Time Lost in a Fog of Smoke and Vapor
In a post about how he quit, Pascal Emmanuel-Gobry has one of the best descriptions of smoking that there is:
It’s a nasty habit, but not for the reasons non-smokers might think. Non-smokers don’t like the smell, but man, the smell of smoke is actually the most delicious thing. No, it’s a nasty habit because it’s a demon. A demon is a spirit who inhabits you, and takes ahold of the muscles and sinews of your mind, and twists and turns them to make you look more and more like him, and less and less like you.
Smoking is a nasty habit because, like all addictions, it turns you into a slave and a liar.
It’s slavery if you can’t enjoy a meal or drinks with friends without having to step outside several times. It’s slavery to have to push away your toddler because you’re hunched up against a window feeding your habit. It’s slavery if you can’t listen to the person you are talking to, or pay attention to the lecture or movie or concert you are attending, because you are counting down the seconds until you can get your fix.
Smoking turns you into a liar — to other people and to yourself. Don’t trust the smoker’s pride. Yes, anti-smoker prejudice in the West can sometimes reach ridiculous heights. It’s insane that there are places in the U.S. where people will run screaming from the room if you smoke tobacco, but offer pot like it’s orange juice. And don’t get me started about Bloomberg.
But anyone who tells you they smoke purely because they enjoy it, and who is blase about the link between cigarettes and cancer, that person is lying — either to you, or to themselves (sometimes both). I know, because I’ve been that person.
The truth is that I did sometimes really enjoy smoking. And I do enjoy vaping. It’s almost a bit goofy but the early restrictions on smoking making it more enjoyable, in a way. It made it so that you had to extricate yourself from everything, go outside, and… just be. Be alone. Stop whatever it is that you were doing. Soak up the environment.
But that’s really only a part of it. That’s the equivalent of the ad in the paper. The reality is creates a need for you to do so. An overwhelming need. And the time that it costs you starts racking up. If you’re working, you end up losing your break time, and part of your lunch, to the habit. Being around the house, I end up losing time that I could be writing posts or even watching TV to the habit. It’s made attempts to start exercising again more difficult, not because of shortness of breath but because of time. Most importantly, lost time with my young daughter at a special age that she is growing through very rapidly.
Though opinions still differ on the health gains of my transition, I am relatively confident that I am in a much better place now, health-wise, than I was two years ago. But that lost time? I’m still losing it. And while I am less worried for my health than I was, I find myself actually wishing to relieve myself from the puffing habit altogether. Or, if not of puffing, than the nicotine, and the psycho-physical need that comes with it. If I can get the nicotine down to zero, then maybe I would be more likely to be able to do it on my own terms, instead of on the terms of a beast that needs to be fed.
Or stop doing it entirely. But I’m not going to think about that. I’m going to remember that I no longer smoke. I’m going to remember that over the time I have been vaping, the nicotine level has already fallen my 2/3 (from 18mcg/ml down to 6). And I’m going to think about what it will take to get from 6 to 0.
When I made the transition, one of the things I promised myself was that I wouldn’t pressure myself into quitting altogether, either the nicotine or the vaping. Because I felt, and feel, if I could just stop lighting leaves and rat-poison on fire and breathing in the smoke, I would be that much better off. Whereas if I made it about ending the extrication, it would just be too daunting. And I didn’t want the perfect to be the enemy of the good. One step at a time.
And it’s progress that I’ve decided that I want to take the next step. I want to work towards getting to zero nicotine. Then maybe I can own the habit more than it owns me. There is a potential step after that, which I am not going to think about. Maybe I will down the line.
I saw a TV ad last night for Blu disposable e-cigs, and I was a little surprised about how they went straight back to the old “rugged individualist” Marlboro-Man-type imagery – you know, the lone wolf tough guy in his blue jeans and white T-shirt, riding a motorcycle etc.
The progress you’ve made is great. I always wonder why the “gradual dose reduction” model can’t be followed for other addictions (like alcohol) where we seemingly always tend to go with a cold-turkey, “all-or-nothing” mindset. Then again, I don’t think I’ve ever been addicted (in the strictest sense) to anything, so people need to go with whatever works.Report
@glyph
The progress you’ve made is great. I always wonder why the “gradual dose reduction” model can’t be followed for other addictions (like alcohol) where we seemingly always tend to go with a cold-turkey, “all-or-nothing” mindset.
Nicotine is almost entirely a physical addition, and withdrawal is actually pretty serious. People who smoke are *also* psychologically addicted to cigarettes, but vaping works perfectly well for that. People do not actually smoke to calm their mental state…well, they do, but it’s to remove the withdrawal.
Alcohol addition appears to be much less a physical addition. Now, don’t get me wrong, it is *possible* to have enough of a physical addition that people can get withdrawal, but a lot of alcoholics *aren’t* at that point. Alcohol addition is mostly due to people attempting to numb their minds. That is what they have trained themselves to do.
So people with nicotine additions can slowly be weened off, because the only reason they need nicotine is that their body requires nicotine to function. But with alcohol, they need alcohol because their brain requires being under the influence of alcohol or things are too much to cope with. Any amount of alcohol that *doesn’t* provide that won’t work, and any amount that does results in them craving more.
This is *also* why there’s the whole ‘falling off the wagon’ thing that exists with alcohol that doesn’t exist for anything else…if someone stop smoking, and then two months later smoke a cigarette, well, a lot of people seem to conclude they have ‘failed’ and start smoking again, but there’s no actual medical *reason* they can’t just keep not-smoking. Cigarettes only feel good because they remove the withdrawal, and if they’ve stopped being addicted, you *don’t have* withdrawal for them to remove. Stopping smoking is hard…not re-starting smoking is easy, or at least it should be after the withdrawal is gone.
But with alcohol, starting to numb your brain reminds you how it feels to have your brain completely numb, all the time.
tl;dr – nicotine doesn’t actually do anything pleasurable except cancel the withdrawal, so slowly removing that works fine. Alcohol *does* do something else pleasurable, and in fact that’s probably the reason someone started drinking in the first place. Slowly removing it can’t help. (Barring actual physical addiction.)
I say all this as someone who’s never been addicted to alcohol or nicotine, though. (Heh, left out the word never. Sorta changes the meaning, doesn’t it?)Report
Nicotine is almost entirely a physical addition, and withdrawal is actually pretty serious. People who smoke are *also* psychologically addicted to cigarettes, but vaping works perfectly well for that. People do not actually smoke to calm their mental state…well, they do, but it’s to remove the withdrawal.
Alcohol addition appears to be much less a physical addition. Now, don’t get me wrong, it is *possible* to have enough of a physical addition that people can get withdrawal, but a lot of alcoholics *aren’t* at that point. Alcohol addition is mostly due to people attempting to numb their minds. That is what they have trained themselves to do.
Whahuh?Report
@chris @davidtc – I’m not totally following the distinction either.
I mean, I get that each drug has its own unique matrix of physical and psychological effects and that depending on those effects, the efficacy of various addiction-breaking strategies may vary; but in my understanding nicotine does carry a pleasant physical “buzz” (it’s essentially a kind of stimulant); and conversely, heavy alcoholics who go cold-turkey, can in fact die from withdrawal symptoms (that is, alcohol becomes a real physical dependency).Report
@glyph Yup, withdrawals from alcohol are serious stuff. Booze is definitely physically addictive and can be dangerous to stop cold for heavy drinkers.Report
Alcohol is physically addictive. Withdraws are difficult. Having withdrawal symptoms is one of the diagnostic signs of addiction. The withdrawal from alcohol isn’t usually as bad as something like heroin but some heavy drinkers need in patient detox units and mild meds to get them through the withdrawal. There is certainly a psychological part to alcoholism, but there is a psych part to all addictions.Report
I would say the difference is it’s harder to get physically addicted to alcohol than nicotine, all other things being equal.
Nicotine is just a more efficient chemical for getting hooked on.
Furthermore, there’s physical and mental addictions (biochemistry versus whatever mental issues, if any, had you turning to the substance in the first place PLUS habits formed from use) which are separate and need to be handled separately…
Addiction is complicated, and the American attitude of “It’s just willpower, man” (which applies to everything, really. From addiction to weight problems to foreign policy) doesn’t help. It actively hurts, in fact.Report
Morat, true. Nicotine is highly addictive, more so than many harder drugs. I’ve known a lot of former hard core drug addicts and alcoholics who said they weren’t able to stop smoking. Smoking is insidious since the really harmful affects are mostly long term or not incapacitating in the short time. Unlike binge drinking where there are usually harsh short term effects. Smoking only really wallops you in the end but feels nice and social and fun up until the cancer or emphysema part.
Oh yeah there is far then willpower involved in getting clean.Report
Nicotine has its own receptors!
Plus, you smoke it (or absorb it) instead of ingesting it, so it acts faster.Report
@greginak
Alcohol is physically addictive. Withdraws are difficult. Having withdrawal symptoms is one of the diagnostic signs of addiction.
Yes, alcohol is physically addictive, but not all people who abuse alcohol *are* physically addicted.
A lot of alcohol abuse is self-medication of psychology problems, where the goal is not to fight off any ‘withdrawal’, which does not yet exist for that person, but to alter their mental state. This is how most alcoholics(1) *start*, even if later on there is physical addiction.
Meanwhile, cigarettes are almost entirely a physical addiction. People smoke a few, and from them on it’s a physical addition. The psychological stuff comes later, and it’s mostly just *habits*, which can be faked by smoking an nicotine-free ecig.
Whereas with alcohol, the entire psychological point is to change how your mind works, and can’t really be faked.
This is why the rule for alcoholics is that they can’t drink *any* or they’ll relapse because they’ll remember how drinking makes them feel, while that’s not how it works for smokers at all.
1) I almost said all, but I’m sure there’s some frat house idiot that thinks he should live off vodka who has managed to wander directly into physical addition without any psychological addiction.Report
@davidtc Well yeah, i said there is both psychological and physical addiction. Alcohol addiction certainly involves both of them. Abuse is, ( well was until the new DSM came out) a separate kind of problem. There used to be two kinds of addiction diagnosis; abuse and addiction. Abuse is/was less serious.
There are some alcoholics who find they can drink in small amounts after they get past their addiction. Being completely sober is the rule in treatment and what we all pushed. It is far safer and simpler for most, but some alcoholics seem to be able to control some low level of drinking and also without the worst consequences ( driving while drunk, violence, etc.)Report
David,
Psychological addiction is far more common in places where people didn’t live on alcohol as a mainstay of their diet.
Well, psychological addiction as you’re using it, anyway. If the point of drinking is merely to seduce women you couldn’t otherwise… That exists, and I could certainly see that being addictive.
Physiological addiction to alcohol is… more frequent where people had easy access to it. Which isn’t to say it’s all that common, but it does run in families, just like having extremely low tolerance for oxalic acid, or zinc allergies, or half a dozen other things.Report
I’m not sure what I think about the distinction, mostly because this is way too far out of my knowledge base, but this, from DavidTC, rings true to me:
Grrrrr….I should’ve closed the html quote tag.Report
There are some people who, perhaps for genetic reasons, can smoke socially and never develop a dependence. Not as many as there are social drinkers, perhaps (another addiction with a likely significant genetic component), but there are some.Report
Oh, I don’t claim to be one of those people. I was just, fortunately, didn’t do it enough to get in the habit.Report
The reasonably foreseeable and reasonably probable consequences of indulgence in the addictive behavior can be far more destructive when the behavior we’re talking about is alcohol rather than nicotine.
If a nicotine addict in recovery “slips,” she inhales a pack of cigarettes and smells bad for a day or so. She accumulates some tar in her lungs.
If an alcoholic in recovery “slips,” she gets behind the wheel of a car, drunk, and blows through a red light.
That’s why a ratchet-down, which otherwise would seem to make sense, is perhaps contraindicated for an alcohol addict.Report
While I’m not sure that quite gets at it — it seems that a person who drinks as much as they always have is more at risk of destructive behaviors than someone who is drinking less than they always have, as someone drawing down would be — it probably gets at why the two cases are different. Drinking some alcohol can reduce one’s ability to make rational decisions enough that one’s likely drink a lot of alcohol, if one is an addict. This, at least, is the way the recovery folks seem to view it: any amount alcohol clouds your head enough to make it difficult for you not to drink as much as you really want, and it also makes it more difficult for you to begin the cognitive-behavioral components of recovery.
There may very well be other reasons as well, perhaps relating to the way they’re administered, particularly the dosage, or the mechanisms of action, that play a role in making the effectiveness of a draw-down different for the two drugs.Report
@chris @burt-likko – interesting. I’m not quite sure how to quantify it, but some drugs definitely mess more with your “reason” – that is, on nicotine, you may be stimulated with it, and you may fiend without it; but unlike alcohol, in neither case is your mental headspace too profoundly-altered, and so a gradual draw-down may be more effective.
That said, there are obviously high-functioning alcoholics (IIRC, Churchill was one) as well as high-functioning users of other drugs (for ex. mathematician Paul Erdös was a speed freak, who interestingly thought alcohol “poison”) whose “reason” appears to be largely unaffected by the drug, though we’d still consider them heavy users and/or “addicts”.Report
A good friend of R.’s is mostly a high-functioning alcoholic. That is, if you didn’t know her well, you might not know that she starts drinking the moment she wakes up and stops drinking when she takes some pills to go to sleep. I say mostly because she has days…
Nicotine is mostly autonomic stuff, so it’s not going to have much impact on higher-order cognitive function. I know there’s some data suggesting it may be an attention and maybe memory booster, but I don’t know how far along that is, or if anyone has any idea how that works.Report
In fact, w/r/t Churchill and other high-functioning alcoholics (including a lot of writers) I recall reading something somewhere that some people – whether by genetics or habituation – have brains that work in some sense “better” when alcohol-intoxicated (by which I don’t mean they’d be good drivers or *physically* enhanced; but that certain cognitive functions in say their language centers actually functioned better; as though they *needed* that high-octane “fuel”).Report
I’m sure that even if their brains appreciate it, their livers don’t.Report
Well, no. Alcohol is seriously a hell of a drug for many reasons.
But IIRC it had something to do with brain sugar/energy requirements, and was being bandied about as a possible explanation of why so many writers are heavy tipplers.Report
Half a glass a day is probably not terribly bad for you. In the main, it may actually be better.Report
Glyph,
That may be not merely alcohol, though. Some wines work differently than others — and some have been deliberately tweaked for particular effects.Report
I was a true idiot–I started smoking at age 25. If you start when you’re 15, at least you can say you didn’t know any better.
I loved the smoke breaks. Loved them. I loved stepping outside, even when it was zero degrees F. I didn’t mind if it took me away from work because I think short breaks are good for work. I think I worked better when I smoked. (Could be self-delusion though.)
Most people’s physical smoking addictions are the same, but their mental addictions vary quite a bit. I think one trick to quitting is figuring out what you mentally like most about smoking. Although it is tough to describe to a never-smoker how glorious a cigarette can be. Maybe I am fooling myself, maybe all the so-called mental addictions really supervene on the physical addictions.
Anyway I quit cold turkey when I was 35, I am glad there was no vaping around then, I probably would have continued with that. Are there stats on whether vaping actually helps people quit cigarettes? I suspect it may just keep people in the habit of breaks, rituals, etc. What is the backsliding rate vs. cold turkey I wonder?Report
I think I worked better when I smoked
It wouldn’t surprise me. Not just the breaks to recharge, but IIRC nicotine does actually have certain cognitive-enhancing/stimulant benefits; which might help anyone, and especially people with any kind of ADHD-spectrum attentional/focus issues. Pity about the addiction and cancer. (A while back I jokingly said I was going to just start using The Patch, to get the mental benefits of nicotine but without the cancer risk. Will was pretty appalled.)Report
Just pop a Sudafed.
/kiddingReport
There have been some bad studies done that have suggested that quit-rates are actually lower among people who use ecigarettes, but they are some seriously bad studies that I mention only because you might hear about them. The good studies show that it’s about as effective as, or perhaps a bit more effective than, other Nicotine Replacement Therapy*.
All I can tell you is that I haven’t smoked in approaching two years. Others around here (Chris and Mo) report the same things. Cold turkey was always a failure with me. The only successful quit I had earlier, involved gradual reduction. But that lasted six months, and not the two years I’m looking at now.
Different things work for different people. Which is why even if the ecigarettes were no more effective than the patch, saying that people should just use NRT and we don’t need ecigarettes, is off-base. There is some non-overlap going on here. Some people, like myself, need the ritual. Or at least need the ritual to carry my through the nicotine-cessation. Once I’m nicotine free, then maybe I can attack the ritual separately, without a monkey on my back pounding at my noggin.Report
Even if no person that switched to ecigs would *ever* quit…it doesn’t matter.
Smoking is dangerous because of the other stuff in cigarettes. Nicotine is not *actually* a dangerous drug. It’s right up there with caffeine. If people want to use nicotine, whatever.
We’d have less medical problems if the *entire US population* started smoking ecigs tomorrow and forever after…vs. the current cigarette smoking population currently existing.
(I keep waiting for someone in this discussion to bring up the bogus ‘ecigs are dangerous’ studies, which relies on bogus over-extrapolated science, and could also be used to prove ‘boiling water is dangerous’, (If you do it in a stupid and wrong way.) and ignores the fact that inhaling vaporized chemicals is how *a lot* of medicine works and no one’s ever found a problem with that process.)Report
As much as I would like to agree with this, the truth is we simply don’t know the long term health effects. We’re extrapolating from very limited data. Some are using the lack of information as an excuse to assume the worst, and in an excruciatingly twisted manner, are almost looking at cigarettes as “the devil we know” while shrugging off (or outright denying) the overwhelming likelihood that ecigarettes represent considerably reduced harm.
I’m reminded of Marion Nestle. When they discovered a relatively easy and affordable way to zap ecoli out of meat, Nestle complained that this was probably a step backwards because people would more likely believe that eating red meat is safe.
But… all of that said… we still don’t know the full extent of the dangers that may exist. They still haven’t come anywhere close to finding the silver bullet they are looking for, despite their hyperbolic headlines. But that doesn’t mean they won’t. I don’t want my daughter ever to pick up the habit, with or without nicotine. The harmlessness is, at least in my mind, mostly in comparison to the devil I know that is – despite many experts seeming to have forgotten – actually the devil.Report
Nicotine is poisonous (the sickest I’ve ever been in my life was after an overdose), of course, so it can’t possibly be good to intake small amounts over long periods of time, right? Then again, Mithridates, he died old.
BOOM! Two jokes from the same poem in one post. New record?Report
I think I worked better when I smoked. (Could be self-delusion though.)
No, you’re almost certainly correct there.
The thing is, nicotine will provide stimulation at first, but very quickly, it turns into something that the stimulation only exists to counteract the withdrawal.
So, technically, at any point in time, it’s ‘I would legitimately work better with some nicotine in me’, but a nicotine addiction will quickly screw up the baseline to the point that ‘better’ is where you would be *anyway* if you weren’t smoking.
It’s a lot like caffeine that way. People who ‘need coffee to wake up’ are entirely correct…they do need coffee to get to normal functioning levels. This…is because they’re addicted to caffeine and just spent a night without it.
This is basically how all physical additions work, in fact. Addition is your body noticing the weird-ass chemicals in you and *fixing* you so you still operate normally with them in you…which then blows up when they aren’t in you any longer, so you’re weirdly broken in some manner and your body says ‘Hey, we need some more of that’.Report
The thing is, nicotine will provide stimulation at first, but very quickly, it turns into something that the stimulation only exists to counteract the withdrawal.
What the hell does this even mean?Report
I am completely baffled you do not understand that.
Nicotine is a stimulant. Like all stimulants, it stimulates you.
Also like all stimulants, if you keep it in your body enough, your body will say ‘Huh. Weird. I must have miscalculated.’ and adjust your body ‘downward’ so that you’re still ‘normal’…on average.
Which means smokers need to smoke to get *back to their baseline*, and maybe a little above…but the more they smoke, the lower their starting point is re-calibrated to, and the more they have to smoke to get back up. (Aka, ‘drug tolerance’.)
So nicotine will quickly stop making people work better or concentrate ‘better’, and end up being taken to have them *stop* doing those things *worse*.Report
What do you think it means that nicotine “stimulates you”?Report
Wow, these questions are dumb.
Here you go:
http://en.wikipedia.org/wiki/Stimulant
‘Stimulants (also referred to as psychostimulants) are psychoactive drugs that induce temporary improvements in either mental or physical functions or both. Examples of these kinds of effects may include enhanced alertness, wakefulness, and locomotion, among others.’Report
Thank you, Wikipedia. Do you know what the stimulant effects of nicotine are, while we’re at it?Report
Thank you, Wikipedia. Do you know what the stimulant effects of nicotine are, while we’re at it?
Yes, it does know that. There’s a link on the page. It basically binds to specific receptors and the brain to release a lot of chemicals. (Also, Wikipedia does not read this blog.)
And I’m not playing this game anymore. If you have a point to make, or think I’ve been inaccurate, say so.Report
David,
Mind who you’re playing with. When a psychologist starts asking simple questions, there may be a deeper meaning…
(In this case, I suspect Chris merely wants to take you to school for not having thought through all your learning into something remotely functional).Report
This is really stupid stuff:
It’s slavery if you can’t enjoy a meal or drinks with friends without having to step outside several times. It’s slavery to have to push away your toddler because you’re hunched up against a window feeding your habit. It’s slavery if you can’t listen to the person you are talking to, or pay attention to the lecture or movie or concert you are attending, because you are counting down the seconds until you can get your fix.
Forty years ago, none of those applied, because it was acceptable to smoke in all of those situations. Smoking was still slavery, because most people who wanted to quit, hard as they might try, could not.Report
When you smoke, you can’t eat your victuals fast enough.Report
Get out of the house, man!Report
Yeah, but he’s saying the same thing: those are just the common reasons to want to quit these days, whereas they were something else forty years ago. It’s slavery for the same reason which is the one you give, and I think that;s the reasons PEG is implying as well. It’s just that he’s expressing that in terms of how vivid his reasons for wanting to quit (or in any case not to have to smoke) are (though I would say: possibly only in those moments, not in the moments of enjoyment of the habit).Report
I don’t like the word “slavery” used as loosely as he does, but I think what he says is important. It represents a different reality of smoking now compared to fifty years ago. For better or worse, and I don’t want to litigate that here, the laws and regulations and customs surrounding smoking has made the habit significantly more difficult, time-consuming, and distracting from every day life. And as an extension of that, smoking controls your life a lot more than it used to, and in ways that it didn’t used to.
Almost all of the lost time I refer to in this post is pretty directly talking about the same laws, customs, regulations, and customs that he is.Report
If the main things about smoking are that you can’t do it in front of people, and all the time you’re not doing it you’re thinking about it, and you need it so much that you usually ignore the consequences, it’s not slavery — it’s sex.Report
Wait — you can’t just have sex in front of people?
I’m suddenly getting why my neighbors avoid me…Report
If you’re an addict who no longer particularly enjoys sex but needs it to function, then yes.
Both the addiction and the consequences of that addiction, including how it can dominate your day passing the various barriers put up, are pretty important.
That’s not a show-stopping anti-barrier argument. It’s just what is.Report
I was a very brief junior high school smoker.
What cured me of this is getting laughed at by girls for looking absurd.Report
I will say that, now that I’m in a place where very few people smoke, my opinion of people who *do* smoke around me has dropped quite sharply.
Back when it was just assumed that at least one person would be smoking in any place where it was not explicitly banned, it didn’t matter so much, because (like the smell of dog crap and car exhaust) it was just a fact of life. But now, y’know, ninety percent of the people at this state fair aren’t smoking except for that one guy who has to sneak off behind the food tents and light up.Report
Is it possible to be physically addicted to alcohol if you’re having far less than a standard drink a sitting?Report
How often are you sitting, and where?Report
Drinking standing up is one of the DSM criteria.Report
Drinking while laying down is a major warning sign.Report
Drinking upside down just means that you’re at a kegger and probably not making good decisions.Report
Well college is all about signaling and networking, so there are benefits from keggers.Report
As he keeled, I held up the left leg of the son of the former agriculture commissioner and comptroller of my home state, once.Report
I’ve always knew you had good left leaning sympathies.Report
Drinking while asleep is a pretty serious sign, too.Report
Only if you forget to pay the tab!
If you do pay the tab, you only have to deal with being drunk when you’re supposed to be driving somewhere, and not remembering a thing of it!
(Yes, true story. Sleepwalkers can do loads of crazy stuff).Report
Let’s say nightly.Report
I wouldn’t say so. I’ll go a period where I have a drink a night (ie: When I’ve bothered to buy bourbon) and then go months without one. I’ve had weekends where I’ll go through two six packs (heavy for me!) and then make another six-pack of beer stretch out so long the beer goes funky.
So maybe I’m not a good example. Too erratic. 🙂
But honestly, given a glass of wine with meals is considered socially acceptable I’d only worry about it if you had problems if you didn’t drink. Or having a beer after work every day.
Like you couldn’t sleep or got antsy or something when you skipped the drink.
Of course, there’s also the question of self-medicating (mental, physical, or other problems) — which is less a question of addiction and more a question of identifying what that glass of wine or whatnot takes the edge off and having that worked on properly.Report
“what that glass of wine or whatnot takes the edge off and having that worked on properly.”
That’d be a ton easier if the doctors knew anything (taking the edge off your stress to reduce heart problems… and no, this isn’t me.).Report
There is that. One issue is the use of such things as a form of self-medication. What might solve the problem in the short term makes it worse in the long, and is generally a sub-optimal and more dangerous form of treatment than…well, actual treatment.
It’s particularly common with people who have mental health problems — depression, for instance. They self-medicate with drugs or alcohol.
As a less extreme example, many people with ADHD often use caffeine. They generally aren’t aware of it, they just know coffee or a soda seems to make them more productive or whatnot. Caffeine works because it’s a stimulant (my favorite tidbit about ADHD. Use a stimulant to slow you down and help you focus. Makes everyone else jittery) — it’s not as effective as a carefully chosen and monitored dosage (and caffeine is mildly addictive — well, more that stopping drinking it tends to bring on fun headaches for awhile).
But I know one coworker who I can tell is on or off his meds by whether he’s drinking coffee. On his meds? Maybe a cup in the morning. Off? All day, constantly. I don’t think he’s aware of why he does it like that.Report
Morat20,
When the doctors don’t know anything, you get to try and find what works and what doesn’t by trial and error. Doctors know stuff for 95-99% of us, the rest, well, the Doctor doesn’t KNOW. Yeah, maybe, it might be better if the doctor could prescribe Something That Works in a Measured Dosage… But some people are really that far off plumb.
Give a friend of mine Sudafed, and he acts like he’s suffering from hyperoxia (he is, his body is adjusted to work on lower oxygen than most people because his nose is rarely clear). It’s not like he’s hooked on that or anything (it gives WICKED heart related side effects).
But, hell, that’s something small and pretty easy to understand. It’s the weirdos on the edge of everything that have to start working out exactly what works themselves.
Protip: truly fresh coffee (3-5 days old from roasting) made in an espresso machine is really, really good for you, and low on caffeine to boot. Try it sometime.Report
Notably, before I was a consumer of cigarettes, I was a consumer of ephedra.Report
Smoking is vile. My ex had a parent who smoked and when she came back home she reeked of smoke. The smoke was in her hair. My ex was a head shorter than me so when I hugged her, my chin was on her head and I got a full blast of smoke in her hair. She would immediately decamp to the shower to get the smoke out.
But dammit, if you want to smoke, you should be allowed to.Report
Smoking killed my paternal Grandparents, both of them. My Grandmother came down with lung cancer when I was graduating high school. She was the dominant half of the single person that the pair of them formed together. My grandfather, a heavy smoker, knew the score; it was written across his face like fiery letters on a cliff. He staggered on for a year or so then virtually flung himself into the arms of the Parkinson’s to escape. I know what hell is; I have seen an beloved elderly fisherman endure two years of it. When he died my Aunt wept in relief for him and she was simply the only relative honest enough to express what we all were thinking.
That colors my thinking on cigarettes a little.Report
Speaking of smoking, Ornette Coleman, man. The first jazz show I ever went to that wasn’t some dudes with bad soul patches and berets at a local coffee house was a Coleman show in the 90s. And I probably smoked half a pack of cigarettes while there.Report
I smoked a pipe for fourteen years, and I truly enjoyed it.
A toasted vanilla cavendish, not the sweet kind, but the warm kind.
Never did like cigarettes.
Was thinking about vaping, and I was going to buy one of those things.
The man asked me, “What flavor do you want?”
“Flavor?” I asked.
He started reading out names from the produce department, and I walked out.Report
@will-h The flavors are often considered a perk of ecigarettes. I personally don’t use them a whole lot and if they are banned – as various Democratic congresscritters want to do – it won’t affect me personally. Others, though, say it was a key to their transition.
There are a lot of tobacco flavors out there (depending on how you go about it). In my rotation, I tend to have two tobacco flavors, one flavor-flavor that I mix with a base tobacco flavor, and one that is sometimes a third tobacco flavor and sometimes a chocolate or coffee flavor (if I had vanilla, this is the tank it would go in as well).
If you’re ever interested in giving it a try, I’ll be happy to give you some recommendations.
I wouldn’t knock the non-tobacco flavored though. Even though it’s not my thing, for someReport