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Richard A. Parker, MD; Erin E. Hartman, MS
From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 2001;285:2636.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In April 2000, at Medicine Grand Rounds, Nancy A. Rigotti MD, discussed a 36-year-old woman who was addicted to cigarettes. Ms V, the patient, described a pattern of heavy smoking dating back to the age of 12 years. She tried to quit several times, including quitting "cold turkey," using nicotine patches and gum, and trying hypnosis. None of these methods worked for her, and her longest cigarette-free interval was 9 days. Using bupropion hydrochloride and the nicotine patch, she abstained from smoking for 24 days. Her medical history was notable for type 1 diabetes mellitus, hyperlipidemia, and frequent bouts of bronchitis and sinusitis. Ms V stated that she could not imagine herself without a cigarette and perceived cigarettes as an "old friend." Nevertheless, she described disliking her addiction and the criticism from family and friends.

Dr Rigotti addressed the prevalence and epidemiology . . . [Full Text of this Article]

MS V, THE PATIENT



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