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New tobacco products, however, do not face the same restrictions

Alcohol, on the other hand, is not a safer alternative

The judgement has caused us to focus our preoperative risk counselling of patients on whether a reasonable person in the patients position would be likely to attach significance to the risk, or the doctor is or should reasonably be aware that the particular patient would be likely to attach significance to it. In truth this is in keeping with existing advice regarding sound ethical principles, but it means we need to gauge perhaps more thoroughly than before what risks we think an individual patient needs to be aware of when we obtain consent

We were curious to understand smoking among people with stroke and cardiovascular disease, said Neal Parikh, MD, MS, lead author of the study and a neurologist at New York-Presbyterian/Weill Cornell Medical Center in New York City