Can I quit alcohol and cigarettes at the same time?

I have been a smoker for about 8 years and smoke about a pack per day. I am also an alcoholic and now drink about 7 to 10 beers a day, and have been for the past 2.5 years. Last night I decided to quit drinking beer every day and today I am already shaky, nervous, and can't concentrate. I want to quit smoking also so I can join the army. Is it dangerous to quit both at once? Would it be too much stress on my body and mind? And also, would having just one beer a day for the next couple days help with the withdrawal symptoms?


What are my rights as a patient?

On a recent gynecological visit, I requested an HIV test. The doctor, a woman, responded with the question, "Why, too many New York nights?" I was shocked by her response, but, because I felt intimidated by her, I disregarded her remark. After I told her that I had never been tested and thought it was time, she looked at me and said, "I think you're okay." Needless to say, I did not get tested by her.

During my exam, a Pap smear, she put on her rubber gloves and then realized that she couldn't find an instrument. So she rummaged through the drawer, went to the door and turned the knob, requested something from the nurse, closed the door, and proceeded with the exam. She never changed her gloves. I was appalled, but never said anything. I don't know why, but she totally intimidated me — one of those women who seem to have all, brains, beauty family, wealth, etc.

My question to you is, do I report this woman? If so, to whom? It happened several months ago and it was outside of NY state. I appreciate any reply. Thank you.


What should I do if I'm interested in my nurse practitioner?

I am a graduate student and have been using Health Services for a number of years. On recent visits, I couldn't help but notice a certain nurse practitioner on whom I now have a big crush (pardon the school-kid terminology). On my last visit through walk-in, luck would have it that I got this person to treat me (a random happening--I didn't choose it in any way). I felt somewhat awkward during the visit, yet happy to see this person. Nonetheless, I realize that this is not an ideal state of affairs, but I don't know how to handle it. I am due to return to this same N.P. for follow-up.

Should I tell this person that I feel awkward receiving medical treatment from someone I would rather be dating, or should I just make an appointment with another person? Would it be possible to seek medical attention from this person after letting them know how I feel? If I do end my medical relationship with this person, how would I begin a different one? There don't seem to be many occasions when students and the Health Service staff interact outside a medical setting. I would hate to pass up the possibility of meeting that someone special due to professional constraints that would not hold had we met under different circumstances.


How can I find help to stop drinking?

I have just realized that I am not able to handle alcohol. Whenever I go to a bar or a club, I drink to excess. I do not have any urge to drink. However, when I am in a club or a bar, the same thing happens: I drink too much! This is making me think that I am an alcoholic. My question is: Where can I go for help? Thanks.


Should I drink if my 21st birthday is coming up?

My 21st birthday is coming up. I've already had two sets of friends and my mom's boyfriend offer to take me to the bar for drinks. The problem is, I have never been drunk before, let alone consumed alcohol. I chose not to drink for a few different reasons and am not sure if I should change anything for my birthday. On the other hand, I feel that I am obliged to go out drinking on this "special occasion."


Is it better to spread out or binge alcohol consumption?

I am a healthy, fit, 18-year-old male. I have tried both ways: consuming small amounts of alcohol regularly (one standard drink a day) and consuming a lot of alcohol irregularly (10 to 20 standard drinks in one night, but only two days a month, or thereabouts).

I have tended towards drinking a lot irregularly because I have found that I can't notice any effects until I have had at least four or five drinks, 80 to 100 proof shots, usually mixed with soft drink.

I was wondering if either way was less healthy or more of a risk as the same amount of alcohol is ultimately consumed. Also, I noticed that I got a bit more of a 'beer gut' when I had one-a-day than 15 at once; is that likely or just my imagination?