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Patient has history of tobacco dependence,Suppurative otitis media with central perforation of tympanic membrane, left earTinnitus, right ear

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These regulatory measures have led to a shift towards alternative tobacco products, such as e-cigarettes and heated tobacco products

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health (NSDUHs), 2009 to 2010 (revised March 2012), 2011