Smoking risks following Stg1A NSC 4 wks post surgery HELP!

Posted by minnie528 @minnie528, Feb 21 3:54pm

I'm 69, life time smoker who had incidental find of a small nodule in Sept 23, followed the protocol which led to a RLL lobectomy in January. I'm 4 wks post surgery today, still having radiating mid back pain that goes around to chest under right breast, which I believe is nerve pain. I won't take Gabapentin from past experience with it, so for now am just trying to endure it & hope it will go away with time. I've used Lidicane & pain patches, Tylenol 650mg & heat. First 2 weeks following surgery, I had quit smoking. I was about a half pack a day smoker for quite awhile. I was in hospital for 5 days, then home for over a week & didn't even think about it & felt like I would NEVER again smoke, but then the craving came back & I am now smoking 2 a day. Someone please tell me the risks & likelihood of my cancer coming back!! I don't have to tell anyone about lung cancer & smoking & I was very lucky my 9mm nodule was caught early & stage was 1A, non small cell, so why am I doing this? Has anyone else & what did you do or tell yourself to quit once & for all. I seem to be going through postoperative confusion, not thinking clearly at times. Mind you, it's only 2, but give me some facts or what you did. Many thanks. I did tell my doc & he prescribed me patches.

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Hi, I’m so sorry to hear about your lung cancer. I had stage one B lung cancer and I never smoked. Please stop smoking. My cousin Donna has stage three lung cancer from And still smoking she went through bouts of chemo and radiation. I’m like you I won’t take the medication, but I am seeing a pain Doctor on April 18 he’s holistic I’m hoping he could help me please please stop smoking please don’t smoke

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I'm doing well, thank you for your concern. I'm healing well & feeling much better. I'm still struggling with cravings, still smoking 1-2 a day which is ridiculous. I will check out the mayoclinic.org link you sent me. Ty!!

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@minnie528

After my lobectomy in Jan (RLL >8mm), it was staged 1A, no lymph involvement. Caught early thanks to my GP for doing an early scan considering my age, history of smoking. Doctor after surgery & after getting the staging was very encouraged. I'll have scans done every 3 months...then 6 mo...for 5 years. Smoking is stressing me out right now- feeling shame, guilt & stupidity. Reading how smoking postsurgical lobectomy increases your chances for the cancer to come back, slow healing or complicate healing, so today I am done! No more. I don't want to go through this again.

A bit of a background: I'm an identical twin. Almost 3 yrs ago, my twin was dx'd with ALL (an agressive form of leukemia). I've been her caretaker when needed, we're neighbors so we help each other out when needed. She's had her problems in the 2.75 years, mainly from meds she's on (targeted therapy). So, I've put alot of this into prospective now. This lung cancer should've made me realize that things change so fast, but actually I think I've been in a denial that I even had it. I always thought if I got lung cancer, it'd be the end of me, period, but aside from the surgery, finding out I was stage 1A, I figured I had it licked. SO, I guess I'm still in some sort of a denial. The dangers of another cancer hasn't hit me yet. I only know that I must quit.

My challenge is on! Today I'm slapping on a patch & I quit! Goal is to be cancer free & for my sister to stay cancer free soon to be 3 years!

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@minnie528, I hope you are doing well. Please reach out for help as needed. As many others have mentioned, there are many resources available, and there is no shame in getting help to quit. I'm not sure if you are a Mayo patient, but here's a link outlining Mayo's cessation programs. Other health systems will likely have something similar.
https://www.mayoclinic.org/tests-procedures/stop-smoking/care-at-mayo-clinic/pcc-20385050

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I can't tell you the risks from two cigarettes a day, but quit feeling guilty. I don't think guilt is much of a motivator. Guilt makes you want to reach for a cigarette.

Praise yourself for only smoking two cigarettes a day. Yes, it can lead to more smoking, but when I finally restricted myself to two cigarettes a day, it worked for me for a very long time for me. (I must confess I sometimes slipped and only had one cigarette a day.)

And don't look at others and wonder why they can quit and you can't. I've always disliked people who say if they can lose weight then anyone can or if they can quit smoking then anyone can. It just makes the overweight and nicotine addicted people feel worse.

kgbsawyr comment rings very true for me. I have looked at those studies and I feel I really fall into the group with far more receptors. Rather than feeling guilty for past smoking, I look at how hard I have struggled over the years and give myself credit for that.

I have been taking welbutrin and chantix (varenicline) for years. My doctor told me he will prescribe them forever if it will keep me from smoking. I finally stopped smoking only 19 months ago. I still crave cigarettes but because my previous record was 6 months before beginning again, I truly believe I have a handle on this.

This is not to say I don't want to jump in the car and go to a 7-11 where street people hang out, go in, buy a pack of cigarettes, pull one out of the pack and then give the pack to someone. This is not to say watching people on tv (and I stream a lot of foreign detective series where there is often LOTS of smoking) doesn't make me crave a cigarette, it still does. I see a cigarette butt on the ground and want to grab it (yuck). I smell cigarette smoke and my nose follows it.

I dream about smoking almost every night. They are the only dreams I remember.

Something will work for you. You already know what doesn't work for you. There are many good ideas here.

Oh, and patches didn't help. For me, it just continued the nicotine addiction.

I think you are going to do fine.

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@minnie528

After my lobectomy in Jan (RLL >8mm), it was staged 1A, no lymph involvement. Caught early thanks to my GP for doing an early scan considering my age, history of smoking. Doctor after surgery & after getting the staging was very encouraged. I'll have scans done every 3 months...then 6 mo...for 5 years. Smoking is stressing me out right now- feeling shame, guilt & stupidity. Reading how smoking postsurgical lobectomy increases your chances for the cancer to come back, slow healing or complicate healing, so today I am done! No more. I don't want to go through this again.

A bit of a background: I'm an identical twin. Almost 3 yrs ago, my twin was dx'd with ALL (an agressive form of leukemia). I've been her caretaker when needed, we're neighbors so we help each other out when needed. She's had her problems in the 2.75 years, mainly from meds she's on (targeted therapy). So, I've put alot of this into prospective now. This lung cancer should've made me realize that things change so fast, but actually I think I've been in a denial that I even had it. I always thought if I got lung cancer, it'd be the end of me, period, but aside from the surgery, finding out I was stage 1A, I figured I had it licked. SO, I guess I'm still in some sort of a denial. The dangers of another cancer hasn't hit me yet. I only know that I must quit.

My challenge is on! Today I'm slapping on a patch & I quit! Goal is to be cancer free & for my sister to stay cancer free soon to be 3 years!

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There are a lot of available tools - patch step down, online and telephone support, certain meds that help with addictive urges. Use them - the 800 numbers help with motivation and you get some Coupons for free patches.

Good luck

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Bupropion is an antidepressant medication that is now also used in smoking cessation. Bupropion has been FDA-approved since 1985. The drug is FDA-approved for adult depression, seasonal affective disorder, and smoking cessation.

For me, bupropion and a lung cancer scare did the trick. I tried just about everything before. It’s not easy and all addictions are different for different people.

I started taking bupropion about a year or more before I actually quit. It took the edge off of the cravings, but most of all it took the anxiety away when I would be in a none smoking situation or if I was out of cigarettes.

A lung cancer scare that turned out to be a very bad case of pneumonia. I was in bed with a fever for a week without a cigarette. That was January 15, 2019.
I still take bupropion twice a day. The craving will hit me once in a while still. I credit bupropion for helping me ignore them.

As I said everyone is different. This worked for me, maybe it can help you.

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After my lobectomy in Jan (RLL >8mm), it was staged 1A, no lymph involvement. Caught early thanks to my GP for doing an early scan considering my age, history of smoking. Doctor after surgery & after getting the staging was very encouraged. I'll have scans done every 3 months...then 6 mo...for 5 years. Smoking is stressing me out right now- feeling shame, guilt & stupidity. Reading how smoking postsurgical lobectomy increases your chances for the cancer to come back, slow healing or complicate healing, so today I am done! No more. I don't want to go through this again.

A bit of a background: I'm an identical twin. Almost 3 yrs ago, my twin was dx'd with ALL (an agressive form of leukemia). I've been her caretaker when needed, we're neighbors so we help each other out when needed. She's had her problems in the 2.75 years, mainly from meds she's on (targeted therapy). So, I've put alot of this into prospective now. This lung cancer should've made me realize that things change so fast, but actually I think I've been in a denial that I even had it. I always thought if I got lung cancer, it'd be the end of me, period, but aside from the surgery, finding out I was stage 1A, I figured I had it licked. SO, I guess I'm still in some sort of a denial. The dangers of another cancer hasn't hit me yet. I only know that I must quit.

My challenge is on! Today I'm slapping on a patch & I quit! Goal is to be cancer free & for my sister to stay cancer free soon to be 3 years!

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Don’t disagree at all. I don’t like the stale smell at all. On clothes, on my car, anywhere.

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@pb50

The urge is gone but I still love the smell. On the street I walk behind anyone smoking to catch their exhale 🙂

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I happily have no urge and don't like the smell. And I wouldn't let anyone smoke in my home nor in my car. Actually, none of my friends smoke now.
But I remember the little holes in my clothes from smoking!
And here in Minnesota cigarettes cost well over $8/pack - who wants to spend that??? So many better things to do with that money! Vacation, fancy restaurants, new car...

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@vic83

I know how hard it is to quit. I finally did it 22 years ago. I tried a couple of times. One has to find the "trick" that works
Cheating is very dangerous. And one is never free of the urge and temptation then. It takes time but the urge goes away and then one can't stand the smell of cigarettes.
But not only does smoking increase the likelihood of returning cancer or new cancer, but it does other damage to your lungs which further reduces your lung capacity and function. For example, Pulmonary Fibrosis can also kill you. I know, I have lung cancer and other lung problems.
And if you need dental implants, they do not like it if you smoke.
And cigarettes are really a waste of money!!!!

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The urge is gone but I still love the smell. On the street I walk behind anyone smoking to catch their exhale 🙂

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