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Quitting smoking
is hard, but dying?
By
Peter M. Abel, M.D.
Medical Director,
Prevention Center for Cardiovascular Disease
Cardiovascular Institute of the South/Morgan City
Excuse me
while I climb up on my soapbox, the better to deny something
you're about to say, if you're a smoker. To wit: No, it is not
hard to quit smoking. It is troublesome, temporarily unpleasant,
inconvenient, even difficult.
Slowly
drowning from emphysema, on the other hand, is hard. Lung cancer
is horribly hard. A massive heart attack is certainly no day at
the beach. Neither is a stroke.
Keep smoking,
and you'll have a very good chance of experiencing one -- or
more -- of the above, which will make appallingly clear to you
the enormous difference between the discomfort of quitting
smoking and the dreadful pain and disability of that abominable
habit's consequences.
Now, I'll
leave to the pulmonologists that part of the lecture dealing
with the disaster smoking is for your lungs, and to the cancer
specialists the ghastly details of what it can do to your mouth,
throat, esophagus, stomach, pancreas and bladder. I'll confine
myself to what it's doing to your heart. What's it's doing is
clogging your arteries -- particularly those that provide oxygen
and nutrients to the heart muscle itself. The condition is
called atherosclerosis -- the buildup of cholesterol plaque on
the artery's inner wall, that slowly narrows the channel through
which blood can flow.
When those
blockages become complete, a part of the heart muscle will start
to die, and you'll experience the crushing pain of a heart
attack. If you're lucky, the damage won't be so extensive that
the heart can't survive. But bout a half million people a year
in this country aren't that lucky.
Since I'm a
cardiologist, about 50 percent of my patients are smokers. But
only 29 percent of Americans smoke. That's a very revealing
statistic, and fully congruent with the fact that half of all
smokers will eventually fall prey to a smoking-related disease.
And don't
shrug your shoulders fatalistically and say it's probably too
late to stop. If you don't already have terminal lung cancer,
it's not too late. The human body is an incredibly durable and
self-renewing organism. It can survive, and even recover from, a
great deal of abuse -- if you just stop abusing it.
I don't
entirely agree with the assertion that if you're overweight,
sedentary, drink too much, eat the wrong diet and smoke, and are
only willing to give up one of your vices, then by all means
make it smoking. I'm in favor of stopping all such abuse of your
body. But smoking is darn sure the best place to start!
©1999 Cardiovascular Institute of
the South
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