No my neurologist didnt suggest smoking to me at any point and I cant think of a neurologist that would suggest smoking. I started smoking to calm anxiety which as you mentioned backfires horribly because while it takes care of the initial anxiety it causes withdrawl and craving anxiety the more addicted you get. How they treat tourettes with nicotine is through low dose nicotine patches, and from what Ive read up on its a very attractive option for tourettes sufferers whove exhausted their medication options or for whom the side effects of our treatment options outweigh any potential benefits. For example, as we went through various medications in my childhood the last one I took was called Pimozide which doubles as an anti-psychotic for schizophrenics and an anti depressant. I experienced hallucinations and sleep disturbances until it was fully out of my system a month and a half later. After that I gave up on any sort of pill treatment and have been unmedicated with tourettes for the past four years. Im a bad candidate to use nicotine patches to treat tics because I also have marfan syndrome and need to stay away from the blood pressure problems you mention and so it was never mentioned to me until I saw my neurologist two years ago when my symptoms worsened greatly causing my right shoulder to lock up that the reason my symptoms worsened is because nicotine was treating my tics which brings me back to my earlier point. Not everyone should quit cold turkey. Epileptic smokers can bring on seizures quitting cold turkey, in my case tics can worsen, and while youre right that smoking raises your blood pressure quitting cold turkey can cause a blood pressure drop that while harmless to most people and beneficial to hypertension sufferers can be terrible for people with hypotension and they need to cut back gradually with monitering. I can think of no reason a doctor would suggest smoking, but can think of at least one instance in which they would prescribe a nicotine substitute. All Im saying is that light smokers should and can quit cold turkey when pregnant, that research suggests heavy smokers cut down before quitting cold turkey in the first and second trimester, and that those with neurological/vascular problems consult a specialist about their stop smoking options and get monitering. I would never advocate continuing to smoke for any of the reasons listed here because with monitoring and a quitting plan any of these obstacles can be overcome (though in my case only for about six months but thats my low willpower) I just wanted to reiterate that not everyone should quit cold turkey.
I was thinking of my baby when I quit as soon as I could using the safest way I knew how. 4 became 2 became 1 became once a week to nothing in a short time and I can live with that decision. While my tourettes is now worse than it was when I smoked I was able to avoid what happened the last time I quit cold turkey.