Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
Hi can I ask your first name?
Do you remember me?
I do now!
Nice to hear from you again
Do you remember my question before
No I don't
I smoke 20 cigarettes a day and have been for 12 years and smoked crack cocaine for 3 years but have stopped smoking crack cocaine now. I am worried about how much damage I have done to my lungs and if I have a increased risk of lung cancer.
I remember now
Yes I recommended that your risk was mildly increased from crack but more so from smoking
you said cocaine smoke just doesn't have the same carcinogens as cigarette smoke
current scientific thinking is that crack has some risk but not like cigarettes
I have continually smoked cigarettes for 12 years 20 cigarettes a day with the three years of smoking crack cocaine.
Yes I know
my answer remains the same
what are my chances of getting lung cancer if I continue to smoke at this rate
Your chances will be determined by age
for example smoking a pack a day at age 30 is different then at 40
I am 25
started 12 years ago
so your risk right now?
less than 2 %
lung cancer is exceptionally rare at your age
and if I continue
then risk increase with age
I just would like to put things in perspective
at age 30 risk is slightly higher
at age 40, risk would be about 5%
age 50, 10%
and so on
and don't forget about non cancer problems like COPD
that is just as bad
so at age 50 is a 10% increase a lot?
that is a lot
10% risk is high
could you explain?
10 sounds low?
we aren't talking about 10% risk of high blood pressure. Cancer is very serious
risk at age 60 will be 20%
so 1/5 will get cancer with those risk factors.
That's a lot
is there a difference in risk of getting lung cancer in male and female
yes males are higher risk
I am not sure
so if a man and women the same age with the same amount of cigarettes smoked the man would be higher risk
so if I was to quit at age 30
would my risk decrease
stopping is hard
but im scared aswell
you should be scared
smoking is terrible
so if I stop at age 26
then your risk is minimal
what about passive smoking?
not a risk
barely above general population
what do you mean
I mean slightly above average risk
I still don't understand
so you mean small a risk
so passive smoking is a small risk
ok thank you.
I have another question
I had a tattoo done
I have a few
I would not mind but justanswer discourage multiple questions in one thread
would you mind rating and opening a new one or accepting additional services
do I have to pay again?
they recommend it
I had laser tattoo removal done on both arms. Both arms were covered by large tatoos. The tattoos have now faded but I have been left with hypopigmentation on both arms and have no skin colour at all in those areas. I am disappointed that I have lost my skin colour and disliked it so much that I got another tattoo covering both those areas however due to the tattoo designs on the cover up tattoos on both arms there are still bits within the tatoo that have not been covered and the hypopigmentation in those areas are still visually exposed. My situation now is that I am very conscious and scared about going outside and going on holiday I have not been on holiday since I got the removal done about 3 years ago because of the hypopigmentation. And now even though I have got it covered and I am happy with how it visually looks, I am still aware that I have no pigmentation underneath the tattoos and in the exposed areas were the tattoo did not cover up the hypopigmentation areas and on top of that I cannot see some of the areas were there is hypopigmentation because I have them covered with tattoos which makes me even more anxious. I can only see the hypopigmentation that has not been covered due to the design. I am very scared about increasing my risk of skin cancer because of my actions. Can you please help me.
But I thought because there is no pigment in those areas I have not got no natural protection against the sun?
so why are those areas white?
My skin has gone white with no pigment. 50% of both my arms where removal was done is white. Does no pigment mean no natural protection against the sun?
can I send you pictures so you can have a look?
Can you see the white areas?
is the pigment completely gone?
so would you say I still have natural protection against the sun. I have talked to someone about this on just answer before and did not have the pictures with me at the time but I explained to him the situation as I have done with yourself and he told me ''just because you don't see pigment there, doesn't mean you don't have pigment. and your cells in the skin can make more melanin pigment in the area over time.so there is pigment still in the cells. the laser procedure did not remove all of the pigment from your skin''
do you agree?
so have I still got natural protection against the sun in the white areas. Do you know exactly what I am talking about.
so I have still got natural protection in the white areas?
Ok thank you doctor. So have I got a increased risk of skin cancer?
what's slight ?
is that low risk?
So my overall risk of skin cancer is low?