I don't think it is appropriate, timely or necessary to immediately ask a new member if they are/were a tobacco user.

Instead, if they have a DX of Oropharynx OC, then it would be much more appropriate to ask if they were tested for HPV and briefly explain that HPV and Tobacco use are the two known major causes of Oropharynx OC.

Regardless, anyone with Oropharynx OC should really have their biopsy or tumor tested for HPV and eventually this should become a standard practice.

Don
TXN2bM0 Stage IVa SCC-Occult Primary
FNA 6/6/08-SCC in node<2cm
PET/CT 6/19/08-SCC in 2nd node<1cm
HiRes CT 6/21/08
Exploratory,Tonsillectomy(benign),Right SND 6/23/08
PEG 7/3/08-11/6/08
35 TomoTherapy 7/16/08-9/04/08 No Chemo
Clear PET/CT 11/15/08, 5/15/09, 5/28/10, 7/8/11