I'm taking an EMT class now and it's extremely sobering how many horrifying ways to die are directly caused by one of: high blood pressure, obesity, or smoking.
We're in the cardio module now, and about 3/4ths of the class is already talking about signing a DNR. Death from one of those three is often long and extremely painful. We've got so many ways we are legally required to keep the body "alive". There's a lot worse things out there than death.
Keep fit out there folks. If you don't know where to start, check out intermittent fasting 16/8.
Depends on where you are in the world, dinner at 5 would be really weird in a lot of places.
Most restaurants would not even be open for another 2 hours
Even if you eat at home saying you have to eat before many people are off work seems like a rather arbitrary restriction for the sake of 2 or 3 hours. And I say that as someone who does sometimes eat earlier and often don't really have 3 meals a day.
The body doesn't significantly start burning fat for fuel until glucose stores are exhausted, which on average takes at least 12 hours of fasting. Every hour after is running on "fat batteries", so a few extra hours is the difference between zero fat burned and several oz of fat burned.
> Fasting is the abstention from eating and sometimes drinking. From a purely physiological context, "fasting" may refer to the metabolic status of a person who has not eaten overnight (see "Breakfast"), or to the metabolic state achieved after complete digestion and absorption of a meal.[1] Metabolic changes in the fasting state begin after absorption of a meal (typically 3–5 hours after eating).
Exercise alone almost never reduces body fat percentage long term. Calorie restriction of some sort and getting the body to burn fat via fasting/keto is required for most people.
Exercise definitely does improve tons of factors, even if it is not an effective way to lose weight on its own. There is also, as I understand it, some degree of distinction between weight loss and weight gain prevention: while the saying "you can't outrun a bad diet" seems to hold true for people actively trying to lose weight (something I can personally understand, when I'm in a running training block my appetite is unreal), there's also a lot of evidence showing lower rates of obesity in more densely-populated areas, where people naturally walk more, and evidence of improvement when people move from low density to high density areas, which suggests there's a component of just moving around in daily life that can be a factor:
IMO fasting won't help the majority of the population since their diets tend to consist of foods that are designed to be highly consumable at volume. While the theory of time-restricted eating implies you will eat less, you can still easily exceed your TDEE in calories.
Skip the fasting; exercise and eat real whole foods. It's pretty difficult to do both of those things and not lose weight.
If forcing oneself to just walk for 20 mins (thats a lazy 1km, I've managed to walk cca 3km 2 weeks ago with broken foot and ripped ligament through wild forest) is too much, good luck with convincing anybody with such mentality that now is the real "no eat" time, consistently.
Not saying these measures are bad or that we should withhold care, but there is very much an attitude of "keep alive at all costs" to modern medicine that can be hard to witness and potentially traumatizing for caregivers.
With a terminal family member, what I found counterintuitive was that we had to take measures to avoid insane practices rather than the practitioners having to ask before doing something insane.
High blood pressure and obesity appear to be part of the same metabolic syndrome.
I am all for fasting, but it won't make your death necessarily less painful. The best you can hope for is to live a decade longer and possibly make use of the progress of medical science.
(It is possible that we will have a breakthrough in longevity. In that case, well, it makes a LOT of sense to be alive to see it.)
Yeah. I can no longer stand the smell of smoke no matter how far away. My wife hates me because we can’t sit on terraces to eat and drink next to smokers and traffic smoke
Where I live, "beautiful bc," it was decided that emissions testing was ineffective so we stopped doing it. Also there's a rash of catalytic converter thefts. A real catalytic converter is expensive. A metal tube the same size and shape is less expensive and deters future theft. Put it together and there's a significant number of cars whose exhaust is way over legal limits but they only get caught if a cop feels like noticing. And the police are not known for treehugging.
Smoking is outlawed in parks, but allowed on sidewalks.
The USA actually has pretty strict emissions standards for diesel engines, so most cars on the road are relatively clean burning gasoline cars. But in parts of Europe or Asia, diesel vehicles are much more common, and their exhaust has a distinct smell from the sulfur and nitrogen oxides they produce.
>USA actually has pretty strict emissions standards for diesel engines, so most cars on the road are relatively clean burning gasoline cars.
If by that you mean bad smelling poorly running clunkers everywhere then yes. But mostly because we don't do emissions testing at all outside of one or two cities in my state.
I'm aware we're technically strict, but I don't see the EPA shutting down roll coal culture any time soon. It took us this long to catch Cummins[1] after VW got dragged through the courts. At this point I find it hard to believe any diesel motor truly passes US emission standards.
Out here in the Southern US that's just the norm. I can smell poorly running 10-40 year old trucks and cars every day along side the newest diesel truck trying to roll coal on a Prius for shits and giggles. Add on top of that smelling peoples cigarette smoke two cars over and seeing them litter the cigarette butt.
We didn't get a Bar smoking ban locally until recently and at first it only targeted bars that serve food.
> Three variables stood out: smoking, latent cytomegalovirus infection(2) and body mass index. "The influence of these three factors on certain immune responses could be equal to that of age, sex or genetics," points out Darragh Duffy.
OK, smoking is bad, but it seems everyone already knows that one way or another, just like obesity.
It's the first time I hear of latent cytomegalovirus infection though, which apparently has a very strong impact. Is this worth it to be tested against, preventively ?
If you're still smoking or at least not putting in a real effort to stop in modern day, you simply don't care for your health at all in the first place.
I hate the smell of it and how it feels breathing it, every time I walk behind somebody smoking while walking somewhere I literally run in front of them or cross the street. I honestly think public smoking should just be outright banned for being a health hazard against others.
If you still want to smoke, go to small out of the way designated places for it where you aren't bothering others.
I think you did well saying you cross the street, but then suggested that I solve your problem for you, how entitled, you are annoyed by smoking and I have to go in the cage, I could say, if you are annoyed by people smoking wear a mask or stay at home
I feel like smokers are just there taking shit for everyone, cmon guys you live in cities filled by smog and chemicals and asbestos, but when it comes to smokers “omg the devil”
"cmon guys you live in cities filled by smog and chemicals and asbestos"
That sounds like rationalization of your own actions.
Sure, the environment in cities isn't pristine, but it is a lot better than several decades ago, and multiple bans on noxious substances were needed to clean the air up a bit. When my mother was a kid (1950s), smog was so severe that street lamps had to be lit during the day. Ah, the beauty of burning coal in the middle of a city without any filters.
Maybe, if you are a smoker, you are just so used to smoke that you don't realize how disgusting it is for non-smokers.
A friend of mine quit and, after a few months, as his sense of smell slowly came back from the dead, sincerely apologized to everyone else for smoking around us. He said that he, as a smoker, just didn't realize how pungent and revolting the smell of tobacco smoke is to others.
I also quit smoking and started to feel its disgusting, but its my issue, i dont expect the world to change to accomodate my sense of smell, and surely wont say lets put those who annoy me in small delimited areas
One of the directions in which civilization is slowly developing is cleanliness.
Once upon a time, people threw all sorts of garbage in the streets, including rat carcasses and what have you. It was the norm and people complaining about it were considered sissies.
In the 1900s, this was already beyond the pale, but "everyone" was fine with black soot from coal-fired furnaces covering everything, and with car engines smelling to high heavens.
Nowadays we don't tolerate either, so smokers are starting to be targeted.
The floodgates don't automatically open for every possible unhealthy thing, just because we're already getting exposed to one thing. Isn't this a classic logical fallacy / plain obvious?
If you break your leg, is it okay for someone to punch you? I mean, it's way less damage than you've already sustained, right...
I'd read it as if you had your leg broken, but would be complaining and trying to solve an itch on your arm, I understand people want to be healthy, but starting from the least dangerous, if you're exposed to chemicals 24 hrs without doing anything, why do you get so Robespierre when it comes to smokers
You're overcomplicating it, it's not about that, it's simply fuck them for flagrantly smoking right in my face. It's literally a physical assault, and entirely "optional" / their choice to not give a fuck about anyone else.
There's a huge range of possible things like this people could do to each other which is simply not okay out of basic consideration for others / not being a massive dick. What if I decided I like the smell of some other chemical that's bad for you / proven carcinogen etc, and open this up on a busy train platform. Do I then get to argue technicalities about other unhealthy things too? What if everyone did this?
Is this the point we've reached in society, where we want to argue our right to do such things to each other? Purely out of choice, not even some necessity...
Exactly, we're already breathing all kinds of dangerous substances from multiple sources, why add another one.
Honestly, since they banned indoor smoking and having people smoke 9m from doors, I don't mind it. What I do mind is people throwing butts all over the place, for some reason, even people who avoid littering don't think twice about throwing their dirty butts everywhere. Every time spring comes and snow starts melting it's so disgusting everywhere.
Surprisingly, it is for me, at least where cars are relatively new and low-emission.
In the developing world, where very old cars are routinely used, the fumes are worse than smoke from individual smokers. In the EU, it is the other way round.
How come that nations that have more diesel engines don't suffer from cancer more?
In Ireland or Italy, something like 40 per cent of new cars are diesels. In Finland it is less than 20 per cent and in the Netherlands less than 10 per cent.
If diesel was a cancer machine, I would expect Italians to have a lot more cancer than the Dutch. Dose-response is a thing in toxicology.
We have regulations on emissions. We ban 2 stroke engines. We have congestion pricing to prevent cars from coming in cities. We ban lead from fuel. We try to invest in public transportation. We build more bike lanes. We use electric vehicles.
The difference between those two is that, by smoking, you become the aggressor. If being considerate and empathetic is "solving someone else's problem" then I don't see how that's entitled. Don't smoke in public.
> I think you did well saying you cross the street, but then suggested that I solve your problem for you, how entitled, you are annoyed by smoking and I have to go in the cage, I could say, if you are annoyed by people smoking wear a mask or stay at home
Cigarette smokers, they never to stop amazing me how arrogant and self-centered many of them are when talking about actual topics.
Its btw a great way to find out who you are really dealing with - anybody can produce sweet talk on demand if they have a clear goal. Stub their toe with say some hard addiction of theirs and personalities surface very quickly
I also don't drink alcohol. Quit about 3 years ago after hearing how bad it also is for your health and just from hating the feeling the next morning. But I agree this one will be a harder one to kick.
I don't drink a lot of alcohol, but I make batches of kalja at home for daily consumption - probably 0.5% abv because I'm impatient and bad at it. (And I'm, uh, using bread yeast lol)
It probably averages out to the equivalent of a beer every week or two.
My boss likes to say "wow you must be drinking some strong stuff on the weekends after this job." Because apparently that's the ideal way to cope with abusive workloads.
He's not far off since you do cope with a depressant drug, just a different one with a different risk profile. And I don't know about you, but it tanks my productivity worse than alcohol all the way through the next day depending on the form. So maybe he's making a comment about that.
The big difference is that you don't have to drink alcohol if an unknown person next to you is drinking, while passive smoking is a real thing. Granted, peer pressure leads people to drink more than they otherwise would, but it's still something you can fight against. There's no willpower that will help you against passive smoking.
I'm not claiming that alcohol is better, just saying that in terms of getting of nuisances, you can choose to completely opt out of alcohol if you so choose, while in some places it's hard to completely avoid cigarette smoke from people around you.
Alcohol has negative social externalities just like cigarettes. People who drink often drive and make other bad decisions that don't just damage the drinker.
The negative social externality may not be "second hand drinking", but it exists nonetheless.
"People who drink often drive" is a nonsensical statement. People lose their driver's licenses permanently for drinking and driving. People get high on cannabis and drive too. And people smoke cannabis outdoors, which smells worse than cigarettes if you ask me. So as far as public nuisance goes you get the worst of both worlds... except cannabis is the "cool" drug for younger generations, so people will bend over backwards to make excuses and berate you for criticizing it :)
Especially with the widespread availability of vapes, which are still pretty bad for you but substantially less so than cigarettes, there's no excuse these days.
I am the same way, I will risk getting hit by cars sometimes just to avoid smoke I hate it so much. Even outdoors after a brief exposure it gets lodged in your hair, clothes, and eyes. With the legalization of marijuana in so many places, the problem has become even worse.
Totally agree, it definitely isn't safe, and it isn't safe for the person vaping or anyone exposed second-hand. However, the evidence so far does suggest the harm is somewhat less than regular tobacco smoke.
The practice is believed to have begun as early as 5000–3000 BC in Mesoamerica and South America. Tobacco was introduced to Eurasia in the late 17th century by European colonists.
Yes. The long-term health implications of vaping are only just beginning to be understood. If you forced me at gunpoint to either vape or smoke, I'd still choose the vape.
Water is essential for human survival; vaping is not necessary for human survival or health but rather introduces potentially harmful substances into the body, including nicotine, which is addictive, and other chemicals that have adverse health effects.
Serious drowning incidents from drinking water are extremely rare and usually involve underlying medical conditions or very specific circumstances. Conversely, the health risks associated with vaping, including lung injury, addiction, and potential cardiovascular effects, are well-documented and have been observed in a significant portion of users, especially among young people and adolescents.
Vaping has been linked to a significant rise in nicotine addiction among teenagers and young adults, often drawn to flavored vape products. This trend threatens to reverse decades of progress in tobacco control and nicotine addiction. Water consumption does not carry a similar public health risk; it does not lead to widespread addiction or serve as a gateway to the consumption of more harmful substances.
While water is essential and generally safe, there are still regulations in place to ensure its safety (e.g., water quality standards). The call to regulate or ban vapes stems from a similar public health perspective — protect consumers, especially young ones, from products that have been shown to pose significant health risks.
Lastly, equating the act of vaping with drinking water is a false equivalence. The two activities serve different purposes and have vastly different implications for health. While water is necessary for life and generally promotes health, vaping introduces unnecessary risks, particularly to young and vulnerable populations.
That was from bootleg THC carts that had adulterated ingredients [0]. In this context we're talking about vaping (nicotine liquid) vs smoking (cigarettes).
Vaping is not as safe as inhaling nothing but air. But we do know scientifically that it is substantially safer than smoking [1], despite the (big tobacco-funded) scare campaigns that claim otherwise.
In other words, nothing > vaping > smoking. If you don't use nicotine today, don't start. But if you want to get off cigarettes, vaping is a great choice and provably safer.
Some, but not all [1]: "... the remaining 17% reported using only nicotine-containing vaping products... It is believed that the non-THC/CBD vapers who were diagnosed with EVALI were actually suffering from disparate vaping-associated lung diseases caused by different toxins within the aerosols or different host responses to the inhalants."
The CDC recommends not using THC vapes at all because of EVALI, but make no such recommendation about standard nicotine vapes (unless you've never smoked) [0].
Some people have had serious lung damage due to vaping.
If that's a reference to a spate of "popcorn lung" cases of THC vapers, where it's suspected that the juice was laced with vitamin E, you might as well say that Tylenol is deadly because someone once spiked it with cyanide†. Don't put junk in the juice, regulate the ingredients. I'm saying this as a non-vaper and non-smoker, if it makes any difference.
†I know, I know, acetaminophen _is_ deadly is you overdose on it. That's not what I'm talking about here.
Some, but not all [1]: "... the remaining 17% reported using only nicotine-containing vaping products... It is believed that the non-THC/CBD vapers who were diagnosed with EVALI were actually suffering from disparate vaping-associated lung diseases caused by different toxins within the aerosols or different host responses to the inhalants."
Note that many of the toxic chemicals referred to in this paper are normal components of nicotine vape juice, including but not limited to the flavorings, so the comparison to spiking Tylenol with cyanide is not particularly apt.
The comparison to Tylenol spiking is perfectly apt if you consider the whole category of toxic adulterants as the noxious agent. (I know that THC/vit-E wasn't the totality of cases. You can only go so far without drowning in pedantry.) Moreover, it seems to have been a very North American phenomenon. Europe is quite vape-mad and you can count the number of vape-related lung injuries on one hand.
That's crazy! I personally think both regular tobacco and vapes should be tightly regulated, with tobacco available only to people born before some fixed year (like New Zealand) and vapes restricted the same way or only to existing smokers. Governments worldwide dropped the ball, allowing an epidemic of vaping, with many of the vapers new nicotine addicts who would never have become smokers had there been no vapes.
Yeah that’s the thing - they massively dropped the ball for several years, the grey market took over, loads of kids started doing it, everybody panicked and now they’re going to be prescription only.
Somewhere in that mess there was a path to making them a good way to really squash that last few percent of people that smoke, at least by moving them onto something a little better even if they never quit, but it’s been missed.
Even then, I’d understand and support making them as hard to get as tobacco, regulated very similarly so when Bob Smoker goes to the servo (gas station) or smoke mart, he can choose the less harmful and less harmful to others path with little effort. Not now though (well later this year), he has to pay for a doctor’s appointment and get an approved therapeutic device prescribed if he wants to vape. Or he can buy cigarettes at the corner.
And the schoolyard mom grapevine apparently has it that vaping is worse than smoking. The clusterfuck is complete, and a great health opportunity was missed.
(For the record I neither vape nor smoke, but I did use the former to quit the latter a little over 10 years ago)
(Edit - oh that thing in New Zealand? The new government scrapped it, I think for reasons of tax revenue. One of the most naked money > lives decisions I’ve seen in recent years)
Problem is nicotine isn't the only active and addictive substance in tobacco smoke. There are also MAOIs. I've tried every nicotine replacement therapy there is(yes, even vaping). And both approved smoking cessation meds(bupropion and varenicline). And smokefree tobacco like snus, chewing tobacco, even snuff; they all make me throw up. And cold turkey of course.
At this point I think I'm more addicted to the harmaline than the actual nicotine.
I am aware of it being addictive which is why I also added the caveat of putting in a real effort to stop, understanding that it can be difficult.
But I still think even these people should be aware of those around them when they are smoking and how they are affecting them as well. Smoking while in transit on a sidewalk is the example I'm speaking of. Every person you walk past or who walks in your same direction is being affected by you.
Hey now. I'm a huge nicotine enjoyer, but I'm sitting pretty at maybe 10 cigarettes a year. I care about my health, but the occasional dart is too good to pass up.
I started smoking pipes at 15. I would grow and age my own tobacco. I love cigars, but don't like the lack of dosage control. Pipes are my absolute favorite form of tobacco use. Nothing like a little latakia in a nosewarmer while choring in the snow.
Cigarettes are tasty, but if I have a couple in a row it hurts my lungs, so I smoke very few of them.
Cigars are a lot of commitment and make me feel sick, though. Hitting a little under one dart a month after my designated club night is a real sweet spot
Grow up. What a stupid thing to brag about. And in no way refutes the original point, that it's disgusting, stupid, and inconsiderate. But obviously you know that and don't care.
In Japan, there are signs in places discouraging smoke-walking (arukitabako: 歩きタバコ. Image search that and you can see what the signs look like).
People who smoke and walk end up going in the same direction and pace as other people, annoying them. It's easier to avoid a smoker who is staying put.
While I love the smell of most cigarettes, I share your sentiments about the smell of weed. Most marijuana smoke elicits a visceral response in me that makes me want to throw up and reminds me of dead skunk roadkill.
That said, I put up with it because I respect the freedom of those wishing to enjoy it. I also have no choice, because the smell has become ubiquitous almost everywhere you go.
I also do not like the smell of weed, nor do I smoke it. I respect people and their freedom to smoke, whether it be marijuana or cigarretes.
I do not respect people who do it around other unconsenting people in areas that are meant to be used by the general public i.e. not in your own home (though even then if you live in apartment/multi-family dwelling it can become a major issue for your neighbors) or a designated spot since there is plenty of research documenting second-hand effects being harmful.
Give me a break. If you don't wanna experience smells you don't like, stay inside. That's your problem. Occasionally smelling some smoke while outside is not going to significantly affect your health. People smoking in public inside is a whole other level of exposure, and even there the effect isn't that big.
If you're really worried about inhaling stuff when outside, worry about something meaningful like diesel cars and aerosolised dust.
Yeah here in Oslo diesel cars were banned and air quality improved dramatically from pretty bad compared to other European cities of similar size, to one of the best in terms of air quality.
Occasionally smelling my poop won't harm you neither, shall we presume based on your words you shall be fine with it in any public occasion? And well if you don't like that you can stay comfy at home too, right.
Because you know, to most non-smokers we would prefer smell of literal manure to what smokers of cigarettes produce.
And no amount of whataboutism about car fumes is gonna change that, thats a poor attempt to diverge conversation.
If you wanna take a dump on the street, be my guest. You'll quickly find out whether your thesis that most people find smoking more disgusting than human faeces is correct.
Some drugs that treat depression have a side effect of causing a lot of people to stop smoking. Maybe someday we will understand depression well enough to effectively and reliably treat it. At least until then, blanket statements about smoking aren't really reasonable.
I hate smoking. I have respiratory problems. I don't want people smoking around me.
But nicotine is a morally neutral chemical that, like any chemical, can have constructive uses.
I realized that when I said it. It's a comment on a discussion forum, not a phd thesis. Sometimes it's not worth spending ten minutes trying to figure out the scientifically accurate phrasing to make a point knowing no matter how I phrase it, someone on HN will rip it to pieces and nitpick it to death and most people will care enormously about finding minor errors in my comment while largely ignoring the thrust of my main point.
Posting on the internet is an exercise in frustration. HN used to be something of an oasis better than that. Not so much these days.
Not may, it definitely does. There's a lot of research that shows the combination of harmala alkaloids and nicotine are a lot more addictive than either one alone.
I think there are perfectly valid reasons to not like cigarette smoke, I just think that constantly harping over the "health" aspect rather than the "resolving the conflict of the smoke itself" aspect is not helpful.
To be honest, I wasn't trying to make it a moral issue by writing that sentence. In my view, people are free to go about doing self-harming activities if they want. I just don't enjoy when they do things that also affect others, like smoking in public around others just going about their day. Where I live regularly people just walk around on public sidewalks smoking making everyone they walk past or in front of breath it in. Or for example smoking at bus stops is another common problem. This is equivalent to actively harming others in my opinion.
And as some others have mentioned it may be that there is much more harm done to things like the environment by powers much greater than just those who smoke. So while there are some arguing for that point of view, I do understand those who argue against this one due to there "being much bigger fish to fry"
Although the health reason for stopping smoking is the best reason, I think the deeper reason that cigarettes are so reviled isn't the small amount of second-hand smoke, that's just the reason people give, but that it's a public display of vice, which isn't acceptable in culturally Puritan areas.
Puritans did something similar during their witch trials. They say they're burning someone for being a witch, but nearly all of their victims just so happened to have one of the following characteristics: spinsters with no children, widows who never remarried, single men into their 30s who never mastered a craft or became a clergyman, etc.
These were universally unacceptable, impure traits. Puritans were all about the collective rather than the individual, and they believed that the collective had the liberty to shape and bend the individual to its will, else the collective suffers. Non-conformists were made to conform, whether through shunning, shame, or violence, or else they were removed from the collective.
So no, you can't smoke in public, not because we care about your health or our health, but because it is decidedly impure, and a good Puritan must be pure, and if a member be not pure, he must be shamed and molded to be so, for if we're not all pure, our moral fabric comes apart.
Culture fundamentally changes very slowly over time, although the particulars may transform quite a lot, and this is a great example of that. A very interesting look at how Puritan culture is expressed in the modern day.
I also often believe non-perfect things I do not like should be banned, regardless of whether the justification for that ban is epistemically sound.
But then I think about the law of unintended consequences (or from a more optimistic/fun angle, the perspective of "Optimal Gameplay"), like how the people I am inconveniencing while blindly maximizing my group's fine-grained personal enjoyment may seek revenge (consciously or otherwise) when the time arises where they happen to be the ones who hold power of any sort, such as the decision to comply with public health recommendations, as just one example among many, many thousands.
Sometimes my (or others, including those of The Experts) mind counters with attractive, rhetorical stories/memes to counter this approach, but I endeavour to apply critical consideration to those lest I mistake them for shared/primary reality.
I have no idea how well I perform at this, but my intuition is that it is better than if I did not try at all, which seems to be the default approach in our culture afaict.
Just because it smells nicer and we pretend water filtration helps, doesn't make it heathier. Hookah is often worse because a long Hookah session can have more nicotine than a pack of cigarettes.
Yeah, I got into a Wikipedia edit war about this. The WHO has some studies showing that an hour of hookah smoking puts about the same amount of tar in the lungs as 20 cigarettes. I think the theory was that the cooler smoke is better tolerated and smokers leave it in their lungs longer.
I eventually gave up maintaining the page, and the hookah vendors who were my rivals have completely remove the citation. Also, it was hard to find in the first place and I don’t have access to a college library anymore.
Well, I tried to pick up smoking but never could. I reckoned have something to indulge into besides alcohol, plus smokers seem to enjoy it without the dreadful withdrawal effects of the former (hangovers that is).
But cigarettes just don't do nothing for me. I do get nauseous and if I insist, sick. But nothing enjoyable, not along what I came to expect from alcohol and caffeine.
On the other hand smoking prevents Parkinson's so not all bad habits are all evil.
So, I have to ask: is it the nicotine, or the products of combustion? Because a lot of people are smoking cannabis, and I'm wondering how many of the harms of long term cigarette use will also manifest in them.
Tar and carbon monoxide are bigger culprits than the nicotine afaik.
Edit- I should add, for the lungs. Nicotine does have adverse cardiac effects (heart disease). I'm not sure of the stats or relative numbers to the incidences, though.
There are studies on this that you could search pretty easily.
From my recollection, byproducts of tobacco smoke are nastier than usual, but mostly your right to think of it as the products of combustion. For example, there is a small study that came out this year, where pregnant women who used a vape, or nicotine patch, did not have the smaller birthweight you’d expect of smokers. And there have been plenty of studies through the years, showing that women in areas with polluted air have similar problems with their babies to women who smoke cigarettes.
And if I remember correctly in the 90s, there were a lot of studies to see if cannabis smoke caused similar health issues to tobacco smoke and they were not able to prove it. The reasons for this seems complicated and not definitively understood. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1277837/
As someone who is currently driving his Grandma to daily radiation treatment for throat cancer (yes she smokes before and after every treatment), I highly recommend that you don't smoke, or at the very least don't develop a habit.
Losing your voice, COPD, the risk of dying from asphyxiation, it's a very scary way to go.
These findings... for the first time reveal a long-term memory of the effects of smoking on immunity...
It also talks about epigenetics, which is a sort of hand wavy concept that what we do to our bodies can impact genetic expression and even genetic inheritance but it's kind of the "radiation" of 1950s sci fi. Spiderman was bit by a radioactive spider and got magic powers cuz ...don't ask. Radiation, okay? Moving on.
I am certain that everything we do in life has epigenetic impacts and our lifestyle interacts with gene expression. I think of it a bit like vernacular architecture. You draw a floorplan for a two bedroom home and are limited to local resources, the exact details look different depending on weather it's an adobe house or a log cabin.
That's a useful metaphor but it's not really hard science and at this date epigenetics is kind of a vague concept without really pinning down specific causes in most cases.
The body doesn't "remember." It remains impaired in part because we don't really understand how to fully clear these chemicals from the body. It may also remain impaired because these chemicals altered something which will remain altered after the chemicals are cleared but at this point epigenetics doesn't seem to actually identify those details.
Radioactive Polonium-210 is the most potent carcinogen within tobacco, and it is not intrinsic to the plant. It is a result of past use of phosphate fertilizer [0].
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[ 10.0 ms ] story [ 4268 ms ] threadWe're in the cardio module now, and about 3/4ths of the class is already talking about signing a DNR. Death from one of those three is often long and extremely painful. We've got so many ways we are legally required to keep the body "alive". There's a lot worse things out there than death.
Keep fit out there folks. If you don't know where to start, check out intermittent fasting 16/8.
Eat breakfast at 9, lunch at noon, and dinner at 5.
That's just a normal day.
Fasting is not eating.
But sure, let's just change the meaning to "scheduling when I eat".
https://en.wikipedia.org/wiki/Fasting
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9378543/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6747269/ https://onlinelibrary.wiley.com/doi/10.1002/oby.23634 https://academic.oup.com/edrv/article/43/6/966/6532493?login...
Skip the fasting; exercise and eat real whole foods. It's pretty difficult to do both of those things and not lose weight.
Could you say more about this? I've heard of rib breaking CPR but curious to know about others.
There are also "humans are space orcs" devices like this https://en.wikipedia.org/wiki/Ventricular_assist_device that can keep blood circulating even when the heart cannot.
Or this https://en.wikipedia.org/wiki/Continuous_positive_airway_pre... that can push all the blood in your lungs from congestive heart failure back into your arteries, only for the lungs to start to slowly fill again, drowning them slowly.
Not saying these measures are bad or that we should withhold care, but there is very much an attitude of "keep alive at all costs" to modern medicine that can be hard to witness and potentially traumatizing for caregivers.
I am all for fasting, but it won't make your death necessarily less painful. The best you can hope for is to live a decade longer and possibly make use of the progress of medical science.
(It is possible that we will have a breakthrough in longevity. In that case, well, it makes a LOT of sense to be alive to see it.)
Smoking is outlawed in parks, but allowed on sidewalks.
If by that you mean bad smelling poorly running clunkers everywhere then yes. But mostly because we don't do emissions testing at all outside of one or two cities in my state.
https://en.wikipedia.org/wiki/Volkswagen_emissions_scandal#U...
[1]https://cleantechnica.com/2023/12/27/cummins-fined-1-67-bill...
We didn't get a Bar smoking ban locally until recently and at first it only targeted bars that serve food.
It's pretty common in France and Switzerland.
OK, smoking is bad, but it seems everyone already knows that one way or another, just like obesity.
It's the first time I hear of latent cytomegalovirus infection though, which apparently has a very strong impact. Is this worth it to be tested against, preventively ?
Unless you're pregnant or immunocompromised, no. IIRC roughly 70% of adults in developed nations and 100% elsewhere have CMV.
But also most people have it so it’s hard to say whether somehow treating it would be beneficial.
0: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6635032/
I hate the smell of it and how it feels breathing it, every time I walk behind somebody smoking while walking somewhere I literally run in front of them or cross the street. I honestly think public smoking should just be outright banned for being a health hazard against others.
If you still want to smoke, go to small out of the way designated places for it where you aren't bothering others.
That sounds like rationalization of your own actions.
Sure, the environment in cities isn't pristine, but it is a lot better than several decades ago, and multiple bans on noxious substances were needed to clean the air up a bit. When my mother was a kid (1950s), smog was so severe that street lamps had to be lit during the day. Ah, the beauty of burning coal in the middle of a city without any filters.
Maybe, if you are a smoker, you are just so used to smoke that you don't realize how disgusting it is for non-smokers.
A friend of mine quit and, after a few months, as his sense of smell slowly came back from the dead, sincerely apologized to everyone else for smoking around us. He said that he, as a smoker, just didn't realize how pungent and revolting the smell of tobacco smoke is to others.
Once upon a time, people threw all sorts of garbage in the streets, including rat carcasses and what have you. It was the norm and people complaining about it were considered sissies.
In the 1900s, this was already beyond the pale, but "everyone" was fine with black soot from coal-fired furnaces covering everything, and with car engines smelling to high heavens.
Nowadays we don't tolerate either, so smokers are starting to be targeted.
Smoking is not healthy and smokers should be considerate of others when engaging, but let's be real about it.
If you break your leg, is it okay for someone to punch you? I mean, it's way less damage than you've already sustained, right...
Smokers should be considerate, that's a given, but you're arguing a false premise with hyperbole.
You're overcomplicating it, it's not about that, it's simply fuck them for flagrantly smoking right in my face. It's literally a physical assault, and entirely "optional" / their choice to not give a fuck about anyone else.
There's a huge range of possible things like this people could do to each other which is simply not okay out of basic consideration for others / not being a massive dick. What if I decided I like the smell of some other chemical that's bad for you / proven carcinogen etc, and open this up on a busy train platform. Do I then get to argue technicalities about other unhealthy things too? What if everyone did this?
Is this the point we've reached in society, where we want to argue our right to do such things to each other? Purely out of choice, not even some necessity...
Honestly, since they banned indoor smoking and having people smoke 9m from doors, I don't mind it. What I do mind is people throwing butts all over the place, for some reason, even people who avoid littering don't think twice about throwing their dirty butts everywhere. Every time spring comes and snow starts melting it's so disgusting everywhere.
In the developing world, where very old cars are routinely used, the fumes are worse than smoke from individual smokers. In the EU, it is the other way round.
How come that nations that have more diesel engines don't suffer from cancer more?
In Ireland or Italy, something like 40 per cent of new cars are diesels. In Finland it is less than 20 per cent and in the Netherlands less than 10 per cent.
If diesel was a cancer machine, I would expect Italians to have a lot more cancer than the Dutch. Dose-response is a thing in toxicology.
An imperfect world is not an excuse for inaction
Cigarette smokers, they never to stop amazing me how arrogant and self-centered many of them are when talking about actual topics.
Its btw a great way to find out who you are really dealing with - anybody can produce sweet talk on demand if they have a clear goal. Stub their toe with say some hard addiction of theirs and personalities surface very quickly
It probably averages out to the equivalent of a beer every week or two.
In reality its just sleep, anime, and weed.
I'm not claiming that alcohol is better, just saying that in terms of getting of nuisances, you can choose to completely opt out of alcohol if you so choose, while in some places it's hard to completely avoid cigarette smoke from people around you.
The negative social externality may not be "second hand drinking", but it exists nonetheless.
The persistent smell of the tars that cling to surfaces? Not so much.
I am the same way, I will risk getting hit by cars sometimes just to avoid smoke I hate it so much. Even outdoors after a brief exposure it gets lodged in your hair, clothes, and eyes. With the legalization of marijuana in so many places, the problem has become even worse.
Vaping is absolutely not safe, but smoking cigarettes is likely much more damaging to your health.
In contrast, we've been using vapes for about 20 years - and they've only been widespread for maybe 10.
From Wikipedia:
The practice is believed to have begun as early as 5000–3000 BC in Mesoamerica and South America. Tobacco was introduced to Eurasia in the late 17th century by European colonists.
https://en.wikipedia.org/wiki/Tobacco_smoking
Serious drowning incidents from drinking water are extremely rare and usually involve underlying medical conditions or very specific circumstances. Conversely, the health risks associated with vaping, including lung injury, addiction, and potential cardiovascular effects, are well-documented and have been observed in a significant portion of users, especially among young people and adolescents.
Vaping has been linked to a significant rise in nicotine addiction among teenagers and young adults, often drawn to flavored vape products. This trend threatens to reverse decades of progress in tobacco control and nicotine addiction. Water consumption does not carry a similar public health risk; it does not lead to widespread addiction or serve as a gateway to the consumption of more harmful substances.
While water is essential and generally safe, there are still regulations in place to ensure its safety (e.g., water quality standards). The call to regulate or ban vapes stems from a similar public health perspective — protect consumers, especially young ones, from products that have been shown to pose significant health risks.
Lastly, equating the act of vaping with drinking water is a false equivalence. The two activities serve different purposes and have vastly different implications for health. While water is necessary for life and generally promotes health, vaping introduces unnecessary risks, particularly to young and vulnerable populations.
Vaping is not as safe as inhaling nothing but air. But we do know scientifically that it is substantially safer than smoking [1], despite the (big tobacco-funded) scare campaigns that claim otherwise.
In other words, nothing > vaping > smoking. If you don't use nicotine today, don't start. But if you want to get off cigarettes, vaping is a great choice and provably safer.
[0] https://www.nbcnews.com/health/vaping/tests-show-bootleg-mar...
[1] https://www.kcl.ac.uk/news/vaping-substantially-less-harmful...
[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228557/
The CDC recommends not using THC vapes at all because of EVALI, but make no such recommendation about standard nicotine vapes (unless you've never smoked) [0].
[0] https://www.cdc.gov/tobacco/basic_information/e-cigarettes/s...
nothing > oral/mucousa nicotine > inhaled nicotine > oral/mucousa tobacco > inhaled tobacco
If that's a reference to a spate of "popcorn lung" cases of THC vapers, where it's suspected that the juice was laced with vitamin E, you might as well say that Tylenol is deadly because someone once spiked it with cyanide†. Don't put junk in the juice, regulate the ingredients. I'm saying this as a non-vaper and non-smoker, if it makes any difference.
†I know, I know, acetaminophen _is_ deadly is you overdose on it. That's not what I'm talking about here.
Note that many of the toxic chemicals referred to in this paper are normal components of nicotine vape juice, including but not limited to the flavorings, so the comparison to spiking Tylenol with cyanide is not particularly apt.
[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228557/
Don’t worry, we’re tackling that in Australia! Due to a moral panic, vapes are all set to become harder to purchase than actual tobacco!
:facepalm:
Somewhere in that mess there was a path to making them a good way to really squash that last few percent of people that smoke, at least by moving them onto something a little better even if they never quit, but it’s been missed.
Even then, I’d understand and support making them as hard to get as tobacco, regulated very similarly so when Bob Smoker goes to the servo (gas station) or smoke mart, he can choose the less harmful and less harmful to others path with little effort. Not now though (well later this year), he has to pay for a doctor’s appointment and get an approved therapeutic device prescribed if he wants to vape. Or he can buy cigarettes at the corner.
And the schoolyard mom grapevine apparently has it that vaping is worse than smoking. The clusterfuck is complete, and a great health opportunity was missed.
(For the record I neither vape nor smoke, but I did use the former to quit the latter a little over 10 years ago)
(Edit - oh that thing in New Zealand? The new government scrapped it, I think for reasons of tax revenue. One of the most naked money > lives decisions I’ve seen in recent years)
Damn that’s fairly passive aggressive. I no longer smoke but you’re aware it’s incredibly addictive?
At this point I think I'm more addicted to the harmaline than the actual nicotine.
But I still think even these people should be aware of those around them when they are smoking and how they are affecting them as well. Smoking while in transit on a sidewalk is the example I'm speaking of. Every person you walk past or who walks in your same direction is being affected by you.
Cigarettes are tasty, but if I have a couple in a row it hurts my lungs, so I smoke very few of them.
People who smoke and walk end up going in the same direction and pace as other people, annoying them. It's easier to avoid a smoker who is staying put.
That said, I put up with it because I respect the freedom of those wishing to enjoy it. I also have no choice, because the smell has become ubiquitous almost everywhere you go.
I do not respect people who do it around other unconsenting people in areas that are meant to be used by the general public i.e. not in your own home (though even then if you live in apartment/multi-family dwelling it can become a major issue for your neighbors) or a designated spot since there is plenty of research documenting second-hand effects being harmful.
If you're really worried about inhaling stuff when outside, worry about something meaningful like diesel cars and aerosolised dust.
https://apnews.com/article/california-trucks-epa-greenhouse-...
Because you know, to most non-smokers we would prefer smell of literal manure to what smokers of cigarettes produce.
And no amount of whataboutism about car fumes is gonna change that, thats a poor attempt to diverge conversation.
https://news.ycombinator.com/item?id=37923037
Some drugs that treat depression have a side effect of causing a lot of people to stop smoking. Maybe someday we will understand depression well enough to effectively and reliably treat it. At least until then, blanket statements about smoking aren't really reasonable.
I hate smoking. I have respiratory problems. I don't want people smoking around me.
But nicotine is a morally neutral chemical that, like any chemical, can have constructive uses.
Posting on the internet is an exercise in frustration. HN used to be something of an oasis better than that. Not so much these days.
That's interesting because nicotine contains MAOI(monoamine oxidase inhibitors) compounds that are used treat depression.
I don't really see an issue with this personally. Moralizing health is weird.
And as some others have mentioned it may be that there is much more harm done to things like the environment by powers much greater than just those who smoke. So while there are some arguing for that point of view, I do understand those who argue against this one due to there "being much bigger fish to fry"
We unfortunately live in a society that prioritizes freedom to harm others over freedom from being harmed by others.
Puritans did something similar during their witch trials. They say they're burning someone for being a witch, but nearly all of their victims just so happened to have one of the following characteristics: spinsters with no children, widows who never remarried, single men into their 30s who never mastered a craft or became a clergyman, etc.
These were universally unacceptable, impure traits. Puritans were all about the collective rather than the individual, and they believed that the collective had the liberty to shape and bend the individual to its will, else the collective suffers. Non-conformists were made to conform, whether through shunning, shame, or violence, or else they were removed from the collective.
So no, you can't smoke in public, not because we care about your health or our health, but because it is decidedly impure, and a good Puritan must be pure, and if a member be not pure, he must be shamed and molded to be so, for if we're not all pure, our moral fabric comes apart.
Culture fundamentally changes very slowly over time, although the particulars may transform quite a lot, and this is a great example of that. A very interesting look at how Puritan culture is expressed in the modern day.
But then I think about the law of unintended consequences (or from a more optimistic/fun angle, the perspective of "Optimal Gameplay"), like how the people I am inconveniencing while blindly maximizing my group's fine-grained personal enjoyment may seek revenge (consciously or otherwise) when the time arises where they happen to be the ones who hold power of any sort, such as the decision to comply with public health recommendations, as just one example among many, many thousands.
Sometimes my (or others, including those of The Experts) mind counters with attractive, rhetorical stories/memes to counter this approach, but I endeavour to apply critical consideration to those lest I mistake them for shared/primary reality.
I have no idea how well I perform at this, but my intuition is that it is better than if I did not try at all, which seems to be the default approach in our culture afaict.
If anyone actually has details please correct me.
I eventually gave up maintaining the page, and the hookah vendors who were my rivals have completely remove the citation. Also, it was hard to find in the first place and I don’t have access to a college library anymore.
But cigarettes just don't do nothing for me. I do get nauseous and if I insist, sick. But nothing enjoyable, not along what I came to expect from alcohol and caffeine.
On the other hand smoking prevents Parkinson's so not all bad habits are all evil.
https://en.wikipedia.org/wiki/Langerhans_cell_histiocytosis
Edit- I should add, for the lungs. Nicotine does have adverse cardiac effects (heart disease). I'm not sure of the stats or relative numbers to the incidences, though.
From my recollection, byproducts of tobacco smoke are nastier than usual, but mostly your right to think of it as the products of combustion. For example, there is a small study that came out this year, where pregnant women who used a vape, or nicotine patch, did not have the smaller birthweight you’d expect of smokers. And there have been plenty of studies through the years, showing that women in areas with polluted air have similar problems with their babies to women who smoke cigarettes.
And if I remember correctly in the 90s, there were a lot of studies to see if cannabis smoke caused similar health issues to tobacco smoke and they were not able to prove it. The reasons for this seems complicated and not definitively understood. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1277837/
Losing your voice, COPD, the risk of dying from asphyxiation, it's a very scary way to go.
It also talks about epigenetics, which is a sort of hand wavy concept that what we do to our bodies can impact genetic expression and even genetic inheritance but it's kind of the "radiation" of 1950s sci fi. Spiderman was bit by a radioactive spider and got magic powers cuz ...don't ask. Radiation, okay? Moving on.
I am certain that everything we do in life has epigenetic impacts and our lifestyle interacts with gene expression. I think of it a bit like vernacular architecture. You draw a floorplan for a two bedroom home and are limited to local resources, the exact details look different depending on weather it's an adobe house or a log cabin.
That's a useful metaphor but it's not really hard science and at this date epigenetics is kind of a vague concept without really pinning down specific causes in most cases.
The body doesn't "remember." It remains impaired in part because we don't really understand how to fully clear these chemicals from the body. It may also remain impaired because these chemicals altered something which will remain altered after the chemicals are cleared but at this point epigenetics doesn't seem to actually identify those details.
Maybe someday it will. But not today.
[0] https://www.epa.gov/radtown/radioactivity-tobacco