Letters Section Editor: Robert M. Golub, MD, Senior Editor.
To the Editor: In his Grand Rounds, Dr Schroeder1 discussed smoking cessation options but did not consider the role of physician as coach. With each office visit, a physician should come up with a simple goal for the smoker to achieve, aiming toward cessation. For example, a patient may aim for a reduction of tobacco use by 50% in the subsequent 3 months, with the physician working with the patient to develop a formal schedule of gradual rationing that will allow some satisfaction from nicotine while reducing overall consumption. At the same time, patients should be encouraged to exercise more as a means of diverting them from tobacco use and to consume raw vegetables such as celery, broccoli, or cucumbers to avoid weight gain.
Kaufman JL. Smoking Cessation. JAMA. 2005;294(19):2434-2435. doi:10.1001/jama.294.19.2434-a