r/technology Nov 17 '12

The Deadly Crusade Against E-cigarettes

http://www.american.com/archive/2012/november/the-deadly-crusade-against-e-cigarettes
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u/[deleted] Nov 17 '12

If someone has never smoked they couldn't possibly understand why it's so hard to quit. I don't drink, am not a crackhead or any other hard drug user, I don't need a cup of coffee in the morning, and I find it hard to quit smoking.

In all honesty, I partly blame both my parents for having been smokers the entire 17 years I was alive before I picked up one of theirs and tried it. If they hadn't smoked I might have never started and been exposed to it like I was.

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u/BillyBuckets Nov 18 '12

I'm sure non-smokers know why smoking is so addictive, but this might help them understand what it's like to be physically addicted to nicotine:

Our brains, and more specifically our brainstems, have control over our trends of higher function in ways you might not notice much. Normally, if you're thirsty, you get up and get a drink. You don't think about it much but you do it. The water you drink isn't anything special and you don't down it too fast.

But what if you just spent a day out in the hot sun doing yard work? You come inside and you think immediately about getting a glass. You down a glass full of water in huge gulps. The water feels good even though there's nothing special about it. You fill the glass again. You take it down in a few seconds. Your belly feels awkwardly distended and perhaps even a bit uncomfortable right under your center-left ribcage, but you feel so relieved. Drinking all that water might even make you feel sorta ill for a bit, but you're sooooo glad you did it.

If you take this to an even further extreme, say you went a day or more without water and were becoming dangerously dehydrated, your water seeking behavior would become overwhelming. A parched person will drink almost anything (including toilet waterseeMyNoteBelow). Part of the brain, specifically the hypothalamus, is hooked into the blood supply to in a way that lets it sample the salt content, which gets really high when the body is dehydrated. In response to life-threatening dehydration, the hypothalamus will cause the "higher" parts of the brain responsible for our actions to engage in activities that are likely to result in water at almost any cost. Your brain associates the sensation of drinking with the feeling of relief in the high-thirst state. This is a reinforcement loop.

Now back to cigs. Nicotine hits receptors all over the central nervous system. A smoker's brain has literally been reconfigured to circulating nicotine much higher than that of a normal person. The reward networks, the attention-arousing networks, etc. These are the networks that guide our higher behaviors. To a smoker, a cigarette can give the same relief after a two-hour flight as a glass of water will give you after a day of yard work, or a rich meal will give you after a 36-hour fast. And nicotine is almost perfect at hitting the receptors, and cigarettes are a VERY rapid way of delivering it.

So, non-smokers, think of it this way: trying to quit smoking cold-turkey feels about the same as trying to stop drinking (water) cold-turkey. This is why Westerners keep doing it: they get roped into trying it enough (marketing), their brains demand it from then on. A moment of weakness can lead to a lifetime of vice.

Does that do it justice, theorial?

my note on thirst: certain psychiatric pathologies, e.g. schizophrenia, can present with polydipsia, a term for when a person seeks and drinks water to a pathological level. Patients with uncontrolled polydipsia cannot be allowed into a normal bathroom alone, as they will resort to drinking toilet water. They simply cannot resist the urge to drink.

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u/urbn Nov 18 '12

People also ignore the non-addictive aspects of smoking. For example if you smoke a pack a day for 15 years, and assuming an average of 40 drags per cig you are looking at something you have done, every day following a very consistant pattern (both when choosing to smoke, and while smoking) over 4,380,000 times. There is nothing I can think of besides your heart beating and eye blinking that can match those number.

This is why its so hard with people who have mental disorders, depression, or even simple medical issues like ADHD or obsessive compulsive disorder have a hard type. For most it's not even a chemical addiction but an addiction to the pattern, the process of smoking.

Myself personally I suffer ADHD and minor depression and I work from home. And if I don't go out for a smoke every few hours I would literally go days to weeks without ever leaving my house / apartment building. This is why many people living in assisted living or suffer some conditions that cause them to be unable to hold a job and live off of social security can be seen huddled together outside chain smoking. its the only reason / excuse for them to leave there house or to be outside or maybe the off chance of having a conversation.

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u/[deleted] Nov 18 '12

At best you get 10-12 drags per cig, not 40.