dr liu quit smoking slides 1 26-2013

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Quitting Smoking How to stop smoking … for good! Hongbiao (Hank) Liu MD PhD 1-26-2013

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Page 1: Dr liu quit smoking slides 1 26-2013

Quitting Smoking

• How to stop smoking … for good!Hongbiao (Hank) Liu MD PhD

1-26-2013

Page 2: Dr liu quit smoking slides 1 26-2013

• Leading the News

• Study: Smoking can take at least ten years off life expectancy.

• Two studies on smoking and mortality published this week in the New England Journal of Medicine received significant coverage from print and online news sources, and from two national news broadcasts. One study was led by Dr. Prabhat Jha of the Center for Global Health Research in Toronto, while the other study was led by Michael J. Thun of the American Cancer Society. Both studies found that quitting smoking helped to reduce the risk of death associated with smoking - a point that most reports focused on. Additionally, much of the coverage discussed the finding that women are now as likely to die from smoking-related illnesses as men.

Page 3: Dr liu quit smoking slides 1 26-2013

NBC Nightly News (1/23, story 10, 0:25, Williams) reported, "good news and bad news on the smoking front. From the New England Journal of Medicine, they state flat out, smokers lose at least one decade of life expectancy over nonsmokers on average." CBS Evening News (1/23, story 9, 0:25, Pelley) reported, "A new study is finding that smoking is taking a much greater toll on women than it used to." USA Today (1/23, Payne, 1.71M) reports that one of the studies found that "people who smoke take at least 10 years off their life expectancy." The article adds, "on the other hand, those who kick the habit before age 40 reduce the excess risk of death associated with continued smoking by about 90%, according to the study in Thursday's New England Journal of Medicine." According to USA Today, "the study examined data from the U.S. National Health Interview Survey between 1997 and 2004.”

New York Times (1/23, O'Connor, 1.68M) quotes Dr. Tim McAfee, an author of the study and the director of the CDC's Office on Smoking and Public Health, as saying that the findings "paint a much more dramatic picture of the horror of smoking. These are real people that are getting 10 years of life expectancy hacked off - and that's just on average."

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The Washington Post (1/24, Vastag, 489K) reports that the other study found that "smoking-related deaths among women have soared in recent decades. For the first time since research on smoking and health began in the 1950s, the rate of smoking-related deaths is now nearly equal between male and female smokers.”

The Los Angeles Times (1/24, Khan, 692K) reports that "in the early 1960s, women smokers were 2.73 times more likely to die from lung cancer than their nonsmoking counterparts; by 2010, they were 25.66 times more likely to die of the disease, Thun found.”

WebMD (1/18, Boyles) notes that "both studies were supported by the National Institutes of Health." Also covering the story are the Wall Street Journal (1/24, Winslow, Subscription Publication, 2.29M), the AP (1/24, Marchione), and the NBC News (1/23, Rettner) "Vitals" blog.

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Live longer and healthier

20 minutes after quitting:• Your heart rate drops

12 hours after quitting:• Carbon monoxide levels in your blood

drop to normal

Source: CDC Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion

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Live longer and healthier

2 weeks to 3 months after quitting:• Your heart attack risk begins

to drop• Your lung function begins to

improve

1 to 9 months after quitting:• Your coughing and shortness of

breath decreaseSource: CDC Office on Smoking and Health,

National Center for Chronic Disease Prevention and Health Promotion

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Live longer and healthier

1 year after quitting:• Your added risk of coronary heart disease

is half that of a smoker’s

5 -15 years after quitting:

• Your stroke risk is reduced to that of a nonsmoker

Source: CDC Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion

Page 10: Dr liu quit smoking slides 1 26-2013

Live longer and healthier

10 years after quitting:• Your lung cancer death rate is about half

that of a smoker’s

• Your risk of cancers of the mouth, throat, esophagus, bladder, kidney and pancreas decreases

Source: CDC Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion

Page 11: Dr liu quit smoking slides 1 26-2013

Live longer and healthier

15 years after quitting:• Your risk of coronary heart disease is back

to that of a nonsmoker’s

Source: CDC Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion

Page 12: Dr liu quit smoking slides 1 26-2013

Steps to quitting

1. Get ready

2. Get support

3. Learn new skills and behaviors

4. Get medication – if recommended by your doctor – and use it correctly

5. Be prepared for cravings and withdrawal symptoms

Page 13: Dr liu quit smoking slides 1 26-2013

Steps to quitting

Step 1: Get Ready• Set a quit date• Get rid of all cigarettes and ashtrays at

home, work, and in your car• Keep a diary of when and why you smoke• Call 1-800-QUIT-NOW for free materials• Tell friends and family you’re going to stop

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Steps to Quitting

Step 2: Get Support• Your chances of success increase if you

have a support network• Ask friends, family, and coworkers for their

support in helping you quit• Ask others not to smoke around you or

leave cigarettes out in the open

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Steps to quitting

Step 2: Get Support• Talk to your family physician about

tobacco’s effects on the body, choosing a quit plan, and dealing with withdrawal

• Get individual, group, or telephone counseling

Page 16: Dr liu quit smoking slides 1 26-2013

Steps to quitting

Step 3: Learn New Skills & Behaviors• Distract yourself from urges to smoke

– Talk to someone– Go for a walk– Get busy with a task– Go somewhere you’re not allowed to

smoke

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Steps to quitting

Step 3: Learn New Skills & Behaviors

• Change your routine – Take a different route to work– Drink tea instead of coffee– Eat breakfast in a different place

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Steps to quitting

Step 3: Learn New Skills & Behaviors

• Reduce stress – take a hot bath, exercise, or read a book

• Plan something enjoyable to do every day• Drink a lot of water and other fluids

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Steps to quitting

Step 4: Get Medication• Your family physician may recommend one of

these to help you quit:– Bupropion SR– Nicotine gum– Nicotine inhaler– Nicotine nasal spray– Nicotine patch– Varenicline

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Steps to quitting

Step 5: Avoid Relapse• Most relapses occur within the first three

months• Avoid drinking alcohol – drinking lowers

your chances of success• Avoid being around other smokers – can

make you want to smoke

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Steps to quitting

Step 5: Avoid Relapse• Expect a small weight gain

(usually less than 10 pounds)• Eat a healthy diet• Stay active• Look for ways to improve your mood other

than smoking

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Will it work?

Successful quitters are• Ready to change• Motivated to quit

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Managing withdrawal

Symptoms• Most intense during the first three to seven

days• May continue for several weeks but will

get less severe• Triggers or cues associated with smoking

can cause cravings

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Managing withdrawal

• Exercise• Reduce or avoid caffeine or other stimulants• Relax before going to bed• Make your bedroom quiet• Keep a bedtime routine• Drink plenty of water• Use cough drops to relieve

throat irritation

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Managing withdrawal

If you’re having trouble concentrating• Adjust your schedule to a lighter workload• Lower your expectations on the amount of

work you can do• Understand the amount of energy and

time it takes to stop smoking

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Managing withdrawal

If your appetite has increased• Eat healthy snacks• Don’t delay regular meals• Drink more water• Exercise regularly

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Managing withdrawal

If you crave a cigarette• Wait out the craving (usually less than five

minutes)• Try deep breathing• Use distractions• Call someone in your support network• Chew gum• Brush your teeth

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Renew your dedication

• Reward yourself for resisting urges to smoke

• Review your reasons for stopping• Remind yourself often how well you’re

doing

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You can do it!

• Tobacco addiction is a chronic disease – seek advice, support, and care from your family physician to increase your chance of success

• Quitting smoking can reduce illness, prevent death, and increase your quality of life

• Quitting can be difficult – remember to ask for help

• You can do it!

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Resources

Free Quitlines:• 1-800-QUIT-NOW (1-800-784-8669)

– You’ll be automatically routed to a state-run or National Cancer Institute quitline

– You’ll get immediate advice on quitting and an offer to have materials mailed to you

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Resources

Web Sites with helpful information:• familydoctor.org• www.smokefree.gov• www.surgeongeneral.gov/tobacco• http://www.cdc.gov/tobacco/quit_smoking• http://www.cancer.org/Healthy/StayAway

fromTobacco

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