2118 Sometimes it just smells like death"When I admit a new patient from the ER who reeks of cigarette smoke,. . . I watch his oxygen requirements closely and keep cancer in my differential diagnosis no matter what the reasons for his presentation." "Becoming a physician: the physical exam and the sense of smell," A. Bomback, NEJM, v.354:4;327
"Among U.S. cigarette smokers, African Americans and Native Hawaiians are more susceptible to lung cancer than whites, Japanese Americans, and Latinos." "Ethnic and racial differences in the smoking-related risk of lung cancer," NEJM, v.354:4;333.
It appeared to me that the authors of this study really struggled to find a socioeconomic reason for the discrepancy between ethnic groups for lung cancer. But the findings were not explained by diet, occupation or socioeconomic status. And after 30 cigarettes a day, it was a level graveyard anyway.
My son is on a new plan to give up, or at least cut back on, the cigarettes. It's a killer of a habit, and he started at 14.