This week my avatar is in memory of the famous women who have smoked. Many of whom have died with some form of COPD or lung cancer. Sophia Loren, my avatar earlier this week, quit early in her career and claimed to smoke mostly for her movies.
Spending any time with someone who is suffering from any respiratory disease is an eye opener. It is hard to discribe and comprehend what it is like to not be able to "catch one's breath". I often have RT students just starting out run up several flights of stairs and then tell them to imagine that breathless state during all of their waking hours, which there will be many if you can not breath. Sleep will not be easy. Many times when a patient is given high flow oxygen, some mistake "hypoxic drive" for just plain exhaustion. Their oxygenation needs are met for the moment and they can relax often into a very sombulent state. Yes, they may need to be on a ventilator, but some long term COPD patients will actually ask to be intubated to get some relief.
I, too, smoked in my younger days working in EMS. When I started working part time at the Veteran's Hospital as an OJT Respiratory Tech, I was introduced to a whole world that previously I would only see once in awhile for a few minutes on my ambulance. Trying to keep several patients comfortable with their breathing for 12 hours is vastly different from doing "life saving interventions" for a few minutes and then dropping off at the ER. Imagine being in the respiratory ward, with patients all around you begging for your assistance to breathe easier. Imagine being in a room with 20 trach patients, many with with recent radical neck surgery (which isn't pretty). To watch patients hack up their lungs with sputum flying out in all directions, is a little unnerving, even today after doing RT for many years. Not so surprising, many patients still want to have a cigarette. Some not because of the addiction but admittedly have lost all hope and want to hasten their death
You can get some idea of this the next time you do a routine run to a sub-acute that warehouses 20 - 100 ventilator patients and just as many non-vented trach patients. Some are there for their end stage COPD. Those that can talk may be able to give you some advice you can't ignore. Just ask the RTs there to direct you to such patient.
One of my both favorite (usually healthy bodies compared to my usual work load) and least favorite chores at work once a year is spirometry/lung function testing on the local firefighters/paramedics for their physicals. I can usually "see the future" of who will become a regular for the RT service in a short time. Usually it is the smokers. Some are still in their 30s. The hospital will provide smoking cessation counseling for these men and women also. Some accept it, some don't. The next year, I'll print out a trend report for those that don't with a message that their lung function clock is ticking.
Usefull links
http://www.lungsandiego.org/tobacco/article_dont_give_up.asp
http://www.yourlunghealth.org/
http://www.tobaccofreekids.org/
National Heart, Lung and Blood Institute
http://www.nhlbi.nih.gov/
Yahoo Groups (and others) have scores of online communities. Most are private to reduce spam, since cigarette smokers are targets for such advertisements. Registration though usually isn't a problem.
If you live close to a teaching hospital or medical university, you may be able to volunteer for a new product on the market. Besides medications, many behavioral scientists may sponsor groups for their research purposes. You may feel like a human guinea pig, but you will have access to information and therapies that would be costly if self-pay.
So, there are options.
Good luck to those that have already quit or are planning to take the first step into being a nonsmoker.