Unfortunate. I have been using the Johns Hopkins system for all of my health care needs for the past 15 years. About 3 1/2 years ago, my doctor gave me a referral to the pulmonary specialist for a lung function test. I never went. Instead, I quit smoking and started vaping. Just a few short weeks ago, I had a physical. My doctor listened to my lungs, and asked me when I had quit smoking. I told him 3 years ago on my birthday (which was an exaggeration by about 6 months). He said that he was amazed that my lungs sounded so much better. He asked why I never went to the pulmonary specialist and I told him that I didn't need to spend a bunch of money to find out that smoking was messing up my lungs. He asked how I quit, and I told him that I used e-cigs. He asked if I still did, and I said occasionally if I felt the overwhelming urge to have a cigarette. He turned around and got on the computer, and said, "I guess we can take this smoker status off now.". So... It appears that some of them haven't gotten the message, but the physician discussed in the article works with child care. He has limited exposure to adults suffering the effects of smoking. Given his lack of experience in the area, he should have just kept his yap shut instead of sounding like the uninformed dolt that he is...