Smoke ‘Em if You Got ‘Em
Via Ezra Klein, a chart of what happens to your body if you stop smoking right now
The idea here is to convince you that the benefits of quitting aren’t all long-term, that stopping will also improve your life in the short run. It’s a nice thought, but I don’t think it’s very accurate. Of course, people’s experiences of smoking are different. But I worry that it may actually be counterproductive for some people to gloss over the fact that if you spend ten years smoking a pack or more a day (like me!) and then decide to stop, it’ll really really suck. For example, they say that after 24 hours “your sense of taste and smell will return to a normal level.” That’s nice. But, again, if you haven’t been at a “normal” level for years, it’s actually quite unpleasant. And the idea that at 72 hours your “overall energy level will rise” is a fantasy. I’m sure there’s some technical sense in which that may be true, but I spent over a month feeling pereptually drowsy, confused, and un-motivated. The health reason to quit smoking really is “so that you don’t get cancer and die.” But it’s not fun.
The one real short-term benefit that I think I could claim is that not smoking means less pathetic addict behavior. I know lots of people who smoke regularly, but not all that heavily, and who don’t actually egage in that much pathetic addict behavior. Quitting might in some ways be harder for those folks. But I was thinking about this today as I read Spencer Ackerman write “It’s funny how sometimes you have power over something even after you’ve spent a long time telling yourself your self-control was gone.”
Looking back, it’s remarkable to me how much power being an addict had over me. Making plans about when I was going to have a chance to smoke, or have a chance to buy more cigarettes. Almost missing a connecting flight in Chicago that I knew was going to be a close call because I couldn’t miss the chance to run outside and smoke one even though that meant I would need to go back through the security checkpoint. Standing outside, under an umbrella, in a hurricane, smoking and being very upset at the wind interfering with the process. You think of smoking as “not so bad” an addiction to have, because the substance itself isn’t as debilitating as heroin or whatever. But it’s still true that, to a remarkable degree, my whole life was being shaped around the fact that I knew I would need to either regularly dose myself with nicotene or else experience various degrees of intense discomfort. It used to be, for example, that I could barely sit through a long movie at a theater.
85 Responses to “Smoke ‘Em if You Got ‘Em”
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November 21st, 2008 at 1:22 pm
But your breath improves right away!
November 21st, 2008 at 1:26 pm
Matt, why don’t you make your next book an addiction memoir? They’re all the rage these days.
November 21st, 2008 at 1:28 pm
Of course all of the pathetic addict behavior you cite came not from cigarettes, but from anti-smoking legislation and regulation. The airplane, the hurricane, the movie, none of that would have been a problem in 1975.
November 21st, 2008 at 1:29 pm
When I stopped smoking, I pretty quickly felt much better physically. With the help of nicotine gum, the physiological additon was not that difficult, but I found the psychological aspects much more difficult to conquer. Smoking becomes a way of life – you smoke in the morning with your coffee, you smoke after meals, you take a nice walk and smoke, you read books and smoke, etc.
The chart is inaccurate in stating that the risk of lung cancer returns to normal after 10 years. In fact, a former smoker’s risk of lung cancer will never reach that of somebody who never smoked.
November 21st, 2008 at 1:32 pm
A hearty congrats and well-wishes to you on quitting and successfully staying a non-smoker.
November 21st, 2008 at 1:32 pm
One improvement that happens right away when you stop is that you stop being big tobacco’s bitch.
November 21st, 2008 at 1:32 pm
They need to mention that within a few days the number of people willing to make out with you goes up exponentially.
November 21st, 2008 at 1:41 pm
I quit smoking 4 years ago, and the statement about “real short-term benefit” is inaccurate. There were many benefits, most of them elusive, as MY argues persuasively. But the number-one short-term benefit, by far, was that I suddenly had a lot more spending money. My budget suddenly expanded by 5% because I wasn’t throwing it down the nicotine hole, and it was extremely noticeable.
November 21st, 2008 at 1:41 pm
At $9+ for a pack of smokes here in Bloomberg’s NYC, I can think of other short term reasons for quitting too. Which was, I imagine his plan all along…
November 21st, 2008 at 1:41 pm
The same kind of propaganda is used to dissuade people from using drugs. Now, pointing out the long term health effects of heroin is important. People should not use heroin.
But claiming that heroin is horrible from the get go has a counterproductive effect. Heroin is in fact, I’m told, really really fun at first, which is why people use it. The high is awesome. The problem is that routine use of heroin is really really bad. But saying that heroin is bad all of the time undercuts the real message because people find out that hey, they’ve been lied to, heroin is in fact, awesome at first.
November 21st, 2008 at 1:53 pm
Much of that “pathetic addict behavior” could be avoided if we didn’t have these pathetic blanket bans on indoor smoking. If you banned alcohol consumption indoors, drinkers would look and act pathetic too. I agree that nicotine is strongly addictive and that this in itself constitutes a psychological problem, but compared to alcohol or drug addiction the resulting behavior is actually quite compatible with society – in the 60s nobody cared and we wouldn’t even have this discussion.
November 21st, 2008 at 1:55 pm
So I smoke a pack every week and a half or two weeks. Is there any available study of the effects of this level of smoking on someone? I have yet to find anything about it and I have a hard time believing that it’s the same as someone who smokes a pack a day…
November 21st, 2008 at 2:02 pm
Yea, I hear that. I’m the same way with diet pepsi. Ever have the DP shakes after going through six 2 liters a day? Not good…
Speakin of, im about to go grab a 20ozer right now.
November 21st, 2008 at 2:03 pm
You’re addiction story sounds remarkably similar to mine, but substitute coffee for smokes. If I don’t get some in the morning and again in the afternoon, I turn into a three year old child prematurely awakened from his nap and mad at the world (often with a bad headache). No plans to quit, though.
November 21st, 2008 at 2:06 pm
Um, I meant “Your…”. I need some coffee.
November 21st, 2008 at 2:10 pm
Agree completely with how unpleasant “normal” senses of smell and taste are. Everything smelled horrible when I quit a few years back.
November 21st, 2008 at 2:11 pm
I am in the process of quitting right now – my little 2-6 cigarette a day habit – which I thought I could walk away from easily. I can live with the cravings but I am suffering from insomnia and I’m frickin’ exhausted. sucks
Congrats on successfully quitting.
November 21st, 2008 at 2:15 pm
I’m a coffee addict, but I basically break the addiction every weekend, leaving me a basket case for a good part of 1 day a week. But since the caffeine seems to be good both for my allergies and for the pains I have to deal with, I absolutely won’t quit for good.
November 21st, 2008 at 2:16 pm
Much of that “pathetic addict behavior” could be avoided if we didn’t have these pathetic blanket bans on indoor smoking.
As a non-smoker happy to be free from the stench of other people’s cigarettes, married to someone allergic to cigarette smoke, you can take those “pathetic blanket bans” from my cold, dead hands…
November 21st, 2008 at 2:17 pm
When I was quitting, a friend remembered her father’s experience quitting smoking. “I can smell dirt again!” he said.
For some reason, he apparently thought this was a good thing.
Public restrooms – even reasonably clean ones – were vile to me for a long time after I quit.
November 21st, 2008 at 2:17 pm
Six months ago I quit after twenty years with the lozenges. Started with the 4mg, then broke them in halves (always carrying some in my pocket)
Moved on to breaking the 2mg in halves and then quarters. Much easier than the patch, gum, or zyban.
Commit lozenges are the shizzle.
November 21st, 2008 at 2:20 pm
Great chart, the information has been available for decades from our government. I bought a huge fat book titled “Health Benefits of Smoking Cessation”. It was like 5″ thick and started out with the points made by the nice chart. A nice colorful chart with just a few words is probably more effective than waiting for smokers to wander into a government bookstore looking for something they can use as a chair while they smoke outside the library.
November 21st, 2008 at 2:21 pm
you missed a perfect opportunity to quote ray charles saying that cigarettes were harder to quit than heroin.
November 21st, 2008 at 2:21 pm
novakant and thirsty dude have it backwards. It’s not the regulation that causes the behavior, it’s the smoking. The norm is clean air; smoking creates externalities, from which others need to be protected.
November 21st, 2008 at 2:22 pm
Lucas, I hear you. I’m about a pack a month (the smoking occurs in little bursts, mostly on weekends, but that’s the average). I also assume that it’s not as bad as a pack a day but good luck finding any data.
November 21st, 2008 at 2:31 pm
Response to the question the effect of only smoking one pack per week (which bears in the “immediate benefits of quitting” issue too): the problem with 3 cigarettes per day is the heart. One cigarette floods your blood cells with carbon monoxide, which makes your heart work much harder to get oxygen, and leads to heart disease (the reason you die from smoking *other* than lung cancer). The carbon monoxide stays in your system for many hours – even after smoking even a single butt. Smoking less reduces your chances of getting lung cancer, but even one cigarette per day is extremely bad for your heart because the carbon monoxide stays in your system for hours and hours. One short term benefit of quitting is that your heart begins performing better immediately. Your energy improves not because your lungs are better, but because you have more oxygen in your blood. This benefit happens in real time – the moment you quit. And you don’t gain any benefit even if you cut your smoking to less than 5 cigarettes per day.
November 21st, 2008 at 2:31 pm
The biggest immediate effect for me was the relief on my wallet. $7+ a pack was just not worth what I got out of smoking. The pharmacological effect, in my opinion, was negligible compared to other prohibited/restricted substances.
I’d rather spend my money on something that produced a more noticable shift in consciousness.
November 21st, 2008 at 2:32 pm
I’m on my third week of chantix. Please stop, this really makes me want a cigarette.
November 21st, 2008 at 2:36 pm
Being a non smoker for nearly 20 years after nearly 20 years smoking at least a pack a day, I’ll vouch for the long term benefits. with a little exercise, I feel better at 57 that I did at 37.
As far as quitting goes, I found that initially breaking routine helped me a lot . I chose vacation as a time to stop. That way all the routine things that are connected with smoking are out the window. I decided that it was a battle between me and the cigarettes, and the cigarettes were not going to win. Lastly I leaned to enjoy the nicotine fits, and just zen them out ..
November 21st, 2008 at 2:41 pm
For almost all smokers, quitting will improve their health (at some point), but they will all be decidedly less cool.
November 21st, 2008 at 2:46 pm
As a child of two smoking parents who grew up in the 1970s, let me assure you there was plenty of pathetic addict behavior back then.
Oh, and my mother died of lung cancer and my father of complications resulting from emphysema. So there’s that, too.
November 21st, 2008 at 2:48 pm
I stopped smoking in college, in 1987, and still get the jones when I’m under stress.
November 21st, 2008 at 2:51 pm
novakant, I also am pretty happy that the old “smoke anywhere” attitude of the 60s is a thing of the past. Even things like non-smoking hotel rooms are a huge boon to non-smokers. Occasionally I’ll end up in a smoking room when there’s little vacancy and I can barely stand it. Just the lingering smell of tobacco smoke in the room makes me ill and it’s something I shouldn’t have to put up with.
I can hardly believe there used to be such a thing as smoking “sections” on airplanes and buses. If one person were smoking on an airplane that would make the entire plane a smoking section.
I once got a used book (through Amazon) that had obviously spent a good deal of time in a smoker’s house. My house smelled like an ashtray for weeks. I think a lot of smokers really don’t realize just how overwhelming the smell of their sickly exhaust is to those who have a normal sense of taste and smell.
November 21st, 2008 at 2:59 pm
I’ve been trying to hook up my friend with e-cigarettes; Not as a way to quit, but as a way to eliminate most of the externalities of the addiction. From most reports, it’s just as just as satisfying a way to get a nicotine fix as smoking. But you can do it without worrying about:
Smoking bans
taxes
cancer
secondhand smoke
cigarette butts
ashes
heart disease
emphyzema
sense of taste/smell
putting gravel in your voicebox
How do I help her out without being a dick about it?
November 21st, 2008 at 3:00 pm
Hey, in two months America will have a smoker as President. Probably the first one in decades.
November 21st, 2008 at 3:03 pm
“I chose vacation as a time to stop.”
You know, I keep trying that, but it hasn’t worked. I think the problem is that I like to vacation in Asia. And everyone smokes in Asia. I always think that the 14 hour flight from San Francisco to Taipei will give me a head start. But every time I land in Taipei, I’m headed straight for the smoking lounge. I you ever want to see a scary sight, check out a smoking lounge in any Asian airport. You don’t even need to bring a cigarette. The air is so thick with smoke you can just breathe the air and get a nicotine fix.
November 21st, 2008 at 3:04 pm
“If you banned alcohol consumption indoors, drinkers would look and act pathetic too.”
Actually, alcohol consumption isbanned indoors–you can’t drink in public, in movie theaters, actually anywhere except a private residence or somewhere with a liquor license. So I’m not sure what your point is.
November 21st, 2008 at 3:06 pm
By the way, Bill Hicks’ bit about smoking is the best.
“People say the stupidest shit to you. ‘Hey man, if you quit smoking, you’ll get your sense of smell back.’ I live in New York City, I’ve got news for you: I don’t want my sense of smell back. ‘*sniff sniff* Is that urine? *sniff sniff* I think I smell a dead guy. Honey, look, a dead guy covered in urine! Just think, if I hadn’t quit smoking, I never would have found this! *sniff* Ahh!’”
November 21st, 2008 at 3:09 pm
“And everyone smokes in Asia.”
I guess I should note that smoking has gone way down in Thailand. How’d they do it? Well, His Majesty the King made speech suggesting that everyone quit smoking. In the first week, smoking dropped about 80%. It went back up, of course, but to a level that is still about 40% lower. Unfortunately, that solution only works in Thailand. They really love their king.
November 21st, 2008 at 3:15 pm
“I’ve got news for you: I don’t want my sense of smell back.”
How true. When we first banned smoking in bars, a bartender said this to me: “You know, I don’t smoke, so I kind of like the ban, but there’s just one problem. Now I smell everyone’s farts.”
November 21st, 2008 at 3:30 pm
I’m always curious about why people start smoking in the first place, after 1964.
November 21st, 2008 at 3:34 pm
It is one of the great trevesties of all time that Bill was not around to slay fools durring the past eight years.
“The Republican Beast is fuckin dead!”
November 21st, 2008 at 3:43 pm
“I’m always curious about why people start smoking in the first place, after 1964.”
Well, here’s my story: I was a senior in college and needed to pass a drug test for a job. So I had to quit smoking pot for ten days. Yes, I know that’s less time than recommended, but it was all the time I had. And I passed due to my heroic flushing efforts. Anyway, I missed smoking pot, so I started doing bong hits of tobacco. That’s a rush, trust me. And I got hooked, just like that. That was 19 years ago, and I still smoke a pack a day. So I can actually claim that it was the War on Drugs that made me start smoking.
November 21st, 2008 at 3:57 pm
Okay, fine. What’s awesome about smoking? Most people seem to have stories like fostert’s, or they just needed some stimulation (which is why I need a caffeine IV). I’m asthmatic, so smoking didn’t appeal to me for a variety of reasons, chief among them that I found out at an early age I really liked breathing. But I have never really gotten the appeal of smoking beyond teens and early twenties trying to stay awake and/or ‘look cool.’
November 21st, 2008 at 3:59 pm
you can take those “pathetic blanket bans” from my cold, dead hands…
There are more than five thousand restaurants and I’m pretty sure a similar number of pubs, bars and clubs in e.g. London. It would take several decades of going out every night to frequent them all and nobody will ever do that anyway. What exactly would be wrong with giving a small percentage of these establishments a smoking license, so that people who smoke had places where they could congregate when they feel like smoking? The government hands out late licenses, music licenses and so on to select establishments too, so why not a smoking license.
If you don’t like loud music, you don’t go to clubs where they play it. People who like meat don’t go to vegetarian restaurants. People who don’t like the stench of beer avoid smelly pubs. You probably have a few preferred places in your town and a lot of places you would never set a foot in. I really don’t see where the problem is and I do find the blanket ban undemocratic, because democracy is not supposed to be the dictate of the majority.
November 21st, 2008 at 4:10 pm
“I’m asthmatic, so smoking didn’t appeal to me for a variety of reasons, chief among them that I found out at an early age I really liked breathing.”
I’m asthmatic too. Trust me, breathing is overrated. At least compared to nicotine. Nicotine is hands down the scariest and most addictive substance on the planet. Don’t believe me? Consider this: I’ve quit heroin, cocaine, methamphetamine, LSD, and MDMA. I still smoke and I don’t even like it. I just need it.
November 21st, 2008 at 4:17 pm
novakant, but of course there are places with smoking licenses-hookah bars and cigar bars are common (at least where I live). The blanket ban serves to move bars to a new, smoke-less equilibrium. One bar can’t just switch to smoke-less because then smokers won’t go there and neither will smokers friends. It’s a first mover problem and it is solved by forcing everyone to move together.
November 21st, 2008 at 5:02 pm
Owenz: thanks for that info. So that implies that in the case of an infrequent smoker like myself, a few cigarettes in a row is no worse than one. And I’m better off smoking fewer days (but more at a time) than a single cigarette a day (assuming the same average smoking in both cases). Can you link to any sources that elaborate on this aspect of smoking? It’s a pretty weird, counter-intuitive dose-response relationship.
November 21st, 2008 at 5:05 pm
They left out a few moments on the chart:
After 14 hours, you call all your friends that nagged you to quit and tell them to fuck off.
After 20 hours, every muscle in your body goes stiff.
After 32 hours, you kill the nearest living thing.
After a week, you sort of feel the tiniest bit better.
When I quit I had a sinus infection for a week. My breathing is shorter than it used to be, my stamina is down, my vocal range is about 1/3 what it had been.
Hooray for not getting cancer, but I felt WAY better when I was a smoker.
November 21st, 2008 at 6:14 pm
I smoke, and I love smoking in bars, but I wholeheartedly support the smoking ban. Why? Because its advocates are right — I’m the only one who should suffer the short- and long-term effects of my own actions.
There’s always a place to smoke. Don’t whine because it’s cold or you can’t reach your beer. What a silly thing to bitch about. Smokers pretend to be such hard-asses when they talk about the smoking ban, but look what they’re complaining about: having to stand somewhere else for 10 minutes. We smokers need to get off the cross.
November 21st, 2008 at 6:57 pm
Congratulations on quitting, Matt. Keep it up! I’m quitting next week.
November 21st, 2008 at 7:15 pm
I’ve never smoked (never understood the allure of sucking smoke into your lungs), never drank (never understood the allure of being drunk and in a car crash or arrested), never did drugs (never understood the allure of being out of control or unable to function).
The only substances I abuse are pizza and ice cream and popcorn and Double Whoppers – which will probably be enough to kill me as quickly as cigarettes, booze and drugs.
I’ve still made it to more than twice Matt’s age, however.
November 21st, 2008 at 7:16 pm
I have to agree with the comment above on smokers not realizing how disgusting the smell is to others. I work in a coffeeshop and several times a day someone will come in who smells so strongly of cigarettes that with several feet of counter between us I can barely breathe. Other customers notice as well; they never say anything,but you can see them look at the person a certain way.
And then,about once every week or two someone will tell me how great it would be if they could smoke inside and I just have to say “hmmm” and look sagely and implacable instead of saying that their scent makes me feel like retching.
November 21st, 2008 at 7:26 pm
fostert: I agree. Nicotine is terrifying. I didn’t quite understand how dangerous it is until I found myself explaining it to a friend this way: like you need to breathe, drink, and eat, so to do smokers need nicotine. It becomes this strange 4th need next to food and water and air. That was when I quit. The fact that I also moved around the same time helped: new friends, new spaces, new routines.
I still want them. Once that devil gets inside you it never goes away. I guess it just gets starved and weak but it won’t die.
November 21st, 2008 at 7:32 pm
Do smokers notice when coffee is charred?
If not, that might explain Starbucks and Peet’s style roasting.
November 21st, 2008 at 7:32 pm
I’ve never smoked (never understood the allure of sucking smoke into your lungs), never drank (never understood the allure of being drunk and in a car crash or arrested), never did drugs (never understood the allure of being out of control or unable to function).
And yet you somehow understood the allure of committing armed robbery?
November 21st, 2008 at 8:11 pm
As unfortunate as it may have been that you did not have some kick-ass professional assistance at your side (which would have made the whole process of stopping smoking much more effortless and potentially even pleasant for you), you did the only right thing to do by quitting. Congrats!
November 21st, 2008 at 9:01 pm
I smoked for almost 40 years and quit a year and a half ago using Chantix. Never thought I could do it. It had been so long, I couldn’t remember what not smoking was like. I enjoy the extra $2000 a year, the idea that my risk of emphysema, lung cancer, heart disease are diminishing by the day, but number one was that I could dance with my daughter on her wedding day and not worry what I smelled like.
November 21st, 2008 at 9:01 pm
“never did drugs (never understood the allure of being out of control or unable to function)”
Not all drugs make you out of control. Anyone who has ever bowled on acid will tell you that. My average bowling score is about 120. On acid, it’s about 230. It’s really easy on acid because the pins are about 100 feet tall. You couldn’t miss them if you tried. Acid is also the best painkiller known to man. You can cut off your hand and forget that it happened. And then wonder where all that blood came from.
November 21st, 2008 at 9:05 pm
I just recently (like a month ago) quit. I totally agree that it’s foolish to gloss over how unpleasant it is to quit – I for instance, got a mouthful of ulcers that made it very painful to eat and to speak for about a week, which is apparently not terribly uncommon. That sucked.
What I’m most worried about though, is how long it will take before I become the kind of jerk who just adores talking about how disGUSTing smoking is. Six months? A year? Or is it true that my risk of self-righteousness won’t ever be the same as someone who never smoked?
November 21st, 2008 at 9:27 pm
my ex also felt that quitting smoking was substantially harder than kicking heroin–people are in pretty widespread agreement about that.
November 21st, 2008 at 11:30 pm
The only good thing about smoking is that prevents you from feeling like shit if you’re a cigarette addict.
It’s like the tale of the crazy man who loved to bash himself repeatedly in the head with a hammer – because it felt so good when he stopped.
November 21st, 2008 at 11:33 pm
I remember being in a hospital for a month and smoking in my hospital bed. Damn, times have changed.
November 21st, 2008 at 11:53 pm
Maybe I’m weird, but I used that chart all the time when I was quitting smoking. I would look at it and obsess about my goals – short term and long term.
It took me multiple times to finally quit for good, but be warned, I’ve found the hardest times are at 48 hours – when I had irrational rage at everyone and everything. At about two weeks, just when I’d been doing well, all of sudden i had overwhelming waves of intense, unbearable cravings. Then at six months when I looked in the mirror, and my skin looked great, but realized I’d gotten really fat.
It is so hard to do, but so rewarding. Congrats!
And to the person who is comparing this to a coffee addiction – it’s really not the same.
November 22nd, 2008 at 4:19 am
“I’ve found the hardest times are at 48 hours”
We all have our own points, don’t we? For me, I can go a week with ease. But it’s the tenth day that trips me up. Always. On the tenth day, I am threatening to kill people who won’t give me a cigarette. I just can’t take it at that point. And I pay someone $100 just to get me a pack. And then I walk by the place that person bought that pack, and I buy another pack. And then I’m back to normal. If it were as simple as heroin, I’d have quit it years ago.
November 22nd, 2008 at 5:42 am
And by the way, congrats to all of you who have quit smoking. You have done something that I can only dream of. I’m proud of you, and you should be proud of yourselves. I hope to join you some day, but I doubt I will. My body is already in a race to see which cancer will win. Oddly enough, I’ve done more drugs than Hunter Thompson, and I’ll still die of natural causes. So I guess I might as well smoke.
November 22nd, 2008 at 6:04 am
“And to the person who is comparing this to a coffee addiction – it’s really not the same.”
And to those that think it’s as bad as a heroin addiction, trust me, it’s not the same. You can kick the heroin habit pretty easily. Quitting smoking is different. I quit one, but not the other. I will die with a cigarette in my hand. And, yes, they will give me morphine and Ativan when I die. But they won’t give me a cigarette, will they? I’ll need my own.
November 22nd, 2008 at 10:33 am
The chart also doesn’t show that 5 years after quitting you’re 30lbs heavier than you were before.
November 23rd, 2008 at 1:03 am
I’m closing in on 5 months quitting after my doctor put me on Chantix. I had tried everything over the last 20 years and this is the first time I have been confident that I have it licked. One of the potential side effects of Chantix is very strange dreams. Man, I had some weird ones – should have written them all down in a journal. The only negative on Chantix from my perspective is that insurance wouldn’t cover a dime. Go figure.
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