RE: Re: Smoking CessationPreoperatively

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We, too, require 3 months smoking cessation. We do not routinely test, but the patients don't know that. If asked I tell them that the doctor sometimes does a nicotine test, which he/she does if we are concerned.We also tell pts they must cease all marijuana use except in the form of THC, when prescribed. We have them sign a contract acknowledging this, but do not require 3 months cessation for marijuana. Simler, MS, RD, Manager for Weight Loss Surgery and Osteoporosis ProgramsValleyCare Health System925-416-6712 >>> Talbot <andrea@...> 2/23/2012 9:46 AM >>> Our physicians require smoking cessation 6 weeks prior to surgery. Patients are required to do a nicotine test at their preop appointment to verify they have stopped smoking.Thank you, Talbot, RD CDRegistered DietitianBariatric Medicine Institute 1046 East 100 South SLC, UT 84102www.bmiut.com www.facebook.com/bmiutEmail: andrea@... Direct Phone: 801-869-7113Direct Fax: 801-869-7133Office Phone: 801-746-2885NOTICE: This e-mail may contain PRIVILEGED and CONFIDENTIAL information and is intended only for the use of the specific individual(s) to which it is addressed. IT may contain Protected Health Information that is privileged and confidential. Protected Health Information may be used or disclosed in accordance with law and you may be subject to penalties under law for improper use or further disclosure of the Protected Health Information in this e-mail. If you are not an intended recipient of this e-mail, you are hereby notified that any unauthorized use, dissemination or copying of this e-mail or the information contained in it or attached to it is strictly prohibited. If you have received this e-mail in error, please delete it and immediately notify the person named above by reply e-mail. Thank you.From: [mailto: ] On Behalf Of Abby KlemmeSent: Thursday, February 23, 2012 10:28 AM Subject: Re: Smoking Cessation Preoperatively We require smoking cessation for 3-months prior to surgery. When we made this determination some of our surgeons wanted smoking cessation for 6-months but at the time there wasn't any literature to support that time frame (so I'd be interested to know if there is literature out there now as this was about 2.5 years ago.) Our physicians don't always test to confirm smoking cessation, but when they do they most often order a carboxy hemoglobin which involves getting an ABG drawn. There is a urine test that is less expensive, and more convenient, that has been brought up to use, but I cannot recall the name of it right now.Abby Klemme, RD, LD

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