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NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript 3

[2] Healthcare providers were advised to evaluate for alternative diagnoses (e.g., cardiac, gastrointestinal, rheumatologic, neoplastic, environmental, or occupational exposures, or causes of acute respiratory distress syndrome) as suggested by clinical presentation and medical history, while also considering multiple etiologies, including the possibility of VAPI occurring with a concomitant infection

As the world calls for cigarettes to go the way of the dodo, the more they come back

Im trying to pay more attention to that. Not just looking in the mirror

Theres just a lot of uncertainty about how to address this issue. And in some states, even after securing medical marijuana rights, drug courts have still mandated abstinence