Category: ICanCaRe Tutorials

ICanCaRe Tutorial is a pan India group online program for extended learning conducted by the ICanCaRe Academy to provide deeper insight into tobacco intervention through Case Discussion, Problem-Based Learning, and Group Discussion on selected topics.

#14th ICanCaRe Tutorial for Certified Tobacco Cessation Specialists

On September 16, 2023, the 14th tutorial for Certified Tobacco Cessation Specialists took place. Dr. Mariya, Dr. Siddhi, and Dr. Anshika effectively coordinated the program. The agenda for the tutorial included:

1. **Demonstration of School Program**: Conducted by Dr. Surbhi Jindal, Nodal Officer NTCP at AMBALA.

2. **Group Discussion on Cases Presented**:

   – Dr. Megha Srivastava discussed a case of a young individual consuming 30 cigarettes per day, aiming for a cold turkey approach in their quit journey.

   – Mrs. Pravesh shared a case about a 15-year-old boy who has started smoking, and the discussion focused on how to approach and intervene.

   – Dr. Mariya shared a success story from the previous tutorial where her patient successfully quit and even referred new patients. Dr. Pawan suggested creating a testimonial video for the ICanCaRe YouTube channel.

   – Information was shared about the availability of tobacco-related medications for the clinics at special prices for CTCS.

   – Dr. Pawan Gupta emphasized with CTCS acknowledging ICanCaRe in all presentations, whether online or offline.

**Members’ Feedback**:

– Siddhi expressed continuous appreciation for the ongoing learning opportunities.

– Abhishek thanked everyone for their valuable contributions and emphasized the extensive learning gained from the session.

– Rakesh highlighted the tutorial’s insightful nature and recommended it for anyone aspiring for a successful quit program.

– Kshipra expressed gratitude for the learning experience.

**ICanCaRe Academy Tutorial for Certified Tobacco Cessation Specialists (CTCS)** is a monthly program held on the 15th of each month, from 9-10 PM. The program encourages CTCS to present complex cases on tobacco cessation for discussion and finding solutions to facilitate successful quitting. For case submissions, interested individuals can reach out to Dr. Mariya, Dr. Siddhi, or Dr. Anshika.

ICanCaRe Academy encourages participation in monthly sessions to gain in-depth knowledge about practical tobacco cessation through the discussion of various cases. To become a Certified Tobacco Cessation Specialist, interested individuals can visit www.icancare.in/academy/ctcs.

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 #icancareacademy #tutorial #icancare #siddhi #pawangupta #CTCS #icancare #mariya #monalee #reenarkumar #anshikapandey

Cessation using the Cold Turkey Method for Asthmatic patient

CTCS Tutorial #13 Case 2

 

On 15 September 2023, the 13th monthly tutorial session was conducted for Certified Tobacco Cessation Specialists. One of the two cases discussed a 38-year-old, chronic cigarette smoker, owner of a travel agency, referred for cessation by a pulmonologist. He had been smoking for the last 25 years, consuming around 40 cigarettes a day. He was married, had 2 children, and was accompanied by his mother to the cessation center. He gave a history of bronchial asthma for 3 years and diabetes, and blood pressure for 2 years, and was under medications for the same.

            He had been consuming 40 cigarettes in a day, with maximum consumption during morning hours, around 6-7 cigarettes reportedly before using the washroom. Apart from this, he had increased frequency while driving, meeting friends, after meals, and under stress. He stated that a few times when he could not smoke for 2-3 days, he felt extreme anger, stress, and restlessness. He reported sweating, thirst, constipation, and increased appetite during this phase. Presently, he was quite motivated to quit smoking due to health issues.

            He was explained the adverse effects of smoking and the benefits of quitting in the long run. A detailed treatment plan was made for him after counseling. He was guided for a Cold Turkey method of quitting smoking, replacing it using a 21-mg Nicotine patch to be used for three weeks and Nobacco gums (4 mg) to be used for severe craving episodes. He was allowed 2 puffs of smoking a day initially, which he stopped after 2 days. He complained of body cramps and worsening asthma in 2-3 days of withdrawal. He was supplemented with SleepNova, Lycoedge, Cbinan, ELC, and Mg tablets.  He was suggested to use the Acapella device for breathing exercises, which helps in clearing mucous in the throat. Mucolytics and anti-asthmatic drugs were also modified accordingly by the consulting pulmonologist. He was kept on a nebulizer, steam inhalation, and a modified diet plan and showed considerable improvement in asthma over 2 weeks.

The Nicotine replacement patch would be reduced to a 14-mg dose after 3 weeks, further to a 7-mg dose in 2 weeks, continuing, in addition with 1mg BD Varnitrip, over 3 months duration. He would be regularly monitored by a cessation specialist and pulmonologist over this period and the treatment plan would be modified accordingly.

ICanCaRe Academy Tutorial for Certified Tobacco Cessation Specialists (CTCS) is a monthly program on the 15th, from 9-10 PM. We welcome our CTCS to present complex cases on tobacco cessation for discussion and finding solutions for successful quitting. Please contact Dr. Mariya, Dr Siddhi, or Dr. Monalee for tutorial cases.

ICanCaRe Academy encourages you to take part in our monthly session and learn in-depth details about practical tobacco cessation through cases discussed here.

To be a Certified Tobacco Cessation Specialists go to www.icancare.in/academy/ctcs

#icancareacademy #tutorial #icancare #siddhi #pawangupta #CTCS #icancare #mariya #monalee #reenarkumar

Case presented by – Dr. Anshika Pandey, BDS, Certified Tobacco Cessation Specialist with MAX – ICanCaRe Centre.

Blog composed by  – Dr. Siddhi Hathiwala, MDS (Public Health Dentistry), CTCS(GU) – ICanCaRe. Assoc. Prof. & HoD, HDCH, Jabalpur)

Expert – Dr. Pawan Gupta M.Ch. Cancer Surgeon and Master Trainer Tobacco Cessation

Cessation using Plateau Therapy for chronic Smokeless Tobacco consumer

CTCS TUTORIAL #13 Case 1 ICanCaRe Academy

On 15 September 2023, the 13th monthly tutorial session was conducted for Certified Tobacco Cessation Specialists. One of the two cases discussed a 60-year-old retailer, chronic tobacco chewer. He had a history of consuming tobacco, 6-7 pouches in a day, for over 40 years, with added supari, chutney, and slaked lime. He consumed tobacco after breakfast, and had quid in his mouth the whole day, even while sleeping.

He had a known case of hypertension for 4 years, under medications including Aspirin, Telmisartan, and Rabeprazole. Also, he had a history of phobia of crossing roads and uneasiness and had been taking Escitalopram oxalate and Clonazepam for 5 months. He was self-motivated to quit tobacco and had come to the clinic with his wife. He had himself tried to quit earlier twice but failed within a week duration. He developed cold and cough, fever, and uneasiness during quit attempts. Presently, he has been gradually tapering his tobacco consumption for 1 month, 1 pouch per week following his behavioral motivation.

Our team has now suggested asking him to set a committed Quit Date for himself, within 14 days; while the specialist is handholding him to cope with withdrawal symptoms. He has to be kept on a gradual reduction of tobacco consumption while using nicotine patches continuously. Initially, apply a 7-mg patch for a week, reducing tobacco by 50%, then a 14-mg patch and complete stoppage of tobacco consumption in the next 7-10 days. He would then be continued with a 14-mg or 21-mg patch beyond the quit date. Also, Varenicline (1mg BD) would be added at this stage during the maintenance phase and reduced gradually over a 2-3 month period. Other supplements would include Nobacco pastilles or lozenges (only in the beginning to curb intense craving episodes) and oral supplementation with Aquazyl, Turmnova, or chia seeds. He would be prescribed multivitamins and minerals, Vit. C, Folic Acid, as needed. He would be kept on regular follow-ups every week for 3 months duration along with his medical assessment at regular intervals.

ICanCaRe Academy Tutorial for Certified Tobacco Cessation Specialists (CTCS) is a monthly program on the 15th, from 9-10 PM. We welcome our CTCS to present complex cases on tobacco cessation for discussion and finding solutions for successful quitting. Please contact Dr. Mariya, Dr Siddhi, or Dr. Monalee for tutorial cases.

ICanCaRe Academy encourages you to take part in our monthly session and learn in-depth details about practical tobacco cessation through cases discussed here.

To be a Certified Tobacco Cessation Specialists go to www.icancare.in/academy/ctcs

#icancareacademy #tutorial #icancare #siddhi #pawangupta #CTCS #icancare #mariya #monalee #reenarkumar

 Case presented by – Dr. Mariya, BDS, Certified Tobacco Cessation Specialist, Mumbai

Blog composed by  – Dr. Siddhi Hathiwala, MDS (Public Health Dentistry), CTCS(GU) – ICanCaRe. Assoc. Prof. & HoD, HDCH, Jabalpur)

Expert – Dr. Pawan Gupta M.Ch. Cancer Surgeon and Master Trainer Tobacco Cessation