When all is set up, then the patient is able to see the body in action and
then adjust his feelings (thoughts) to live in the good vibrations. Often when one
is coming off drugs the opportunity to fine-tune his symptoms to see the
relaxation actually helping is very supportive.
Hypnotherapy is a relaxation therapy. Take the slow deep breathing training and
mix it with muscle relaxation and guided imagery (pleasant thoughts) under the
guidance of a trained professional and you have hypnosis. Some peoples minds are
trainable and it is very impressive to see them take positive control of their
thoughts and desires.

72

Acupuncture has a place in this world. There is controversy about how successful
it is, as it is difficult to do a study on one group that gets treatment and the other
that does not. I have had many of patients stated they are smoke free through
this procedure.
Setting Your Stop Date is a special event to be celebrated for life.
Schedule this date during a low stress time of the week/month.
Prepare medication and education for drug cessation.
Make a First Aid Kit by preparing oral goods and paraphernalia to hold off the
withdrawal of tobacco addiction such as:
Breathe spray (refresh the mouth)
Straws (suck/chew on it)
Tooth picks (soaked in flavored oil)
Snacks, gum, water bottle, and a
Puke bottle, which is a sealed container with a cigarette butt soaked in beer, sniff
it when the urge arises to use, or if really tempted, take a drink and puke it away.
Get FREED Protocol
F - Family or Friend for support and encouragement
R - Rx (medication) to help restore the brains chemical balance
E - Exercising (endorphins rush) and Eating healthily (for brains nutrition)
E - Exit plans from the temptations that have held you captive
D - Drinking lots of water
Doing something else
Deep breathing
Delayed, the urge will go away
(The four Ds are from Fresh Start program - www.Cancer.org)

FALL Protocol (off the program/wagon)

Follow-up with your PCP
Assess and Address the cause
Learn from your fall
Look for other programs or medications
It may take several FALLs to conquer the withdrawal. Do not give up. One of the
most important messages I leave my Smoke Brake students is - do not give up.

73

There is a program or medication to match your situation. Two of the most

difficult patients I had were these brothers - nothing was working. We started
off with non-additive cigarettes, then bupropion - No Good (NG), then clonidine
NG, trial of nortriptyline NG, these medications were combined with nicotine
therapy and still NG, Varenicline NG, behavior heath consultation NG, I ran out
of ideas, had nothing left - then finally the ideal match. They are doing great and
have not smoked at all and love it! The problem is this luxurious program is costly,
but thankfully I was able to secure a government credit card for the procurement
of this research project your taxes at work. I have them locked up in a Vegas
hotel with two hookers on guard keeping them from temptation.
7.04 EDucation
With all the above said, this material could be condensed within one paragraph with
the potential to release the tobacco empires grip.
Visualize a long balloon being blown up with discussion as follows:
Gentlemen one of the wicked side effects of smoking you may be cursed with is
impotence Erectile Dysfunction. If you do not know the meaning of this
phenomenon take note to the deflation of this balloon from the erect position.
Basically dudes, your hardware will, in short, turn into software.
In conclusion, one more thing I would like to bring up about this discussion of
dysfunction...
Women - choose your man, wisely!

That will be my Smokin Theory.

74

(51)

The Ends
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http://www.nlm.nih.gov/medlineplus select <Dictionary> or the <Encyclopedia>.
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5. ACE study was carried out by the Centers for Disease Control and Prevention (CDC) and the Kaiser
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Health Sciences Center in Tucson, Surf to www.ACEstudy.Org
6. Pontieri FE, Tanda G, Orzi F, et al. Effects of nicotine on the nucleus accumbens and similarity to those of
addictive drugs. Nature 1996; 382(6588):255-7.
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http://www.nih.gov/researchmatters/november2011/11212011nicotine.htm
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(http://biomarker.cdc.go.kr/)
14. http://www.cc.nih.gov/about/news/newsletter/2008/aug08/Levine_cropped.jpg
15. http://www.cancer.gov/clinicaltrials/learning/science-explained-imaging/page8.
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17. Amen, Daniel G. Why Don't Psychiatrists Look At The Brain? The Case for Greater Use of SPECT Imaging in
Neuropsychiatry. NeuroPsychiatry Reviews. Vol.2, No.1. February 2001. Available at:
http://www.neuropsychiatryreviews.com/feb01/npr_feb01_spect.html. Accessed 06/01/04.
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dependence and lowers cigarette consumption. Nicotine Tob Res. 1999; 1z Suppl 2:S63-7; discussion S69-70.
21. The Health Consequences Of Smoking - Nicotine Addiction, a report of the Surgeon General - 1988.
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24. Nicotine Tob Res. 2009 September; 11(9): 10761082. Published online 2009 July 1. doi:
10.1093/ntr/ntp104. Robert P. Murray, John E. Connett, and Lisa M. Zapawa
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Accessed 05/04/04.
26. US Recreational Drugs Deaths-Special New Release of BBSNws Faqlet (98) July 2002.
27. National Center of Health Statistics. Available at: http://www.cdc.gov/nchs/fastats/lifexpec.htm.
Accessed 06/10/04.
28. National Center For Chronic Disease Prevention and Health Promotion - Tobacco Information and Prevention
Source. Report from 1999 survey. Available at:
http://www.cdc.gov/tobacco/research_data/economics/mmwr5114.highlights.htm
29. Medical News Today. Available at:
http://www.medicalnewstoday.com/medicalnews.php?newsid=6438. Accessed 06/12/04.
30. Glantz SA, Parmley WW. Passive and active smoking: A problem for adults. Circulation 1996; 94: 596-8.
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31. DiFranza JR, and Lew RA. Effect of maternal cigarette smoking on pregnancy complications and Sudden
Infant Death Syndrome. Journal of Family Practice 40;
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http://www.who.int/archives/ntday/ntday98/ad98e_3.htm. Accessed 04/05/04
33. AHCPR Supported Clinical Practice Guidelines, Section 18. Treating Tobacco Use and Dependence (revised
2000) - Chapter 6. Available at
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hstat2.section.7838. Accessed 4/12/04.
34. Pontieri FE, Tanda G, Orzi F, et al. Effects of nicotine on the nucleus accumbens and similarity to those of
addictive drugs. Nature 1996; 382 (6588):255-7.
35. 2007 MedWatch safety summary and current reports, including a link to the FDA
Early Communication Sheet about an Ongoing Safety Review such as regarding this issue at:
http://www.fda.gov/medwatch/safety/2007/safety07.htm #Chantix.
36. Diagnostic and Statistical Manual of Mental Disorders DSM- IV, 4th ed. Washington, DC: American
Psychiatric Association, 1994.
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38. http://www.schizophrenia.com/prevention/streetdrugs.html
39. http://en.wikipedia.org/wiki/Medical_cannabis
40. Alison CA, Julie KF. The University of Iowa Family Practice Handbook, 4th ed. University of Iowa Hospitals
and Clinics - Peer Review Status: Externally Peer Reviewed by Mosby.
http://www.vh.org/adult/provider/familymedicine/FPHandbook/Chapter18
Select <Acute Psychosis>. Accessed 03/05/04 and several other dates.
41. Wilens TE, et al. Does stimulant therapy and attention-deficit/hyperactivity disorder beget later substance
abuse? A meta-analytic review of the literature pediatrics 111(1):179-185, 2003.
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substantia nigra: reversal by tricyclic antidepressants.
Pharmacol Biochem Behav 1980;13:379-383.
44. Glick ID, Lemmens P, Vester-Blokland E. Treatment of the symptoms of schizophrenia: a combined analysis of
double-blind studies comparing risperidone with haloperidol and other antipsychotic agents. Intl Clin
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and pulmonary hypertension". Am. J. Respir. Crit. Care Med. 171 (3): 27581.
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http://www.cdc.gov/tobacco/research_data/economics/mmwr5114.highlights.htm
47. Neuro-synaptic animation clips/pictures from Dr. David Sachs, MD, an internationally recognized physician,
clinician, and research scientist in the field of pulmonary medicine and tobacco dependence.
48. http://www.ninds.nih.gov/
49. Picture from Claremore Indian Hospitals DVD presentation called Smoke Brake.
50. Picture by Captain Wayne Keene of a storm over Butte Mountain transparent upon picture of the brain.
51. Picture by Captain Wayne Keene of the Smiling Dragonfly
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53. Positive 24-week Results For Contrave Phase III Obesity Treatment Study Reported By Orexigen,
Medical News Today, 28 Sep 2006
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Combination Medication for the Treatment of Obesity". Obesity 17: 30-39.
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63. http://www.seattleorganicrestaurants.com/vegan-whole-foods/genetically-modified-chickens/
76

Tobacco Additives

List of tobacco additives permitted in the UK in March 2000

(Extract from the official Department if Health documentation)
Acacia gum,

Acetal,

Acetanisole,

Acetic acid and/or its potassium and sodium salts,

Acetoin,

Acetone,

Acetophenone,

6Acetoxydihydrotheaspirane,

Acetyl methyl cellulose,

2Acetyl

pyrazine, 2Acetyl pyridine, 3Acetyl pyridine, Alga resinoid, Allspice extract, oleoresin and oil, Allspice leaf oil, Allura Red, Allyl hexanoate, Almond oil, Aluminium acetate, Aluminium
carbonate, Aluminium citrate, Aluminium lactate, Aluminium oxide, Aluminium phosphate, Aluminium tartrate, Aluminium trihydroxide, Aluminosilicates, Amber oil, Ambergris
extract, Ambrette seed oil and absolute, Ambrox, Ammonium acetate, Ammonium carbonate, Ammonium chloride, Ammonium citrate, Ammonium dihydrogen phosphate, Ammonium
hydroxide, Ammonium lactate, Ammonium sulphate, Ammonium tartrate, +Amyl acetate, Amyl alcohol, +Amyl benzoate, +Amyl butyrate, alphaAmyl cinnamaldehyde, +Amyl formate, +Amyl
hexanoate, +Amyl isovalerate, +Amyl octanoate, +Amyl phenylacetate, +Amyl salicylate, +Amyl valerate, transAnethole, Angelica root extract and oil, Anise and oil, Anisole, paraAnisyl
acetate, paraAnisyl alcohol, Arachis oil, Ascorbic acid, Azorubin, Balsam oil, Bay leaf, oil and sweet oil, Beech tar extract, Bentonite, Benzaldehyde, Benzoic acid and/or its potassium and
sodium salts, Benzoin, Benzoin resinoid, Benzyl acetate, Benzyl alcohol, Benzyl benzoate, Benzyl butyrate, Benzyl cinnamate, Benzyl formate, Benzyl isobutyrate, Benzyl
phenylacetate, Benzyl propionate, Bergamot oil, Boric acid and/or its potassium or sodium salts, Bornyl acetate, , *Brilliant Black BN, Brilliant Blue FCF, Butyl acetate, Butyl
butyrate, 1,3,Butylene glycol, Butyl phenyl acetate, paratert Butyl pyridine, Butyric acid, Cadinene single or mixed isomers, Cajeput oil, Calcium acetate, Calcium carbonate, Calcium
chloride, Calcium citrate, Calcium hydroxide, Calcium lactate, Calcium phosphate1 (mono, di or tri), Calcium tartrate, Camphene, dCamphor, Camphor oil2 (safrole free), Caramel1 obtained
wholly by heating a sugar solution with or without a small amount of acid, alkali or alkali carbonate, Caraway oil, Carbon dioxide, Carboxy methyl cellulose and its sodium salt, Cardamon oleoresin,
extract, oil, seed oil and powder, Carob bean extract, Carrot seed oil, Carvacrol, 4Carvomenthenol, Carvone, betaCaryophyllene, Caryophyllene alcohol, Caryophyllene oxide, Cascarilla oil,
bark oil and extract, Cassia buds, bark oil and extract, Cassia extract, Castor oil, Castoreum extract and absolute, Cedar leaf oil, Cedarwood oil, Cedrol, Cedryl acetate, Celery seed extract,
solid, oil and oleoresin, Cellulose acetate1 (4570% hydroxyl groups acetylated), Cellulose acetate propionate, Cellulosealphaalkanoylalkanoates, Cellulose fibre, Chamomile flower oil and
absolute, Chlorophyll, Cinnamaldehyde, Cinnamic acid, Cinnamon leaf, oil, bark oil and extract, Cinnamyl acetate, Cinnamyl alcohol, Cinnamyl butyrate, Cinnamyl cinnamate, Cinnamyl
isobutyrate, Cinnamyl isovalerate, Citral, Citric acid and its tripotassium and trisodium salts, Citronella oil, Citronellal, dlCitronellol, Citronellyl acetate, Citronellyl butyrate, Citronellyl
formate, Citronellyl isobutyrate, Citronellyl phenylacetate, Citronellyl propionate, Civet absolute, Clary sage oil and absolute, Clove stem oil, leaf oil, bud oil and extract, Cocoa, cocoa shells and
extract, cocoa distillate and butter, Coffee extract, concentrate and powder, Cognac oil, white and green, Coriander extract and oil, Cubeb oil, Cumin, cumin seed oil and
absolute, Cuminaldehyde, Cyclamen aldehyde, paraCymene, Cypress oil, betaDamascenone, betaDamascone, Davana oil, deltaDecalactone, gammaDecalactone, Decanal, Decanoic
acid,
Dextrin,
Diacetyl,
Diammonium
hydrogen
phosphate,
Diatomaceous
earth,
Dibenzyl
ether,
alpha2,3Diethylpyrazine,
2,3Diethyl5-methyl
pyrazine,
Diethyl
sebacate,
Dihydroactinidiolide,
Dihydrocarvyl
acetate,
3,4Dihydrocoumarin,
Dill
seed
oil
and
extract, paraDimethoxybenzene, alphaalphaDimethylphenethyl
acetate, alphaalphaDimethylphenethyl
butyrate, 2,6Dimethoxyphenol, 3,4Dimethyl1,2cyclopentadione, paraalphaDimethyl
benzyl alcohol, 2,5Dimethyldihydrofuranolone, 3,4Dimethyl phenol, 1,1Dimethyl2-phenylethyl isobutyrate, 2,5Dimethyl pyrazine, 2,6Dimethyl pyrazine, 3,5Dimethyl pyridine, paraalpha
Dimethyl styrene, Diphenyl ether, Dipotassium succinate, deltaDodecalactone, gammaDodecalactone, betaElemene, betaElemol, , *Erythrosine, Estragole, Ethanol, Ethyl acetate, Ethyl
acrylate, Ethyl benzoate, Ethyl butyrate, Ethyl cellulose, Ethyl cinnamate, Ethyl decanoate, 2Ethyl3,5dimethyl pyrazine, 3Ethyl2,5dimethyl pyrazine, Ethylene vinyl acetate copolymer, Ethyl
formate, 4Ethyl guaiacol, Ethyl heptanoate, Ethyl hexanoate, Ethyl hydroxy ethyl cellulose, 3Ethyl2hydroxy2
cyclopentene1one, Ethyl isovalerate, Ethyl lactate, Ethyl laurate, Ethyl
maltol, Ethyl2methyl butyrate, 3Ethyl2methylpyrazine, Ethyl myristate, Ethyl nonanoate, Ethyl octanoate, Ethyl palmitate, paraEthyl phenol, Ethyl phenyl acetate, Ethyl propionate, 3Ethyl
pyridine, Ethyl salicylate, Ethyl10undecenoate, Ethyl valerate, Ethyl vanillin, Eucalyptol, Eucalyptus oil and absolute, Eugenol, Eugenyl methyl ether, Farnesol, Fennel and sweet
oil, Fenugreek extract, resin and absolute, Formic acid, dFructose, Fruits, fresh, dried extracts and esters thereof apple, apricot, banana, blackberry, blackcurrant, cherry, date, fig, grape,
peach, pear, pineapple, plum, prune, raisin, raspberry, strawberry., 2Furan methane thiolformate, Furfural alcohol, Furfuryl methyl sulphide, Gentian root extract, Geraniol, Geranium rose
oil,
Geranyl
acetate,
Geranyl
acetone,
Geranyl
butyrate,
Geranyl
formate,
Geranyl
isobutyrate,
Geranyl
phenyl
acetate,
Geranyl
propionate,
Ginger
oil, dGlucose, Glycerol, Glycerol1,2diacetate, Glyceryl triacetate, Glyoxal1 (Tobacco sheet or paper no free residue), Guaiac gum extract, Guaiac wood oil, Guaiacol, Guaiol acetate, Guar
gum,
Gum tragacanth,
2,4Heptadienal,
gammaHeptalactone,
Heptanoic acid,
2Heptanone,
4Heptenal,
omega6Hexadecenlactone,
gammaHexalactone,
3,4Hexanedione,
Hexanoic
acid, cis3Hexen1ol, Hexen2al, Hex2enyl acetate, 3Hexenyl acetate, Hexyl acetate, Hexyl alcohol, Hexyl phenyl acetate, Honey, Humic acid, Hydrochloric acid1 (for tobacco sheet or paper
no
free
residues),
4Hydroxy
benzoic
acid
and/or
its
ethyl,
propyl
esters
and
their
sodium
salts,
4Hydroxybutanoic
acid
lactone,
Hydroxycitronellal,
Hydroxycitronellol,
2Hydroxyisophorone,
4(pHydroxyphenol)2butanone,
Hydroxypropyl
cellulose,
Immortelle
oil
and
absolute, , *Indigotine, Indole, alphaIonone, betaIonone, Iron oxides, alphaIrone, Isoamyl alcohol, Isobornyl acetate, Isobutyl acetate, Isobutyl alcohol, Isobutyl butyrate, Isobutyl
cinnamate, Isobutyl phenethyl alcohol, Isobutylphenyl acetate, Isobutyraldehyde, Isoeugenol, Isoeugenyl methyl ether, Isopentane, Isophorone, 4Keto dihydroisophorone, 4Keto
isophorone, Isopropyl alcohol, Isopropyl myristate, Isopulegol, Isovaleric acid, Jasmine absolute concrete and oil, Juniper berry oil, Labdanum absolute, oleoresin and oil, Lactic acid and/or
its potassium and sodium salts, Lauric acid, Lavender absolute or oil, Lecithin, Lemon oil and extract, Lemongrass oil, Licorice root, fluid, extract and powder, Lime oil2
(terpeneless), dLimonene, Linaloe wood oil, Linalool, Linalool oxide, Linalyl acetate, Linalyl butyrate, Linalyl formate, Linalyl isobutyrate, Liquid Paraffin BP, Locust bean gum, Longosa
absolute and oil, Lovage oil and extract, Mace powder, extract and oil, Magnesium acetate, Magnesium carbonate, Magnesium chloride, Magnesium citrate, Magnesium hydroxide, Magnesium
lactate, Magnesium oxide, Magnesium phosphate, Magnesium tartrate, Malt and malt extract, Maltol, Maple syrup, extract and concentrate, paraMentha1,8dien7ol, Menthol, Menthyl
acetate,
Menthyl isovalerate,
Mercaptomenthanone,
paraMethoxy benzaldehyde,
orthoMethoxy cinnamaldehyde,
paraMethoxy cinnamaldehyde,
2(or 5- or 6) Methoxy3methyl
pyrazine, 2Methoxy4methylphenol, 2Methoxy4vinylphenol, 1(paraMethoxyphenyl)2propanone, Methyl acetate, 4Methyl acetophenone, Methyl anisate, paraMethyl anisole, Methyl
benzoate, alphaMethyl benzyl acetate, alphaMethyl benzyl alcohol, 2Methyl butyraldehyde, 3Methyl butyraldehyde, 2Methyl butyric acid, Methyl cellulose, Methyl cinnamate, Methyl
cyclopentenolone, Methyl ethyl ketone, 5Methyl furfural, 6Methyl3,5heptadienone, 6Methylhept5en2one, 2Methyl heptanoic acid, 2Methyl hexanoic acid, Methyl hydroxy ethyl
cellulose, Methyl hydroxy propyl cellulose, Methyl isovalerate, Methyl linoleate, Methyl linolenate, Methyl mercaptan, 2Methyl5(methylthio)furan, Methylbetanaphthylketone, 3Methyl
pentanoic acid, Methyl phenyl acetate, 2Methyl pyrazine, 5Methyl quinoxaline, Methyl salicylate, Methyl sulphide, 2Methyl undecanal, 3Methyl-1cyclopentadecanone, 3Methyl2(2pentenyl)2cyclopenten1one, Methyl2octynoate, Methyl2pyrrolyl ketone, 2Methyl4phenyl butyraldehyde, Mimosa absolute, Mint oil, garden mint oil, wild mint oil2 (partly dementholised), Molasses
extract and tincture, Mullein flowers, Musk ketone, Musk pod extract, Myrcene, Myrrh oil, absolute and resinoid, betaNaphthyl ethyl ether, betaNaphthyl methyl ether, Nerol, Neroli
oil,
Nerolidol,
2,6Nonadien1-ol,
gammaNonalactone,
Nonanal,
Nonanoic
acid,
2Nonenal,
Nutmeg
and
oil,
Oak
bark
extract,
Oak
moss
absolute, deltaOctalactone, gammaOctalactone, Octanoic acid, 1Octanol, 2Octanone, 1Octen3o1, 2Octenal, Olibanum oil, resinoid and absolute, Olive oil, Opopanax oil and gum, Orange leaf
absolute and blossoms
water, Orange oil and extract2
(whether or not terpeneless), Orange peel oil and extract, bitter and
sweet2
(whether or not terpeneless), Orris root, concrete, oil
and extract,
Palmarosa oil,
Palmitic acid,
Parsley seed oil,
Patchouli oil and absolute,
*Patent Blue V,
Peach kernel oil,
Pectin,
n-Pentane,
Pent3en4olide, omegaPentadecalactone, 2,3Pentanedione, Pepper oil, black and white, Peppermint oil, Petitgrain oil and absolute, Phenethyl acetate, Phenethyl alcohol, Phenethyl
isobutyrate, Phenethyl isovalerate, Phenethyl phenylacetate, Phenethyl valerate, Phenyl acetaldehyde, Phenyl acetic acid, 4Phenyl3buten2one, 3Phenyl propionaldehyde, 3Phenyl propionic
acid, 3Phenyl1propanol, orthoPhosphoric acid, Pine needle oil, dwarf, Pigment Red 18, Pigment Yellow 1, alphaPinene, Piperonal, Pipsissewa leaf extract, Polyvinyl acetate homopolymer, Polyvinyl acetate/vinyl alcohol copolymer, Polyvinyl alcohol, , *Ponceau 4R, Potassium carbonate, Potassium or sodium chloride, Potassium hydroxide paper1 (no free residue), Potassium
hydroxide sheet1 (no free residue), Potassium phosphate, Propane, Propenyl guaethol, Propionic acid and/or its sodium salts, nPropyl acetate, nPropyl alcohol, Propyl butyrate, Propyl phenyl
acetate, Propylene glycol, Pyroligneous acid extract, Pyruvic acid, Quebracho bark extract, Reaction products1Known and specified mixture of amino acids and reducing sugars heated under
pressure, Rhodinol, Rhodinyl acetate, Rose water, Rose oil and absolute, Rosemary oil and absolute, Rum ether, Saccharin and/or its sodium salt, Saffron, Sage, sage oil and
oleoresin, Salicylaldehyde, Sandalwood oil, yellow, Shellac, Silicic acid, Sodium alginate, Sodium bicarbonate, Sodium bisulphate, Sodium carbonate, Sodium hydroxide paper1 (no free
residue), Sodium hydroxide sheet1 (no free residue), Sodium phosphate, Sorbic acid and/or its potassium or sodium salts, Sorbitol, Spearmint oil, Spike lavender oil, Spiranol, Spirits,
distilled, Star anise oil, Starch, Starch, modified including cationic, Styrax gum and extract, and oil, Sucrose and sucrose syrup, , *Sunset Yellow FCF, Tamarind extract, Tannic
acid,
Tarragon oil,
Tartaric acid and its potassium and sodium salts, , *Tartrazine Yellow,
Tea, absolute and resinoid,
Terpineol2 (alpha, beta and gamma),
Terpinyl
acetate,
4,5,6,7Tetrahydro3,6dimethyl
benzofuran,
Tetrahydro4methyl2(2methylpropen1yl) pyran,
2,3,5,6Tetramethyl pyrazine,
Thiabendazole,
Thyme oil, white and
red,
Thymol,
Titanium dioxide,
,
**Tobacco extracts,
Tolu balsam gum and extract,
Tolualdehydes2 (ortho,meta and
para),
paraTolyl3methylbutyrate,
Tolyl
phenylacetate,
Trichlorofluoromethane,
Triethyl citrate,
Triethylene glycol,
2,2,6Trimethyl cyclohexanone,
2,3,5Trimethyl pyrazine,
Tuberose absolute and oil,
Turpentine
oil,
gammaUndecalactone,
Undecanal,
Urea,
Valerian root powder, extract and oil,
Valeric acid,
gammaValerolactone,
Vanilla beans or pods, or extract
and
oleoresin, Vanillin, Veratraldehyde, Vetiver oil, Violet oil and absolute, Violet leaf absolute, Wheat extract and absolute, Wine and wine sherry, Ylang Ylang oil and absolute.

From - http://www.ash.org.uk/html/regulation/html/ukadditivesshort.html

77

S cience E ntertainment E nterprises

with

Doctor Theory
ABOUT the AUTHOR:
In the mid 1980s I created the character "Doctor Theory" to produce educational material for teaching science to
pre-school children. This program was an overnight success, which led to shows in elementary and middle schools.
Following my engineering and physician assistant studies, my interest in physics, environmental sciences,
mathematics, and chemistry expanded into medicine. For over two decades I have been involved with several
organizations with the mission of science/health educational programming. These activities are not my duties
required from employment but rather constitute a quest to follow my commitment to health and science education. I
am the writer, creator, executive producer, editor, actor, and the host "Doctor Theory" of multiple entertainment
programs to inspire students to excel in science and seek the fullness of health. I keep my day job, currently as a
commissioned officer with the United States Public Health Service, assigned with Indian Health Service.
My stage/television production experience includes creating plots and characters to introduce the various disciplines
of science (primarily health education), script writing to simplify scientific and technical information, set/prop
design for visual effects supporting scientific concepts, robotic puppetry design and construction, video editing, and
community relations to assemble support, talent, productions, and network affiliation.
The Public Service Announcements (PSAs) produced have aired in throughout Oklahoma on FOX, UPN, & Warner
Brothers hundreds of times during prime time (Saturday morning cartoons and after school). These productions
were produced primarily by community contributions from the local FOX television stations, local businesses, and
award-winning film producers Foster Entertainment. The FostersENT produced The Scientific Adventures of
Doctor Theory that aired on Fox 23 KOKI.
In the real world I hold a masters degree as a Physician Assistant, have been in practiced for over 20 years, and
have specialized in tobacco cessation. Also, I have a bachelors degree in civil engineering and a year of graduate
medical studies. All together, I have earned over 300 college credit hours with an honorary doctorate from the
Galactic University of Theory and Sciences (the other side of the Milky Way). As far as smoking, in my teenage
years if it could be roll up, I smoked it - back then I could roll up just about anything.
For more information visit and links: http://en.wikipedia.org/wiki/User:Doctor_theory

Doctor Theory with his sidekick Braino Health/science entertainers traveling the galaxies
on-board the Caduceus-ship

Sally the Safety Dog

Geared up for Fire Safety

Health Education Amends LiveS

78