Archive for the Quit Smoking Category


Tobacco and Cancer

            It seems hardly a debate in the 21st century that tobacco causes lung cancer in those that smoke it. Debate on the existence of a link to disease and tobacco has been around since Columbus brought the cultural use of it from the natives of North America to Europe (Glantz, 1998).  People that are inclined to believe the advice of physicians are coaxed by those that are not inclined to believe medical research to smoke, even though horrible pictures and labels are on the packs that they smoke (Canada, 2004). The people trying to get the population to smoke vary, from the tobacco companies down to peer pressure from a friend who just wants a smoke buddy. The end result is the same sobering statistic: one in two will die from complications related to tobacco use (Samet, 1994).

            Tobacco is reported to cause not just cancer of the lungs, but also that of many other organs in the human body. There are reports that higher incidences of cancer is found in the mouth, throat and the digestive organs that are subjected to chemicals that accumulate in saliva (Samet, 1994).

            How then are there still smokers that despite warnings continue to smoke? The easiest answer to this question is that deception by the tobacco industry such as Brown and Williamson to the public insisting they were safe in ads has continued (Glantz, 1998). In a sample of mortality in men aged 50-69 taken in the years of 1952 through 1955, a nonsmoker mortality rate was 12.8. A smoker was reported as having a mortality rate of 127.2 (Samet, 1994). This does not seem to be a safe hobby to have with such a high mortality rate.

            Why then do people continue to smoke? It could be that by seeing a grandmother not die of lung cancer assumptions are brought to life that somehow their own genetic code is not afflicted with the curse of cancer. It is a fact that there are some inheritable markers that will help lung cancers grow. It is not quite so simple to assume that since a grandmother smoked for 50 years and didn’t get cancer, it is safe to smoke tobacco as a niece or son. There is no DNA test for the markers that will provide concrete evidence to the susceptibility of lung cancer when smoking tobacco (Samet, 1994).

How did smoking continue even if there was death even in the 1950’s? It is not easy to prove tobacco being a cause of lung cancer in the year 2008; it was much more difficult to do so in the booming years of smoking that was the 1950’s. It was not until the early 1960’s that the health system as a whole began to see through the deceptions that were being produced by the tobacco companies. Research by scientists could not show the deaths attributed to the use of tobacco early in the history of smoking due to the lack of modern equipment such as X-ray machines, or even the bronchoscope (Samet, 1994).

In the late 1970’s and middle 1980 there was no longer a way to deny the existence of a link to cancer and smoking by the use of medical instruments and studies with rodents. Tar from cigarettes painted on the backs of rodents and lung cancer from smokers were being correlated. With the link of cancer being strong, tobacco companies put forth an effort to build a “safe” cigarette through the use of filters. The filters largely succeeded in reducing the danger of smoking to the smoker, but it was not a perfect filter. The use of the filters that removed some of the worst chemical byproducts was abandoned by the tobacco industry, as the list of chemicals grew too high to contain in a filter. The result was that the tobacco industry would turn to litigation and lawyers in order to continue selling a product that was not labeled as being dangerous to your health (Glantz, 1998).

What about then the diseases that are silent killers of smokers? Chronic obstructive pulmonary disease, which can be caused by smoking, is a class of diseases that kill the patient slowly enough that by the time some people seek treatment; there is too high of a decline of function in the lungs (Glantz, 1998). These diseases like chronic bronchitis and emphysema cannot be cured, but merely slowed down so that some normal life can continue until the patient suffocates while alive in the case of emphysema (COPD Update, 2007). Heart disease and stroke is added to this list (Glantz, 1998), but they are even harder to control once the damage has been done. It can take nearly 10 years for stroke or heart attack risk to slowly fall to normal levels, but COPD will remain since all people die with reduced lung function that is the mark of COPD (COPD Update, 2007).

Smoking has been shown bad for health for decades, but the debate is far from over for the people that die every year. There seems be the right of freedom to die slowly with smoking, but not if you wish to end a terminal illness. There is a saying that tobacco is the only consumer product that when used as directed, results in the death of the user. Medical literature is clear on the diseases that are seen in smokers, especially COPD. It is unfortunate that smoking tobacco is difficult to stop despite warnings and clear evidence of danger if it is continued. The link of COPD to smoking combined with the cancer link in genetics should provide enough incentive for a smoker to stop. Shortness of breath is the first warning sign that should not be ignored.

 

 

 

 

 

 

 

References

Canada, H. (2004, October). Health Canada tobacco control programme. Retrieved October 13, 2004, from http://www.hc-sc.gc.ca/hecs-sesc/tobacco/index.html

COPD Update. (2007). Respiratory Medicine , 148-152.

Glantz, S. A. (1998). The Cigarette Papers. Berkeley: University of California Press.

Samet, J. M. (1994). Lung Biology in Health and Disease. Lung Biology in Health and Disease ; V. 74 . New York : Marcel Dekker, Inc.

I hope to elaborate later on Chantix, how it helped me and especially the words from a medical student who shall remain forever anonymous except for this statement:

The following three things are true of smoking:

1. You get poor
2. You get sick
3. Tobacco companies make money

I could of course add a fourth:

4. You get cancer, if you believe in that sort of thing.

I might have screwed up the words a bit, but I hope you get the point. Put down the stick of sick and live a free live.

Zero Smoke.

I have been nicotine free now for almost two years. In this time I have helped hundreds of people achieve their own success stories by sharing my thoughts and giving advice on side effects. I have only been forced to not allow one post in this two years, mostly due to the negative tone and the insistence that Chantix had changed them.

Two years later we see a little news that Chantix carries a suicide risk and may cause mental illness. I am not your doctor so you can never take my facts and use them as medical advice. The only thing one can say about Chantix is that it has helped you quit smoking and people who quit smoking go through a lot of problems as they adjust to addiction.

Using Chantix could cause the very same side effects if you used a negative reinforcement method to stop. I have blogged before about the more than 4,000 chemicals that are in smoke. Some refuse to take this one pill due to the media and continue to ingest those chemicals. If you can make it rational that the 4,000 chemicals  in smoke are ok, there is no therapy that I know of which would help you stop.

I would take Chantix again if my blog doesn’t help me to stay smoke free. In these two years there has only been an urge four times to smoke, but it was easily dismissed as not a real need. Will I make it to four years? If this blog is still here it serves as a reminder of all the pain we go through to quit and is a paper weight that helps to stop the years of nicotine abuse from flying into my face.

May you all still read and post your stories, as I had no idea it would serve everyone else the way it has.

This has been a wonderful project for myself to stop smoking, and the responses from all of you confirm my suspicions that Chantix is a wonderful drug to stop with.

With all the concern that people have about alcohol and Chantix, I had no such adverse reactions and trust me I did use it as a crutch a few times when emotional. One thing you do not want to do is trade compensation measures, aka trading tobacco for alcohol.

I’m sure most level headed people will agree with me here on my next statement. If you do drink alcohol while on Chantix, do it lightly and make sure you are in a good mood and plan to stay that way. I insist that you sit down, watch a movie and make sure you have enough material to have a good time.

You’ll find yourself in a weird place in a year of not smoking, all the lost time you didn’t realize you had all along. Myself and free time is good and I even went back to school and am getting an Associate’s Degree to start with. I could almost pay for school with the savings alone.

Now that you’ve quit smoking for a few months, you are probably feeling really good right now. I know that my first 3 months was not difficult emotionally, but physically as I expected myself to become a superman. Take it a bit easy, as your body will undergo some changes for a while (all the better) and you will eventually begin the life you were intended to have: smoke free.

This all brings me to my next point which was a person who remarked today that medical cadavers come from people who have no family. I’ve never personally heard of such a thing, so if you have any evidence otherwise please leave a comment.

I decided to just type in medical cadavers into Google, fully expecting an application form to become one. I then clicked on the first link for medical cadavers I could find (here). For the uninitiated, a medical cadaver is someone who has given their body to science so that people can learn. I soon learned that the students would find out what the people died of, not their names, but what caused their death. Some students I found had no problem figuring it out.

Read the article if you wish, but here is an excerpt that caught my eye:


Monroe-Wise had even taken to calling her cadaver, “Bob.” “I can sense that I’m developing a sort of affection for my cadaver, which is strange,” she said. “But maybe our cadaver is a little bit unusual. We already know so much about him.” In just three days of dissecting, “Bob” had yielded evidence of emphysema, triple bypass surgery and a pacemaker. “Obviously it’s too late, (but) I want to say to him, ‘Bob, what are you doing? Quit smoking. You’re gonna kill yourself.’”

Now you have it, it’s official. Keep smoking and you might just end up a medical cadaver. It has nothing to do with if you have family. I would assume this guy figured he’d help a few dozen people learn not to smoke… is it any wonder why most doctors I see are not in the smoking area? (I am not under the impression nurses do this course in medical school, only doctors.)

Keep in mind, this guy had a pacemaker and several other diseases that are attributed to smoking. He may have been hit with a bus, but the students who dissected him could tell the damage done.

I had the pleasure, and trust me strange as it is, it was a pleasure to see how a large group of people treats a smoker now, in the year 2007. I’m trying to be a non antagonist of smokers. I admit that I was a smoker, but saw the light when my asthma finally caught up with me.

So for all the people that don’t know I’m from West Virginia, you at least (hopefully) know that it’s right next to Ohio. In Ohio, there is a set of smoking laws that are designed to deter even the most hopeful smoker from blowing any in the faces of people who don’t also indulge in the delight.

In Ohio, there is a festival every year that is called the Bob Evans Farm Festival . It’s a fun festival that mostly includes (as you could see) singing, and some various other activities for children like horse riding and hay rides.

One of the many sights to see was a water demonstration with some tree cutting. Some people out there might not know, but the art of lumberjacks in Ohio and West Virginia is not lost on even the youngest of our generations: our slumbering hills are covered with trees.

There is a pond that has a small dock in the middle that some performers cut logs, or do log rolling.
All around the pond is a slope that people can sit on to view the performance, and we chose our spot up at the top so our smallest child (less than a year old) wouldn’t be bothered by all the noise.

Now, for a bit of a reality check. We arrived and saw so many people parked in a field that horses normally graze on that we were shocked. If I had to guess, there was over 5,000 people there, no small fries considering our town in WV only has 25,000 people in it. While we walked pretty much the entire length of the Bob Evans Farm, we didn’t see even one person smoking a cigar, cigarette or even spitting tobacco. This is odd behavior… I noticed there wasn’t even one teenager smoking behind the bathrooms.

Getting back to the water demonstration, we were well into the 30 minute mark when a man and his lady friend sat behind us. I didn’t know they were there until we were covered in smoke from his cigarette. I had wondered why people were leaving all around us, it was the best part of the show!

So here he was, the first person I’ve seen smoking and we just have to move. Why say anything to him about it? I’ve tried to get some people to quit smoking anywhere inside a building where customers are at, and when I’m not there they light up mere feet away from the customers. I get negative feedback, so I’ve quit trying to talk to smokers about how non-smokers feel. An interesting footnote here is that the people at the festival felt the same way, and a large number of them.

Now, we must move, he’s smoking and not noticing he’s blowing it on an infant! My wife threw the baby at me with a blanket on her head since she was the least distance from the smoke. By this time at least 20 people have moved away from him. We got up from our grassy seat and noticed the large gap of people being missing all around him. Hundreds of people were at this slope and he had a disease, nobody wanted to be around him. He had at least a good 30 foot radius around him, and he continued to smoke.

There was a silver lining in all this, he was just ignorant of the fact that people got up and left. He noticed that all these new seats showed up in front of him, he moved forward but nobody returned. His lady friend stayed put, almost in a silent protest of what he’d done, or too ashamed to call him out on it. He had to motion for her to move up at least 2 times, and the last time you saw that look on his face: I am a jackass. Not a single person out of at least 50 said a word, children all around with parents shuffling them upwind from his puffing, said a word.

If you are trying to quit smoking, take heed: the atmosphere is changing. In a tobacco state such as Ohio or West Virginia the attitudes are changing. People know that smoking causes early death and a deterioration of life that is not worth the puff.

If you think that people will complain to you when you smoke, you are wrong. They smell it on you and will just pass you on, just like this group of people did. Some will try to stop a suicide bomber, or someone jumping off a bridge. It seems that now, nobody will stop a smoker: he is on a mission to prove brashness or wants to die and any words you say are lost.

If i give up smoking will my personality change?

I hate to tell you this, but yes it will. It’s not a bad thing really, as I’ve come to find out.

Your personality will be one that is productive, and not driven by a reward that has nothing to do with what you are trying to accomplish.  You’ll have more concentration than you did before, leading to that very same productiveness.

Your new self will face adversity, instead of running from it, and you’ll be more respected by people around you that do not smoke. You’ll have more self esteem, which leads to more self worth. You’ll stop forcing yourself to always be one step away from being able to smoke.

Smokers will say you are a jerk now, mainly because you are not on the same bus to death that they are. You’ll be hated because you are no longer a smoker, and ‘better’ than they are. You’ll also have a change in behavior and you won’t want to ‘hang out’ with those that won’t return the favor of understanding you don’t want to smoke any longer.

In all, you will change when you stop smoking. Anyone who says you’ve changed for the worst are obviously not looking at the big picture, and just wish you’d start smoking again.

365 Days ago today.

It’s official, the count is in.

379 days ago, I started taking a medication that had nearly double the success rate at smoking cessation than any other method.  Chantix was new to the United States, and the controversy hasn’t died down since then, even though it’s been slightly over a year since it was put on sale.

365 days ago, I put down my cigarettes and started a trip that I’m glad I am still on. I was up to two packs a day at that time, one more per day than when I started Chantix… I was desperate, I wanted a nicotine buzz, but none was to be found. After two weeks, I didn’t need to give up, I was disgusted by this habit, fully aware that it was killing me, I put down the smokes and never yearned for another one.

I had dreams of smoking, but never entertained the idea in the waking world. I wrote about the wonders of Chantix in my blog and have nearly made 1/4 of the money back I spent on it. I’ve had others email and post comments in my blog saying that while they had some trouble, it was worth it.

In the last year I’ve learned so much more about our bodies and the way that cigarettes affect us. In that time, the lies we tell ourselves about cigarettes is all to clear, and that to some, smoking is doing more help than harm, and no medicine is more dangerous than the ones that doctors prescribe. Knowing these things, I’ve struggled with ignorance from every angle.

I’ve got a friend who double specialized to be a lung doctor, brash and young out of college do nothing but discuss the horrors of what he’s seen in school. I’ve had other friends say they know it’s killing them, but posses some nature that now, I’m unable to understand. In that year, I’ve also met a doctor who knows it’s killing him, but does say he’s quitting again with the help of Chantix.

In the last year, I’ve seen my lung function improve a staggering 20-30% depending on which measurements and medicines you look at, and am near normal for my age and the amount I smoked. I’m no longer worried about the prospect of oxygen tanks, lung cancer, or the breath I would lose doing simple things.

So now, 365 days later I look back. Was it worth it? Do I feel better? Did I save money? Have I saved any of my life?
YES!

Now, 365 days later, after going through many tests, chest xrays and lab work, can I say smoking is worth it at all?
NO!

At the end of the day, I trust 5 doctors, two of whom I’ve known for over 10 years. Chantix works, and nothing has shown Chantix alters mood but a guess and the fact that you’ve quit over 4,000 other chemicals at the same time you started Chantix.

When it does finally boil down, and you don’t trust doctors, I trust the people who make more money than them: Insurance Companies.

My rate for life insurance being a smoker at current cholesterol, weight, age: $55 a month.
My rate at current cholesterol, weight, age and non-smoking status: $17 a month.

I’m content knowing that they believe I won’t die of smoking in the next 10 years, and if you can trust anyone, it’s bean counters.

It’s not enough that the UK has socialized health care, which right now is just a quagmire I’m hoping to sidestep in this post. Now all of the UK has banned smoking in all public places.

Public opinion varies on the subject, with Slash formally of GnR saying he must smoke. The sky is falling even further for pubs and also for the makers of beer due to establishments going to vanish due to the smoking ban. Most store owners are not bucking the law, and doing what’s required to ensure they are not fined.

Let’s not forget the grim statistics cited here, that if you don’t quit smoking, the pub owner isn’t going to be able to serve you a cold one… he’ll be dead from your habit.

Maybe Chantix should take this chance to ramp up advertising in England.

I’ve talked about chemicals in tobacco smoke before, and this chemical, benzene is a toxic by-product of smoking cigarettes and has many bad qualities. Before I hear the nay sayer in the back row, I know everyone is exposed to benzene on a daily basis, even our body produces very, very small amounts of it. I’m talking about large amounts of benzene.

If a chemical company spills 10 pounds of benzene, they must let the EPA know! This is a serious chemical that hurts your health in serious ways, and half of the exposure in the United States to benzene comes from just one activity: smoking tobacco. Yes, I’m fully aware that cars put off benzene, but you’re taking it out of proportion. Being in a room with a smoker, or heaven forbid, being the smoker, you are getting a _LOT_ of benzene.

So, before you light up your next smoke… take stock of what you’re really putting in your body besides a pesticide.
If you want to quit, you must become aware of what you are doing, if you intend to stick with it.