Home » Podcasts » To Vape or Not to Vape, that Is the Question! (Part 1)

To Vape or Not to Vape, that Is the Question! (Part 1)

Episode 1:  Show Notes

This is Episode one where we will be discussing Overall Well-Being & Vaping & E-cigarette Use.

Part 1:  Well Being

I started a discussion of Health & Well-being on my second blog post.  Today we are going to continue looking at this topic.

I would like to bring your attention to a book that I’m currently reading called “Well Being:  The Five Essential Elements.”  The book was written by Tom Rath & Jim Harter.  It was written in 2010 and was a product of Gallup, Inc.  Gallup is an American research-based, global performance-management consulting company.  Founded by George Gallup in 1935, the company became known for its public opinion polls.  Gallup provides research and strategic consulting to large organizations in many countries, focusing on “analytics and advice to help leaders and organizations solve their most pressing problems.”

Although the book was written in 2010, and is a bit outdated by today’s standards, updated study results can be found on the company’s website http://www.gallup.com/ (Spelled GALLUP).

There are 3 primary things that I want to discuss about the book today.  We will be discussing this book more in the future.

  1. What are the 5 essential elements?
    1. Career or Purpose
    2. Social
    3. Financial
    4. Physical
    5. Community

      Online State Reports

          One of the studies that Gallup has been doing since 2008 has been a statewide comparison of reports of overall well-being. The Well-Being Index is calculated on a scale of 0 to 100, where 0 represents the lowest possible well-being and 100 represents the highest possible well-being.

      The top 5 highest scores for 2015 went to

        1. Hawaii
        2. Alaska
        3. Montana
        4. Colorado
        5. Wyoming
  1. The 5 lowest scores for 2015 went to
    1. West Virginia
    2. Kentucky
    3. Oklahom
    4. Ohio
    5. Indiana
  1. Another report that I found interesting was which state scored highest & lowest in each of the 5 areas.
  2. All the information regarding states is interesting – but what really matters most is how we score individually. So let me share a little of my own results.  If you have taken this test and want to share your own story, go to the comment section for this podcast on my website, drterriwenner.com and tell us all about it.
  3. The scores ranged from Hawaii at 64.8 and West Virginia at 58.5.
    1. Now remember the highest potential was 100 as a total of the 5 areas we mentioned a few minutes ago.
    2. What does that tell you?  It tells me that there is a lot of room for improvement.
  1. You know I’ve been teaching student nurses for 10 years now. Some might even listen to this recording!  I can guarantee you that if most students scored between 58 & 65 on an exam – they would not be content.  I’m sure my email box would be filled, I would be getting stopped in the hall, & probably a few would try to blame the teacher.
  2. But in the long run, who can fix the problem if you’re not happy with your well-being score? Not anyone but you!  There are others than can help you, but ultimately the ball is in your court.
  1. A Wellbeing Assessment is included with a new book. So, if you’re interested in this topic, pick up a copy.  I purchased a Kindle copy and an access code was included that I received by email. In all honesty – I don’t like to spend money unnecessarily.  So, if I can get a book through the local library or used I often will.  But when I choose to purchase a new book, my best experience has been with Amazon.com.

Dr. Terri’s Heath Tip & Challenge of the Week

I shared this link on my Twitter page from Harvard Health.

A study published online Feb. 22, 2016, by the Journal of Human Nutrition and Dietetics examined the dietary habits of more than 18,000 adults and found that those who increased their daily intake of plain water reduced their total daily calorie intake as well as their consumption of saturated fat, sugar, sodium, and cholesterol.

So, unless you’re already doing an excellent job with water intake – consider increasing your water by 1 or 2 glasses per day.  Small steps in the right direction WILL make a difference.

You might have a glass after every bathroom trip, when you wake up each morning, and with every meal.

So – how much should you drink?

There is not an easy answer to that question.  Years ago there used to be a one-size-fits-all approach and everyone was told to drink 8 – 8 ounces glasses or 64 ounces a day.

The latest approach uses several things to calculate this.

  1. Your size & weight
  2. Your activity level
  3. Where you live

The range is one half ounce to one full ounce for every pound of you weigh, on a daily basis.

For a person weighing 150 pounds, this would mean a range of 75-150 ounces.

As always, check with your healthcare provider before making any major changes.

And if you have ever been told to limit your fluid (which is common in patients with kidney, heart & some blood pressure problems) then keep following the guidelines were you already given.

Part 2: Vaping & E-cigarettes

Vaping & E-cigarettes

It’s common knowledge that smoking cigarettes is harmful to your health.  The CDC (Centers for Disease Control & Prevention) lists Cigarette smoking as the leading preventable cause of death in the United States.

  • Cigarette smoking causes more than 480,000 deaths each year in the United States. This is nearly one in five deaths.
  • Smoking causes about 90% of all lung cancer deaths in men and women.
  • About 80% of all deaths from chronic obstructive pulmonary disease (COPD) are caused by smoking

But what about Vaping & the use of E-cigarettes?

I have admit, I really didn’t know much about vaping until recently when I decided to investigate it in a little more detail.  I discuss smoking hazards in the nursing courses that I teach all the time.  But the textbook I had been using, didn’t include any information about Vaping, so I thought it was to do some digging.

I thought it would be a pretty quick learning curve but boy was I surprised!!!

If you start browsing the internet for resources on this topic, you will quickly be overwhelmed.  I don’t mean to tell you NOT to look, but you probably need to do a full-fledged research project to decipher all that you will find. If you would like to sort through the 19 million google hits for vaping – be my guest.  Looking for more credible research, I turned to GoogleScholar and only looked in the year 2016 – and I still had 1930 results to sort through.  As I mentioned – overwhelming is probably not nearly a strong enough for what you might find.

I certainly don’t claim to be an expert on this topic, but I did manage to sort through enough information that I am going to share some highlights with you today.

If you are someone with personal experience or a strong opinion on this topic, please feel free to use the comment section of my website drterriwenner.com to post your thoughts.

So – Let’s get started!

  1. It’s always good to start with a clear definition of what we’re talking about.  So what is vaping?
    1. The top google hit for this topic is a site called Vaper Soul. You can find it at vapersoul.com – a company from Los Angeles, CA
    2. They define vaping as “The act of inhaling vapor from e-liquid through a personal vaporizer (the vaper’s tobacco-free version of the traditional cigarette).
    3. Next they discuss what’s in e-liquid. E-liquids generally consist of propylene glycol or vegetable glycerin or both. Additionally natural or artificial flavors are used to create exotic or unique flavors.
  2. Selling Vape Products
    1. Years ago I used to work at Wawa Convenience Stores. It was my job to sell cigarettes.  Yes Nurse Terri – used to sell cigarettes – one of the hidden secrets from my past coming to light. They stored them above the cash registers and you grabbed a pack or carton if a customer asked to buy them.
    2. That’s not the case with vaping & e-cigarette products. Check out the Facebook page of a store in my home state of Pennsylvania.  It’s called VapingMeCrazy in New Hope Pa.  You can see the variety of supplies they sell.  Many online stores advertise 200 flavors.  That’s more than the number of ice cream or water ice flavors most stores sell.
    3. They have all your traditional fruit flavors, food flavors like New York Style Cheesecake, common alcoholic beverage flavors, like the Fuzzy Navel or Pina Colada. You get the point, the list goes on and on and on.
  3. Back to the definitions.
    1. Now we know what vaping & e-liquid is. What else do we need to know?
      1. VaperSoul also mentions the benefits of vaping vs smoking, nicotine strengths and lastly, is vaping safe? All those questions seem good to me.
      2. Benefits
        1. No bad smell & bad breath from odorless vapor.
        2. No cigarette burns or dirty ashtrays.
        3. Less likelihood of getting cancer and other smoking-affiliated illnesses. RED FLAG ALERT- RED FLAG ALERT!!!! My student nurses will always tell you – it always comes down to the one word.  Did you catch it?  Let me read that one more time.  Less likelihood of getting cancer and other smoking-affiliated illnesses.  LESS NOT NONE!!!! Keep them one in the back of your mind.
        4. More cost-effective in the long run than cigarettes.
        5. Can help people quit smoking. Another RED FLAG ALERT!!!  CAN- not DOES, not WILL, not GUARANTEED!!!!  Keep that one in your mind too.
  • So what about nicotine?

    1. E-liquids are available in a number of strengths from 0mg up to 24 mg Nicotine.
    2. That sounds good. We have options.  If we want to keep our nicotine coming – we can.  If we don’t want any – we can choose that too.  And if we want to wean ourselves down – slowly we can choose that too.  So, I like options – so this part sounds good to me.
  1. Lastly – what about that safety question?
    1. Kudos to VaperSoul – on their homepage – they do offer links to several articles that discuss safety & research aspects. And I do think they provide a variety of perspectives –which is good.
    2. They summarize with a statement that says. “Various studies have proved that vaping is a far safer alternative to smoking. However, as vaping is new, the long term effects are unknown.”  Overall, this is a fair statement.
  2. No disrespect to the VaperSoul – but from a medical point of view – we would like more information about the research on this topic.
    1. I subscribe to a few Health Related Newsletters and I saw one article come through that caught my eye. Liling Huang, In an online journal called Preventing Chronic Disease.
      1. Use of electronic cigarettes continues to rise among teens, and there is new evidence that a growing number of high school-age youth who don’t smoke cigarettes are taking up the e-cigarette habit.
      2. Among surveyed teens living in North Carolina, electronic cigarette use increased more than four-fold between 2011 and 2013, reflecting the upward trend among teenagers nationwide.
      3. And one-in-five nonsmoking teens who participated in the 2013 survey said they planned to try e-cigarettes within the next year.

This finding is particularly troubling, given the growing evidence linking e-cigarette use to smoking initiation, “Given that e-cigarettes have recently become the leading form of tobacco used by U.S. adolescents, the rapid increase in e-cigarette use among North Carolina cigarette ‘never smokers’ is concerning,” the researchers wrote.

What this means is – originally there was hope that vaping & e-cigarette use was a better alternative to actually smoking cigarettes. But now, we have a new problems – teens who never smoked are deciding to give it a try to the point where we are seeing increased use.


Part 1:  Well Being

Gallup – http://www.gallup.com/

Hawaii Reclaims Top Spot in U.S. Well-Being

To purchase a copy of the book “Well Being:  The Five Essential Elements” head over to Amazon.com or your favorite book seller.

Part 2: Vaping & E-cigarettes

In loving memory of Barbara L. Wenner who passed away on August 14, 2016.

General information about vaping – Vaper Soul

Shops sell vaping related products, such as VapingMeCrazy from New Hope, Pennsylvania.

Preventing Chronic Disease Article Reference:  Huang LL, et al “Electronic cigarette use among high school students and its association with cigarette use and smoking cessation, North Carolina Youth Tobacco Surveys, 2011 and 2013” Preventing Chronic Disease 2016; August: 10.5888/pcd13.150564
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.






  1. Since I switched from smoking to vaping, I feel that I can breath deeper and don`t have to worry about unpleasant tobacco smell any longer -vaping just makes me feel better. Besides that, in comparison to smokers, vapers have their own communities such as mine (https://vapingdaily.com/) and growing public and informational support. I general, I really hope that soon more and more people will realize positive effects of vaping and give up tobacco addiction.

    • Thanks for sharing your personal experience with vaping Lian. Do you use tobacco free vaping products?

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