{"version":"1.0.0","segments":[{"speaker":"Beth Brown","startTime":9.87,"endTime":13.62,"body":"Welcome to Q and A"},{"speaker":"Beth Brown","startTime":9.87,"endTime":13.62,"body":"with Dr. K, a podcast by"},{"speaker":"Beth Brown","startTime":13.62,"endTime":17.55,"body":"Mountain Pacific Quality Health,"},{"speaker":"Beth Brown","startTime":13.62,"endTime":17.55,"body":"where we sit down with Dr. Doug"},{"speaker":"Beth Brown","startTime":17.58,"endTime":22.02,"body":"Kuntzweiler and get your health"},{"speaker":"Beth Brown","startTime":17.58,"endTime":22.02,"body":"questions answered, because on Q"},{"speaker":"Beth Brown","startTime":22.02,"endTime":25.29,"body":"and A with Dr. K, the doctor is"},{"speaker":"Beth Brown","startTime":22.02,"endTime":25.29,"body":"always in."},{"speaker":"Beth Brown","startTime":34.87,"endTime":37.45,"body":"Hello, everyone. This is Beth"},{"speaker":"Beth Brown","startTime":34.87,"endTime":37.45,"body":"Brown, your host, and I'm"},{"speaker":"Beth Brown","startTime":37.45,"endTime":41.65,"body":"pleased to announce we all get"},{"speaker":"Beth Brown","startTime":37.45,"endTime":41.65,"body":"the same two for one special"},{"speaker":"Beth Brown","startTime":41.68,"endTime":45.58,"body":"that we had on a previous"},{"speaker":"Beth Brown","startTime":41.68,"endTime":45.58,"body":"episode. As we are joined by two"},{"speaker":"Beth Brown","startTime":45.58,"endTime":49.39,"body":"Dr Ks. Today we have Dr. Doug"},{"speaker":"Beth Brown","startTime":45.58,"endTime":49.39,"body":"Kuntzweiler, who is Mountain"},{"speaker":"Beth Brown","startTime":49.39,"endTime":52.93,"body":"Pacific's chief medical officer"},{"speaker":"Beth Brown","startTime":49.39,"endTime":52.93,"body":"and also gives great advice,"},{"speaker":"Beth Brown","startTime":52.96,"endTime":56.35,"body":"talk to us about all things"},{"speaker":"Beth Brown","startTime":52.96,"endTime":56.35,"body":"medical. And joining us is Dr"},{"speaker":"Beth Brown","startTime":56.38,"endTime":59.86,"body":"Tiffany Kniepkamp, who consults"},{"speaker":"Beth Brown","startTime":56.38,"endTime":59.86,"body":"with Mountain Pacific and is an"},{"speaker":"Beth Brown","startTime":59.86,"endTime":63.34,"body":"emergency medicine"},{"speaker":"Beth Brown","startTime":59.86,"endTime":63.34,"body":"extraordinaire doc. And so we"},{"speaker":"Beth Brown","startTime":63.34,"endTime":65.86,"body":"are so fortunate to have both of"},{"speaker":"Beth Brown","startTime":63.34,"endTime":65.86,"body":"these experts with us today to"},{"speaker":"Beth Brown","startTime":65.86,"endTime":69.85,"body":"talk about a topic that I think"},{"speaker":"Beth Brown","startTime":65.86,"endTime":69.85,"body":"is big and a lot of people have"},{"speaker":"Beth Brown","startTime":69.88,"endTime":73.39,"body":"confusion over, and that is"},{"speaker":"Beth Brown","startTime":69.88,"endTime":73.39,"body":"vaping. So thanks so much for"},{"speaker":"Beth Brown","startTime":73.39,"endTime":74.26,"body":"being here."},{"speaker":"Dr. Doug Kuntzweiler","startTime":74.31,"endTime":75.18,"body":"Thanks for"},{"speaker":"Dr. Doug Kuntzweiler","startTime":74.31,"endTime":75.18,"body":"having us."},{"speaker":"Beth Brown","startTime":75.45,"endTime":78.63,"body":"Here's the short and"},{"speaker":"Beth Brown","startTime":75.45,"endTime":78.63,"body":"sweet question for today. Is"},{"speaker":"Beth Brown","startTime":78.63,"endTime":82.14,"body":"vaping safer than smoking? So"},{"speaker":"Beth Brown","startTime":78.63,"endTime":82.14,"body":"the question is short and sweet."},{"speaker":"Beth Brown","startTime":82.14,"endTime":84.6,"body":"I don't know if the answer is"},{"speaker":"Beth Brown","startTime":82.14,"endTime":84.6,"body":"short and sweet, but before we"},{"speaker":"Beth Brown","startTime":84.6,"endTime":87.42,"body":"dive into that, let's talk about"},{"speaker":"Beth Brown","startTime":84.6,"endTime":87.42,"body":"the definitions of those two"},{"speaker":"Beth Brown","startTime":87.42,"endTime":90.21,"body":"things. So I think when we talk"},{"speaker":"Beth Brown","startTime":87.42,"endTime":90.21,"body":"about smoking, everyone knows"},{"speaker":"Beth Brown","startTime":90.21,"endTime":93.51,"body":"we're talking about cigarettes"},{"speaker":"Beth Brown","startTime":90.21,"endTime":93.51,"body":"or pipes or whatever you're"},{"speaker":"Beth Brown","startTime":93.51,"endTime":96.81,"body":"using to ingest commercial"},{"speaker":"Beth Brown","startTime":93.51,"endTime":96.81,"body":"tobacco. That is not just"},{"speaker":"Beth Brown","startTime":96.81,"endTime":99.78,"body":"tobacco, it has lots of"},{"speaker":"Beth Brown","startTime":96.81,"endTime":99.78,"body":"chemicals and other bad things"},{"speaker":"Beth Brown","startTime":99.78,"endTime":104.55,"body":"in there that we know causes"},{"speaker":"Beth Brown","startTime":99.78,"endTime":104.55,"body":"great risks to all kinds of"},{"speaker":"Beth Brown","startTime":104.58,"endTime":107.7,"body":"issues with our health vaping,"},{"speaker":"Beth Brown","startTime":104.58,"endTime":107.7,"body":"though, I'm not sure if"},{"speaker":"Beth Brown","startTime":107.7,"endTime":110.82,"body":"everybody knows what that is, or"},{"speaker":"Beth Brown","startTime":107.7,"endTime":110.82,"body":"if people have been exposed or"},{"speaker":"Beth Brown","startTime":110.82,"endTime":114.45,"body":"seen vaping. So let's talk about"},{"speaker":"Beth Brown","startTime":110.82,"endTime":114.45,"body":"that. What is vaping?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":114.0,"endTime":116.25,"body":"I can"},{"speaker":"Dr. Doug Kuntzweiler","startTime":114.0,"endTime":116.25,"body":"answer this one. This may be the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":116.25,"endTime":120.42,"body":"only one I can answer. So I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":116.25,"endTime":120.42,"body":"better jump in. Smoking means"},{"speaker":"Dr. Doug Kuntzweiler","startTime":120.63,"endTime":126.42,"body":"igniting some flammable product,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":120.63,"endTime":126.42,"body":"most commonly tobacco, and so"},{"speaker":"Dr. Doug Kuntzweiler","startTime":126.42,"endTime":130.14,"body":"that's cigars and hookahs and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":126.42,"endTime":130.14,"body":"cigarettes. And there are other"},{"speaker":"Dr. Doug Kuntzweiler","startTime":130.14,"endTime":134.94,"body":"ways to get the nicotine other"},{"speaker":"Dr. Doug Kuntzweiler","startTime":130.14,"endTime":134.94,"body":"than tobacco, as in gum or a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":134.97,"endTime":139.98,"body":"patch that goes on your skin, or"},{"speaker":"Dr. Doug Kuntzweiler","startTime":134.97,"endTime":139.98,"body":"chewing snuff. All those are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":139.98,"endTime":145.95,"body":"ways of using tobacco. But"},{"speaker":"Dr. Doug Kuntzweiler","startTime":139.98,"endTime":145.95,"body":"vaping is heating up a liquid of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":145.95,"endTime":150.24,"body":"some sort, and it varies as to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":145.95,"endTime":150.24,"body":"what the liquid is, and having"},{"speaker":"Dr. Doug Kuntzweiler","startTime":150.24,"endTime":154.77,"body":"that create an aerosol. Aerosol"},{"speaker":"Dr. Doug Kuntzweiler","startTime":150.24,"endTime":154.77,"body":"is just tiny droplets that float"},{"speaker":"Dr. Doug Kuntzweiler","startTime":154.77,"endTime":158.19,"body":"in the air and then you inhale"},{"speaker":"Dr. Doug Kuntzweiler","startTime":154.77,"endTime":158.19,"body":"that into your lungs. So the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":158.19,"endTime":162.0,"body":"liquid usually then also"},{"speaker":"Dr. Doug Kuntzweiler","startTime":158.19,"endTime":162.0,"body":"contains some addictive"},{"speaker":"Dr. Doug Kuntzweiler","startTime":162.0,"endTime":166.77,"body":"substance like nicotine, or"},{"speaker":"Dr. Doug Kuntzweiler","startTime":162.0,"endTime":166.77,"body":"sometimes a marijuana product,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":166.8,"endTime":168.96,"body":"cannabis oil, of one kind or"},{"speaker":"Dr. Doug Kuntzweiler","startTime":166.8,"endTime":168.96,"body":"another."},{"speaker":"Beth Brown","startTime":168.99,"endTime":171.27,"body":"So I'm glad you went"},{"speaker":"Beth Brown","startTime":168.99,"endTime":171.27,"body":"back to talk about smoking,"},{"speaker":"Beth Brown","startTime":171.27,"endTime":174.12,"body":"because it wasn't as simple as"},{"speaker":"Beth Brown","startTime":171.27,"endTime":174.12,"body":"what I said. There is more to it"},{"speaker":"Beth Brown","startTime":174.12,"endTime":176.43,"body":"than just cigarettes or pipes."},{"speaker":"Beth Brown","startTime":174.12,"endTime":176.43,"body":"So I'm glad you talked about"},{"speaker":"Beth Brown","startTime":176.43,"endTime":179.64,"body":"that. And then vaping involves a"},{"speaker":"Beth Brown","startTime":176.43,"endTime":179.64,"body":"liquid. And so as you already"},{"speaker":"Beth Brown","startTime":179.64,"endTime":182.22,"body":"touched on, a lot of people just"},{"speaker":"Beth Brown","startTime":179.64,"endTime":182.22,"body":"think, Oh, it's just, it's"},{"speaker":"Beth Brown","startTime":182.22,"endTime":184.98,"body":"vapor, water, but what are we"},{"speaker":"Beth Brown","startTime":182.22,"endTime":184.98,"body":"talking about? What's in that"},{"speaker":"Beth Brown","startTime":184.98,"endTime":185.49,"body":"liquid?"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":185.55,"endTime":187.83,"body":"Yeah, so"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":185.55,"endTime":187.83,"body":"that's a very common"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":187.83,"endTime":191.19,"body":"misconception. A lot of people"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":187.83,"endTime":191.19,"body":"think it's just flavored water"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":191.19,"endTime":195.24,"body":"vapor, much healthier. But in"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":191.19,"endTime":195.24,"body":"reality, what you're inhaling is"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":195.24,"endTime":198.9,"body":"actually still a mix of"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":195.24,"endTime":198.9,"body":"chemicals. The liquid in E"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":198.9,"endTime":202.89,"body":"cigarettes contains nicotine,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":198.9,"endTime":202.89,"body":"obviously, but also chemicals"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":202.89,"endTime":205.68,"body":"like formaldehyde, which you"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":202.89,"endTime":205.68,"body":"might associate with things like"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":205.68,"endTime":209.22,"body":"smoke or wood burning, not"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":205.68,"endTime":209.22,"body":"something you necessarily want"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":209.22,"endTime":213.06,"body":"in your lungs. So it looks"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":209.22,"endTime":213.06,"body":"harmless, but it's not as simple"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":213.06,"endTime":214.77,"body":"as just water vapor."},{"speaker":"Beth Brown","startTime":214.8,"endTime":217.71,"body":"And the other tricky"},{"speaker":"Beth Brown","startTime":214.8,"endTime":217.71,"body":"part about vaping too is you"},{"speaker":"Beth Brown","startTime":217.71,"endTime":221.55,"body":"don't always recognize what the"},{"speaker":"Beth Brown","startTime":217.71,"endTime":221.55,"body":"devices look like that people"},{"speaker":"Beth Brown","startTime":221.55,"endTime":222.87,"body":"are using to vape."},{"speaker":"Dr. Doug Kuntzweiler","startTime":222.0,"endTime":225.18,"body":"Yeah,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":222.0,"endTime":225.18,"body":"they've they've evolved a lot."},{"speaker":"Dr. Doug Kuntzweiler","startTime":225.18,"endTime":230.16,"body":"It started back in the early"},{"speaker":"Dr. Doug Kuntzweiler","startTime":225.18,"endTime":230.16,"body":"2000s, I think, around 2005-2006"},{"speaker":"Dr. Doug Kuntzweiler","startTime":230.19,"endTime":233.79,"body":"as an e cigarette, and it looked"},{"speaker":"Dr. Doug Kuntzweiler","startTime":230.19,"endTime":233.79,"body":"like a cigarette had a little"},{"speaker":"Dr. Doug Kuntzweiler","startTime":233.79,"endTime":238.5,"body":"battery in it, had a little bit"},{"speaker":"Dr. Doug Kuntzweiler","startTime":233.79,"endTime":238.5,"body":"of the juice, which was usually"},{"speaker":"Dr. Doug Kuntzweiler","startTime":238.5,"endTime":241.98,"body":"a propylene glycol or ethylene"},{"speaker":"Dr. Doug Kuntzweiler","startTime":238.5,"endTime":241.98,"body":"glycol, and then it had the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":241.98,"endTime":246.66,"body":"nicotine, and the battery heated"},{"speaker":"Dr. Doug Kuntzweiler","startTime":241.98,"endTime":246.66,"body":"a little element that made that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":246.66,"endTime":250.86,"body":"juice vaporize, and then it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":246.66,"endTime":250.86,"body":"would kind of cool down as you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":250.86,"endTime":254.34,"body":"inhaled it and turn into a an"},{"speaker":"Dr. Doug Kuntzweiler","startTime":250.86,"endTime":254.34,"body":"aerosol, little droplets of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":254.34,"endTime":259.17,"body":"liquid. And as I said, then that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":254.34,"endTime":259.17,"body":"device evolved pretty rapidly,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":259.17,"endTime":262.74,"body":"and now they look like all kinds"},{"speaker":"Dr. Doug Kuntzweiler","startTime":259.17,"endTime":262.74,"body":"of things. Some of them are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":262.74,"endTime":266.4,"body":"rechargeable, some of them are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":262.74,"endTime":266.4,"body":"disposable. Some of them are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":266.4,"endTime":270.06,"body":"reusable. They all have some"},{"speaker":"Dr. Doug Kuntzweiler","startTime":266.4,"endTime":270.06,"body":"sort of a heating element that's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":270.06,"endTime":274.44,"body":"charged by a battery, and then"},{"speaker":"Dr. Doug Kuntzweiler","startTime":270.06,"endTime":274.44,"body":"they have a little container or"},{"speaker":"Dr. Doug Kuntzweiler","startTime":274.44,"endTime":278.52,"body":"reservoir where the juice is,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":274.44,"endTime":278.52,"body":"and then whatever they're going"},{"speaker":"Dr. Doug Kuntzweiler","startTime":278.52,"endTime":283.86,"body":"to add to it, typically nicotine"},{"speaker":"Dr. Doug Kuntzweiler","startTime":278.52,"endTime":283.86,"body":"or marijuana oils, but what they"},{"speaker":"Dr. Doug Kuntzweiler","startTime":283.86,"endTime":286.65,"body":"actually look like is all sorts"},{"speaker":"Dr. Doug Kuntzweiler","startTime":283.86,"endTime":286.65,"body":"of different things. I'm told"},{"speaker":"Dr. Doug Kuntzweiler","startTime":286.65,"endTime":290.7,"body":"that one of the favorite ones of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":286.65,"endTime":290.7,"body":"teenagers is something called"},{"speaker":"Dr. Doug Kuntzweiler","startTime":290.7,"endTime":295.08,"body":"the jewel, j-u-u-l, because it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":290.7,"endTime":295.08,"body":"looks like a flash drive. So"},{"speaker":"Dr. Doug Kuntzweiler","startTime":295.08,"endTime":298.2,"body":"they can carry these around the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":295.08,"endTime":298.2,"body":"school, and the teachers look at"},{"speaker":"Dr. Doug Kuntzweiler","startTime":298.2,"endTime":303.06,"body":"it and think, Oh, there's a very"},{"speaker":"Dr. Doug Kuntzweiler","startTime":298.2,"endTime":303.06,"body":"studious child taking notes and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":303.06,"endTime":306.21,"body":"putting it on his flash drive,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":303.06,"endTime":306.21,"body":"when, in reality, it's it's his"},{"speaker":"Dr. Doug Kuntzweiler","startTime":306.21,"endTime":307.59,"body":"vaping device."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":307.83,"endTime":309.45,"body":"Exactly,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":307.83,"endTime":309.45,"body":"Doug. That's part of the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":309.45,"endTime":313.11,"body":"problem. They can be really hard"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":309.45,"endTime":313.11,"body":"to spot. They're coming up with"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":313.11,"endTime":316.98,"body":"new things all the time. They"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":313.11,"endTime":316.98,"body":"can look like pens, USB drives,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":316.98,"endTime":320.07,"body":"like you said. That's part of"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":316.98,"endTime":320.07,"body":"the thing that's become very"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":320.07,"endTime":323.4,"body":"popular with teens is that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":320.07,"endTime":323.4,"body":"they're very easy to carry, very"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":323.4,"endTime":327.33,"body":"easy to hide, very discreet"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":323.4,"endTime":327.33,"body":"parents teachers may not even"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":327.33,"endTime":330.09,"body":"recognize what it is that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":327.33,"endTime":330.09,"body":"they're looking at. They're"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":330.09,"endTime":334.08,"body":"designed to be very sleek and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":330.09,"endTime":334.08,"body":"easy to carry around so they"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":334.08,"endTime":337.89,"body":"don't stand out. And for"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":334.08,"endTime":337.89,"body":"example, recently, I got a call"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":337.89,"endTime":340.92,"body":"from our school principal"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":337.89,"endTime":340.92,"body":"because my daughter had found"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":340.92,"endTime":344.64,"body":"this blinking toy on the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":340.92,"endTime":344.64,"body":"playground, and they sent me a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":344.64,"endTime":348.54,"body":"picture of it, and it was the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":344.64,"endTime":348.54,"body":"battery from a vape pen. And it"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":348.54,"endTime":351.66,"body":"was even hard for me to tell"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":348.54,"endTime":351.66,"body":"exactly what it was. I had to"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":351.66,"endTime":355.17,"body":"look up the brand, and then"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":351.66,"endTime":355.17,"body":"found out it was a battery from"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":355.17,"endTime":358.71,"body":"a vape pen. So we had a very"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":355.17,"endTime":358.71,"body":"honest discussion with my six"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":358.71,"endTime":362.07,"body":"year old of what you do and do"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":358.71,"endTime":362.07,"body":"not pick up on the playground."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":363.69,"endTime":367.26,"body":"Yeah, but they're very discreet"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":363.69,"endTime":367.26,"body":"and made to be that way."},{"speaker":"Beth Brown","startTime":367.62,"endTime":370.14,"body":"Yeah, when we talk"},{"speaker":"Beth Brown","startTime":367.62,"endTime":370.14,"body":"about the difference between"},{"speaker":"Beth Brown","startTime":370.5,"endTime":375.78,"body":"vaping and smoking, it's what"},{"speaker":"Beth Brown","startTime":370.5,"endTime":375.78,"body":"we're inhaling. Is that the"},{"speaker":"Beth Brown","startTime":375.78,"endTime":379.23,"body":"major difference, regardless of"},{"speaker":"Beth Brown","startTime":375.78,"endTime":379.23,"body":"the device that we use to put"},{"speaker":"Beth Brown","startTime":379.23,"endTime":383.73,"body":"that into our lungs, or what is"},{"speaker":"Beth Brown","startTime":379.23,"endTime":383.73,"body":"really the difference between"},{"speaker":"Beth Brown","startTime":383.76,"endTime":385.26,"body":"vaping versus smoking?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":385.45,"endTime":387.79,"body":"Well, I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":385.45,"endTime":387.79,"body":"think to me, one of the biggest"},{"speaker":"Dr. Doug Kuntzweiler","startTime":387.82,"endTime":392.23,"body":"differences is we've had a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":387.82,"endTime":392.23,"body":"relationship with tobacco since"},{"speaker":"Dr. Doug Kuntzweiler","startTime":392.29,"endTime":397.27,"body":"1600s and before, and we"},{"speaker":"Dr. Doug Kuntzweiler","startTime":392.29,"endTime":397.27,"body":"understand in this day and age"},{"speaker":"Dr. Doug Kuntzweiler","startTime":397.3,"endTime":401.11,"body":"what the components of tobacco"},{"speaker":"Dr. Doug Kuntzweiler","startTime":397.3,"endTime":401.11,"body":"smoke are and what the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":401.11,"endTime":406.66,"body":"consequences of tobacco smoke"},{"speaker":"Dr. Doug Kuntzweiler","startTime":401.11,"endTime":406.66,"body":"are. In contrast, we have a not"},{"speaker":"Dr. Doug Kuntzweiler","startTime":406.69,"endTime":410.86,"body":"hardly even a decade and a half"},{"speaker":"Dr. Doug Kuntzweiler","startTime":406.69,"endTime":410.86,"body":"of experience with vaping, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":410.86,"endTime":414.82,"body":"so we don't know really what the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":410.86,"endTime":414.82,"body":"consequences of this are. It's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":414.82,"endTime":417.7,"body":"too soon for us to have good"},{"speaker":"Dr. Doug Kuntzweiler","startTime":414.82,"endTime":417.7,"body":"information. We know that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":417.7,"endTime":421.51,"body":"smoking is horrible for you from"},{"speaker":"Dr. Doug Kuntzweiler","startTime":417.7,"endTime":421.51,"body":"any number of standpoints,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":421.54,"endTime":425.53,"body":"cancer being a prominent one,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":421.54,"endTime":425.53,"body":"but also heart disease, stroke,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":425.86,"endTime":429.91,"body":"vascular disease of all kinds"},{"speaker":"Dr. Doug Kuntzweiler","startTime":425.86,"endTime":429.91,"body":"and many other kinds of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":429.91,"endTime":432.73,"body":"problems. It's associated with"},{"speaker":"Dr. Doug Kuntzweiler","startTime":429.91,"endTime":432.73,"body":"almost every kind of cancer you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":432.73,"endTime":436.99,"body":"can think of. We don't know yet"},{"speaker":"Dr. Doug Kuntzweiler","startTime":432.73,"endTime":436.99,"body":"about vaping. There are studies"},{"speaker":"Dr. Doug Kuntzweiler","startTime":436.99,"endTime":441.88,"body":"that show that it's less harmful"},{"speaker":"Dr. Doug Kuntzweiler","startTime":436.99,"endTime":441.88,"body":"than smoking, but as I said, we"},{"speaker":"Dr. Doug Kuntzweiler","startTime":441.88,"endTime":444.55,"body":"don't have a lot of experience."},{"speaker":"Dr. Doug Kuntzweiler","startTime":441.88,"endTime":444.55,"body":"Those studies are using"},{"speaker":"Dr. Doug Kuntzweiler","startTime":444.55,"endTime":447.67,"body":"relatively small numbers of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":444.55,"endTime":447.67,"body":"patients, and I don't think we"},{"speaker":"Dr. Doug Kuntzweiler","startTime":447.67,"endTime":451.57,"body":"fully understand it yet at this"},{"speaker":"Dr. Doug Kuntzweiler","startTime":447.67,"endTime":451.57,"body":"point, but I would say if it's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":451.6,"endTime":455.02,"body":"safer than smoking, it can't be"},{"speaker":"Dr. Doug Kuntzweiler","startTime":451.6,"endTime":455.02,"body":"by much. And I think history"},{"speaker":"Dr. Doug Kuntzweiler","startTime":455.02,"endTime":456.94,"body":"will probably prove that to be"},{"speaker":"Dr. Doug Kuntzweiler","startTime":455.02,"endTime":456.94,"body":"true."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":457.0,"endTime":458.53,"body":"Exactly"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":457.0,"endTime":458.53,"body":"Doug, and I think I would say"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":458.53,"endTime":461.35,"body":"too that, so a big difference."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":458.53,"endTime":461.35,"body":"And I know we've kind of"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":461.35,"endTime":465.04,"body":"hammered this already, but with"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":461.35,"endTime":465.04,"body":"smoking, you're burning tobacco."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":465.04,"endTime":467.8,"body":"You're actually igniting"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":465.04,"endTime":467.8,"body":"something which creates that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":467.8,"endTime":471.34,"body":"smoke that contains all kinds of"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":467.8,"endTime":471.34,"body":"harmful chemicals, tar, carbon"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":471.34,"endTime":474.01,"body":"monoxide, all of that. And with"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":471.34,"endTime":474.01,"body":"vaping, you're heating up a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":474.01,"endTime":476.71,"body":"liquid. So you're never actually"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":474.01,"endTime":476.71,"body":"burning anything. You're heating"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":476.71,"endTime":479.77,"body":"it up and turning it into an"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":476.71,"endTime":479.77,"body":"aerosol without the burning. So"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":479.8,"endTime":482.68,"body":"that means you're not getting"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":479.8,"endTime":482.68,"body":"all those combustion related"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":482.68,"endTime":486.1,"body":"toxins, but still, like Doug"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":482.68,"endTime":486.1,"body":"said, it doesn't mean it's safe."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":486.13,"endTime":489.34,"body":"There's still harmful substances"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":486.13,"endTime":489.34,"body":"in the aerosol, and actually,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":489.34,"endTime":493.0,"body":"the flavoring, the fruitiness,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":489.34,"endTime":493.0,"body":"the mintiness, even that, is a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":493.0,"endTime":496.69,"body":"chemical that your lungs are not"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":493.0,"endTime":496.69,"body":"used to inhaling, and so it"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":496.69,"endTime":501.28,"body":"still causes a lot of issues. So"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":496.69,"endTime":501.28,"body":"people think vaping is healthier"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":501.31,"endTime":505.72,"body":"and it is technically than"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":501.31,"endTime":505.72,"body":"smoking, but it's still very far"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":505.72,"endTime":509.26,"body":"from risk free, both put bad"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":505.72,"endTime":509.26,"body":"things in your lungs that don't"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":509.26,"endTime":509.83,"body":"belong there."},{"speaker":"Beth Brown","startTime":509.89,"endTime":512.68,"body":"So with as"},{"speaker":"Beth Brown","startTime":509.89,"endTime":512.68,"body":"relatively new as vaping is, are"},{"speaker":"Beth Brown","startTime":512.68,"endTime":516.94,"body":"we starting to see risks or the"},{"speaker":"Beth Brown","startTime":512.68,"endTime":516.94,"body":"cons that come out of vaping? Or"},{"speaker":"Beth Brown","startTime":516.97,"endTime":518.65,"body":"we honestly don't know yet?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":518.78,"endTime":521.96,"body":"No, we"},{"speaker":"Dr. Doug Kuntzweiler","startTime":518.78,"endTime":521.96,"body":"absolutely have seen risks."},{"speaker":"Dr. Doug Kuntzweiler","startTime":521.96,"endTime":525.53,"body":"We've seen people who get"},{"speaker":"Dr. Doug Kuntzweiler","startTime":521.96,"endTime":525.53,"body":"scarring on their lungs from it."},{"speaker":"Dr. Doug Kuntzweiler","startTime":525.53,"endTime":531.29,"body":"In 2019, you may remember, there"},{"speaker":"Dr. Doug Kuntzweiler","startTime":525.53,"endTime":531.29,"body":"was a big outbreak of severe"},{"speaker":"Dr. Doug Kuntzweiler","startTime":531.29,"endTime":534.26,"body":"lung disease from people who"},{"speaker":"Dr. Doug Kuntzweiler","startTime":531.29,"endTime":534.26,"body":"were vaping, and it was thought"},{"speaker":"Dr. Doug Kuntzweiler","startTime":534.26,"endTime":539.09,"body":"that they probably got a vaping"},{"speaker":"Dr. Doug Kuntzweiler","startTime":534.26,"endTime":539.09,"body":"device that had a toxin in it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":539.09,"endTime":543.53,"body":"that was related to vitamin E,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":539.09,"endTime":543.53,"body":"and it caused severe scarring"},{"speaker":"Dr. Doug Kuntzweiler","startTime":543.53,"endTime":546.98,"body":"and damage to the lungs that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":543.53,"endTime":546.98,"body":"there were about 2800"},{"speaker":"Dr. Doug Kuntzweiler","startTime":546.98,"endTime":550.79,"body":"hospitalizations, and out of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":546.98,"endTime":550.79,"body":"those people, 68 of them died"},{"speaker":"Dr. Doug Kuntzweiler","startTime":551.03,"endTime":554.57,"body":"that was related to one"},{"speaker":"Dr. Doug Kuntzweiler","startTime":551.03,"endTime":554.57,"body":"particular type of vaping device"},{"speaker":"Dr. Doug Kuntzweiler","startTime":554.57,"endTime":556.82,"body":"that then was taken off the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":554.57,"endTime":556.82,"body":"market. But there are still"},{"speaker":"Dr. Doug Kuntzweiler","startTime":556.82,"endTime":559.46,"body":"people who are developing a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":556.82,"endTime":559.46,"body":"pneumonia like syndrome, where"},{"speaker":"Dr. Doug Kuntzweiler","startTime":559.46,"endTime":563.27,"body":"they get damage to their lungs"},{"speaker":"Dr. Doug Kuntzweiler","startTime":559.46,"endTime":563.27,"body":"and get scarring. So certainly"},{"speaker":"Dr. Doug Kuntzweiler","startTime":563.27,"endTime":566.15,"body":"is not as safe as some people"},{"speaker":"Dr. Doug Kuntzweiler","startTime":563.27,"endTime":566.15,"body":"maintain."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":566.39,"endTime":569.18,"body":"It still"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":566.39,"endTime":569.18,"body":"has nicotine. So we know a lot"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":569.24,"endTime":572.06,"body":"about nicotine, and so you're"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":569.24,"endTime":572.06,"body":"still getting the nicotine,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":572.06,"endTime":575.06,"body":"which is one of the most"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":572.06,"endTime":575.06,"body":"addictive substances, comparable"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":575.06,"endTime":579.38,"body":"to like heroin and cocaine. It"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":575.06,"endTime":579.38,"body":"has been known to disrupt brain"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":579.38,"endTime":582.68,"body":"development, which is why this"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":579.38,"endTime":582.68,"body":"is such a huge concern, and the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":582.68,"endTime":586.22,"body":"teens that are using it a lot"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":582.68,"endTime":586.22,"body":"now and it also it increases"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":586.22,"endTime":588.83,"body":"your heart rate and your blood"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":586.22,"endTime":588.83,"body":"pressure and nicotine also"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":588.86,"endTime":592.97,"body":"constricts blood vessels. So"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":588.86,"endTime":592.97,"body":"when you combine your heart rate"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":592.97,"endTime":596.21,"body":"going up, your blood pressure"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":592.97,"endTime":596.21,"body":"going up, your blood vessel"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":596.21,"endTime":598.85,"body":"constricting a bit, that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":596.21,"endTime":598.85,"body":"increases your risk of heart"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":598.85,"endTime":603.26,"body":"disease. And so, ot's the same"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":598.85,"endTime":603.26,"body":"in smoking or vaping, so you're"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":603.26,"endTime":606.29,"body":"still having those risks, as"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":603.26,"endTime":606.29,"body":"well as the respiratory"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":606.29,"endTime":609.71,"body":"illnesses that doctor cooner"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":606.29,"endTime":609.71,"body":"talked about. It also has been"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":609.71,"endTime":613.4,"body":"shown to increase anxiety and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":609.71,"endTime":613.4,"body":"depression and impacts your"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":613.4,"endTime":616.67,"body":"memory and cognition and your"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":613.4,"endTime":616.67,"body":"ability to form those memories"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":616.67,"endTime":619.34,"body":"and that brain development, and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":616.67,"endTime":619.34,"body":"we know that even in pregnant"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":619.34,"endTime":622.7,"body":"women, that it affects the brain"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":619.34,"endTime":622.7,"body":"development and the oxygen flow"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":622.7,"endTime":625.49,"body":"to the fetus. And so I think"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":622.7,"endTime":625.49,"body":"that's why this is such a big"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":625.49,"endTime":629.27,"body":"concern for teens right now,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":625.49,"endTime":629.27,"body":"because, oh, I can't remember"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":629.27,"endTime":633.44,"body":"exactly the numbers, but high"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":629.27,"endTime":633.44,"body":"amount of teenagers are using it"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":633.44,"endTime":636.38,"body":"currently, and it's going to"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":633.44,"endTime":636.38,"body":"affect their brain. And we're"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":636.38,"endTime":639.47,"body":"already dealing with a lot of"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":636.38,"endTime":639.47,"body":"other concerns with depression"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":639.47,"endTime":642.98,"body":"and suicidal ideations and all"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":639.47,"endTime":642.98,"body":"of that, and now we add this"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":642.98,"endTime":646.49,"body":"into it, and it's just another"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":642.98,"endTime":646.49,"body":"stressor that is not good."},{"speaker":"Beth Brown","startTime":646.88,"endTime":649.22,"body":"So you mentioned the"},{"speaker":"Beth Brown","startTime":646.88,"endTime":649.22,"body":"nicotine, and that was a"},{"speaker":"Beth Brown","startTime":649.22,"endTime":651.8,"body":"question that I was going to ask"},{"speaker":"Beth Brown","startTime":649.22,"endTime":651.8,"body":"as well, because if there's"},{"speaker":"Beth Brown","startTime":651.8,"endTime":656.09,"body":"nicotine in there, then that"},{"speaker":"Beth Brown","startTime":651.8,"endTime":656.09,"body":"means vaping is addictive, just"},{"speaker":"Beth Brown","startTime":656.09,"endTime":659.96,"body":"like smoking is. And if people"},{"speaker":"Beth Brown","startTime":656.09,"endTime":659.96,"body":"are trying to use vaping to quit"},{"speaker":"Beth Brown","startTime":659.96,"endTime":663.53,"body":"smoking, how effective is that"},{"speaker":"Beth Brown","startTime":659.96,"endTime":663.53,"body":"if they're still getting the"},{"speaker":"Beth Brown","startTime":663.53,"endTime":667.16,"body":"same stuff, just in a different"},{"speaker":"Beth Brown","startTime":663.53,"endTime":667.16,"body":"way? So can you talk about that"},{"speaker":"Beth Brown","startTime":667.16,"endTime":667.7,"body":"a little bit?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":668.02,"endTime":670.48,"body":"Yeah, it's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":668.02,"endTime":670.48,"body":"pretty much a shell game. There"},{"speaker":"Dr. Doug Kuntzweiler","startTime":670.48,"endTime":674.89,"body":"was one small study reported to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":670.48,"endTime":674.89,"body":"show that vaping was a good way"},{"speaker":"Dr. Doug Kuntzweiler","startTime":674.89,"endTime":679.09,"body":"to quit smoking, and that might"},{"speaker":"Dr. Doug Kuntzweiler","startTime":674.89,"endTime":679.09,"body":"be true. Some people who use"},{"speaker":"Dr. Doug Kuntzweiler","startTime":679.09,"endTime":681.73,"body":"vaping were able to stop smoking"},{"speaker":"Dr. Doug Kuntzweiler","startTime":679.09,"endTime":681.73,"body":"cigarettes, but then they were"},{"speaker":"Dr. Doug Kuntzweiler","startTime":681.73,"endTime":685.45,"body":"unable to stop using the vaping"},{"speaker":"Dr. Doug Kuntzweiler","startTime":681.73,"endTime":685.45,"body":"because, as Tiffany said, it's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":685.45,"endTime":688.66,"body":"still nicotine, and nicotine is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":685.45,"endTime":688.66,"body":"highly addictive. Then there are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":688.66,"endTime":691.39,"body":"people who use it, and they wind"},{"speaker":"Dr. Doug Kuntzweiler","startTime":688.66,"endTime":691.39,"body":"up addicted to both. They smoke"},{"speaker":"Dr. Doug Kuntzweiler","startTime":691.39,"endTime":694.24,"body":"cigarettes when it's convenient"},{"speaker":"Dr. Doug Kuntzweiler","startTime":691.39,"endTime":694.24,"body":"to do that, and they vape when"},{"speaker":"Dr. Doug Kuntzweiler","startTime":694.24,"endTime":698.68,"body":"it's not. So it's it's a shell"},{"speaker":"Dr. Doug Kuntzweiler","startTime":694.24,"endTime":698.68,"body":"game. We haven't really made"},{"speaker":"Dr. Doug Kuntzweiler","startTime":698.71,"endTime":703.3,"body":"anything that's a superior"},{"speaker":"Dr. Doug Kuntzweiler","startTime":698.71,"endTime":703.3,"body":"product. I've seen numbers and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":703.3,"endTime":706.9,"body":"this kind of goes to one of the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":703.3,"endTime":706.9,"body":"things that alarms me about it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":706.9,"endTime":710.59,"body":"is the marketing that goes on."},{"speaker":"Dr. Doug Kuntzweiler","startTime":706.9,"endTime":710.59,"body":"But I've seen numbers that up to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":710.59,"endTime":714.4,"body":"a half a million middle"},{"speaker":"Dr. Doug Kuntzweiler","startTime":710.59,"endTime":714.4,"body":"schoolers are vaping, and in the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":714.4,"endTime":717.88,"body":"high school, it's it's more,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":714.4,"endTime":717.88,"body":"it's over a million, maybe one"},{"speaker":"Dr. Doug Kuntzweiler","startTime":717.88,"endTime":721.66,"body":"and a half million high school"},{"speaker":"Dr. Doug Kuntzweiler","startTime":717.88,"endTime":721.66,"body":"kids are vaping. Nationwide,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":721.66,"endTime":725.17,"body":"I've read numbers like one in 20"},{"speaker":"Dr. Doug Kuntzweiler","startTime":721.66,"endTime":725.17,"body":"Americans, they but the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":725.17,"endTime":729.31,"body":"marketing is aimed especially at"},{"speaker":"Dr. Doug Kuntzweiler","startTime":725.17,"endTime":729.31,"body":"young kids with all these"},{"speaker":"Dr. Doug Kuntzweiler","startTime":729.31,"endTime":732.7,"body":"flavors, and they have cool"},{"speaker":"Dr. Doug Kuntzweiler","startTime":729.31,"endTime":732.7,"body":"names and they have cool shapes,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":732.7,"endTime":735.31,"body":"and if you're going to be one of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":732.7,"endTime":735.31,"body":"the cool kids, you have to vape."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":735.0,"endTime":737.07,"body":"One other"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":735.0,"endTime":737.07,"body":"thing I was going to say about"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":737.07,"endTime":740.91,"body":"that is a big argument I hear a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":737.07,"endTime":740.91,"body":"lot from the teenagers in the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":740.91,"endTime":743.73,"body":"emergency department when we're"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":740.91,"endTime":743.73,"body":"talking about vaping, is"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":743.76,"endTime":747.21,"body":"nicotine is not a cancer-causing"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":743.76,"endTime":747.21,"body":"agent, it's the tobacco, it's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":747.21,"endTime":750.51,"body":"the tar, that's the carcinogen."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":747.21,"endTime":750.51,"body":"But is that true? Yes,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":750.54,"endTime":755.37,"body":"technically, nicotine is not"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":750.54,"endTime":755.37,"body":"classified as a carcinogen"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":755.52,"endTime":758.97,"body":"cancer-causing agent, but it's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":755.52,"endTime":758.97,"body":"an indirect carcinogen because"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":758.97,"endTime":762.96,"body":"it enhances your body's response"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":758.97,"endTime":762.96,"body":"to those cancer-causing agents"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":762.99,"endTime":767.34,"body":"found in either cigarette smoke"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":762.99,"endTime":767.34,"body":"or all of the fruity smells and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":767.34,"endTime":770.73,"body":"the formaldehyde and all of"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":767.34,"endTime":770.73,"body":"that, it increases your body's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":770.73,"endTime":773.73,"body":"rate at turning those into"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":770.73,"endTime":773.73,"body":"cancer cells. So while it"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":773.73,"endTime":777.21,"body":"doesn't directly cause the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":773.73,"endTime":777.21,"body":"cancer, it makes your body more"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":777.21,"endTime":782.01,"body":"likely to develop into cancer"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":777.21,"endTime":782.01,"body":"have those cell damage, abnormal"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":782.01,"endTime":784.11,"body":"growth that just kind of"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":782.01,"endTime":784.11,"body":"escalates that."},{"speaker":"Dr. Doug Kuntzweiler","startTime":784.23,"endTime":787.41,"body":"And I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":784.23,"endTime":787.41,"body":"recall that chewing tobacco or"},{"speaker":"Dr. Doug Kuntzweiler","startTime":787.41,"endTime":791.91,"body":"dipping snuff is associated with"},{"speaker":"Dr. Doug Kuntzweiler","startTime":787.41,"endTime":791.91,"body":"cancers of the tongue, cancers"},{"speaker":"Dr. Doug Kuntzweiler","startTime":791.91,"endTime":795.06,"body":"in the mouth and throat. So"},{"speaker":"Dr. Doug Kuntzweiler","startTime":791.91,"endTime":795.06,"body":"that's, you know, that doesn't"},{"speaker":"Dr. Doug Kuntzweiler","startTime":795.06,"endTime":799.35,"body":"require burning. It's the other"},{"speaker":"Dr. Doug Kuntzweiler","startTime":795.06,"endTime":799.35,"body":"elements in the tobacco as well"},{"speaker":"Dr. Doug Kuntzweiler","startTime":799.35,"endTime":802.98,"body":"as the nicotine, that are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":799.35,"endTime":802.98,"body":"leading to those cancers. So all"},{"speaker":"Dr. Doug Kuntzweiler","startTime":802.98,"endTime":807.06,"body":"of this is addictive, whether"},{"speaker":"Dr. Doug Kuntzweiler","startTime":802.98,"endTime":807.06,"body":"teenagers want to try to talk"},{"speaker":"Dr. Doug Kuntzweiler","startTime":807.06,"endTime":809.79,"body":"about what's really going on in"},{"speaker":"Dr. Doug Kuntzweiler","startTime":807.06,"endTime":809.79,"body":"there or not."},{"speaker":"Beth Brown","startTime":809.79,"endTime":812.67,"body":"And so how do they"},{"speaker":"Beth Brown","startTime":809.79,"endTime":812.67,"body":"how do you know if you become"},{"speaker":"Beth Brown","startTime":812.7,"endTime":816.3,"body":"addicted to vaping? Are there"},{"speaker":"Beth Brown","startTime":812.7,"endTime":816.3,"body":"symptoms that people begin to"},{"speaker":"Beth Brown","startTime":816.3,"endTime":819.96,"body":"show? Do people have withdrawals"},{"speaker":"Beth Brown","startTime":816.3,"endTime":819.96,"body":"if they try to quit? Can you"},{"speaker":"Beth Brown","startTime":819.96,"endTime":822.54,"body":"talk about the addictive"},{"speaker":"Beth Brown","startTime":819.96,"endTime":822.54,"body":"properties there and how to"},{"speaker":"Beth Brown","startTime":822.54,"endTime":823.35,"body":"handle that?"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":823.56,"endTime":825.54,"body":"It's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":823.56,"endTime":825.54,"body":"pretty similar to all of your"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":825.54,"endTime":829.53,"body":"other addictions. And if you"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":825.54,"endTime":829.53,"body":"find yourself craving the vape,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":829.59,"endTime":832.68,"body":"using it more frequently, just"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":829.59,"endTime":832.68,"body":"escalating how often you're"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":832.68,"endTime":836.49,"body":"using it, or if you don't have"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":832.68,"endTime":836.49,"body":"it, frustrated, irritable,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":836.49,"endTime":838.95,"body":"anxious, when you don't have it"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":836.49,"endTime":838.95,"body":"and you just want to go"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":838.95,"endTime":843.12,"body":"somewhere to use it. That's a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":838.95,"endTime":843.12,"body":"big sign. You try to stop, and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":843.12,"endTime":847.38,"body":"you just can't. Also a sign, and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":843.12,"endTime":847.38,"body":"if you're prioritizing vaping"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":847.38,"endTime":850.14,"body":"over other activities, like, Oh,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":847.38,"endTime":850.14,"body":"I could go to the basketball"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":850.14,"endTime":854.04,"body":"game, but I'm going to stay back"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":850.14,"endTime":854.04,"body":"so that I can vape. That's also"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":854.04,"endTime":855.75,"body":"another sign that you could be"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":854.04,"endTime":855.75,"body":"addicted."},{"speaker":"Dr. Doug Kuntzweiler","startTime":855.96,"endTime":858.72,"body":"How soon"},{"speaker":"Dr. Doug Kuntzweiler","startTime":855.96,"endTime":858.72,"body":"in the morning when you wake up"},{"speaker":"Dr. Doug Kuntzweiler","startTime":858.72,"endTime":862.32,"body":"do you take your first vape or"},{"speaker":"Dr. Doug Kuntzweiler","startTime":858.72,"endTime":862.32,"body":"drink your first beer or smoke"},{"speaker":"Dr. Doug Kuntzweiler","startTime":862.32,"endTime":866.76,"body":"your first cigarette, that's an"},{"speaker":"Dr. Doug Kuntzweiler","startTime":862.32,"endTime":866.76,"body":"indicator that probably"},{"speaker":"Dr. Doug Kuntzweiler","startTime":866.76,"endTime":869.28,"body":"addicted, if that's the first"},{"speaker":"Dr. Doug Kuntzweiler","startTime":866.76,"endTime":869.28,"body":"thing you do in the morning."},{"speaker":"Beth Brown","startTime":869.3,"endTime":871.94,"body":"So as far as getting"},{"speaker":"Beth Brown","startTime":869.3,"endTime":871.94,"body":"people help if they do become"},{"speaker":"Beth Brown","startTime":871.94,"endTime":875.54,"body":"addicted or they find those"},{"speaker":"Beth Brown","startTime":871.94,"endTime":875.54,"body":"cravings are more than they can"},{"speaker":"Beth Brown","startTime":875.54,"endTime":882.05,"body":"handle, because this is more of"},{"speaker":"Beth Brown","startTime":875.54,"endTime":882.05,"body":"a teenager or tween issue. What"},{"speaker":"Beth Brown","startTime":882.05,"endTime":885.14,"body":"should parents be looking for?"},{"speaker":"Beth Brown","startTime":882.05,"endTime":885.14,"body":"How can they tell if their child"},{"speaker":"Beth Brown","startTime":885.14,"endTime":890.27,"body":"is vaping? And then how can they"},{"speaker":"Beth Brown","startTime":885.14,"endTime":890.27,"body":"get their teen or pre teen help?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":890.66,"endTime":892.58,"body":"Well, I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":890.66,"endTime":892.58,"body":"think it's probably harder to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":892.58,"endTime":897.56,"body":"detect than smoking, because the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":892.58,"endTime":897.56,"body":"smoke tends to linger and causes"},{"speaker":"Dr. Doug Kuntzweiler","startTime":897.56,"endTime":900.8,"body":"an odor lingers on your clothes."},{"speaker":"Dr. Doug Kuntzweiler","startTime":897.56,"endTime":900.8,"body":"I don't have a lot of experience"},{"speaker":"Dr. Doug Kuntzweiler","startTime":900.8,"endTime":905.0,"body":"with vaping, but my suspicion is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":900.8,"endTime":905.0,"body":"that it's much easier for kids"},{"speaker":"Dr. Doug Kuntzweiler","startTime":905.0,"endTime":907.55,"body":"to hide. I mean, you can sit"},{"speaker":"Dr. Doug Kuntzweiler","startTime":905.0,"endTime":907.55,"body":"down and have an honest"},{"speaker":"Dr. Doug Kuntzweiler","startTime":907.55,"endTime":909.65,"body":"discussion with your kids. Kind"},{"speaker":"Dr. Doug Kuntzweiler","startTime":907.55,"endTime":909.65,"body":"of depends on what your"},{"speaker":"Dr. Doug Kuntzweiler","startTime":909.65,"endTime":912.8,"body":"relationship with your kid is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":909.65,"endTime":912.8,"body":"like to begin with, and they"},{"speaker":"Dr. Doug Kuntzweiler","startTime":912.8,"endTime":916.67,"body":"will probably make the argument"},{"speaker":"Dr. Doug Kuntzweiler","startTime":912.8,"endTime":916.67,"body":"to you that it's safer and it's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":916.7,"endTime":919.94,"body":"not addictive and doesn't cause"},{"speaker":"Dr. Doug Kuntzweiler","startTime":916.7,"endTime":919.94,"body":"cancer and all those things that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":919.94,"endTime":923.84,"body":"we have talked about, but I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":919.94,"endTime":923.84,"body":"think where you begin is with"},{"speaker":"Dr. Doug Kuntzweiler","startTime":923.84,"endTime":928.37,"body":"having an honest discussion with"},{"speaker":"Dr. Doug Kuntzweiler","startTime":923.84,"endTime":928.37,"body":"them. And you know, if you see"},{"speaker":"Dr. Doug Kuntzweiler","startTime":928.37,"endTime":932.0,"body":"them vaping, you might see them"},{"speaker":"Dr. Doug Kuntzweiler","startTime":928.37,"endTime":932.0,"body":"in a crowd of their friends, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":932.0,"endTime":934.13,"body":"they're all vaping, then that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":932.0,"endTime":934.13,"body":"would be a good point to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":934.13,"endTime":937.76,"body":"initiate the discussion. You've"},{"speaker":"Dr. Doug Kuntzweiler","startTime":934.13,"endTime":937.76,"body":"got younger kids, Tiffany. What"},{"speaker":"Dr. Doug Kuntzweiler","startTime":937.76,"endTime":939.68,"body":"do you - how are you approaching"},{"speaker":"Dr. Doug Kuntzweiler","startTime":937.76,"endTime":939.68,"body":"this?"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":939.72,"endTime":942.27,"body":"Well, I"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":939.72,"endTime":942.27,"body":"also remember high school and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":942.27,"endTime":945.93,"body":"college and my parents being"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":942.27,"endTime":945.93,"body":"very strict and trying to hide"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":945.93,"endTime":948.54,"body":"certain things from them, so I"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":945.93,"endTime":948.54,"body":"might have a slightly different"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":948.54,"endTime":953.01,"body":"view on some of this, but things"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":948.54,"endTime":953.01,"body":"to really look out for, and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":953.01,"endTime":955.65,"body":"things that I'm going to look"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":953.01,"endTime":955.65,"body":"out for as my kids get older is"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":955.68,"endTime":959.94,"body":"it's a very pleasant, strong"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":955.68,"endTime":959.94,"body":"fruity smell. So if you're"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":959.94,"endTime":963.63,"body":"starting to notice kind of an"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":959.94,"endTime":963.63,"body":"unusual fruity like a fruit you"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":963.63,"endTime":967.56,"body":"can't quite place your finger"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":963.63,"endTime":967.56,"body":"on, but it smells good. That's a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":967.56,"endTime":971.7,"body":"good indicator. Or minty smells,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":967.56,"endTime":971.7,"body":"but they're tending to go more"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":971.7,"endTime":975.0,"body":"towards the fruity smells. In"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":971.7,"endTime":975.0,"body":"the teens, some kids might start"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":975.0,"endTime":980.34,"body":"using like a very sweet smelling"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":975.0,"endTime":980.34,"body":"perfume or a body spray to try"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":980.34,"endTime":983.49,"body":"and hide the fact that it is on"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":980.34,"endTime":983.49,"body":"their breath and on their"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":983.49,"endTime":988.08,"body":"clothes, that that root smell is"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":983.49,"endTime":988.08,"body":"there, or lotions asking to buy,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":988.08,"endTime":991.98,"body":"like really fruity lotions, kind"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":988.08,"endTime":991.98,"body":"of out of the blue or shifting"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":992.22,"endTime":995.34,"body":"might be a time to have a little"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":992.22,"endTime":995.34,"body":"discussion looking for those"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":995.34,"endTime":998.85,"body":"little, small, discrete devices."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":995.34,"endTime":998.85,"body":"I mean, if you have a very smart"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":998.85,"endTime":1002.99,"body":"child who's, you know, studious,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":998.85,"endTime":1002.99,"body":"it may not be unusual, but if"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1002.99,"endTime":1005.0,"body":"all of a sudden the kid who"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1002.99,"endTime":1005.0,"body":"really could care less about"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1005.0,"endTime":1007.61,"body":"school is carrying a pen"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1005.0,"endTime":1007.61,"body":"everywhere with them, might have"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1007.61,"endTime":1010.85,"body":"some questions, any changes in"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1007.61,"endTime":1010.85,"body":"behavior. And just knowing who"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1010.85,"endTime":1013.46,"body":"your kids are hanging out with,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1010.85,"endTime":1013.46,"body":"if all of their friends are"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1013.46,"endTime":1016.58,"body":"vaping or if you smell it on"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1013.46,"endTime":1016.58,"body":"them, then it would be a time to"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1016.58,"endTime":1019.31,"body":"have a discussion. And I think"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1016.58,"endTime":1019.31,"body":"just having that open discussion"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1019.31,"endTime":1023.66,"body":"with them about the risk that,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1019.31,"endTime":1023.66,"body":"yes, maybe they're telling you"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1023.66,"endTime":1026.45,"body":"this does not cause cancer, but"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1023.66,"endTime":1026.45,"body":"it's actually all of the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1026.45,"endTime":1029.96,"body":"additives in it that can cause"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1026.45,"endTime":1029.96,"body":"cancer, and the nicotine is very"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1029.96,"endTime":1033.98,"body":"addictive, and actually can kind"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1029.96,"endTime":1033.98,"body":"of be that gateway into smoking"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1033.98,"endTime":1036.23,"body":"when you're an adult. There's a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1033.98,"endTime":1036.23,"body":"few studies, one out of"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1036.23,"endTime":1039.11,"body":"Australia, that talked about it"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1036.23,"endTime":1039.11,"body":"kind of being a gateway into"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1039.11,"endTime":1042.23,"body":"smoking, and the likelihood that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1039.11,"endTime":1042.23,"body":"they smoke in adulthood is very"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1042.23,"endTime":1044.87,"body":"high if they started vaping in"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1042.23,"endTime":1044.87,"body":"their teens."},{"speaker":"Beth Brown","startTime":1044.93,"endTime":1047.42,"body":"This is tough too,"},{"speaker":"Beth Brown","startTime":1044.93,"endTime":1047.42,"body":"because in the past, when we've"},{"speaker":"Beth Brown","startTime":1047.42,"endTime":1050.72,"body":"talked about addictions, we've"},{"speaker":"Beth Brown","startTime":1047.42,"endTime":1050.72,"body":"said, you know, you can't stop"},{"speaker":"Beth Brown","startTime":1050.72,"endTime":1054.14,"body":"until you make the decision"},{"speaker":"Beth Brown","startTime":1050.72,"endTime":1054.14,"body":"you're ready to stop. And even"},{"speaker":"Beth Brown","startTime":1054.14,"endTime":1057.53,"body":"that is hard. People tend to not"},{"speaker":"Beth Brown","startTime":1054.14,"endTime":1057.53,"body":"be able to quit the first time"},{"speaker":"Beth Brown","startTime":1057.53,"endTime":1060.5,"body":"they try, and it takes a couple"},{"speaker":"Beth Brown","startTime":1057.53,"endTime":1060.5,"body":"of times before they are able to"},{"speaker":"Beth Brown","startTime":1060.5,"endTime":1064.73,"body":"quit smoking, for example, with"},{"speaker":"Beth Brown","startTime":1060.5,"endTime":1064.73,"body":"teens, if they're not ready, but"},{"speaker":"Beth Brown","startTime":1064.73,"endTime":1069.41,"body":"parents are trying to intervene"},{"speaker":"Beth Brown","startTime":1064.73,"endTime":1069.41,"body":"with this habit. I mean advice"},{"speaker":"Beth Brown","startTime":1069.44,"endTime":1075.41,"body":"for parents, first off of okay,"},{"speaker":"Beth Brown","startTime":1069.44,"endTime":1075.41,"body":"maybe the teen admits, yes, I"},{"speaker":"Beth Brown","startTime":1075.41,"endTime":1078.47,"body":"have been vaping. What are the"},{"speaker":"Beth Brown","startTime":1075.41,"endTime":1078.47,"body":"what are the next steps?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1078.5,"endTime":1080.96,"body":"The advice"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1078.5,"endTime":1080.96,"body":"on quitting vaping is very much"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1080.96,"endTime":1084.29,"body":"the same as the advice on"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1080.96,"endTime":1084.29,"body":"quitting smoking. And as we"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1084.29,"endTime":1088.13,"body":"mentioned, nicotine is is highly"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1084.29,"endTime":1088.13,"body":"addictive, and it's not at all"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1088.16,"endTime":1091.97,"body":"easy to quit. There are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1088.16,"endTime":1091.97,"body":"medications that help"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1092.0,"endTime":1097.4,"body":"alternative sources of nicotine,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1092.0,"endTime":1097.4,"body":"like the skin patch and the gum,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1097.79,"endTime":1100.79,"body":"they've been shown to be pretty"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1097.79,"endTime":1100.79,"body":"helpful. And then there are some"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1100.79,"endTime":1104.93,"body":"new medications, Chantix being"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1100.79,"endTime":1104.93,"body":"one that helps cut down on the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1104.93,"endTime":1108.5,"body":"craving. But it's true, you do"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1104.93,"endTime":1108.5,"body":"have to want to quit, and I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1108.5,"endTime":1112.46,"body":"think it that's that's very"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1108.5,"endTime":1112.46,"body":"difficult to give people who"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1112.46,"endTime":1116.03,"body":"know everything at that stage in"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1112.46,"endTime":1116.03,"body":"their life. While we're"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1116.03,"endTime":1119.48,"body":"confessing things, I smoked when"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1116.03,"endTime":1119.48,"body":"I first got out of high school"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1119.48,"endTime":1123.2,"body":"and I went in the military"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1119.48,"endTime":1123.2,"body":"because everybody smoked. It was"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1123.2,"endTime":1126.5,"body":"the first privilege they gave"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1123.2,"endTime":1126.5,"body":"you in basic training. And so I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1126.5,"endTime":1129.8,"body":"smoked for the four years that I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1126.5,"endTime":1129.8,"body":"was in the military. That was a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1129.8,"endTime":1133.76,"body":"long time ago, and there really"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1129.8,"endTime":1133.76,"body":"weren't any good adjunctive aids"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1133.79,"endTime":1136.37,"body":"to quitting. If you wanted to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1133.79,"endTime":1136.37,"body":"quit, you either tapered off or"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1136.37,"endTime":1140.18,"body":"you quit cold turkey. And I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1136.37,"endTime":1140.18,"body":"chose to go cold turkey. Well, I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1140.18,"endTime":1143.69,"body":"grew up in a community where,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1140.18,"endTime":1143.69,"body":"pretty much if you didn't smoke,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1143.69,"endTime":1146.21,"body":"there was something odd about"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1143.69,"endTime":1146.21,"body":"you. All of my parents and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1146.21,"endTime":1149.33,"body":"grandparents smoked, and so"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1146.21,"endTime":1149.33,"body":"everybody in my generation grew"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1149.33,"endTime":1152.54,"body":"up with secondhand smoke and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1149.33,"endTime":1152.54,"body":"didn't think a thing about it."},{"speaker":"Dr. Doug Kuntzweiler","startTime":1152.54,"endTime":1156.08,"body":"You smoked in restaurants. You"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1152.54,"endTime":1156.08,"body":"smoked on airplanes. You smoked"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1156.08,"endTime":1159.53,"body":"everywhere. When the surgeon"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1156.08,"endTime":1159.53,"body":"general's report came out,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1159.56,"endTime":1162.41,"body":"people kind of poo-pooed it, but"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1159.56,"endTime":1162.41,"body":"it stuck in the back of their"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1162.41,"endTime":1165.98,"body":"brain. And gradually people, as"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1162.41,"endTime":1165.98,"body":"they got older and they started"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1165.98,"endTime":1169.34,"body":"feeling the effects of tobacco"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1165.98,"endTime":1169.34,"body":"smoking, they started cutting"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1169.34,"endTime":1172.43,"body":"down. And that's another thing"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1169.34,"endTime":1172.43,"body":"that's kind of disconcerting"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1172.43,"endTime":1176.75,"body":"about this vaping. We have made"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1172.43,"endTime":1176.75,"body":"it unsociable to smoke in public"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1176.75,"endTime":1181.37,"body":"places, but vaping is sort of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1176.75,"endTime":1181.37,"body":"creeping back into being"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1181.4,"endTime":1185.63,"body":"socially acceptable and publicly"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1181.4,"endTime":1185.63,"body":"acceptable, and I think that's a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1185.9,"endTime":1187.64,"body":"rather alarming trend."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1187.96,"endTime":1190.18,"body":"There are"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1187.96,"endTime":1190.18,"body":"several programs specifically"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1190.18,"endTime":1193.39,"body":"aimed at helping teens quit"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1190.18,"endTime":1193.39,"body":"vaping, which can also go"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1193.39,"endTime":1197.56,"body":"towards adult but they do have"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1193.39,"endTime":1197.56,"body":"specific ones for teens, the CDC"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1197.56,"endTime":1200.8,"body":"and then the American Lung"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1197.56,"endTime":1200.8,"body":"Association have great support"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1200.8,"endTime":1204.55,"body":"materials. They have a quit"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1200.8,"endTime":1204.55,"body":"line, some online tools, talking"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1204.55,"endTime":1207.4,"body":"to your doctor. You don't have"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1204.55,"endTime":1207.4,"body":"one, get one, but talking with"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1207.4,"endTime":1210.34,"body":"them, they can have some"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1207.4,"endTime":1210.34,"body":"resources. And then, in the age"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1210.34,"endTime":1212.95,"body":"of technology, there's an app"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1210.34,"endTime":1212.95,"body":"for that. There's actually a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1212.95,"endTime":1216.52,"body":"couple different apps that can"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1212.95,"endTime":1216.52,"body":"help track your progress and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1216.52,"endTime":1219.31,"body":"give support for quitting. So I"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1216.52,"endTime":1219.31,"body":"feel like that's a big thing"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1219.31,"endTime":1222.82,"body":"that teens could utilize. You"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1219.31,"endTime":1222.82,"body":"download the app on your phone."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1222.97,"endTime":1226.57,"body":"It has motivations. It has"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1222.97,"endTime":1226.57,"body":"reasons to quit. You can track"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1226.57,"endTime":1230.62,"body":"how many times you vaped that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1226.57,"endTime":1230.62,"body":"day, everything on it. And so I"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1230.62,"endTime":1234.55,"body":"feel like that's probably the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1230.62,"endTime":1234.55,"body":"best resource. And what I would"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1234.58,"endTime":1238.69,"body":"offer to a teenager who is"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1234.58,"endTime":1238.69,"body":"addicted or having a hard time"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1238.69,"endTime":1242.62,"body":"giving up vaping is download the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1238.69,"endTime":1242.62,"body":"app. It's something that's very"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1242.65,"endTime":1246.64,"body":"easy, and it can track their"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1242.65,"endTime":1246.64,"body":"progress and give a lot of more"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1246.64,"endTime":1251.2,"body":"motivational items to help them"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1246.64,"endTime":1251.2,"body":"than the adult who doesn't know"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1251.2,"endTime":1254.41,"body":"anything, right, right? does."},{"speaker":"Beth Brown","startTime":1254.62,"endTime":1257.62,"body":"We definitely trust"},{"speaker":"Beth Brown","startTime":1254.62,"endTime":1257.62,"body":"technology more than we trust"},{"speaker":"Beth Brown","startTime":1257.62,"endTime":1262.39,"body":"our parents. That's very true."},{"speaker":"Beth Brown","startTime":1257.62,"endTime":1262.39,"body":"So I think we've answered this"},{"speaker":"Beth Brown","startTime":1262.39,"endTime":1266.71,"body":"question, but just to be crystal"},{"speaker":"Beth Brown","startTime":1262.39,"endTime":1266.71,"body":"clear, is vaping safer than"},{"speaker":"Beth Brown","startTime":1266.71,"endTime":1267.37,"body":"smoking?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1267.46,"endTime":1269.74,"body":"My answer"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1267.46,"endTime":1269.74,"body":"to that is we simply don't know."},{"speaker":"Dr. Doug Kuntzweiler","startTime":1269.86,"endTime":1273.64,"body":"There's some early evidence that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1269.86,"endTime":1273.64,"body":"shows it, it's probably less"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1273.64,"endTime":1276.76,"body":"harmful. You have to remember,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1273.64,"endTime":1276.76,"body":"smoking is incredibly harmful,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1276.79,"endTime":1280.78,"body":"so there's some early evidence"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1276.79,"endTime":1280.78,"body":"that vaping is somewhat less but"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1280.81,"endTime":1284.56,"body":"neither one of them have a good"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1280.81,"endTime":1284.56,"body":"end. It still comes with"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1284.56,"endTime":1288.85,"body":"significant risks. We don't know"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1284.56,"endTime":1288.85,"body":"them all as of yet, but the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1288.85,"endTime":1293.11,"body":"research is headed towards there"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1288.85,"endTime":1293.11,"body":"are a lot of risks associated"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1293.11,"endTime":1296.41,"body":"with it that we don't know. So"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1293.11,"endTime":1296.41,"body":"in a way, yes, it's safer than"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1296.41,"endTime":1300.43,"body":"smoking, but it's like the safer"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1296.41,"endTime":1300.43,"body":"of the bad. Oh, and as an added"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1300.43,"endTime":1303.01,"body":"attraction, there have been"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1300.43,"endTime":1303.01,"body":"reports of the batteries"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1303.01,"endTime":1305.53,"body":"exploding and causing"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1303.01,"endTime":1305.53,"body":"significant burns."},{"speaker":"Beth Brown","startTime":1305.71,"endTime":1307.18,"body":"Oh my gosh, yeah."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1307.21,"endTime":1307.78,"body":"Yes."},{"speaker":"Beth Brown","startTime":1307.81,"endTime":1310.9,"body":"So is it pretty fair"},{"speaker":"Beth Brown","startTime":1307.81,"endTime":1310.9,"body":"to say, unless your doctor has"},{"speaker":"Beth Brown","startTime":1310.9,"endTime":1314.53,"body":"given it to you, maybe just"},{"speaker":"Beth Brown","startTime":1310.9,"endTime":1314.53,"body":"don't put stuff in your lungs?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1314.56,"endTime":1316.66,"body":"Yeah,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1314.56,"endTime":1316.66,"body":"exactly. I always thought how"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1316.66,"endTime":1319.09,"body":"counterintuitive it is, and I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1316.66,"endTime":1319.09,"body":"was a smoker, but how"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1319.09,"endTime":1322.81,"body":"counterintuitive it is if the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1319.09,"endTime":1322.81,"body":"house were burning down around"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1322.81,"endTime":1325.81,"body":"you and you smell smoke, you get"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1322.81,"endTime":1325.81,"body":"out of the house, you don't sit"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1325.81,"endTime":1330.52,"body":"there and inhale deeply and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1325.81,"endTime":1330.52,"body":"enjoy the rush. You know, it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1330.52,"endTime":1333.73,"body":"just is so counterintuitive,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1330.52,"endTime":1333.73,"body":"but, but again, what that really"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1333.73,"endTime":1336.97,"body":"gets to is how addictive"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1333.73,"endTime":1336.97,"body":"nicotine is. Common sense would"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1336.97,"endTime":1340.0,"body":"tell you this is a stupid thing"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1336.97,"endTime":1340.0,"body":"to do, but nicotine would tell"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1340.0,"endTime":1342.43,"body":"you, do it, do it, do it. Do it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1340.0,"endTime":1342.43,"body":"more."},{"speaker":"Beth Brown","startTime":1342.0,"endTime":1344.88,"body":"Yeah, 'cause there's"},{"speaker":"Beth Brown","startTime":1342.0,"endTime":1344.88,"body":"so many things that people think"},{"speaker":"Beth Brown","startTime":1344.88,"endTime":1347.94,"body":"they get out of it with"},{"speaker":"Beth Brown","startTime":1344.88,"endTime":1347.94,"body":"relaxing. I need it to wind down"},{"speaker":"Beth Brown","startTime":1347.94,"endTime":1350.85,"body":"after the day. It helps me think"},{"speaker":"Beth Brown","startTime":1347.94,"endTime":1350.85,"body":"there's so many things that"},{"speaker":"Beth Brown","startTime":1350.85,"endTime":1354.3,"body":"people rely on, even"},{"speaker":"Beth Brown","startTime":1350.85,"endTime":1354.3,"body":"behaviorally, because that"},{"speaker":"Beth Brown","startTime":1354.3,"endTime":1355.35,"body":"addiction has them."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1355.44,"endTime":1357.63,"body":"Yeah, and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1355.44,"endTime":1357.63,"body":"Beth, I would say too. On that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1357.63,"endTime":1361.71,"body":"note, it is often said, Right?"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1357.63,"endTime":1361.71,"body":"Nicotine, it's my stress relief."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1361.71,"endTime":1364.32,"body":"It's my stress reliever. I need"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1361.71,"endTime":1364.32,"body":"this to get through my day, but"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1364.56,"endTime":1368.1,"body":"it actually worsens anxiety and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1364.56,"endTime":1368.1,"body":"depression, because you're"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1368.1,"endTime":1371.31,"body":"constantly going through this"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1368.1,"endTime":1371.31,"body":"slight withdrawal, which"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1371.34,"endTime":1374.73,"body":"increases your stress level, and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1371.34,"endTime":1374.73,"body":"then you start to adapt to the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1374.73,"endTime":1377.76,"body":"nicotine, and then you need"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1374.73,"endTime":1377.76,"body":"more, and you actually have"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1377.76,"endTime":1381.75,"body":"difficulty experiencing pleasure"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1377.76,"endTime":1381.75,"body":"naturally anymore, because"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1381.75,"endTime":1385.8,"body":"you've kind of taken that cycle"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1381.75,"endTime":1385.8,"body":"away that feedback, and so in"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1385.8,"endTime":1389.07,"body":"the long run, it makes things a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1385.8,"endTime":1389.07,"body":"lot worse and worsens depression"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1389.07,"endTime":1392.46,"body":"and anxiety. But we do hear that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1389.07,"endTime":1392.46,"body":"argument a lot, that it helps"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1392.46,"endTime":1394.02,"body":"with it, but it's short lived."},{"speaker":"Beth Brown","startTime":1394.08,"endTime":1397.05,"body":"Well, you provided"},{"speaker":"Beth Brown","startTime":1394.08,"endTime":1397.05,"body":"some great resources. We'll make"},{"speaker":"Beth Brown","startTime":1397.05,"endTime":1400.89,"body":"sure we get those put with this"},{"speaker":"Beth Brown","startTime":1397.05,"endTime":1400.89,"body":"episode so folks can learn more"},{"speaker":"Beth Brown","startTime":1400.92,"endTime":1404.85,"body":"or find some resources. Any"},{"speaker":"Beth Brown","startTime":1400.92,"endTime":1404.85,"body":"final note or message we want to"},{"speaker":"Beth Brown","startTime":1404.85,"endTime":1407.85,"body":"leave our listeners with today?"},{"speaker":"Beth Brown","startTime":1404.85,"endTime":1407.85,"body":"Tiffany, you want to start?"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1408.42,"endTime":1411.06,"body":"Definitely"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1408.42,"endTime":1411.06,"body":"check out the site for the app."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1411.09,"endTime":1414.09,"body":"If you are addicted to vaping,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1411.09,"endTime":1414.09,"body":"know that it does have some"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1414.09,"endTime":1417.45,"body":"issues, and we're learning more"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1414.09,"endTime":1417.45,"body":"and more about them. Be involved"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1417.45,"endTime":1421.2,"body":"in your teen's life and in their"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1417.45,"endTime":1421.2,"body":"friends and know their parents,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1421.23,"endTime":1424.92,"body":"because that'll be very helpful"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1421.23,"endTime":1424.92,"body":"in those discussions with them,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1425.13,"endTime":1427.86,"body":"whether they listen or not,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1425.13,"endTime":1427.86,"body":"download the app on their phone"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1427.92,"endTime":1430.8,"body":"and then they have it and they"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1427.92,"endTime":1430.8,"body":"might look into it. Those are"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1430.8,"endTime":1434.85,"body":"the biggest things. Is vaping"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1430.8,"endTime":1434.85,"body":"safer than smoking, kind of it"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1434.85,"endTime":1438.57,"body":"is slightly safer, but it's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1434.85,"endTime":1438.57,"body":"still bad, and it still leads to"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1438.57,"endTime":1442.2,"body":"a lot of long term effects. And"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1438.57,"endTime":1442.2,"body":"we do see that in the medical"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1442.23,"endTime":1445.02,"body":"world, and it leads to so many"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1442.23,"endTime":1445.02,"body":"more effects than people"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1445.02,"endTime":1448.89,"body":"realize. It affects every system"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1445.02,"endTime":1448.89,"body":"in the body, highly addictive."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1449.13,"endTime":1452.64,"body":"And so it's very helpful. If you"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1449.13,"endTime":1452.64,"body":"can give it up sooner than"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1452.64,"endTime":1455.07,"body":"later, or better yet, don't"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1452.64,"endTime":1455.07,"body":"start."},{"speaker":"Dr. Doug Kuntzweiler","startTime":1456.0,"endTime":1458.28,"body":"Our lungs"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1456.0,"endTime":1458.28,"body":"were adapted to breathe fresh"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1458.28,"endTime":1460.05,"body":"air, so stick with that."},{"speaker":"Beth Brown","startTime":1460.35,"endTime":1462.69,"body":"Perfect. It's short"},{"speaker":"Beth Brown","startTime":1460.35,"endTime":1462.69,"body":"and sweet. I like it. Dr K."},{"speaker":"Beth Brown","startTime":1462.69,"endTime":1466.14,"body":"Thank you very much. Thank you"},{"speaker":"Beth Brown","startTime":1462.69,"endTime":1466.14,"body":"both for being on today. Thank"},{"speaker":"Beth Brown","startTime":1466.14,"endTime":1469.65,"body":"you so much for listening. We'll"},{"speaker":"Beth Brown","startTime":1466.14,"endTime":1469.65,"body":"put some resources with this"},{"speaker":"Beth Brown","startTime":1469.65,"endTime":1473.13,"body":"episode. If you would like to"},{"speaker":"Beth Brown","startTime":1469.65,"endTime":1473.13,"body":"learn more about vaping and how"},{"speaker":"Beth Brown","startTime":1473.13,"endTime":1475.74,"body":"to quit, we'll have those"},{"speaker":"Beth Brown","startTime":1473.13,"endTime":1475.74,"body":"resources for you. And if you"},{"speaker":"Beth Brown","startTime":1475.74,"endTime":1480.03,"body":"have a question for Dr. K or Dr."},{"speaker":"Beth Brown","startTime":1475.74,"endTime":1480.03,"body":"K, please email us at"},{"speaker":"Beth Brown","startTime":1480.06,"endTime":1486.63,"body":"QandAwithDrK@mpqhf.org and we'll"},{"speaker":"Beth Brown","startTime":1480.06,"endTime":1486.63,"body":"make sure that email address is"},{"speaker":"Beth Brown","startTime":1486.66,"endTime":1489.0,"body":"right along with this episode as"},{"speaker":"Beth Brown","startTime":1486.66,"endTime":1489.0,"body":"well. Send us your questions."},{"speaker":"Beth Brown","startTime":1489.03,"endTime":1491.7,"body":"The doctor is always in, as we"},{"speaker":"Beth Brown","startTime":1489.03,"endTime":1491.7,"body":"like to say, and we'd love to"},{"speaker":"Beth Brown","startTime":1491.7,"endTime":1492.93,"body":"help. Thanks. Be well."}]}