Question:
What if I don't want to quit smoking?

Do I have to? I enjoy smoking and I'm sure that through the stress of the operation and afterwards I'll want a cigarette more than ever.    — Catheryn F. (posted on June 19, 1999)


June 19, 1999
I thought you wanted this operation to prolong your life? Why smoke? You will not be able to smoke in the hospital so you will be cold turkey for 5 to 6 days anyway. It would be nice if you could use that boost to keep yourself in a more healthful frame of mind.
   — Deborah L.

June 19, 1999
I am amazed at the selfrightous sounding tone in the answers you are recieving. Im not a dr so I dont know the medical implacations of smoking after the opperation but I am a person and as such I feel for you.
   — Damien N.

June 19, 1999
I am appalled!!! I too am shocked at the answers you have gotten with the exception of the last one from Damien. First of all Mr. or Ms. Annon. the complications you so clearly stated can be had whether you smoke or not. Secondly, I would think as someone who has lived in this world where you faced daily discrimination, because of something that you really couldn't help, I would think you would be a little more understanding to someone ele's problems. How many times did you say you ate because you like or enjoyed it???? You said you were a smoker once too, then you should know that smoking is the number one addiction there is, and that for most people it would be easier to get off of herion than the cigs. Maybe you didn't have a hard time getting off of them, and for that I say you were blessed, but to come off judging this person... you both are way off base. Just like your food addiction, I am sure you lived with many defense mechanisms to deal with your addiction. I think before anyone starts trying to judge this person or any other person, they should sit back and remember how many times they were judged, and how they felt. Catheryn, I would discuss with your doctor your concerns about your smoking. I am sure during your hospital stay, he will be able to give you the patch to help with the withdrawls that you will suffer. As to smoking prior to surgery, it is true that if you could give them up at least prior to surgery for even three days would help a lot. And of course giving them up for good would be wonderful, but that is ONLY for you to decide. But do try to think about at least cutting down as much as possible before surgery, if you can't quit all together. And please talk to your doctor, he can help you, hopefully without the judgemental attitude that you received here. Be Positive and Keep the Strength, Edie [email protected] Surgery Date: July 27, 1999 Dr. Baker/Little Rock, Arkansas Benefit Administrators/First Source $176 Month/Family Plan "The best and most beautiful things in the world cannot be seen, nor touched...but are felt in the heart." Helen Keller
   — Edie L.

June 19, 1999
Oh and one more thing....How many times Mr or Ms Anon. and Deborah, did you hear, " Why don't you just...loose weight...diet....exercise...etc..etc." Weren't you just tired of hearing those self-rightous people tell you what you "should just do." How can you'll sit here with that same self-rightous attitude to this person??? Think about it. I am really hoping you'll didn't intend to come off this way, but you did. Be Positive and Keep the Strength, Edie [email protected] Surgery Date: July 27, 1999 Dr. Baker/Little Rock, Arkansas Benefit Administrators/First Source $176 Month/Family Plan "The best and most beautiful things in the world cannot be seen, nor touched...but are felt in the heart." Helen Keller
   — Edie L.

June 20, 1999
Well ... hmmmmm ... in my humble opinion, the smoking can kill you just as quickly as the excess weight might. You're going to have to be without smoking for some period of time due to hospital regulations I am sure, but if you truly don't want to quit, then, you need to talk with your doctor about that. I do understand the feeling of needing that crutch ... but perhaps instead you might consider counselling to help you learn more effective ways to deal with issues and stress than eating or smoking.
   — Sherrie G.

June 20, 1999
Smoking is a addiction the same as compulsive eating. I beg to differ that smoking is the number one addiction. I think food is, I mean look around you next time you are in public. I see way to many people go through this surgery process without proper psc. counseling and it is a pity. You need to be counseling before during and after this surgery. Like my shrink said, just because you can't overeat, doesnt mean you won't want to, and so what different addiction will you take up?
   — JAN C.

June 20, 1999
I am not being self-righteous. It's a shame to see someone die of cancer. My dad did and it was caused totally by smoking. He quit three times in his lifetime but always went back. The fourth time he quit was the day after he was diagnosed with cancer. He lived 5 more months. Nicotine is the number one most addictive substance. It is more addictive than heroin, as proven in laboratory rat studies. My dad LOVED his cigarettes, but after he quit, he admitted that the enjoyment he got from cigarettes did equal the value of his shortened life. He wanted to live. In other words, he was short-changed. He did not want to die. We did not want him to die either. I thought about the senseless comments made by others, "just stop eating, blah, blah, blah". Food is necessary for life, cigarettes (coffin nails) are not. Us fat people store fat improperly (genetically and chemically proven in many different studies). It is a genetic disease. Nobody is born with nicotine addiction. You are not comparing the same things. I didn't say it would be easy to quit. But the surgery itself is more risky with a smoker than a non-smoker.
   — Deborah L.

June 20, 1999
Hello Again, I think that probably all the answers you are recieving are in the hopes of helping and not harming. Sometimes it is hard to be understanding about personal crutchs/habits, ie; food, cigs, so forth. I think the point of all of this is that we have decisions we all must make. Many are difficult, indeed many are life shaping. The point that I was trying to instill was that weather you smoke or not your question reguarding smoking was as valid and deserving of compasionate consideration as any other. Yes, Cancer is deadly it has struck within my family as well. Yes no-one is born addicted to Nicoteen. That however does not make the addiction any more handelable than if it where. If you decide to quite I wish you well. If you decide to continue I wish you well. Reguardless,, I wish you well. Damien C. Tackett
   — Damien N.

June 20, 1999
Hi again too, Very well put Damien. Thank you for showing the compassion, understanding, and support that I think we all wanted to show Catheryn, but maybe came off a little too strongly trying to show. Good luck Catheryn. Be Positive and Keep the Strength, Edie [email protected] Surgery Date: July 27, 1999 Dr. Baker/Little Rock, Arkansas Benefit Administrators/First Source $176 Month/Family Plan "The best and most beautiful things in the world cannot be seen, nor touched...but are felt in the heart." Helen Keller
   — Edie L.

June 20, 1999
I am a former smoker. I had tried to quit several times before, thinking if I just cut down then eventually I would quit, bottom line is it was not easy, however worth it. What I heard you say is your willing to make the biggest change in your life through WLS surgery, giving yourself a gift. How about a second gift? No one said it would be easy. I know I struggled with cravings for a cigarette. The biggest thing that I repeated in my head was the minute I STOPED smoking is when my lungs started to healing. First I went for 12 hours; then it was a day. Oh man I really wanted a cigarette, but I didn't want to give in to how much my lungs had ALREADY healed. I managed to get through it. It wasn't with out struggle. I can remember holding onto a pack of cigarettes and holding one in my hand, rolling between my fingers, obsessing on it. I had a pack of cigarettes in my cupboard 'just in case' for 6 months. I finally found the power to throw them away. I will say when I walk past someone who has just lit a cigarette I enjoy the aroma. In a casino or where there is so much cigarette smoke it is unpleasant now. The honest truth is even now when I feel very stressed or unable to cope, I think gosh I want a cigarette. However I realize that won't solve my problem nor make me feel any better, besides I REFUSE to give up all my clean time! I am here and support your decision. My anniversary date for smoking is 10-22-97. Whatever your decision I wish you the best. [email protected]
   — Becki M.

June 20, 1999
I enjoyed eating too, but am giving that up to save my life. My doctor required anyone that was having the surgery to stop smoking or he wouldn't perform the operation.
   — dboat

September 11, 1999
Until 1983 I smoked over 3 packs of Marlboro each day; I quit cold turkey, and it was tough (quit drinking at the same time). Thoughts: although you don't seem to want to quit, try making a 'pro' and 'con' list about effects of smoking. List every single reason you consider smoking to benefit you, as well as every harmful effect. Don't forget to include financial con- siderations. Make an objective conclusion based on this information. If I was still smoking 3 pks Marlboro a day, it would cost me around $9 or $10 bucks a day. Consider: $300/month for cigarettes? or $300/month for new clothes? Just try looking at the big picture ... being more objective than just 'I like to smoke'. As has been said, you are the only one to make the decision. However, the doctor can react to your not quitting by not operating. This is tough, but with careful research and consideration you'll get through it just fine. Cindy
   — Cynthia B.

November 28, 1999
Excuse me??? If you don't want to quit, then don't. It's up to you to make that choice. I don't smoke, have never smoked, and don't understand why smokers smoke, and it is not for me to tell someone "why would you want wls if you are going to keep smoking?" Maybe the two things are entirely different, I don't know. However, I do feel if you are going to do one thing this major to benefit your health, it seems you would do everything else you could to enhance your health--but to each his own. You know what you NEED to do, and you also know what you WANT to do. No matter what any of us say, you already have the decision in your head!!!
   — tipdawg1

June 27, 2002
First of all my mom just had a 4 Hour back surgery with 27 staples. Her doctor knew of her 2-3 pack a day habit and still perfromed surgery. She was absolutely fine afterwards.Not one complication. He even told her to have someone rub vitamin E on her scar to aid in healing! She is a 53 year old woman to boot!!!!! Cotine (nicotine) stays in your urine for 24 hours and even shorter in your blood system (went to medical terminology) in search engine to check out this fact. Good luck!!!!!!!
   — Tammie A.

June 27, 2002
Catheryn, I, too, am a long-time smoker who isn't sure that she wants to quit at this time. I am scheduled for open RNY with Dr Hocking/Shands/Gainesville, FL on Aug 14, 2002. I have read that smoking slows the healing process after surgery- it has to do with blood circulation and tissue repair. Fine- I want to do what's best, BUT...I also "spoke" with a WLS surgeon online (NOT my doc) and he said that prior to surgery, when the BLOOD GASES TEST is performed for the anesthesiologist, if any nicotine was found in his patient's system that he would cancel the surgery then and there. That's enough reason for me to quit, at least one month prior to surgery and hopefully after surgery. Good luck to you in whatever decision you make! R. Towne
   — Rebecca T.




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