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Once You Have Lung Cancer, Should You Bother To Quit Smoking?

Most smokers dread lung cancer. They are aware that by continuing to smoke the chances of developing lung cancer are increased 20 times, and that once it has developed the treatment is unpleasant and prognosis poor. Many patients (and unfortunately many clinicians) assume that once you have lung cancer it is too late to quit.

This week a new report was published in the BMJ, based on a review of the evidence that smoking cessation after diagnosis of a primary lung tumour affects prognosis. The study, by Drs Parsons, Daley and Aveyard at the UK Centre for Tobacco Control Studies, combined the data from 10 studies. They found that those who quit smoking after diagnosis were significantly less likely to develop another tumor and significantly more likely to still be alive 5 years later. Read more »

This post, Once You Have Lung Cancer, Should You Bother To Quit Smoking?, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

Could Sugar Pills Improve Smoking Cessation Rates?

Professor Robert West, at University College London, has an interesting theory which suggests that glucose tablets can help smokers to quit. It is well known that when smokers quit smoking they put on weight, and that nicotine appears to act like a mild anorectic drug…it dulls the appetite. It has also been noted that smokers often crave high carbohydrate foods when they quit smoking. So it seems as though smoking dulls the hunger for carbohydrates. The glucose theory (or at least one version of it) suggests that when an addicted smoker quits smoking they experience a strong hunger/craving sensation, sometimes located in their stomach. When trying to interpret that sensation they think, “what am I craving? I just gave up cigarettes, it must be that.” Read more »

This post, Could Sugar Pills Improve Smoking Cessation Rates?, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

Why Would Philip Morris Support Smokeless Tobacco Products? To Maintain Dependency On Nicotine?

The Wall Street Journal reported Jan. 6 that Philip Morris and U.S. Smokeless Tobacco Co., both parts of the Altria Group Inc., wrote to the FDA suggesting that tobacco products be ranked on their harmfulness to health. This would most likely result in smokeless tobacco products being ranked as markedly less harmful than cigarettes. Philip Morris apparently claimed the plan would have “a significant public-health benefit.” (assuming smokers took the rankings at face value and switched from more to less harmful products).

Now at face value, this sounds reasonably sensible. But when we consider that Philip Morris USA makes the vast majority of its profits from cigarette sales, and the plan would apparently reduce those sales as smokers switched to smokeless products, it is reasonable to wonder what they are playing at. Read more »

This post, Why Would Philip Morris Support Smokeless Tobacco Products? To Maintain Dependency On Nicotine?, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

Trying To Quit Smoking? Should You Cut Down Or Go Cold Turkey?

Most specialist smoking cessation services advise patients to select a quit date and quit smoking completely on that day (usually along with medication), but many smokers prefer the idea of cutting down gradually. What are the pros and cons?

I theory, cutting down gradually might provide a “softer landing” in that it might spread out the nicotine withdrawal over a longer period, rather than giving the nicotine receptors an abrupt shock of no nicotine. It also seems to fit with common sense that it might be easier to change the behavior gradually rather than all at once. Read more »

This post, Trying To Quit Smoking? Should You Cut Down Or Go Cold Turkey?, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

New Years Resolutions And Tips To Help You Quit Smoking

As we approach the beginning of the new year, many of us are considering our New Year resolutions for 2010. For many smokers, quitting will be near the top of the list. Particularly in these tough financial times, many smokers are deciding it doesn’t make financial sense to keep smoking. When it comes to new year resolutions, it’s not essential that the change start immediately from midnight on December 31st, but if there isn’t a plan to get started pretty soon afterwards there’s a real risk that the planned change never happens. Read more »

This post, New Years Resolutions And Tips To Help You Quit Smoking, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

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IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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