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3/10/08

I hate smoking

Today’s theme in my office was tobacco causes cancers.  I saw three people with squamous cell carcinoma of the head and neck, all three had been long-term smokers, all were in various stages of treatment.  Squamous cell carcinoma of the head and neck is one of the most difficult cancers to treat.  It is also one of the most challenging for patients because of the side affects of the surgery, chemotherapy and radiation therapy that is used in this disease. These treatments are very disfiguring. Patients struggle a lot with the changes in body image.  I also saw three people with lung cancer, all long-term smokers.  I always tell my patients that if tobacco were illegal or no one smoked that a majority of us medical oncologists would be put out of business.  I have always been a person who believes in personal liberty and the principles of our country of personal freedom, but over the years of my practice of oncology I have grown to hate cigarettes.  To watch the devastation that cigarettes have caused in my patients has deepened my distain for tobacco and its past acceptance & it’s present day usage.  I have cheered as communities in my area have passed smoking bans, and I believe that as a society, it is important that we do everything in our power to try to reduce smoking in our communities.  I long for the day that I can no longer see patients with smoking related cancers; it would put me much closer to being able to say that cancer is a thing of the past.

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