Doctor’s word–tips to escape the smoking trap

Source: news.ncmonline.com Author: Erin Marcus, M.D. Editor's Note: In the debut of A Doctor's Word, Dr. Erin Marcus wrote about an African-American man's effort to quit smoking cigarettes. This week, she offers practical advice for all who would like to kick the habit. Dr. Marcus is associate professor of clinical medicine at the University of Miami Miller School of Medicine. In my first column, I shared the story of Lawrence Jones, a 55-year-old man who smoked for 35 years until July, when he decided to quit. In his words, he was “sick and tired of being sick and tired.” Giving up the addictive habit of tobacco is extremely difficult, and Jones’ success depended on the help of a counselor, smoking cessation classes, nicotine replacement patches, and the support of a friend. Here are some things that helped Jones, as well as tips I’ve garnered over the years as a primary care physician. To succeed at quitting, you first have to decide that this is something you really want to do. Medicine and classes won’t work unless you have made a commitment. In Jones’ case, a graphic video that his counselor played at his first stop smoking class made him resolve to quit. It showed pictures of smokers that he could not forget: a man missing an eye and part of his nose from mouth cancer, and people breathing through tracheotomies – holes that doctors surgically cut in their throats when cancer prevented them from breathing. “You have to be willing [...]

Preoperative smoking cessation improves head and neck surgery outcomes

Source: Cancerpage.com Author: Staff NEW YORK (Reuters Health) - Even a short period of 4 to 8 weeks of smoking cessation prior to surgery to treat upper aerodigestive tract squamous cell carcinoma improves wound healing, according to a review of the literature. If the patient stays tobacco-free, the risk of cancer recurrence is substantially reduced. However, full cessation is required -- simply reducing the quantity of cigarettes smoked per day is of little benefit, Dr. Richard O. Wein from Tufts Medical Center, Boston, reports in the June Archives of Otolaryngology-Head and Neck Surgery. Studies of the impact of smoking cessation on surgical outcomes within the field of otolaryngology are few and contradictory, Dr. Wein points out. For his review, he drew on studies of smokers operated on for non-otolaryngology conditions as well as for head and neck tumors. The "bottom line," he says, is that "although conflicting reports exist within the literature concerning the impact of short-term smoking cessation, it should be noted that the sheer number of articles reporting the negative impact of continued tobacco use on postoperative pulmonary function and wound healing far outweighs those minimizing this impact." Furthermore, multiple studies indicate increased risk of recurrence or the development of a second cancer in patients who continue to smoke after their index cancers are diagnosed. One study, for example, found that 40% of patients who kept smoking after being treated definitively for a malignant oral cavity tumor had a recurrence or developed a second malignant lesion. Overall costs of care, the author [...]

2009-06-19T07:38:56-07:00June, 2009|Oral Cancer News|
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