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"I kind of thought at the start: oh, it's not smoking, I would never touch a cigarette." But then the teenager said she realised the e-cigarettes were probably doing just as much harm

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Smoking is more common among men, and among American Indian/Native Alaskans

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Common indications of the need for tonsillar surgery in adolescents: Therapeutic Recurrent and chronic tonsillitis as per SIGN guidelines Halitosis with tonsillar crypts Persisting swollen and enlarged tonsils causing obstructive problems Previous quinsy Febrile seizures Obstructive sleep apnoea with sleep-related disordered breathing Diagnostic Asymmetrical tonsil (See Figure 1) Access to parapharyngeal space or styloid process (rarely) Good discharge advice is important for a speedy recovery: Rest for two weeks, avoiding strenuous activity Dont be alarmed at the appearance of the throat