I remember my mother complaining about smokers in line at the grocery store. I remember long lines at the grocery store*. Both seemed pretty awful to me at the time. My mother also put a rare foot down about my father smoking his awful cheap cigars in the house. So, he'd light one, walk around the house, then go out to the garage. Have I mentioned he was an asshole? He was an asshole.
Patient this week, a physician with a pack-a-day habit, probably a good 50 pack-year since he was 78. Surgeon exasperated at this. I wondered when it became the norm that doctors DIDN'T smoke, since they surely once did. A little research, and I suspect when hospitals stopped allowing smoking inside, around the mid 70s, is when it finally broke a lot of those habits. So, doctors now in their 60s may have smoked, under that are unlikely to have ever been smokers, over that are likely to have quit at some point.
I remember cigarette ads on television, catchy jingles and cartoon characters.
Indoor Clean Air legislation really started snowballing in the 80s. Finally, to not choke on the stink of smoke in stores, then restaurants, even bars. Always a minority in this country, around 40% in the 60s, they held the rest of the population hostage to their filth. Still do, when they sneak as close as possible to building entrances. Around 20% nationwide, below 12% in California. Likely about that around here, since there is a church expectation to avoid the stuff.
A little more
research, and it becomes clearer that it's closely tied to class and education. Self medication for mental illness, as well.
Medical people hate smokers, as a sort of personal hatred. Unlike with the obese, where we simply dread dealing with them, and are frustrated knowing they will not have good outcomes. Smokers, now, we get our knickers well twisted over them. A day surgery recovery nurse I worked with in Boston didn't mind them, though. "Oh, they're great. Pain at a 8 or 9 of 10? Tell 'em until their pain is down to about 4, we can't let them go have a cigarette. All of a sudden, they feel so much better, pain's about a 4! Miracle!" I tried that, and it worked every time. Smokers had a lot more pain, a lot less relief with drugs, but the mere thought of going to smoke worked wonders. They don't heal up as well, though.
Nothing worse than the stink of a smoker's car, Aunt Mary and Uncle Oscar smoked, as well as my cousin Claire (who probably OD'd on semi-purpose due to dental malpractice, but also her own inability to heal.) Uncle Norman and Uncle Milton smoked cigarettes. Uncle Walt was about the only one on my mother's side who smoked - a wonderfully aromatic pipe - still likely the cause of his heart attack in his 60s.
I smoked probably three whole packs of cigarettes, clove and rose, over a year in the middle of the divorce, feeling rather self destructive, and wanting to piss off the ex who originally quit at my insistence as a condition of continuing to date. Irony, what can I say? Haven't smoked since, certainly never going to.
To think, patients could once smoke in hospital rooms. Most houses reeked of old tobacco smoke. Old cars still smell of it. Not that long ago, when we'd visit Lava Hot Springs in Idaho, there was a diner we walked into, guys smoking at another table. We ate there once, and did not go back. A few years later, no smoking inside at all.
Seems so utterly weird to me now. Such a sense of it being completely unacceptable these days. Who smokes? The immigrants, the poor, the insane... a terrible slur, but it seems the public judgement. So, when a doctor is unabashedly smoking? Our surgeon yesterday was out of words to express his disdain. Especially knowing that all his hard work putting him back together might well be in vain.
Smokers
don't heal right.
*Can't remember the last time I stood in a line of more than two, at a grocery store. Self check out really makes that much difference.